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Secondhand smoke exposure, parental depressive symptoms and preschool behavioral outcomes

Nerissa S Bauer1, Vibha Anand2, Aaron E Carroll1

  • 1Department of General & Community Pediatrics, Section of Children's Health Services Research, Indiana University School of Medicine, Indianapolis, IN; Regenstrief Institute for Healthcare, Indianapolis, IN.

Journal of Pediatric Nursing
|July 15, 2014
PubMed

Insights

Secondhand smoke (SHS) exposure is linked to behavioral issues like attention deficit-hyperactivity disorder (ADHD) and disruptive behavior disorder (DBD) in preschoolers. Early identification of SHS exposure can help in timely intervention for at-risk children.

Area of Science:

  • Pediatric Health
  • Environmental Health
  • Behavioral Science

Background:

  • Limited understanding exists regarding the connection between secondhand smoke (SHS) exposure and behavioral conditions in preschoolers.
  • Behavioral issues in early childhood can have long-term impacts on development and well-being.

Purpose of the Study:

  • To investigate the association between secondhand smoke (SHS) exposure and behavioral conditions in preschool-aged children.
  • To identify potential risk factors for behavioral issues in early childhood.

Main Methods:

  • A cross-sectional analysis utilized billing and pharmacy claims data from November 2004 to June 2012.
  • Data from 2,441 children across four pediatric community health clinics were examined.
  • Medical encounter-level data were linked to claims data to assess SHS exposure and behavioral diagnoses.

Main Results:

  • Secondhand smoke (SHS) exposure was found to be significantly associated with attention deficit-hyperactivity disorder (ADHD).
  • SHS exposure was also associated with disruptive behavior disorder (DBD).
  • These associations remained significant after adjusting for potential confounding factors.

Conclusions:

  • Findings suggest a link between secondhand smoke (SHS) exposure and the development of ADHD and DBD in preschoolers.
  • Assessing SHS exposure and parental depressive symptoms may aid in identifying at-risk children.
  • Early identification facilitates timely intervention for behavioral issues in young children.

Keywords:
Child preschoolMental healthPrimary health careScreeningSecondhand smoke

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