Early childhood exposure to secondhand smoke and behavioural problems in preschoolers

Tzu Tsun Luk1, Man Ping Wang2, Yi Nam Suen3

  • 1School of Nursing, The University of Hong Kong, Pok Fu Lam, Hong Kong.

Scientific Reports
|October 20, 2018
PubMed

Insights

Secondhand smoke exposure in early childhood, measured by cotinine levels, is linked to increased conduct problems and hyperactivity in preschoolers. This finding highlights the risks of environmental tobacco smoke for child behavioral health.

Area of Science:

  • Environmental Health
  • Pediatrics
  • Developmental Psychology

Background:

  • Limited evidence exists on behavioral abnormalities in children exposed to secondhand smoke.
  • Secondhand smoke exposure is a significant environmental risk factor for child health.
  • Biomarkers like cotinine are crucial for quantifying exposure levels.

Purpose of the Study:

  • To investigate the association between secondhand smoke exposure and behavioral problems in preschoolers.
  • To examine the relationship between infant/toddler cotinine concentration and preschooler behavioral outcomes.
  • To assess behavioral health in children not exposed to maternal smoking during gestation but exposed to secondhand smoke.

Main Methods:

  • Prospective cohort study of 301 non-smoking mothers and their children (≤18 months).
  • Salivary cotinine levels measured at baseline as a biomarker for secondhand smoke exposure.
  • Child behavioral health assessed at 3-year follow-up using the Strengths and Difficulties Questionnaire (SDQ).
  • Multivariable linear regressions adjusted for covariates.

Main Results:

  • Higher cotinine concentrations in early childhood were significantly associated with increased conduct problems (b=0.90).
  • Higher cotinine concentrations were also linked to greater hyperactivity/inattention (b=1.12).
  • These associations remained significant after adjusting for multiple confounding factors.

Conclusions:

  • Secondhand smoke exposure in early childhood is associated with adverse behavioral outcomes in preschoolers.
  • Cotinine levels serve as a reliable indicator of secondhand smoke exposure and its impact.
  • Findings support the role of environmental tobacco smoke in the development of child behavioral problems.

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