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The association between neurodevelopmental and behavioral problems and tobacco smoke exposure among 3-17 years old

Yu Gao1, Tong Wang1, Zhizhen Duan1

  • 1Key Laboratory of Environmental Medicine Engineering, Ministry of Education of China, School of Public Health, Southeast University, Nanjing, China.

Frontiers in Public Health
|August 29, 2022
PubMed

Insights

Children exposed to tobacco smoke (TSE) face increased risks of neurodevelopmental and behavioral problems (NBPs). Protecting young children from TSE is crucial for their healthy development.

Area of Science:

  • Environmental Health
  • Pediatrics
  • Developmental Psychology

Background:

  • Childhood exposure to tobacco smoke (TSE) is linked to adverse developmental and behavioral outcomes.
  • Understanding the specific correlations between different levels of TSE and neurodevelopmental and behavioral problems (NBPs) is essential for targeted interventions.

Purpose of the Study:

  • To investigate the association between tobacco smoke exposure (TSE) and neurodevelopmental and behavioral problems (NBPs) in children aged 3-17 years.
  • To analyze the impact of different TSE levels (no TSE, no home TSE, home TSE) on various NBPs.

Main Methods:

  • Utilized data from the 2018-2019 U.S. National Survey of Children's Health (NSCH), including 48,783 children.
  • Employed logistic regression and stratified analysis to examine the relationship between TSE and NBPs, controlling for relevant factors.
  • Defined NBPs to include behavioral issues, intellectual disability, learning disability, speech disorders, and developmental delay.

Main Results:

  • Children with home TSE and no home TSE exhibited significantly higher odds of developing NBPs compared to those with no TSE, excluding intellectual disability.
  • Preschool children showed higher adjusted odds ratios (aORs) for NBPs than older children and adolescents when exposed to TSE.
  • Male children with home TSE had increased aORs for moderate/severe NBPs.

Conclusions:

  • Tobacco smoke exposure, particularly within the home, is significantly associated with increased risks of neurodevelopmental and behavioral problems in children.
  • Intervention strategies are necessary to shield children, especially preschoolers, from the detrimental effects of tobacco smoke exposure.
  • Public health initiatives should focus on reducing household TSE to promote better child development and behavioral health outcomes.

Keywords:
agechildrengenderneurodevelopmental and behavioral problemsstratified analysistobacco smoke exposure

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