Prenatal Exposure to Environmental Tobacco Smoke and Hyperactivity Behavior in Chinese Young Children

Qingmei Lin, Xiang-Yu Hou, Xiao-Na Yin, Guo-Min Wen, Dengli Sun, Dan-Xia Xian, Lijun Fan, Hui Jiang, Jin Jing, Yu Jin, Chuan-An Wu and Wei-Qing Chen
Additional contact information
Qingmei Lin: School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
Xiang-Yu Hou: Australia China Centre for Public Health, Brisbane, Queensland 4059, Australia
Xiao-Na Yin: Maternal and Child Health Care Center of Longhua New District, Shenzhen 518131, China
Guo-Min Wen: Maternal and Child Health Care Center of Longhua New District, Shenzhen 518131, China
Dengli Sun: Maternal and Child Health Care Center of Longhua New District, Shenzhen 518131, China
Dan-Xia Xian: Maternal and Child Health Care Center of Longhua New District, Shenzhen 518131, China
Lijun Fan: School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
Hui Jiang: School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
Jin Jing: School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
Yu Jin: School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
Chuan-An Wu: Maternal and Child Health Care Center of Longhua New District, Shenzhen 518131, China
Wei-Qing Chen: School of Public Health, Sun Yat-sen University, Guangzhou 510080, China

IJERPH, 2017, vol. 14, issue 10, 1-12

Abstract: This study aimed to examine the association between prenatal environmental tobacco smoke (ETS) exposure and hyperactivity behaviors in young children. A cross-sectional study was undertaken among 21,243 participants from all of the kindergartens in Longhua District of Shenzhen, China. Multivariate logistic regression models and hierarchical linear models were employed to assess the associations. After adjusting for potential confounders of gender, preterm birth, birth asphyxiation, etc., prenatal ETS exposure was significantly associated with an increased risk of hyperactivity behaviors in young children (OR (95% CI) = 1.51 (1.28–1.77); ? (95% CI) = 0.017 (0.013–0.020)). Along with increases in children’s prenatal ETS exposure dose (measured by daily ETS exposure duration, daily cigarette consumption by household members, and overall score of prenatal ETS exposure), the children were also increasingly more likely to exhibit hyperactivity behaviors. Furthermore, children whose mothers had prenatal ETS exposure in any one or more of the pregnancy trimesters were more likely to exhibit hyperactivity behaviors as compared with those born to non-exposure mothers (all p < 0.05). Overall, prenatal ETS exposure could be associated with a detrimental impact on offspring’s hyperactivity behaviors, and public health efforts are needed to reduce prenatal ETS exposure.

Keywords: environmental tobacco smoke; prenatal; hyperactivity behavior; children (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
References: View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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