Associations between Exposure to Tobacco Smoke and Behavioral Problems in Preschool Japanese Children.
Journal
Journal of environmental and public health
ISSN: 1687-9813
Titre abrégé: J Environ Public Health
Pays: United States
ID NLM: 101516361
Informations de publication
Date de publication:
2020
2020
Historique:
received:
26
06
2019
revised:
14
04
2020
accepted:
29
04
2020
entrez:
9
6
2020
pubmed:
9
6
2020
medline:
12
11
2020
Statut:
epublish
Résumé
A few studies related to pediatric behavior have measured secondhand smoke exposure in children using valid objective biochemical markers. We aimed at investigating the associations between current and cumulative exposure to tobacco smoke, measured both subjectively and objectively, and behavioral problems in children. Subjects were 437 Japanese children, aged 3-6 years in 2006. Exposure to tobacco smoke was evaluated from a parent-administered questionnaire and urinary cotinine concentrations. The cotinine concentrations were measured using first-void morning urine by liquid chromatography-tandem mass spectrometry. Children's behaviors were assessed by the parent-completed Strengths and Difficulties Questionnaire. After multiple adjustments for covariates, higher total difficulty scores of children were significantly associated with the larger number of cigarettes parents smoke, more smokers among cohabiters, and more pack-years of exposure to tobacco smoke from parents and cohabiters. The total difficulty scores were 8.72, 9.09, and 10.52, respectively, for children in the low, middle, and high tertiles of creatinine-corrected cotinine concentrations in urine ( Exposure to tobacco smoke in early childhood may be involved in the development of pediatric behavioral problems. The importance of reducing the exposure of children to tobacco smoke, particularly in the home, was further emphasized for the prevention of psychological and behavioral problems in childhood.
Sections du résumé
Background
A few studies related to pediatric behavior have measured secondhand smoke exposure in children using valid objective biochemical markers. We aimed at investigating the associations between current and cumulative exposure to tobacco smoke, measured both subjectively and objectively, and behavioral problems in children.
Methods
Subjects were 437 Japanese children, aged 3-6 years in 2006. Exposure to tobacco smoke was evaluated from a parent-administered questionnaire and urinary cotinine concentrations. The cotinine concentrations were measured using first-void morning urine by liquid chromatography-tandem mass spectrometry. Children's behaviors were assessed by the parent-completed Strengths and Difficulties Questionnaire.
Results
After multiple adjustments for covariates, higher total difficulty scores of children were significantly associated with the larger number of cigarettes parents smoke, more smokers among cohabiters, and more pack-years of exposure to tobacco smoke from parents and cohabiters. The total difficulty scores were 8.72, 9.09, and 10.52, respectively, for children in the low, middle, and high tertiles of creatinine-corrected cotinine concentrations in urine (
Conclusions
Exposure to tobacco smoke in early childhood may be involved in the development of pediatric behavioral problems. The importance of reducing the exposure of children to tobacco smoke, particularly in the home, was further emphasized for the prevention of psychological and behavioral problems in childhood.
Identifiants
pubmed: 32508936
doi: 10.1155/2020/7591263
pmc: PMC7244947
doi:
Substances chimiques
Biomarkers
0
Tobacco Smoke Pollution
0
Cotinine
K5161X06LL
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
7591263Informations de copyright
Copyright © 2020 Keiko Wada et al.
Déclaration de conflit d'intérêts
The authors declare that there are no conflicts of interest regarding the publication of this article.
Références
Pediatrics. 1992 Sep;90(3):342-9
pubmed: 1518686
Brain Res Dev Brain Res. 2002 Feb 28;133(2):175-9
pubmed: 11882347
Acta Paediatr. 2010 Jan;99(1):106-11
pubmed: 19793315
J Expo Sci Environ Epidemiol. 2010 Nov;20(7):615-24
pubmed: 20237497
Pediatrics. 1993 Dec;92(6):815-22
pubmed: 8233743
Int J Epidemiol. 2005 Jun;34(3):688-95
pubmed: 15737964
Environ Health Perspect. 2008 Jul;116(7):956-62
pubmed: 18629321
Pediatrics. 2004 Apr;113(4 Suppl):1007-15
pubmed: 15060193
J Child Psychol Psychiatry. 1997 Jul;38(5):581-6
pubmed: 9255702
J Dev Behav Pediatr. 2008 Dec;29(6):450-7
pubmed: 19093323
J Epidemiol. 2012;22(1):72-7
pubmed: 22156287
Environ Health Perspect. 2010 Jan;118(1):150-4
pubmed: 20056582
Pediatrics. 2012 Apr;129(4):735-44
pubmed: 22430451
Tob Control. 2013 May;22(3):164-71
pubmed: 22940677
Arch Pediatr Adolesc Med. 2012 Jan;166(1):18-27
pubmed: 21893640
Brain Res. 2006 Sep 21;1111(1):30-5
pubmed: 16876770
BMJ. 2015 Oct 21;351:h5397
pubmed: 26489750
Curr Opin Pediatr. 2008 Apr;20(2):184-90
pubmed: 18332716
Environ Health Prev Med. 2013 May;18(3):244-50
pubmed: 23011941
Environ Health Perspect. 2006 Jan;114(1):34-9
pubmed: 16393655
Curr Probl Pediatr Adolesc Health Care. 2014 Sep;44(8):219-41
pubmed: 25106748
Ambul Pediatr. 2008 Sep-Oct;8(5):288-93
pubmed: 18922501
Respir Res. 2011 Jan 10;12:5
pubmed: 21219618
Drug Alcohol Depend. 2015 Feb 1;147:103-8
pubmed: 25542825
Environ Health Perspect. 2006 Dec;114(12):1904-9
pubmed: 17185283
Brain Dev. 2008 Jun;30(6):410-5
pubmed: 18226867
BMC Public Health. 2010 Jun 14;10:335
pubmed: 20540808
J Dev Behav Pediatr. 2010 Feb-Mar;31(2):107-15
pubmed: 20110826
Am J Epidemiol. 2011 May 1;173(9):998-1003
pubmed: 21427172
Arch Pediatr Adolesc Med. 2011 Apr;165(4):326-31
pubmed: 21135317