Höök Börje, Cederblad Marianne, Berg Roland
Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden.
Acta Paediatr. 2006 Jun;95(6):671-7. doi: 10.1080/08035250500538965.
To identify maternal prenatal and postnatal smoking as risk factors for psychosocial behaviour problems in Swedish preschool children.
This prospective, longitudinal population study compared mothers' self-reported smoking during pregnancy and when the child was 3 mo old with behaviour problems according to Achenbach's Child Behavior Checklist at 3 y (1428 children) and 5.5 y of age (677 of the children).
16% of the mothers smoked during pregnancy and the same number after the birth of the child. Controlling for possible confounding variables, maternal smoking was significantly related to externalizing problems, aggressive behaviour, and destructive/delinquent behaviour both at 3 y and 5.5 y. The effect was as strong for girls as for boys. Length and weight were lower for children of smoking mothers than for children of non-smoking mothers.
Our study supports the importance of preventing maternal smoking during pregnancy and the infant years. Even a few cigarettes per day have negative consequences for the child. The goal must be total abstinence from smoking both pre- and postnatally.
确定母亲产前和产后吸烟是否为瑞典学龄前儿童心理社会行为问题的风险因素。
这项前瞻性纵向人群研究，将母亲自我报告的孕期及孩子3个月大时的吸烟情况，与孩子3岁（1428名儿童）和5.5岁（其中677名儿童）时根据阿chenbach儿童行为量表得出的行为问题进行了比较。
16%的母亲在孕期吸烟，产后吸烟的比例相同。在控制了可能的混杂变量后，母亲吸烟与3岁和5.5岁时的外化问题、攻击性行为以及破坏/违纪行为显著相关。对女孩和男孩的影响同样强烈。吸烟母亲的孩子的身长和体重低于不吸烟母亲的孩子。
我们的研究支持了孕期和婴儿期预防母亲吸烟的重要性。即使每天只吸几支烟也会对孩子产生负面影响。目标必须是产前和产后完全戒烟。
