Helmholtz Zentrum München, German Research Centre for Environmental Health, Institute of Epidemiology I, Ingolstaedter Landstrasse 1, 85764 Neuherberg, Germany.
Environ Res. 2011 Nov;111(8):1173-9. doi: 10.1016/j.envres.2011.06.011. Epub 2011 Jul 20.
To analyse the association between pre- and postnatal exposure to tobacco smoke and child behavioural problems and to further investigate the influence of trimester-specific exposure to maternal smoking and the impact of paternal smoking at home on the same outcome.
Data of 3097 German children recruited at birth for a population-based, prospective study were used. Detailed information on children's tobacco smoke exposure was collected by self-administered questionnaires at each follow-up. Behavioural outcomes were measured by the Strengths and Difficulties Questionnaire applied at 10-year follow-up.
Children exposed to environmental tobacco smoke at home showed increased risks of hyperactivity/inattention problems. Only smoking during the entire pregnancy increased the risk for conduct and hyperactivity/inattention problems (proportional odds ratio (pOR)=1.58, 95% confidence interval (CI)=1.06-2.37 and pOR=1.67, CI=1.03-2.72). Pre- and postnatal exposure to paternal smoking was associated with hyperactivity/inattention problems in children of non-smoking mothers (pOR=1.97, CI=1.06-3.65). Effect estimates were adjusted for study centre, sex, parental educational level, mother's age at birth, having a single parent and time spent in front of a screen.
Not only maternal smoking during pregnancy but also paternal smoking at home should be considered as a risk for hyperactivity/inattention problems in children.
分析产前和产后接触烟草烟雾与儿童行为问题之间的关联，并进一步探讨母亲吸烟在特定孕期的暴露以及父亲在家中吸烟对同一结果的影响。
使用了在德国进行的一项基于人群的前瞻性研究中招募的 3097 名儿童的数据。通过每次随访的自我管理问卷收集了有关儿童烟草烟雾暴露的详细信息。行为结果通过在 10 岁随访时应用的长处与困难问卷进行测量。
在家中暴露于环境烟草烟雾中的儿童出现多动/注意力问题的风险增加。只有在整个孕期吸烟才会增加行为和多动/注意力问题的风险（比例优势比（pOR）=1.58，95%置信区间（CI）=1.06-2.37 和 pOR=1.67，CI=1.03-2.72）。产前和产后接触父亲吸烟与不吸烟母亲的儿童多动/注意力问题有关（pOR=1.97，CI=1.06-3.65）。调整了研究中心、性别、父母教育水平、母亲出生时的年龄、单亲家庭和在屏幕前的时间后，得出了这些效应估计值。
不仅母亲在怀孕期间吸烟，而且父亲在家中吸烟也应被视为儿童多动/注意力问题的风险因素。
