Bauer Nerissa S, Anand Vibha, Carroll Aaron E, Downs Stephen M
Department of General & Community Pediatrics, Section of Children's Health Services Research, Indiana University School of Medicine, Indianapolis, IN; Regenstrief Institute for Healthcare, Indianapolis, IN.
Pediatric Institute, Cleveland Clinic, Cleveland, OH.
J Pediatr Nurs. 2015 Jan-Feb;30(1):227-35. doi: 10.1016/j.pedn.2014.06.004. Epub 2014 Jun 20.
Little is known about the association of secondhand smoke (SHS) exposure and behavioral conditions among preschoolers. A cross-sectional analysis was used to examine billing and pharmacy claims from November 2004 to June 2012 linked to medical encounter-level data for 2,441 children from four pediatric community health clinics. Exposure to SHS was associated with attention deficit-hyperactivity disorder/ADHD and disruptive behavior disorder/DBD after adjusting for potential confounding factors. Assessment of exposure to SHS and parental depressive symptoms in early childhood may increase providers' ability to identify children at higher risk of behavioral issues and provide intervention at the earliest stages.
关于学龄前儿童二手烟暴露与行为状况之间的关联，目前所知甚少。采用横断面分析方法，对2004年11月至2012年6月期间来自四家儿科社区健康诊所的2441名儿童的计费和药房索赔数据与医疗就诊层面的数据进行关联分析。在调整潜在混杂因素后，二手烟暴露与注意力缺陷多动障碍/ADHD及破坏性行为障碍/DBD相关。评估儿童早期二手烟暴露情况及父母抑郁症状，可能会提高医疗服务提供者识别行为问题风险较高儿童的能力，并在最早阶段提供干预。
