J Pediatr Health Care. 2021 Jan-Feb;35(1):32-41. doi: 10.1016/j.pedhc.2020.07.006. Epub 2020 Aug 26.
This study investigated the prevalence and correlates of current mental health and neurodevelopmental conditions among U.S. school-age children with tobacco smoke exposure (TSE).
Data from the 2016-17 National Survey of Children's Health were analyzed. Multivariable logistic regression analyses among 6-11-year-olds (n = 21,539) and among subsamples aged 6-8 years (n = 10,100) and 9-11 years (n = 11,439) were conducted.
Among 6-11-year-olds who lived with a smoker with no home TSE, the top mental health/neurodevelopmental conditions were other mental health conditions (22.1%), behavioral/conduct problems (21.7%), attention deficit disorder or attention deficit hyperactivity disorder (20.5%), depression (21.7%), and learning disability (19.3%). Children who lived with a smoker, with or without home TSE, were at increased odds of having anxiety problems, depression, attention deficit disorder or attention deficit hyperactivity disorder, behavioral/conduct problems, other mental health conditions, or learning disabilities. Many associations were more notable in younger children with home TSE.
TSE is associated with mental health and neurodevelopmental conditions. Interventions to decrease TSE are needed to protect children.
本研究调查了美国学龄期儿童中存在烟草烟雾暴露（TSE）的当前心理健康和神经发育状况的流行率和相关因素。
分析了 2016-17 年全国儿童健康调查的数据。对 6-11 岁儿童（n=21539）以及 6-8 岁（n=10100）和 9-11 岁（n=11439）亚组进行多变量逻辑回归分析。
在与不吸烟但家中有 TSE 的吸烟者同住的 6-11 岁儿童中，排名靠前的心理健康/神经发育状况为其他心理健康状况（22.1%）、行为/品行问题（21.7%）、注意缺陷障碍或注意缺陷多动障碍（20.5%）、抑郁（21.7%）和学习障碍（19.3%）。家中有吸烟者，无论是否存在 TSE，儿童出现焦虑问题、抑郁、注意缺陷障碍或注意缺陷多动障碍、行为/品行问题、其他心理健康状况或学习障碍的几率均增加。许多关联在存在家中 TSE 的年龄较小的儿童中更为显著。
TSE 与心理健康和神经发育状况有关。需要采取减少 TSE 的干预措施来保护儿童。
