Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Science, Okayama University, Okayama, Japan.
Center for Innovative Clinical Medicine, Okayama University, Okayama, Japan.
Arch Environ Occup Health. 2022;77(7):568-575. doi: 10.1080/19338244.2021.1972278. Epub 2021 Aug 28.
We examined the association between early childhood exposure to maternal smoking and behavioral issues at 8 years old using a large nationwide population-based longitudinal survey in Japan that began in 2001. We included 46,737 children with information about maternal smoking taken from the 6-month survey. We used logistic regression analysis to examine the hypothesis. Early childhood exposure to maternal smoking increased the risk of behavioral problems related to attention and aggressive or disruptive behavior. The adjusted odds ratios (95% confidence intervals) were 1.37 (1.22-1.54) for inability to wait their turn during play and 1.40 (1.27-1.55) for destroying toys and, compared with children of nonsmoking mothers. Children of mothers who were heavy smokers were more likely to develop behavioral problems than others. Stopping early childhood exposure to maternal exposure can protect children's neurodevelopment.
我们利用日本一项始于 2001 年的大型全国性基于人群的纵向调查，研究了儿童早期暴露于母亲吸烟与 8 岁时行为问题之间的关系。我们纳入了 46737 名儿童，这些儿童在 6 个月的调查中提供了有关母亲吸烟的信息。我们使用逻辑回归分析来检验假设。儿童早期暴露于母亲吸烟增加了与注意力和攻击或破坏性行为相关的行为问题的风险。调整后的优势比（95%置信区间）分别为 1.37（1.22-1.54），无法在游戏中等待轮到自己，1.40（1.27-1.55），用于破坏玩具，与不吸烟母亲的孩子相比。与其他孩子相比，母亲是重度吸烟者的孩子更有可能出现行为问题。避免儿童早期暴露于母亲的暴露可以保护儿童的神经发育。
