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. 2015 Jan-Feb;30(1):227-35.
doi: 10.1016/j.pedn.2014.06.004. Epub 2014 Jun 20.

Secondhand smoke exposure, parental depressive symptoms and preschool behavioral outcomes

Nerissa S Bauer  1 , Vibha Anand  2 , Aaron E Carroll  3 , Stephen M Downs  3
Affiliations

Secondhand smoke exposure, parental depressive symptoms and preschool behavioral outcomes

Nerissa S Bauer et al. J Pediatr Nurs. 2015 Jan-Feb.

Abstract

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.

Keywords: Child preschool; Mental health; Primary health care; Screening; Secondhand smoke.

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Conflict of interest statement

Conflict of Interest for all authors: none

Figures

Figure 1
Figure 1
Sample pre-screener form with secondhand smoke and parental depressive symptom exposure surveillance items
Figure 2
Figure 2
Sample physician worksheet with reminders to assess exposure to parental depressive symptoms and secondhand smoke
See this image and copyright information in PMC

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