The quality of air outside and inside the home: associations with emotional and behavioural problem scores in early childhood

BMC Public Health. 2019 Apr 15;19(1):406. doi: 10.1186/s12889-019-6733-1.

Abstract

Background: This study explored the role of outdoor air pollution [nitrogen dioxide (NO2) and sulphur dioxide (SO2)] and indoor air quality (measured with damp or condensation and secondhand smoke exposures) at age 9 months in emotional, conduct and hyperactivity problems at age 3 years.

Method: Data from 11,625 Millennium Cohort Study children living in England and Wales were modelled using multilevel regression.

Results: After adjusting for a host of confounders, having a damp or condensation problem at home was related to both emotional and conduct problems. Secondhand smoke exposure was associated with all three problem types. Associations with outdoor air pollution were less consistent.

Conclusions: Exposures to damp or condensation and secondhand smoke in the home are likely to be risk factors for child emotional and behavioural problems. Parents should continue to be educated about the dangers of exposing their children to poor air quality at home.

Keywords: Air pollution; Damp; Emotional and behavioural problems; Millennium Cohort Study; Secondhand smoke.

MeSH terms

  • Air Pollutants / adverse effects*
  • Air Pollution / adverse effects*
  • Air Pollution, Indoor / adverse effects*
  • Child
  • Child Behavior
  • Child Behavior Disorders / etiology*
  • Child Welfare / statistics & numerical data
  • Child, Preschool
  • Cohort Studies
  • England
  • Female
  • Humans
  • Infant
  • Male
  • Nitrogen Dioxide / adverse effects
  • Risk Factors
  • Sulfur Dioxide / adverse effects
  • Tobacco Smoke Pollution / adverse effects
  • Wales

Substances

  • Air Pollutants
  • Tobacco Smoke Pollution
  • Sulfur Dioxide
  • Nitrogen Dioxide