Prenatal exposure to environmental tobacco smoke and hyperactivity behavior in Chinese young children

Lin, Qingmei and Hou, Xiang-Yu and Yin, Xiao-Na and Wen, Guo-Min and Sun, Dengli and Xian, Dan-Xia and Fan, Lijun and Jiang, Hui and Jing, Jin and Jin, Yu and Wu, Chuan-An and Chen, Wei-Qing (2017) Prenatal exposure to environmental tobacco smoke and hyperactivity behavior in Chinese young children. International Journal of Environmental Research and Public Health, 14 (10). pp. 1-12. ISSN 1661-7827

Text (Published Version)
Available under License Creative Commons Attribution 4.0.

Download (302kB) | Preview


This study aimed to examine the association between prenatal environmental tobacco smoke (ETS) exposure and hyperactivity behaviors in young children. A cross-sectional study was undertaken among 21,243 participants from all of the kindergartens in Longhua District of Shenzhen, China. Multivariate logistic regression models and hierarchical linear models were employed to assess the associations. After adjusting for potential confounders of gender, preterm birth, birth asphyxiation, etc., prenatal ETS exposure was significantly associated with an increased risk of hyperactivity behaviors in young children (OR (95% CI) = 1.51 (1.28–1.77); β (95% CI) = 0.017 (0.013–0.020)). Along with increases in children’s prenatal ETS exposure dose (measured by daily ETS exposure duration, daily cigarette consumption by household members, and overall score of prenatal ETS exposure), the children were also increasingly more likely to exhibit hyperactivity behaviors. Furthermore, children whose mothers had prenatal ETS exposure in any one or more of the pregnancy trimesters were more likely to exhibit hyperactivity behaviors as compared with those born to non-exposure mothers (all p < 0.05). Overall, prenatal ETS exposure could be associated with a detrimental impact on offspring’s hyperactivity behaviors, and public health efforts are needed to reduce prenatal ETS exposure.

Statistics for USQ ePrint 42231
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 17 Jun 2021 06:05
Last Modified: 31 Aug 2021 03:33
Uncontrolled Keywords: Environmental tobacco, smoke, hyperactivity bahaviour, child health, China
Fields of Research (2008): 05 Environmental Sciences > 0502 Environmental Science and Management > 050204 Environmental Impact Assessment
11 Medical and Health Sciences > 1114 Paediatrics and Reproductive Medicine > 111403 Paediatrics
Fields of Research (2020): 42 HEALTH SCIENCES > 4202 Epidemiology > 420203 Environmental epidemiology
42 HEALTH SCIENCES > 4206 Public health > 420601 Community child health
Socio-Economic Objectives (2008): D Environment > 96 Environment > 9601 Air Quality > 960106 Urban and Industrial Air Quality
C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health
Socio-Economic Objectives (2020): 20 HEALTH > 2004 Public health (excl. specific population health) > 200412 Preventive medicine
20 HEALTH > 2004 Public health (excl. specific population health) > 200401 Behaviour and health
Identification Number or DOI:

Actions (login required)

View Item Archive Repository Staff Only