Association of prenatal maternal or postnatal child environmental tobacco smoke exposure and neurodevelopmental and behavioral problems in children.

Association of prenatal maternal or postnatal child environmental tobacco smoke exposure and neurodevelopmental and behavioral problems in children.
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DOI:
10.1289/ehp.99107991
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发表时间:
1999-12
影响因子:
10.4
通讯作者:
Castorina R
Castorina R
中科院分区:
环境科学与生态学1区
文献类型:
--
作者:
Eskenazi B;Castorina R

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我们回顾了儿童出生前和/或出生后暴露于环境烟草烟雾(ETS)的潜在神经发育和行为影响。在流行病学研究中,儿童暴露于ETS已被评估为各种行为和神经发育问题的风险因素,包括一般智力能力下降,语言和听觉任务技能下降,学业成绩下降,以及行为问题,如多动症和注意力持续时间减少。我们回顾了17项流行病学研究,这些研究试图将孕妇在怀孕期间主动吸烟的影响与孕妇或儿童被动暴露于ETS烟雾的影响分开。根据现有的数据,我们发现ETS暴露会引起儿童神经发育和行为的微妙变化。然而,迄今为止的研究很难解释,因为未知的影响不受控制的混杂因素,不精确的测量吸烟暴露,产前和产后母亲吸烟的共线性。尽管有证据表明,母亲在怀孕期间吸烟可能与儿童的智力缺陷和行为问题有关,但产前或产后ETS暴露的影响仍然不太清楚。
We review the potential neurodevelopmental and behavioral effects of children's prenatal and/or postnatal exposure to environmental tobacco smoke (ETS). Children's exposure to ETS has been assessed in epidemiologic studies as a risk factor for a variety of behavioral and neurodevelopmental problems including reduced general intellectual ability, skills in language and auditory tasks, and academic achievement, and behavioral problems such as hyperactivity and decreased attention spans. We review 17 epidemiologic studies that have attempted to separate the effects of maternal active smoking during pregnancy from passive ETS smoke exposure by the pregnant mother or the child. Based on the available data, we found that ETS exposure could cause subtle changes in children's neurodevelopment and behavior. However, studies to date are difficult to interpret because of the unknown influence of uncontrolled confounding factors, imprecision in measurements of smoking exposure, and collinearity of pre- and postnatal maternal smoking. Although some evidence suggests that maternal smoking during pregnancy may be associated with deficits in intellectual ability and behavioral problems in children, the impact of prenatal or postnatal ETS exposure remains less clear.
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发表时间: 1994-10-01
影响因子: 3.6
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