Prenatal Exposure to Cigarette Smoke and Behaviour of Children in 18 Months of Age.
Results of ELSPAC Study
Kukla L.(1), Hrubá D.(2), Tyrlík M.(3)
Oddělení preventivní a sociální pediatrie Ústavu sociálního lékařství a veřejného zdravotnictví LF MU, Brno(1), vedoucí prof. MUDr. J. Holčík, DrSc. Ústav preventivního lékařství LF MU, Brno(2), vedoucí prof. MUDr. Z. Brázdová, DrSc. Psychologický ústav FF MU, Brno(3), vedoucí prof. PhDr. M. Svoboda, CSc. |
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Summary:
ELSPAC study, initiated in 1990 and containing a cohort of parents and their children from
Brno and Znojmo district, involves a lot of incorporated signs characterising behaviour of 18
months old children who are the subject of interest of anamnesis questionnaire. Authors aimed
at the assessment of differences between children with different level of exposure to cigarette
smoke.
Prenatal exposure of child to passive smoking was observed by answers to anamnesis questionnaires
of mothers in 20th week of pregnancy and after the delivery. They gave there information
about their active smoking behaviour. According to these data, only those children who were not
exposed to cigarette smoke and whose mothers never smoked, those exposed during the first half
of pregnancy and those who were exposed during whole pregnancy were chosen. Differences between
both groups of children with different prenatal exposure were compared with the group of
non-exposed children and statistically assessed in programme SPSS (tests Pearson chi-square,
linear associations, probability relations and ANOVA).
From many characteristics, used for assessment of cognitive and behavioral development of
children in 18 months of age, only several differed in children who were exposed to cigarette smoke
from those who were not exposed at all: occurence of tics and hitch moves, lack of knowledge
of expressions indicating parents, absence of some gestures of non-verbal communication was
usually increased in both exposed groups when compared to non-exposed. Quite different view is,
however, to be found when we assessed characteristics of temperament: in case of those which
showed significant differences, children exposed during the first half of pregnancy were rather
shy, less temperament, while children who were exposed during whole course of pregnancy, were
more courageous and responsive.
Different epidemiologic studies show proofs of the fact that prenatal and postnatal exposure to
cigarette smoke cause damage to behaviour and mental capacity. The children in pre-school,
school and adolescent age are usually observed from this viewpoint. In ESLPAC study, the differences
between mental development of children non-exposed and exposed in prenatal period to
cigarette smoke were found already in 18 months. The set will be analysed in similar way also in
following age periods.
Key words:
behaviour of children, prenatal exposure to cigarette smoke, passive smoking
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