title: Secondhand smoke exposure, parental depressive symptoms and preschool behavioral outcomes.
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.
authors.affiliation: Department of General & Community Pediatrics, Section of Children's Health Services Research, Indiana University School of Medicine, Indianapolis, IN; Regenstrief Institute for Healthcare, Indianapolis, IN. Electronic address: nsbauer@iu.edu.
authors.forename: Nerissa S
authors.initials: NS
authors.lastname: Bauer
authors.affiliation: Pediatric Institute, Cleveland Clinic, Cleveland, OH.
authors.forename: Vibha
authors.initials: V
authors.lastname: Anand
authors.affiliation: Department of General & Community Pediatrics, Section of Children's Health Services Research, Indiana University School of Medicine, Indianapolis, IN; Regenstrief Institute for Healthcare, Indianapolis, IN.
authors.forename: Aaron E
authors.initials: AE
authors.lastname: Carroll
authors.affiliation: Department of General & Community Pediatrics, Section of Children's Health Services Research, Indiana University School of Medicine, Indianapolis, IN; Regenstrief Institute for Healthcare, Indianapolis, IN.
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Downs
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D020380:Needs Assessment; D010290:Parents / Q000523:psychology*; D012189:Retrospective Studies; D018570:Risk Assessment; D014028:Tobacco Smoke Pollution / Q000009:adverse effects*
chemical_list: D014028:Tobacco Smoke Pollution
keywords: Child preschool; Mental health; Primary health care; Screening; Secondhand smoke