title: Correlations of indoor second-hand smoking, household smoking rules, regional deprivation and children mental health: Scottish Health Survey, 2013.
abstract: It has been known that second-hand smoking and deprivation could cluster together affecting child health. However, little is known on the role of household smoking rules. Therefore, it was aimed to study the relationships among indoor second-hand smoking, household smoking rules, deprivation level and children mental health in a country-wide and population-based setting. Data was retrieved from and analysed in Scottish Health Survey, 2013. Information on demographics, indoor second-hand smoking status, household smoking rules, deprivation level and child mental health by Strengths and Difficulties Questionnaire was obtained by household interview through parents. Statistical analysis included chi-square test and survey-weighted logistic regression modelling. Of 1019 children aged 4-12, 17.9% (n = 182) lived in the 15% most deprivation areas. Deprived areas tended to be where indoor smoking occurred (p < 0.001). The top three sub-regions of the 15% most deprivation for Scottish children are greater Glasgow, Ayrshire & Arran and Forth Valley while the top three sub-regions of exposure to the indoor second-hand smoking are Fife, Forth Valley and Ayrshire & Arran. The top three sub-regions with indoor smoking allowed are greater Glasgow, Western Isles and Borders. Children emotional and behavioural problems were reduced when the strict household smoking rules (not allowed or outdoor areas) applied. One in six Scottish children lived in the 15% most deprivation areas and exposed to indoor second-hand smoking that could have led to emotional and behavioural problems. Public health programs promoting strict household smoking rules should be encouraged in order to optimise children mental health.
authors: School of Energy, Geoscience, Infrastructure and Society, Heriot-Watt University, Riccarton, EH14 4AS, Edinburgh, Scotland, i.shiue@hw.ac.uk.
authors: Ivy
authors: I
authors: Shiue
mesh_terms: D016902:Air Pollution, Indoor; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D005190:Family; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008603:Mental Health; D000066553:Problem Behavior; D011610:Psychosocial Deprivation; D012907:Smoking / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D014028:Tobacco Smoke Pollution / Q000009:adverse effects*
chemical_list: D014028:Tobacco Smoke Pollution
references: BMJ. 1995 Jul 22;311(6999):226-30
references: 7627035
references: Int J Cardiol. 2014 Sep;176(1):268-9
references: 25042653
references: Environ Res. 2011 Nov;111(8):1173-9
references: 21764051
references: Soc Psychiatry Psychiatr Epidemiol. 2005 Jan;40(1):18-23
references: 15624070
references: J Child Psychol Psychiatry. 1997 Jul;38(5):581-6
references: 9255702
references: Psychol Sci. 2000 Jul;11(4):338-42
references: 11273396
references: Arch Pediatr Adolesc Med. 2011 Apr;165(4):326-31
references: 21135317
references: Soc Psychiatry Psychiatr Epidemiol. 2008 Jul;43(7):516-26
references: 18344050
references: Pneumologie. 2008 Jul;62(7):423-9
references: 18600616
references: Arch Pediatr Adolesc Med. 2011 Apr;165(4):332-8
references: 21464381
references: Child Care Health Dev. 2012 Sep;38(5):611-28
references: 22372737
references: Addiction. 2010 Feb;105(2):364-72
references: 19922514
references: Environ Res. 2014 Oct;134:390-5
references: 25218704
references: J Public Health (Oxf). 2011 Jun;33(2):234-45
references: 20884643
references: Biol Psychiatry. 2010 Aug 15;68(4):329-36
references: 20497899
references: J Epidemiol Community Health. 2013 Apr;67(4):299-304
references: 23213114
references: Soc Psychiatry Psychiatr Epidemiol. 2003 Sep;38(9):507-14
references: 14504735
references: Am J Public Health. 2014 Apr;104(4):715-20
references: 24524528
references: Soc Sci Med. 2013 Aug;90:24-31
references: 23746605
references: Aust N Z J Public Health. 2010 Aug;34(4):405-11
references: 20649782
references: Biol Psychiatry. 2004 Jul 15;56(2):72-9
references: 15231438
references: Public Health. 2012 Feb;126(2):96-103
references: 22192383
references: Psychol Med. 2001 Feb;31(2):265-77
references: 11232914
references: Nicotine Tob Res. 2011 Feb;13(2):70-7
references: 21127028
references: Health Psychol. 1991;10(4):282-8
references: 1915215
references: Am J Prev Med. 2009 Aug;37(2 Suppl):S151-8
references: 19591755