Association between postnatal environmental tobacco smoke exposure controlling for prenatal exposure and conduct problems in children: A systematic review

Persistent Aggressive Behaviour From Childhood to Adolescence: The Influence of Environmental Tobacco Exposure and the Protective Role of Fish Consumption

BACKGROUND

Understanding changes in aggressive behaviour throughout child development is crucial for identifying effective intervention strategies. This study investigates children's aggressive behaviour in a longitudinal cohort and explores the role of environmental tobacco exposure and fish consumption as potential risk and protective factors, respectively, for persistent aggression in children.

METHODS

This study involved 452 children from the Chinese Jintan Cohort. Aggressive behaviour was assessed at ages 6 and 12 years using the child behaviour checklist (CBCL) and the Reactive-Proactive Aggression Questionnaire (RPQ), respectively. Information on lifestyle habits and living environment, including parental smoking, was collected via questionnaires. Linear regression was employed to investigate the association between childhood and adolescence aggressive behaviour with relevant covariates adjusted. Subsequently, we conducted interaction analyses to explore the moderating effects of parent smoking and fish consumption on the association.

RESULTS

We identified no significant association between childhood and adolescent aggression in the entire sample. Interaction analysis revealed environmental tobacco exposure as a moderator for the association. Specifically, persistent reactive and total aggression across development was only observed among those with environmental tobacco exposure (reactive: β = 0.549, p = 0.020; total: β = 0.654, p = 0.035). Furthermore, within the parent smoking subgroup, freshwater fish consumption at the age of 12 showed a marginally significant interaction with childhood aggression (reactive: p = 0.061; total: p = 0.095). A significant longitudinal association for aggression was found only among those consuming fish less frequently at the age of 12 years (reactive: β = 0.927, p = 0.002; total: β = 1.082, p = 0.006).

CONCLUSION

Our findings suggest exposure to environmental tobacco as a contributing factor to the lasting presence of aggressive behaviour during children's development, whereas freshwater fish consumption shows potential protective effects.

Early life exposure to cigarette smoking and adult and old-age male mortality: Evidence from linked US full-count census and mortality data

BACKGROUND

Smoking is a leading cause of premature death across contemporary developed nations, but few longitudinal individual-level studies have examined the long-term health consequences of exposure to smoking.

OBJECTIVE

We examine the effect of fetal and infant exposure to exogenous variation in smoking, brought about by state-level cigarette taxation, on adulthood and old-age mortality (ages 55-73) among cohorts of boys born in the United States during the 1920s and 1930s.

METHODS

We use state-of-the-art methods of record linkage to match 1930 and 1940 US full-count census records to death records, identifying early life exposure to the implementation of state-level cigarette taxes through contemporary sources. We examine a population of 2.4 million boys, estimating age at death by means of OLS regression, with post-stratification weights to account for linking selectivity.

RESULTS

Fetal or infant exposure to the implementation of state cigarette taxation delayed mortality by about two months. Analyses further indicate heterogenous effects that are consistent with theoretical expectations; the largest benefits are enjoyed by individuals with parents who would have been affected most by the tax implementation.

CONCLUSIONS

Despite living in an era of continuously increasing cigarette consumption, cohorts exposed to a reduction in cigarette smoking during early life enjoyed a later age at death. While it is not possible to comprehensively assess the treatment effect on the treated, the magnitude of the effect should not be underestimated, as it is larger than the difference between having parents belonging to the highest and lowest socioeconomic groups.

CONTRIBUTION

The study provides the first estimates of long-run health effects from early life exposure to cigarette smoking.