Secondhand smoke exposure, parental depressive symptoms and preschool behavioral outcomes

Nerissa S. Bauer, Vibha Anand, Aaron E. Carroll, Stephen M. Downs

Research output: Contribution to journalArticle

12 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)227-235
Number of pages9
JournalJournal of pediatric nursing
Issue number1
StatePublished - Jan 1 2015


  • Child preschool
  • Mental health
  • Primary health care
  • Screening
  • Secondhand smoke

ASJC Scopus subject areas

  • Pediatrics

Fingerprint Dive into the research topics of 'Secondhand smoke exposure, parental depressive symptoms and preschool behavioral outcomes'. Together they form a unique fingerprint.

  • Cite this