Mischief Makers: Secondhand Smoke, Lead Linked to Conduct Disorder
2008

Secondhand Smoke and Lead Linked to Conduct Disorder in Children

Sample size: 3081 publication Evidence: moderate

Author Information

Author(s): Cynthia Washam

Primary Institution: National Institute of Environmental Health Sciences

Hypothesis

Does exposure to secondhand tobacco smoke and lead increase the risk of conduct disorder in children?

Conclusion

The study confirms that exposure to secondhand smoke and lead significantly increases the risk of conduct disorder in children.

Supporting Evidence

  • Children exposed prenatally to secondhand smoke were 3-fold more likely to meet conduct disorder criteria.
  • Children exposed postnatally to the highest levels of secondhand smoke were 9.15 times more likely to exhibit conduct disorder symptoms.
  • Children with blood lead levels higher than 1.5 μg/dL were 8.64 times more likely to meet conduct disorder criteria.

Takeaway

Breathing in smoke from cigarettes and being around lead can make kids act out more and have problems like lying and stealing.

Methodology

The study used data from the NHANES 2001–2004 and assessed children aged 8–15 for conduct disorder using caregiver questionnaires and blood tests for lead and cotinine levels.

Limitations

The study's cross-sectional design limits causal inferences, and the prevalence of conduct disorder may be underestimated due to caregiver recognition issues.

Participant Demographics

Children aged 8–15 years from a nationally representative sample in the U.S.

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