Document Detail


Is the intergenerational transmission of smoking from mother to child mediated by children's behavior problems?
MedLine Citation:
PMID:  22318694     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: A previous paper used latent class analysis to assign individuals to 1 of 4 adolescent/young adult smoking trajectory classes and then established an association between maternal smoking before, during, and after pregnancy and these classes. In this paper, we examine one possible pathway for this relationship: that maternal smoking during pregnancy may set off a behavioral trajectory which increases the likelihood of problem behaviors generally, of which smoking is one manifestation.
METHODS: We used the Behavior Problems Index measure from age 8 through age 12 as a potential mediator. We used a path analysis modeling approach within a multinomial logistic regression (using Mplus) to estimate direct and indirect effects (via behavioral problems) between maternal smoking pattern and child trajectory class.
RESULTS: We found small but statistically significant indirect effects via behavioral problems from maternal smoking to child smoking trajectory for membership in all 3 smoking classes, relative to the nonsmoking trajectory, indicating partial mediation. Mediated effects were associated with maternal smoking after pregnancy, no statistically significant mediated effects were found for smoking before or during pregnancy.
CONCLUSIONS: The results provided no evidence that the effects of maternal smoking during pregnancy on child smoking trajectory are mediated by problem behavior. Effects from smoking after birth to child smoking trajectory appear to be partially mediated by problem behavior, supporting a behavioral rather than physiological effect of smoking during pregnancy but not ruling out more complex physiological pathways.
Authors:
Jeremy N V Miles; Margaret M Weden
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-02-07
Journal Detail:
Title:  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco     Volume:  14     ISSN:  1469-994X     ISO Abbreviation:  Nicotine Tob. Res.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-03     Completed Date:  2013-01-24     Revised Date:  2013-09-03    
Medline Journal Info:
Nlm Unique ID:  9815751     Medline TA:  Nicotine Tob Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  1012-8     Citation Subset:  IM    
Affiliation:
RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, USA. jmiles@rand.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Child
Child Behavior / psychology
Child Behavior Disorders / etiology*
Child Welfare / statistics & numerical data
Environmental Exposure / adverse effects*
Female
Health Status
Humans
Intergenerational Relations
Male
Maternal-Fetal Exchange
Mother-Child Relations*
Pregnancy
Prenatal Exposure Delayed Effects / epidemiology*
Risk Factors
Smoking / adverse effects*
Grant Support
ID/Acronym/Agency:
R03 HD060673/HD/NICHD NIH HHS; R03HD060673/HD/NICHD NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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