目的了解学龄前多动行为儿童与正常儿童在被动吸烟情况的差异,分析被动吸烟与儿童注意缺陷多动症的相关性,为儿童保健政策提供科学依据。方法本研究采用横断面调查,通过发放调查问卷进行相关数据的收集,采用χ2检验进行单因素分析和二分类多因素Logistic回归模型探索被动吸烟与学龄前儿童多动行为的关联,检验水准为0. 05。结果实际调查15 291名学龄前儿童,筛查出多动行为儿童1 317名,多动行为儿童检出率8. 6%。学龄前儿童多动行为检出率与儿童性别、年龄、居住地和(母)文化程度有关(P<0. 05),儿童被动吸烟经历、家庭中吸烟人数与多动行为检出率显著相关(P<0. 01),在控制儿童年龄、性别、居住地、父(母)文化程度等混杂因素后与有被动吸烟经历的儿童相比,未经历被动吸烟的儿童多动行为的风险降低[OR=0. 786 (0. 683~0. 905),P<0. 01]。结论被动吸烟是学龄前多动行为儿童的重要危险因素,应加大宣传力度,减少儿童受被动吸烟的危害。
Objective To survey the differences of passive smoking between preschool children with hyperactivity behavior and normal children,analyze the correlation between passive smoking and attention deficit-hyperactivity behavior disorder (ADHD) in children,provide a scientific basis for making health care policies for children.Methods A cross-sectional survey was performed,the related data was collected by questionnaire survey.The correlation between passive smoking and hyperactivity behavior in preschool children were analyzed by^2 test and binary multivariate Logistic regression model,inspection level was 0.05.Results A total of 15 291 preschool children were surveyed,the detection rate of hyperactivity behavior was 8.6%(1 317 preschool children).The detection rate of hyperactivity behavior in preschool children was corelated with gender,age,place of residence,and maternal educational level (P<0.05).Passive smoking experience and the number of smoking family members were significantly correlated with detection rate of hyperactivity behavior (P<0.01).After controlling the confounding factors (age,gender,place of residence,and paternal and maternal educational levels),compared with the children with passive smoking experience,the risk of hyperactivity behavior decreased in children without passive smoking experience [ OR = 0.786 (0.683-0.905),P<0.01 ].Conclusion Passive smoking is an important risk factor of hyperactivity behavior in preschool children,propaganda should be enhanced to reduce the risk of passive smoking among preschool children.
Maternal and Child Health Care of China
Attention deficit-hyperactivity behavior disorder