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Open AccessArticle

Exposure to Environmental Tobacco Smoke in Relation to Behavioral, Emotional, Social and Health Indicators of Slovak School Children

1
Institute of Hygiene, Faculty of Medicine, Comenius University, Bratislava, 813 72, Slovakia
2
Institute of Epidemiology, Faculty of Medicine, Comenius University, Bratislava, 813 72, Slovakia
3
InClinic s.r.o, Bratislava, 851 01, Slovakia
4
Department of Pediatrics, New York University, New York, NY, 10016, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(7), 1374; https://doi.org/10.3390/ijerph15071374
Received: 5 May 2018 / Revised: 23 June 2018 / Accepted: 26 June 2018 / Published: 30 June 2018
(This article belongs to the Special Issue Environmental Tobacco Smoke: Exposure and Effects)
Environmental tobacco smoke (ETS) exposure has been shown in general as a major environmental risk factor and deserves attention in vulnerable population groups. The aim of the project is to analyze the relationships among the ETS and behavior and health in 6−15-year-old children in Slovakia. The status of physical and mental health of children in relation to exposure to tobacco smoke was examined in a representative group of 1478 school children. The methods used, included anonymous questionnaires filled in by parents, Columbia Impairment Scale (CIS), Behavior Problem Index (BPI) and anthropometry. The prevalence of ETS exposure is the highest in the capital (27%) and southern cities. A significant association was found between ETS and age, socio-economic status, incompleteness of the family, level of mother’s education and a higher prevalence of respiratory diseases (26.7%). The relationships of ETS with emotional (CIS scores ≥ 16) and behavioral functions (BPI score ≥ 14) were significant in children exposed to mother’s or father’s smoking at home. In the multivariate analysis these associations were not significant; the factors such as income and completeness of the family were dominant. The results showed mostly the predominant impact of social factors on the physical and mental health status of Slovak school children. View Full-Text
Keywords: Environmental Tobacco Smoke (ETS); Slovak school children; mental health; physical health; Columbia Impairment Scale; Behavioral Problem Index Environmental Tobacco Smoke (ETS); Slovak school children; mental health; physical health; Columbia Impairment Scale; Behavioral Problem Index
MDPI and ACS Style

Sevcikova, L.; Babjakova, J.; Jurkovicova, J.; Samohyl, M.; Stefanikova, Z.; Machacova, E.; Vondrova, D.; Janekova, E.; Hirosova, K.; Filova, A.; Weitzman, M.; Argalasova, L. Exposure to Environmental Tobacco Smoke in Relation to Behavioral, Emotional, Social and Health Indicators of Slovak School Children. Int. J. Environ. Res. Public Health 2018, 15, 1374.

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