Early Mental Health Morbidity and Later Smoking at age 17 years

Background. We examined the relationship between the onset and pattern of childhood mental health disorders and subsequent current smoking status at age 17 years. Method. Data were from a prospective cohort study of 2868 births of which 1064 supplied information about their current smoking at 17 yea...

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Main Authors: Zubrick, Stephen, Lawrence, David, Mitrou, F., Christensen, D., Taylor, Catherine
Format: Journal Article
Published: Cambridge University Press 2012
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/31056
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author Zubrick, Stephen
Lawrence, David
Mitrou, F.
Christensen, D.
Taylor, Catherine
author_facet Zubrick, Stephen
Lawrence, David
Mitrou, F.
Christensen, D.
Taylor, Catherine
author_sort Zubrick, Stephen
building Curtin Institutional Repository
collection Online Access
description Background. We examined the relationship between the onset and pattern of childhood mental health disorders and subsequent current smoking status at age 17 years. Method. Data were from a prospective cohort study of 2868 births of which 1064 supplied information about their current smoking at 17 years of age. The association between the onset and pattern of clinically significant mental health disorders in the child and subsequent smoking at age 17 years was estimated via multivariable logistic regression. Results. Relative to 17 year olds who never had an externalizing disorder, 17-year-olds who had an externalizing disorder at age 5, 8 or 14 years were, respectively, 2.0 times [95% confidence interval (CI) 1.24–3.25], 1.9 (95% CI 1.00–3.65) or 3.9 times (95% CI 1.73–8.72) more likely to be a current smoker. Children with an ongoing pattern of externalizing disorder were 3.0 times (95% CI 1.89–4.84) more likely to be smokers at the age of 17 years and those whose mothers reported daily consumption of 6–10 cigarettes at 18 weeks’ gestation were 2.5 times (OR 2.46, 95% CI 1.26–4.83) more likely to report smoking at 17 years of age. Associations with early anxiety and depression in the child were not found. Conclusions. Current smoking in 17-year-olds may be underpinned by early emergent, and then, ongoing, externalizing disorder that commenced as young as age 5 years as well as exposure to early prenatal maternal smoking. The associations documented in adults and adolescents that link tobacco smoking and mental health are likely to be in play at these early points in development.
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spelling curtin-20.500.11937-310562017-09-13T15:13:58Z Early Mental Health Morbidity and Later Smoking at age 17 years Zubrick, Stephen Lawrence, David Mitrou, F. Christensen, D. Taylor, Catherine internalizing disorders externalizing disorders childhood longitudinal analysis Adolescent smoking Background. We examined the relationship between the onset and pattern of childhood mental health disorders and subsequent current smoking status at age 17 years. Method. Data were from a prospective cohort study of 2868 births of which 1064 supplied information about their current smoking at 17 years of age. The association between the onset and pattern of clinically significant mental health disorders in the child and subsequent smoking at age 17 years was estimated via multivariable logistic regression. Results. Relative to 17 year olds who never had an externalizing disorder, 17-year-olds who had an externalizing disorder at age 5, 8 or 14 years were, respectively, 2.0 times [95% confidence interval (CI) 1.24–3.25], 1.9 (95% CI 1.00–3.65) or 3.9 times (95% CI 1.73–8.72) more likely to be a current smoker. Children with an ongoing pattern of externalizing disorder were 3.0 times (95% CI 1.89–4.84) more likely to be smokers at the age of 17 years and those whose mothers reported daily consumption of 6–10 cigarettes at 18 weeks’ gestation were 2.5 times (OR 2.46, 95% CI 1.26–4.83) more likely to report smoking at 17 years of age. Associations with early anxiety and depression in the child were not found. Conclusions. Current smoking in 17-year-olds may be underpinned by early emergent, and then, ongoing, externalizing disorder that commenced as young as age 5 years as well as exposure to early prenatal maternal smoking. The associations documented in adults and adolescents that link tobacco smoking and mental health are likely to be in play at these early points in development. 2012 Journal Article http://hdl.handle.net/20.500.11937/31056 10.1017/S0033291711002182 Cambridge University Press restricted
spellingShingle internalizing disorders
externalizing disorders
childhood
longitudinal analysis
Adolescent smoking
Zubrick, Stephen
Lawrence, David
Mitrou, F.
Christensen, D.
Taylor, Catherine
Early Mental Health Morbidity and Later Smoking at age 17 years
title Early Mental Health Morbidity and Later Smoking at age 17 years
title_full Early Mental Health Morbidity and Later Smoking at age 17 years
title_fullStr Early Mental Health Morbidity and Later Smoking at age 17 years
title_full_unstemmed Early Mental Health Morbidity and Later Smoking at age 17 years
title_short Early Mental Health Morbidity and Later Smoking at age 17 years
title_sort early mental health morbidity and later smoking at age 17 years
topic internalizing disorders
externalizing disorders
childhood
longitudinal analysis
Adolescent smoking
url http://hdl.handle.net/20.500.11937/31056