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Title: Examining the Association Between Maternal Smoking During Pregnancy and Child Behavior Problems Using Quality-Adjusted Life Years
Resulting in 1 citation.
1. Hartman, John D.
Craig, Benjamin M.
Examining the Association Between Maternal Smoking During Pregnancy and Child Behavior Problems Using Quality-Adjusted Life Years
Maternal and Child Health Journal 22,12 (December 2018): 1780-1788.
Also: https://link.springer.com/article/10.1007/s10995-018-2577-z
Cohort(s): Children of the NLSY79, NLSY79
Publisher: Springer
Keyword(s): Behavior Problems Index (BPI); Child Health; Mothers, Behavior; Pre-natal Care/Exposure; Pre/post Natal Behavior; Smoking (see Cigarette Use)

Permission to reprint the abstract has not been received from the publisher.

Objectives: Examining the association between maternal smoking and losses in childhood health-related quality of life due to behavior problems provides parents and policymakers another tool for the valuation of smoking cessation during pregnancy.

Methods: Using the National Longitudinal Survey of Youth 1979 Child and Young Adult data, this study retrospectively examined a cohort of 4114 women and 8668 children. In addition to questions focusing on maternal smoking and general demographics, each survey included the Behavior Problems Index (BPI), a 28-item questionnaire with six subscales measuring childhood behavior problems (antisocial behavior, anxiousness/depression, headstrongness, hyperactivity, immature dependency, and peer conflict/social withdrawal). Responses to the BPI, completed by mothers with children ages 4–14, were summarized on a QALY scale using published preference weights.

Results: Children whose mothers smoked during pregnancy experience additional QALY losses of 0.181, on average, per year due to increased behavior problems. Boys suffered larger QALY losses associated with maternal smoking (0.242) compared to girls (0.119; p value = .021), regardless of age. Moreover, heavier smoking during pregnancy (i.e., 1 or more packs/day) was associated with larger QALY losses (0.282; p-value < .001).

Conclusions for Practice: These findings illustrate the burden of maternal smoking during pregnancy on child health, namely behavioral problems. The losses in QALYs may be incorporated into economic evaluations for smoking cessation interventions during pregnancy. Future research will investigate how maternal smoking following childbirth is associated with child QALYs.

Bibliography Citation
Hartman, John D. and Benjamin M. Craig. "Examining the Association Between Maternal Smoking During Pregnancy and Child Behavior Problems Using Quality-Adjusted Life Years." Maternal and Child Health Journal 22,12 (December 2018): 1780-1788.