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From mother to child: the effects of prenatal maternal passive smoking on academic outcomes in the United States

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Abstract

This is the first study in the United States to examine the effect of prenatal maternal passive smoking on student learning outcomes. We use a national sample of children in combination with ordinary least squares regression and matching methods to examine this effect. We find evidence that prenatal maternal exposure to secondhand smoke leads to lower academic performance in language/literacy and mathematics in the later years of elementary school, particularly for mothers who did not actively smoke while pregnant. Our results provide persuasive empirical evidence in support of public policies that address prenatal maternal exposure to secondhand smoking.

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References

  1. Centers for Disease Control and Prevention CO on S and Secondhand smoke (SHS) facts [Internet]. Smoking and tobacco use. http://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/general_facts/ (2017). Accessed 7 Nov 2017.

  2. Hall ES, Wexelblatt SL, Greenberg JM. Self-reported and laboratory evaluation of late pregnancy nicotine exposure and drugs of abuse. J Perinatol. 2016;36(10):814–8.

    Article  Google Scholar 

  3. Leonardi-Bee J, Smyth A, Britton J, Coleman T. Environmental tobacco smoke and fetal health: systematic review and meta-analysis. Arch Dis Child Fetal Neonatal Ed. 2008;93(5):F351–61.

    Article  Google Scholar 

  4. Makin J, Fried PA, Watkinson B. A comparison of active and passive smoking during pregnancy: long-term effects. Neurotoxicol Teratol. 1991;13(1):5–12.

    Article  Google Scholar 

  5. Fried PA, Watkinson B, Siegel LS. Reading and language in 9- to 12-year olds prenatally exposed to cigarettes and marijuana. Neurotoxicol Teratol. 1997;19(3):171–83.

    Article  Google Scholar 

  6. Eskenazi B, Trupin LS. Passive and active maternal smoking during pregnancy, as measured by serum cotinine, and postnatal smoke exposure. II. Effects on neurodevelopment at age 5 years. Am J Epidemiol. 1995;142(9 Suppl):S19–29.

    Article  Google Scholar 

  7. Watamura SE, Phillips DA, Morrissey TW, McCartney K, Bub K. Double Jeopardy: poorer social-emotional outcomes for children in the NICHD SECCYD experiencing home and child-care environments that confer risk. Child Dev. 2011;82(1):48–65.

    Article  Google Scholar 

  8. Ho DE, Imai K, King G, Stuart EA. Matching as nonparametric preprocessing for reducing model dependence in parametric causal inference. Polit Anal. 2007;15(3):199–236.

    Article  Google Scholar 

  9. Bai H. A comparison of propensity score matching methods for reducing selection bias. Int J Res Method Educ. 2011;34(1):81–107.

    Article  Google Scholar 

  10. Austin PC. Optimal caliper widths for propensity-score matching when estimating differences in means and differences in proportions in observational studies. Pharm Stat. 2011;10(2):150–61.

    Article  Google Scholar 

  11. Cochran WG, Rubin DB. Controlling Bias in observational studies: a review. Sankhyā Indian J Stat. 1973;35(4):417–46.

    Google Scholar 

  12. Maldonado-Carreño C, Votruba-Drzal E. Teacher-child relationships and the development of academic and behavioral skills during elementary school: a within- and between-child analysis. Child Dev. 2011;82(2):601–16.

    Article  Google Scholar 

  13. Westat, Educational Testing Service, University of Michigan, The National Center for Education Statistics, Education Statistics Services Institute. User’s manual for the ECLS-K first grade public-use data files and electronic code book. Washington, DC: National Center for Education Statistics; 2002. Report No.: NCES 2002-135.

  14. Sirin SR. Socioeconomic status and academic achievement: a meta-analytic review of research. Rev Educ Res. 2005;75(3):417–53.

    Article  Google Scholar 

  15. Barber K, Mussin E, Taylor DK. Fetal exposure to involuntary maternal smoking and childhood respiratory disease. Ann Allergy Asthma Immunol. 1996;76(5):427–30.

    Article  Google Scholar 

  16. D’Onofrio BM, Singh AL, Iliadou A, Lambe M, Hultman CM, Neiderhiser JM, et al. A quasi-experimental study of maternal smoking during pregnancy and offspring academic achievement. Child Dev. 2010;81(1):80–100.

    Article  Google Scholar 

  17. Huijbregts SCJ, Séguin JR, Zelazo PD, Parent S, Japel C, Tremblay RE. Interrelations between maternal smoking during pregnancy, birth weight and sociodemographic factors in the prediction of early cognitive abilities. Infant Child Dev. 2006;15(6):593–607.

    Article  Google Scholar 

  18. Emory Prevention Research Center. Smoke-Free Homes [Internet]. http://web1.sph.emory.edu/eprc/research/smoke-free-homes.html (2017). Accessed 12 Nov 2017.

  19. Blake SM, Murray KD, El-Khorazaty MN, Gantz MG, Kiely M, Best D, et al. Environmental tobacco smoke avoidance among pregnant african-american nonsmokers. Am J Prev Med. 2009;36(3):225–34.

    Article  Google Scholar 

  20. El-Mohandes AAE, Kiely M, Blake SM, Gantz MG, El-Khorazaty MN. An intervention to reduce environmental tobacco smoke exposure improves pregnancy outcomes. Pediatrics. 2010;125(4):721–8.

    Article  Google Scholar 

  21. Dherani M, Zehra SN, Jackson C, Satyanaryana V, Huque R, Chandra P, et al. Behaviour change interventions to reduce second-hand smoke exposure at home in pregnant women—a systematic review and intervention appraisal. BMC Pregnancy Childbirth. 2017;14(17):378.

    Article  Google Scholar 

  22. Tong VT, Dietz PM, Rolle IV, Kennedy SM, Thomas W, England LJ. Clinical interventions to reduce secondhand smoke exposure among pregnant women: a systematic review. Tob Control. 2015;24(3):217–23.

    Article  Google Scholar 

  23. Heckman JJ, Ichimura H, Todd PE. Matching as an econometric evaluation estimator: evidence from evaluating a job training programme. Rev Econ Stud. 1997;64(4):605–54.

    Article  Google Scholar 

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Correspondence to Phuong Nguyen-Hoang.

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Nguyen-Hoang, P., Yeung, R. From mother to child: the effects of prenatal maternal passive smoking on academic outcomes in the United States. J Public Health Pol 39, 231–244 (2018). https://doi.org/10.1057/s41271-018-0122-3

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