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Early mental health morbidity and later smoking at age 17 years

Published online by Cambridge University Press:  20 October 2011

S. R. Zubrick ,
D. Lawrence ,
F. Mitrou ,
D. Christensen  and
C. L. Taylor
S. R. Zubrick*
Affiliation:
Centre for Child Health Research, The University of Western Australia, Telethon Institute for Child Health Research, Perth, WA, Australia
D. Lawrence
Affiliation:
Centre for Child Health Research, The University of Western Australia, Telethon Institute for Child Health Research, Perth, WA, Australia
F. Mitrou
Affiliation:
Centre for Child Health Research, The University of Western Australia, Telethon Institute for Child Health Research, Perth, WA, Australia
D. Christensen
Affiliation:
Centre for Child Health Research, The University of Western Australia, Telethon Institute for Child Health Research, Perth, WA, Australia
C. L. Taylor
Affiliation:
Centre for Child Health Research, The University of Western Australia, Telethon Institute for Child Health Research, Perth, WA, Australia
*
*Address for correspondence: Stephen R. Zubrick, Centre for Child Health Research, The University of Western Australia, Telethon Institute for Child Health Research, PO Box 855, West Perth, WA 6872, Australia. (Email: steve@ichr.uwa.edu.au)
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Abstract

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.

Keywords

Adolescent smokingchildhoodexternalizing disordersinternalizing disorderslongitudinal analysis
Type
Original Articles
Information
Psychological Medicine , Volume 42 , Issue 5 , May 2012 , pp. 1103 - 1115
Copyright
Copyright © Cambridge University Press 2011

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