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. Author manuscript; available in PMC: 2013 Mar 22.
Published in final edited form as: Pediatrics. 2010 Jun 29;126(1):e57–e65. doi: 10.1542/peds.2009-2754

Table 5.

Associations of maternal and paternal smoking in pregnancy with offspring psychological problem subtypes

Offspring Psychological Problems, Score
Individual Maternal-Paternal Models
Mutually Adjusted Maternal-Paternal Models
Model I * Model II** Model I * Model II**
Parental Smoke OR 95% CI P OR 95% CI P OR 95% CI P OR 95% CI P
Hyperactivity /Attention problems

ALSPAC
 Maternal smoking 1.46 1.31, 1.62 <0.001 1.17 1.05, 1.31 0.004 1.37 1.22, 1.53 <0.001 1.17 1.04, 1.31 0.009
 Paternal smoking 1.28 1.17, 1.40 <0.001 1.06 0.96, 1.16 0.3 1.17 1.07, 1.29 0.001 1.02 0.92, 1.12 0.7
Pelotas
 Maternal smoking 1.56 1.08, 2.25 0.02 1.38 0.94, 2.03 0.1 1.48 0.99, 2.19 0.05 1.35 0.90, 2.01 0.1
 Paternal smoking 1.31 0.94, 1.82 0.1 1.17 0.82, 1.68 0.4 1.18 0.82, 1.69 0.4 1.10 0.76, 1.60 0.6

Emotional/Internalizing problems

ALPSAC
 Maternal smoking 1.05 0.94, 1.17 0.4 1.00 0.89, 1.12 0.96 1.05 0.94, 1.18 0.4 1.01 0.90, 1.14 0.8
 Paternal smoking 1.01 0.92, 1.11 0.8 0.97 0.88, 1.07 0.5 0.99 0.90, 1.10 0.9 0.97 0.87, 1.07 0.5
Pelotas
 Maternal smoking 0.98 0.68, 1.41 0.9 0.95 0.65, 1.39 0.9 0.99 0.67, 1.46 0.9 0.97 0.65, 1.45 0.9
 Paternal smoking 0.98 0.69, 1.38 0.9 0.92 0.65, 1.32 0.7 0.98 0.68, 1.42 0.9 0.93 0.64, 1.36 0.7

Conduct/Externalizing problems

ALSPAC
 Maternal smoking 1.65 1.48, 1.84 <0.001 1.46 1.30, 1.63 <0.001 1.52 1.36, 1.71 <0.001 1.40 1.24, 1.58 <0.001
 Paternal smoking 1.36 1.24, 1.49 <0.001 1.22 1.11, 1.34 <0.001 1.20 1.09, 1.33 <0.001 1.12 1.02, 1.24 0.02
Pelotas
 Maternal smoking 1.67 1.17, 2.39 0.005 1.72 1.18, 2.51 0.005 1.68 1.13, 2.50 0.01 1.72 1.14, 2.58 0.009
 Paternal smoking 1.15 0.82, 1.60 0.4 1.16 0.82, 1.63 0.4 0.98 0.68, 1.42 0.9 0.96 0.66, 1.39 0.8

Peer/Social problems

ALSPAC
 Maternal smoking 1.46 1.31, 1.63 <0.001 1.23 1.09, 1.37 <0.001 1.42 1.27, 1.56 <0.001 1.24 1.10, 1.40 <0.001
 Paternal smoking 1.19 1.09, 1.31 <0.001 1.02 0.92, 1.12 0.7 1.07 0.97, 1.18 0.2 0.96 0.92, 1.03 0.4
Pelotas
 Maternal smoking 1.45 1.00, 2.11 0.05 1.45 0.98, 2.14 0.06 1.43 0.98, 2.11 0.09 1.44 0.97, 2.15 0.07
 Paternal smoking 1.15 0.80, 1.63 0.5 1.10 0.76, 1.60 0.6 1.05 0.73, 1.51 0.7 1.02 0.70, 1.50 0.9

Ordinal logistic regression; Odds ratios of having offspring in higher scores for psychological problems in maternal smokers vs non-smokers

ALSPAC n=6735; Pelotas n=509

*

Model I: unadjusted

**

Model II: adjusted for maternal education, paternal education, income, social class