Childhood Secondhand Smoke Exposure and ADHD-Attributable Costs to the Health and Education System

Autor/inn/en	Max, Wendy; Sung, Hai-Yen; Shi, Yanling
Titel	Childhood Secondhand Smoke Exposure and ADHD-Attributable Costs to the Health and Education System
Quelle	In: Journal of School Health, 84 (2014) 10, S.683-686 (4 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12191
Schlagwörter	Smoking; At Risk Persons; Child Health; Behavior Problems; Cognitive Development; Attention Deficit Hyperactivity Disorder; Metabolism; Health Care Costs; Disclosure; Educational Needs; Educational Finance; Economic Impact; Children; Adolescents + Suchen Sie Ihr Suchwort? Rauchen; Risikogruppe; Kognitive Entwicklung; Stoffwechsel; Educational need; Bildungsbedarf; Bildungsfonds; Ökonomische Determinanten; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher
Abstract	Background: Children exposed to secondhand smoke (SHS) have higher rates of behavioral and cognitive effects, including attention deficit hyperactivity disorder (ADHD), but the costs to the health care and education systems have not been estimated. We estimate these costs for school-aged children aged 5-15. Methods: The relative risk (RR) of ADHD from SHS exposure was obtained from our previous work. SHS exposure was measured using 2 alternative approaches--reported exposure and serum cotinine-measured exposure. RRs and SHS exposure were used to determine the number of children with SHS-attributable ADHD, and mean costs of ADHD-related health care and education services were applied to obtain SHS-attributable health care and education costs. Results: Annual health care costs of SHS-attributable ADHD ranged from $644 million (using reported SHS exposure) to $2.05 billion (using cotinine-measured exposure). SHS-attributable costs to the education system ranged from $2.90 to $9.23 billion. Conclusions: The costs of SHS-attributable ADHD to the education system may total more than 4 times the costs for health care. The huge economic impact of SHS exposure on the education system has not been documented previously, and suggests that reducing childhood exposure to tobacco smoke will release substantial funds that could be used for general education of all children. (As Provided).
Anmerkungen	Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10