Exposure to environmental tobacco smoke in relation to behavioral, emotional, social and health indicators of slovak school children

Ludmila Sevcikova, Jana Babjakova, Jana Jurkovicova, Martin Samohyl, Zuzana Stefanikova, Erika Machacova, Diana Vondrova, Etela Janekova, Katarina Hirosova, Alexandra Filova, Michael Weitzman, Lubica Argalasova

Research output: Contribution to journalArticlepeer-review


Environmental tobacco smoke (ETS) exposure has been shown in general as a major environmental risk factor and deserves attention in vulnerable population groups. The aim of the project is to analyze the relationships among the ETS and behavior and health in 6−15-year-old children in Slovakia. The status of physical and mental health of children in relation to exposure to tobacco smoke was examined in a representative group of 1478 school children. The methods used, included anonymous questionnaires filled in by parents, Columbia Impairment Scale (CIS), Behavior Problem Index (BPI) and anthropometry. The prevalence of ETS exposure is the highest in the capital (27%) and southern cities. A significant association was found between ETS and age, socio-economic status, incompleteness of the family, level of mother’s education and a higher prevalence of respiratory diseases (26.7%). The relationships of ETS with emotional (CIS scores ≥ 16) and behavioral functions (BPI score ≥ 14) were significant in children exposed to mother’s or father’s smoking at home. In the multivariate analysis these associations were not significant; the factors such as income and completeness of the family were dominant. The results showed mostly the predominant impact of social factors on the physical and mental health status of Slovak school children.

Original languageEnglish (US)
Article number1374
JournalInternational journal of environmental research and public health
Issue number7
StatePublished - Jul 2018


  • Behavioral Problem Index
  • Columbia Impairment Scale
  • Environmental Tobacco Smoke (ETS)
  • Mental health
  • Physical health
  • Slovak school children

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Pollution
  • Health, Toxicology and Mutagenesis


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