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In a developed non\u2010western setting, we estimated the associations of early SHS exposure during the prenatal and postnatal periods with several aspects of adolescent mental health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Multivariable linear regression was used to estimate the adjusted associations of pre\u2010 and postnatal SHS exposure with adolescent mental health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Hong Kong.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Population\u2010representative \u201cChildren of 1997\u201d birth cohort. Behavioural problems at ~11\u2009years were available for 5598, self\u2010esteem at ~11\u2009years for 6937 and depressive symptoms at ~13\u2009years for 5797.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>SHS was categorized as no SHS exposure, occasional prenatal SHS exposure from non\u2010parental sources, daily prenatal SHS exposure from non\u2010parental sources, postnatal SHS exposure from non\u2010parental sources, prenatal and postnatal SHS exposure from non\u2010parental sources, occasional paternal smoking, daily paternal smoking and any maternal smoking. Behavioural problems were assessed from parent\u2010reported Rutter score, self\u2010esteem from self\u2010reported Culture\u2010Free Self\u2010Esteem Inventory score and depressive symptoms from self\u2010reported Patient Health Questionnaire\u20109 score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Prenatal SHS exposure from non\u2010parental sources was associated with behavioural problems at ~11\u2009years (1.24, 95% confidence interval 0.20\u20132.28) adjusted for sex, age of assessment, survey mode (for depressive symptoms only), socio\u2010economic position (SEP), mother's birthplace, gestational age and parity; paternal smoking and maternal smoking were associated with more mental health problems but also with lower SEP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In Hong Kong, prenatal second\u2010hand tobacco smoke exposure appears to be a risk factor for behavioural problems at age 11\u2009years independent of socio\u2010economic position.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.13033","type":"journal-article","created":{"date-parts":[[2015,6,29]],"date-time":"2015-06-29T06:16:49Z","timestamp":1435558609000},"page":"1811-1824","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Early second\u2010hand smoke exposure and child and adolescent mental health: evidence from Hong Kong's \u2018Children of 1997\u2019 birth cohort"],"prefix":"10.1111","volume":"110","author":[{"given":"Cherry Y.","family":"Leung","sequence":"first","affiliation":[{"name":"School of Public Health, Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel M.","family":"Leung","sequence":"additional","affiliation":[{"name":"School of Public Health, Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Mary","family":"Schooling","sequence":"additional","affiliation":[{"name":"School of Public Health, Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"},{"name":"CUNY School of Public Health and Hunter College  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,8,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.99107991"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.11177"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.115-a492a"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-0023"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e3282f56165"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2009.01522.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.92.6.815"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.102.1.e11"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2008.01955.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0080370"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fds025"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2011.06202.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbr013"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.12.017"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-008-0687-7"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2007.01855.x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/14622200410001669187"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2008.00840.x"},{"key":"e_1_2_7_20_1","unstructured":"Tobacco Control Office of the Department of Health GotHKSAR.Statistics: Pattern of smoking in Hong Kong[cited 10 June2015]. 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