The Health Effects of Passive Smoking: An Overview of Systematic Reviews Based on Observational Epidemiological Evidence

被引:58
作者
Cao, Shiyi [1 ]
Yang, Chen [1 ]
Gan, Yong [1 ]
Lu, Zuxun [1 ]
机构
[1] Huazhong Univ Sci & Technol, Sch Publ Hlth, Tongji Med Coll, Wuhan 430074, Peoples R China
来源
PLOS ONE | 2015年 / 10卷 / 10期
关键词
METAANALYSIS; RISK; DISEASE; CANCER; EXPOSURE; INTERVENTIONS; ASSOCIATION; CHILDREN;
D O I
10.1371/journal.pone.0139907
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Purpose We aim to systematically summarize the available epidemiological evidence to identify the impact of environmental tobacco smoke on health. Methods A systematic literature search of PubMed, Embase, Web of Science, and Scopus for meta-analyses was conducted through January 2015. We included systematic reviews that investigated the association between passive smoking and certain diseases. Quantitative outcomes of association between passive smoking and the risk of certain diseases were summarized. Results Sixteen meta-analyses covering 130 cohort studies, 159 case-control studies, and 161 cross-sectional studies and involving 25 diseases or health problems were reviewed. Passive smoking appears not to be significantly associated with eight diseases or health problems, but significantly elevates the risk for eleven specific diseases or health problems, including invasive meningococcal disease in children (OR 2.18; 95% CI 1.63-2.92), cervical cancer (OR 1.73; 95% CI 1.35-2.21), Neisseria meningitidis carriage (OR 1.68; 95% CI 1.19-2.36), Streptococcus pneumoniae carriage (OR 1.66; 95% CI 1.33-2.07), lower respiratory infections in infancy (OR 1.42; 95% CI 1.33-1.51), food allergy (OR 1.43; 95% CI 1.12-1.83), and so on. Conclusions Our overview of systematic reviews of observational epidemiological evidence suggests that passive smoking is significantly associated with an increasing risk of many diseases or health problems, especially diseases in children and cancers.
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页数:12
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