Association between parental smoking behavior and children's respiratory morbidity: 5-year study in an urban city of South Korea

被引:37
作者
Jung, Jae Woo [1 ,2 ]
Ju, Young Su [3 ]
Kang, Hye Ryun [1 ,2 ]
机构
[1] Seoul Natl Univ, Coll Med, Dept Internal Med, Seoul 151, South Korea
[2] Seoul Natl Univ, Inst Allergy & Clin Immunol, Med Res Ctr, Seoul, South Korea
[3] Hallym Univ, Coll Med, Dept Occupat & Environm Med, Anyang 431070, South Korea
关键词
asthma; children; smoking; questionnaires; ENVIRONMENTAL TOBACCO-SMOKE; PASSIVE SMOKING; LUNG-FUNCTION; EXPOSURE; ASTHMA; SYMPTOMS; PREVALENCE; CHILDHOOD; HEALTH; POPULATION;
D O I
10.1002/ppul.21556
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Introduction: After intensive tobacco control efforts in recent decades, the prevalence of active smoking has decreased. However, the hazardous effect of indirect exposure to cigarette smoke is often underestimated, especially in children. We aimed to investigate the effect of parental smoking on the respiratory morbidity of the children of parents who smoke by evaluating the relationship between parental smoking behavior and children's respiratory symptoms. Methods: We conducted a cross-sectional follow-up study of 31,584 children aged 6-11 in an urban community in Anyang City, Korea. The children's parents were asked about their smoking status and completed questionnaires regarding their children's symptoms related to asthma and other upper or lower respiratory illnesses. Our analysis focused on a comparison of the frequency of respiratory and ocular symptoms according to parental smoking status, whether it was non-smoking (Non-S), indirect passive smoking (third-hand smoking, THS) or direct passive smoking (second-hand smoking, SHS). Results: The children with Non-S patients were 40.9%, THS group 40.6%, and SHS group 18.5%. THS group showed lower ORs for most respiratory symptoms when compared with those of SHS group, however, THS group revealed increased ORs compared with Non-S in cough-related symptoms. There was a linear trend in frequencies of cough and sputum-related symptoms according to the degree of exposure to cigarette smoke (P < 0.05). Conclusion: The prevalence of respiratory symptoms increased in children exposed to parental smoking including SHS and THS. To avoid the risk of respiratory and allergic disease by environmental tobacco smoke, absolute smoking cessation by parents is strongly recommended. Pediatr Pulmonol. 2012; 47: 338-345. (C) 2011 Wiley Periodicals, Inc.
引用
收藏
页码:338 / 345
页数:8
相关论文
共 26 条
  • [1] Increased prevalence of asthma and allied diseases among active adolescent tobacco smokers after controlling for passive smoking exposure. A cause for concern?
    Annesi-Maesano, I
    Oryszczyn, MP
    Raherison, C
    Kopferschmitt, C
    Pauli, G
    Taytard, A
    de Lara, MT
    Vervloet, D
    Charpin, D
    [J]. CLINICAL AND EXPERIMENTAL ALLERGY, 2004, 34 (07) : 1017 - 1023
  • [2] INTERNATIONAL STUDY OF ASTHMA AND ALLERGIES IN CHILDHOOD (ISAAC) - RATIONALE AND METHODS
    ASHER, MI
    KEIL, U
    ANDERSON, HR
    BEASLEY, R
    CRANE, J
    MARTINEZ, F
    MITCHELL, EA
    PEARCE, N
    SIBBALD, B
    STEWART, AW
    STRACHAN, D
    WEILAND, SK
    WILLIAMS, HC
    [J]. EUROPEAN RESPIRATORY JOURNAL, 1995, 8 (03) : 483 - 491
  • [3] Parental smoking and prevalence of respiratory symptoms and asthma in school age children
    Cook, DG
    Strachan, DP
    [J]. THORAX, 1997, 52 (12) : 1081 - 1094
  • [4] RACIAL-DIFFERENCES IN THE ASSOCIATION BETWEEN MATERNAL SMOKING DURING PREGNANCY AND LUNG-FUNCTION IN CHILDREN
    CUNNINGHAM, J
    DOCKERY, DW
    GOLD, DR
    SPEIZER, FE
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1995, 152 (02) : 565 - 569
  • [5] Effect of ozone on nicotine desorption from model surfaces: Evidence for heterogeneous chemistry
    Destaillats, H
    Singer, BC
    Lee, SK
    Gundel, LA
    [J]. ENVIRONMENTAL SCIENCE & TECHNOLOGY, 2006, 40 (06) : 1799 - 1805
  • [6] The burden of environmental tobacco smoke exposure on the respiratory health of children 2 months through 5 years of age in the United States: Third National Health and Nutrition Examination Survey, 1988 to 1994
    Gergen, PJ
    Fowler, JA
    Maurer, KR
    Davis, WW
    Overpeck, MD
    [J]. PEDIATRICS, 1998, 101 (02) : art. no. - e8
  • [7] Volatile organic compounds as breath biomarkers for active and passive smoking
    Gordon, SM
    Wallace, LA
    Brinkman, MC
    Callahan, PJ
    Kenny, DV
    [J]. ENVIRONMENTAL HEALTH PERSPECTIVES, 2002, 110 (07) : 689 - 698
  • [8] INDOOR DUST EXPOSURE - AN UNNOTICED ASPECT OF INVOLUNTARY SMOKING
    HEIN, HO
    SUADICANI, P
    SKOV, P
    GYNTELBERG, F
    [J]. ARCHIVES OF ENVIRONMENTAL HEALTH, 1991, 46 (02): : 98 - 101
  • [9] Residual tobacco smoke: measurement of its washout time in the lung and of its contribution to environmental tobacco smoke
    Invernizzi, Giovanni
    Ruprecht, Ario
    De Marco, Cinzia
    Paredi, Paolo
    Boffi, Roberto
    [J]. TOBACCO CONTROL, 2007, 16 (01) : 29 - 33
  • [10] The effect of passive smoking on asthma symptoms, atopy, and airway hyperresponsiveness in schoolchildren
    Jang, AS
    Choi, IS
    Lee, S
    Nam, HS
    Kweon, SS
    Son, MH
    Lee, JH
    Park, SW
    Kim, DJ
    Uh, ST
    Kim, YH
    Park, CS
    [J]. JOURNAL OF KOREAN MEDICAL SCIENCE, 2004, 19 (02) : 214 - 217