| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Guest Access | Sign In via User Name/Password
|
|
|
|||||||
Guest Access | Sign In via User Name/Password |
|||||||||
* From the Air Pollution and Respiratory Health Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA.
Correspondence to: David M. Mannino, MD, FCCP, National Center for Environmental Health, Centers for Disease Control and Prevention, 1600 Clifton Rd, MS E-17, Atlanta, GA 30333; e-mail: dmannino{at}cdc.gov
Study objectives: We sought to determine the indicators of asthma severity among children in the United States with high and low levels of tobacco smoke exposure.
Design: Cross-sectional study.
Setting: Nationally representative survey of participants in the Third National Health and Nutrition Examination Survey (from 1988 to 1994).
Participants: Five hundred twenty-three children with physician-diagnosed asthma.
Measurements and results: We stratified the study participants into tertiles on the basis of serum levels of cotinine (a metabolite of nicotine that indicates tobacco smoke exposure). We used logistic and linear regression modeling, adjusting for known covariates, to determine the effect of high environmental tobacco smoke exposure on the following outcomes: asthma severity (determined using reported symptom and respiratory illness frequency); lung function; physician visits; and school absence. Among our study sample, 78.6% of children had mild asthma, 6.8% of children had moderate asthma, and 14.6% of children had severe asthma. Asthmatic children with high levels of smoke exposure, compared with those with low levels of exposure, were more likely to have moderate or severe asthma (odds ratio, 2.7 95% confidence interval [CI], 1.1 to 6.8) and decreased lung function, with a mean FEV1 decrement of 213 mL or 8.1% (95% CI, -14.7 to -3.5).
Conclusions: Involuntary smoke exposure is associated with increased asthma severity and worsened lung function in a nationally representative group of US children with asthma.
Key Words: asthma • children • tobacco smoke pollution
This article has been cited by other articles:
|
|
 |
|
  S. E. Wilson, R. S. Kahn, J. Khoury, and B. P. Lanphear The Role of Air Nicotine in Explaining Racial Differences in Cotinine Among Tobacco-Exposed Children Chest, March 1, 2007; 131(3): 856 - 862. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J Genuneit, G Weinmayr, K Radon, H Dressel, D Windstetter, P Rzehak, C Vogelberg, W Leupold, D Nowak, E von Mutius, et al. Smoking and the incidence of asthma during adolescence: results of a large cohort study in Germany Thorax, July 1, 2006; 61(7): 572 - 578. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. M. Abrams, M. C. Mahoney, A. Hyland, K. M. Cummings, W. Davis, and L. Song Early Evidence on the Effectiveness of Clean Indoor Air Legislation in New York State Am J Public Health, February 1, 2006; 96(2): 296 - 298. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. M. Tarlo Cough: Occupational and Environmental Considerations: ACCP Evidence-Based Clinical Practice Guidelines Chest, January 1, 2006; 129(1_suppl): 186S - 196S. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J Britton Passive smoking and asthma exacerbation Thorax, October 1, 2005; 60(10): 794 - 795. [Full Text] [PDF]
|
|
|
|
 |
|
 M C Farrelly, J M Nonnemaker, R Chou, A Hyland, K K Peterson, and U E Bauer Changes in hospitality workers' exposure to secondhand smoke following the implementation of New York's smoke-free law Tob. Control, August 1, 2005; 14(4): 236 - 241. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Halterman, P. G. Szilagyi, H. L. Yoos, K. M. Conn, J. M. Kaczorowski, R. J. Holzhauer, S. C. Lauver, T. L. Neely, P. M. Callahan, and K. M. McConnochie Benefits of a School-Based Asthma Treatment Program in the Absence of Secondhand Smoke Exposure: Results of a Randomized Clinical Trial Arch Pediatr Adolesc Med, May 1, 2004; 158(5): 460 - 467. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. N. Rubin, L. Navon, and P. A. Cassano Relationship of Serum Antioxidants to Asthma Prevalence in Youth Am. J. Respir. Crit. Care Med., February 1, 2004; 169(3): 393 - 398. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W Hofhuis, J C de Jongste, and P J F M Merkus Adverse health effects of prenatal and postnatal tobacco smoke exposure on children Arch. Dis. Child., December 1, 2003; 88(12): 1086 - 1090. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. P. Winickoff, R. C. McMillen, B. C. Carroll, J. D. Klein, N. A. Rigotti, S. E. Tanski, and M. Weitzman Addressing Parental Smoking in Pediatrics and Family Practice: A National Survey of Parents Pediatrics, November 1, 2003; 112(5): 1146 - 1151. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. S. Chapman, W. C. Hadden, and S. A. Perlin Influences of Asthma and Household Environment on Lung Function in Children and Adolescents: The Third National Health and Nutrition Examination Survey Am. J. Epidemiol., July 15, 2003; 158(2): 175 - 189. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. J. Alberg, G. B. Diette, and J. G. Ford Invited Commentary: Attendance and Absence as Markers of Health Status--The Example of Active and Passive Cigarette Smoking Am. J. Epidemiol., May 15, 2003; 157(10): 870 - 873. [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Aligne, M. E. Moss, P. Auinger, and M. Weitzman Association of Pediatric Dental Caries With Passive Smoking JAMA, March 12, 2003; 289(10): 1258 - 1264. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
