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Titolo:
Health effects related to environmental tobacco smoke exposure in childrenin the United States - Data from the Third National Health and Nutrition Examination Survey
Autore:
Mannino, DM; Moorman, JE; Kingsley, B; Rose, D; Repace, J;
Indirizzi:
Ctr Dis Control & Prevent, Air Pollut & Resp Hlth Branch, Div Environm Hazards & Hlth Effects, Natl Ctr Environm Hlth, Atlanta, GA 30333 USA Ctr Dis Control & Prevent Atlanta GA USA 30333 lth, Atlanta, GA 30333 USA Ctr Dis Control, Ctr Chron Dis Prevent & Hlth Promot, Epidemiol Branch, Off Smoking & Hlth, Atlanta, GA 30333 USA Ctr Dis Control Atlanta GA USA 30333 moking & Hlth, Atlanta, GA 30333 USA Ctr Dis Control & Prevent, Off Vital & Hlth Stat, Natl Ctr Hlth Stat, Washington, DC USA Ctr Dis Control & Prevent Washington DC USA lth Stat, Washington, DC USA Repace Associates, Bowie, MD USA Repace Associates Bowie MD USARepace Associates, Bowie, MD USA
Titolo Testata:
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE
fascicolo: 1, volume: 155, anno: 2001,
pagine: 36 - 41
SICI:
1072-4710(200101)155:1<36:HERTET>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
PARENTAL SMOKING; PASSIVE SMOKING; COTININE; PARTICULATE; POLLUTION; WORKPLACE; CHILDHOOD; ASTHMA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Mannino, DM Ctr Dis Control & Prevent, Air Pollut & Resp Hlth Branch, Div Environm Hazards & Hlth Effects, Natl Ctr Environm Hlth, 1600 Clifton Rd,MSE-17, Atlanta, GA 30333 USA Ctr Dis Control & Prevent 1600 Clifton Rd,MS E-17 Atlanta GA USA 30333
Citazione:
D.M. Mannino et al., "Health effects related to environmental tobacco smoke exposure in childrenin the United States - Data from the Third National Health and Nutrition Examination Survey", ARCH PED AD, 155(1), 2001, pp. 36-41

Abstract

Objective: To determine the effects of prenatal. and postnatal smoke exposure on the respiratory health of children in the United States. Design: Nationally representative cross-sectional survey, including questionnaire information, measurements of serum cotinine (a metabolite of nicotine), and pulmonary function measurement, of 5400 US children. Setting and Participants: Children aged 4 to 16 years in the Third National Health and Nutrition Examination Survey, October 25, 1988, to October 15,1994. Methods: We stratified the study participants into tertiles, on the basis of serum cotinine levels, and used logistic and linear regression modeling,adjusting for known covariates, to determine the effect of high environmental tobacco smoke (ETS) exposure (on the basis of a high cotinine level) onoutcomes such as the prevalence of current asthma, the prevalence of frequent wheezing, school absence, and lung function. For children aged 4 to 11 years, we also determined the effect of prenatal maternal smoking on these outcomes. Results: We observed effects of ETS exposure in all age groups, although the effects varied between age groups. Among all children significant effects associated with high cotinine levels were for wheezing apart from cold inthe past year (odds ratio [OR], 1.8; 95% confidence interval [CI], 1.1-2.8); 6 or more days of school absence in the past year (OR, 2.0; 95% CI, 1.4-2.8); and lung function decrements in the forced expiratory volume in 1 second (mean change, -1.8%; 95% CI, -3.2% to -0.4%) and the maximal midexpiratory flow (mean change, -5.9%; 95% CI, -8.1% to -3.4%). Although current andever asthma were not significantly associated with high cotinine levels inthe overall group (OR, 1.5; 95% CI, 0.8-2.7, and OR, 1.3; 95% CI, 0.8-2.2,respectively), they were increased significantly among 4- to 6-year-old children (OR, 5.3; 95% CI, 2.2-12.7, and OR, 2.3; 95% CI, 1.1-5.1, respectively). Conclusions: We investigated recent ETS exposures as important predictors of respiratory health outcomes in children 4 years and older. Environmentaltobacco smoke exposure affects children of all ages, although the exact effects may vary between age groups.

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Documento generato il 10/07/20 alle ore 11:30:53