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Passive smoking and respiratory symptoms in the FinEsS Study
Örebro University, School of Health and Medical Sciences.
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2003 (English)In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 21, no 4, p. 672-676Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to examine the relationship between reported environmental tobacco smoke (ETS) exposure and respiratory symptoms. In 1996, a postal questionnaire was randomly distributed in three areas of Estonia to a population-based sample, of which 4,995 females and 1,822 males had never smoked. The main outcome measures were current respiratory symptoms and the amount of reported ETS exposure outside the home. ETS exposure at home was more common in females (31% versus 19%), while exposure outside of the home was more common in males (53% versus 7%). Females reported more symptoms from tobacco smoke than males (37.7% versus 21.6%). If ETS exposure outside of the home exceeded 5 h daily, the risk for wheeze (odds ratio (OR) 2.67, 95% confidence interval (CI) 1.98-3.61) and physician-diagnosed asthma (OR 1.79, 1.02-3.16) were increased. ETS exposure outside of the home was shown to be strongly related to almost all respiratory symptoms in a dose/response manner. ETS exposure at home did not show significantly elevated ORs for any respiratory symptoms. This study shows that females seem to be more troubled by environmental smoke exposure than males and provides further evidence of the serious health hazards associated with environmental smoke exposure. Indeed, the findings of this study support a ban on smoking in the workplace and public areas.

Place, publisher, year, edition, pages
2003. Vol. 21, no 4, p. 672-676
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-15590DOI: 10.1183/​09031936.03.00033702PubMedID: 12762355OAI: oai:DiVA.org:oru-15590DiVA, id: diva2:417375
Available from: 2011-05-17 Created: 2011-05-17 Last updated: 2017-12-11Bibliographically approved
In thesis
1. Secondary exposure to inhaled tobacco products
Open this publication in new window or tab >>Secondary exposure to inhaled tobacco products
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [sv]

Även andra individer än rökaren kan påverkas av tobaksrökning. Syftet med denna avhandling var att undersöka några sådana effekter. Studierna omfattar såväl passiv rökning som exponering under graviditet. Mer specifikt handlar studierna om:

· Exponering för passiv rökning under barndomen och samband med luftvägssymtom och allergi senare i livet.

· Passiv rökning i vuxen ålder och samband med luftvägssymtom.

· Exponering hos serveringspersonal och effekter av lagstiftning mot tobaksrökning.

· Rökning under graviditet och kontroll och koordination av handrörelser hos barn.

Passiv rökning i barndomen hade en koppling till ökad risk för astma och allergi. Passiv rökning hos vuxna var kopplat till förekomst av andnings- och luftvägssymtom på ett dosberoende vis. Besvär i andningsvägar och slemhinnor minskade avsevärt hos icke rökande serveringspersonal efter rökförbudet på restauranger som infördes den 1 juni 2005.

Mammans rökning under graviditet var kopplad till nedsatt handkontroll och handkoordination hos avkomman. Sambandet var tydligast för vänsterhanden och pojkarnas handfunktion påverkades betydligt mer än flickornas. Fynden stödjer att rökning under graviditet kan påverka nervsystemets utveckling i negativ riktning.

Ett flertal oönskade effekter kan således drabba dem som är nära rökare under någon period i livet och resultaten understryker vikten av att förebygga sådan exponering.

Abstract [en]

Secondary exposure to inhaled tobacco products can influence the human body in a variety of ways. The aim of this thesis was to investigate a variety of health effects of secondary exposure to inhaled tobacco products. The research encompassed both airborne and in utero exposures. Specific investigations included:

· Childhood exposure to environmental tobacco smoke (ETS) and associations with respiratory symptoms and allergic sensitization.

· Adult exposure to ETS and exacerbation of respiratory symptoms

· Workplace exposure to ETS and associations with respiratory symptoms

· The influence of smoke-free workplace legislation on respiratory symptoms

· In utero exposure and associations with physical control and coordination at age 11 years

Environmental tobacco smoke during childhood was shown to be associated with an increased risk of asthma and allergic sensitization. Environmental tobacco smoke exposure in adult non-smokers was associated with a dose-dependent increase in the prevalence of respiratory symptoms. The frequency of respiratory and sensory symptoms in hospitality workers declined substantially in non-smokers following the introduction of smoke-free legislation. Maternal smoking during pregnancy was associated with poorer physical control and coordination among offspring, particularly in the left – usually non-dominant- hand and most pronounced in boys, consistent with an adverse influence on neurological development.

These findings help to characterize several adverse outcomes associated with secondary exposure to inhaled tobacco products and emphasise the importance of preventing such exposures.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2008. p. 72
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 23
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-2519 (URN)978-91-7668-635-5 (ISBN)
Public defence
2008-11-21, Wilandersalen, M-huset, Universitetssjukhuset, Örebro, 14:00
Opponent
Supervisors
Available from: 2008-10-20 Created: 2008-10-20 Last updated: 2017-10-18Bibliographically approved

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Larsson, Matz L.

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