Environmental Tobacco Smoke and Middle Ear Disease in Preschool-Age Children

Adair-Bischoff, Carol E.; Sauve, Reginald S.

doi:10.1001/archpedi.152.2.127

Cited by 75 publications

(56 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A fumaça domiciliar do tabaco é o mais comum poluidor do ar doméstico, podendo variar sua concentração de acordo com o núme-ro de fumantes do domicílio e do número de cigarros fumados dentro de casa, estando associada a vários desfechos desfavoráveis à saú-de infantil 9,10 .…”

Section: Introductionunclassified

Tabagismo no domicílio e doença respiratória em crianças menores de cinco anos

et al. 2006

View full text Add to dashboard Cite

A fumaça do tabaco no ambiente doméstico é o principal irritante do trato respiratório de crianças. Avaliaram-se os fatores associados aos sintomas e às enfermidades respiratórias, assim como a principal fonte de exposição ao tabagismo no domicílio de 2.037 crianças menores de cinco anos atendidas para vacinação em 10 dos 38 postos de saúde de Cuiabá, Mato Grosso, Brasil (aproximadamente duzentas crianças por posto). Exposição ao tabagismo, a morbidade respiratória e as características sócio-demográficas foram obtidas por entrevista com o responsável pela criança. A prevalência de sintomáticos respiratórios foi de 59,9%, sendo maior para os que convivem com fumantes. A asma/bronquite foi a patologia que esteve mais fortemente associada com o tabagismo, sendo as variáveis que permaneceram associadas em modelo logístico hierarquizado: nível socioeconômico (OR = 2,93; IC95%: 1,57-5,45), escolaridade (OR = 1,46; IC95%: 1,08-1,98) e ocupação da mãe (OR = 1,68; IC95%: 1,04-2,74), distrito sanitário (RP = 1,47; IC95%: 1,06-2,02), faixa etária (OR = 3,38; IC95%: 2,31-4,95) e sexo da criança (OR = 1,46; IC95%: 1,09-1,94), aleitamento natural (OR = 1,66; IC95%: 1,15-2,40) e tabagismo dos moradores (OR = 1,58; IC95%: 1,18-2,11). Crianças pertencentes aos níveis socioeconômicos mais baixos e expostas ao tabagismo dos moradores do domicílio apresentam maior associação com a doença respiratória.

show abstract

Section: Introductionunclassified

Tabagismo no domicílio e doença respiratória em crianças menores de cinco anos

et al. 2006

View full text Add to dashboard Cite

show abstract

“…A literatura tem mostrado que, das manifestações otorrinolaringológicas, as otites média, aguda ou crônica são as principais queixas das crianças relacionadas à exposição ambiental do cigarro (21,24,(39)(40)(41) . É importante salientar que o critério adotado neste estudo foi um diagnóstico "referido" e, para maior confiabilidade, foi decidido que apenas os casos confirmados por médicos seriam considerados como portadores da doença.…”

Section: Discussionunclassified

“…Em relação às infecções do trato respiratório superior, elas constituem um importante problema de saúde públi-ca, devido a sua elevada prevalência, sendo o principal motivo de consulta médica no primeiro ano de vida e a maior taxa de absenteísmo escolar (18,20,21) .…”

Section: Introductionunclassified

See 1 more Smart Citation

Morbidade respiratória em crianças fumantes passivas

Carvalho¹,

Pereira²

2002

J. Pneumologia

View full text Add to dashboard Cite

Objetivo:Objetivo: Avaliar a prevalência de morbidade respiratória entre crianças expostas ao fumo passivo e determinar os efeitos do fumo ambiental no sistema respiratório inferior e superior dessas crianças, na cidade de Fortaleza, Ceará, Brasil. Respiratory morbidity among passive smoking children Objective: Objective: To study the prevalence of respiratory morbidity among passive smoking children and to determine the effects of environmental tobacco smoke in the upper and lower respiratory system of these children in the city of Fortaleza, Ceará, Brazil. Cases and method:Cases and method: This is a cross sectional study of 1,104 children under the 5 years old. Information about respiratory symptoms and illnesses of the children, family history of respiratory diseases, smoking habits of household members and housing conditions were assessed by a questionnaire addressed to the children's parents. Results:Results: Among the 1,104 children, 558 were males and 546 were females. Respiratory morbidity was greater in the children exposed to environmental tobacco smoke than in those who were not exposed (82% vs 74%). Regarding the lower respiratory tract, the most frequent complaints were wheeze (57.7%; OR = 1.32; IC 95%: 1.04-1.68), dyspnea (43.8%; OR = 1.56; IC 95%: 1.22-1.99), asthma, bronchitis or pneumonia (29.4%; OR = 1.31; IC 95%: 1.00-1.71).As to the upper respiratory tract, rhinitis was the most frequent complaint (38.1%; OR = 1.46;ARTIGO ORIGINAL

show abstract

“…Tobacco smoke is a well-documented toxic air contaminant that contributes to increased morbidity and mortality in children. It leads to a greater likelihood of lower respiratory infections, [2][3][4] sudden infant death syndrome, 5,6 and ear infections, 7 and it increases the severity of asthma symptoms. 8,9 In 1992, the US Environmental Protection Agency concluded that TSE is a "group A" carcinogen, a substance that has been established as a definitive cause of cancer in humans.…”

mentioning

confidence: 99%

Parents Smoking in Their Cars With Children Present

Nabi-Burza

Regan

Drehmer³

et al. 2012

Pediatrics

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Tobacco smoke exposure is associated with increased morbidity in children, and exposure in cars can be particularly intense. The American Academy of Pediatrics policy statement recommends that pediatricians assist families in adopting smoke-free car policies. WHAT THIS STUDY ADDS:In this study, few smoking parents had a strictly enforced smoke-free car policy. Low rates of pediatric health care providers addressing smoking in the car highlights the need for improved pediatric interventions to protect children from tobacco smoke toxins. abstract OBJECTIVE: To determine prevalence and factors associated with strictly enforced smoke-free car policies among smoking parents. METHODS:As part of a cluster, randomized controlled trial addressing parental smoking, exit interviews were conducted with parents whose children were seen in 10 control pediatric practices. Parents who smoked were asked about smoking behaviors in their car and receipt of smoke-free car advice at the visit. Parents were considered to have a "strictly enforced smoke-free car policy" if they reported having a smoke-free car policy and nobody had smoked in their car within the past 3 months. RESULTS:Of 981 smoking parents, 817 (83%) had a car; of these, 795 parents answered questions about their car smoking policy. Of these 795 parents, 29% reported having a smoke-free car policy, and 24% had a strictly enforced smoke-free car policy. Of the 562 parents without a smoke-free car policy, 48% reported that smoking occurred with children present. Few parents who smoke (12%) were advised to have a smoke-free car. Multivariable logistic regression controlling for parent age, gender, education, and race showed that having a younger child and smoking #10 cigarettes per day were associated with having a strictly enforced smoke-free car policy. CONCLUSIONS:The majority of smoking parents exposed their children to tobacco smoke in cars. Coupled with the finding of low rates of pediatricians addressing smoking in cars, this study highlights the need for improved pediatric interventions, public health campaigns, and policies regarding smoke-free car laws to protect children from tobacco smoke.

show abstract

Environmental Tobacco Smoke and Middle Ear Disease in Preschool-Age Children

Cited by 75 publications

References 44 publications

Tabagismo no domicílio e doença respiratória em crianças menores de cinco anos

Tabagismo no domicílio e doença respiratória em crianças menores de cinco anos

Morbidade respiratória em crianças fumantes passivas

Parents Smoking in Their Cars With Children Present

Contact Info

Product

Resources

About