Exposure to Environmental Tobacco Smoke and Prevalence of Atopic Dermatitis among Adolescents in Kuwait

Abdualrasool, Mosa; Al-Shanfari, Saad; Booalayan, Hussain; Boujarwa, Abdulwahab; Al-Mukaimi, Abdullah; Alkandery, Omar; Akhtar, Saeed

doi:10.1159/000492054

Cited by 14 publications

(29 citation statements)

References 19 publications

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“…According to a global study, the secondhand exposure to smoke in a closed environment was high in children (40%), women (35%), and men (33%) with variation between regions ranged from ≤ 13% in Africa to ≥ 50% in western Pacific region or eastern Europe region (Öberg et al 2011 ). In Kuwait, a study conducted on high-school students ( n = 746) revealed that the prevalence of environmental tobacco smoke at home was 54%, which is higher than that in our estimate (38.6%) (Abdualrasool et al 2018 ). Moreover, another study from Kuwait reported that 45.8% ( n = 3836) of middle-school students and 51.6% ( n = 1936) of high-school students were exposed to secondhand smoke at home (Ziyab et al 2020 ).…”

Section: Discussioncontrasting

confidence: 81%

Prevalence of smoking in the Kuwaiti adult population in 2014: a cross-sectional study

Alali

Longenecker

Alwotyan

et al. 2020

Environ Sci Pollut Res

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The study objective was to assess tobacco smoking prevalence in Kuwaiti adults in relation to sociodemographic characteristics. A cross-sectional study survey was conducted in 2014 on 3917 Kuwaiti citizens (18–69 years) following the World Health Organization (WHO) STEPwise Approach to Surveillance (STEPS) methodology. The study assessed prevalence of self-reported ever-smoking or currently smoking tobacco products and exposure to secondhand smoke in relation to demographic and smoking-related characteristics. The prevalence of “ever smoker” in men and women was 49.9% and 4.4%, respectively, whereas the prevalence of “current smoker” was 39.2% and 3.3%, respectively. Sex (adjusted OR [AOR], 19.2 [95% confidence interval (CI) 13.0–28.3], male versus female) was significantly associated with current smoking. Among daily smokers, 87.1% used manufactured cigarettes. The average daily number of manufactured cigarettes for men and women was 21.8 and 13.0, respectively. Mean age at smoking initiation was 17.5 years (95% CI 17.2–17.9). The prevalence of secondhand smoke at home and work was 38.6% and 29.9%, respectively. Half of Kuwaiti men have smoked at some point in their life with most of these being current smokers. Secondhand smoke is a common exposure at home and work, posing serious health risks to the population.

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Section: Discussioncontrasting

confidence: 81%

Prevalence of smoking in the Kuwaiti adult population in 2014: a cross-sectional study

Alali

Longenecker

Alwotyan

et al. 2020

Environ Sci Pollut Res

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“…The questionnaire was pre-tested on 20 high school students and modifications were made as needed. The questionnaire comprised 21 questions and took on average five minutes for its completion [17].…”

Section: Questionnairementioning

confidence: 99%

Exposure to environmental tobacco smoke and prevalence of asthma among adolescents in a middle eastern country

et al. 2020

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Background: There is increasing evidence linking environmental tobacco smoke (ETS) exposure at homes to the development of asthma among adolescents. Few studies have addressed this issue in the Middle Eastern countries including Kuwait. Therefore, this cross-sectional study assessed the prevalence of ETS exposure at home, prevalence of asthma and other respiratory conditions and examined the ETS exposure at home and personal tobacco smoking as risk factors for self-reported asthma among high-school students in Kuwait. Methods: In this cross-sectional study, we enrolled participants from nine high-schools of Hawally Governorate of Kuwait during October 2015. We adapted a previously validated self-administered questionnaire for data collection. Prevalence of self-reported asthma and ETS exposure (≥ 1 smoker at home vs. none) were computed. The association between exposures of interest and self-reported asthma status was examined using a multivariable logbinomial regression model. Results: Of 800 enrolled participants, 746 (92.2%) consented and completed the questionnaire. The participants with mean (SD) age of 16.8 (0.68) years were predominantly Kuwaiti (74.8%) and female (50.1%). The prevalence of ETS exposure at home and personal current smoking was 54 and 12.4% respectively. Self-reported asthma prevalence was 20.5%. Furthermore, the prevalence of physician-diagnosed asthma, wheezing during the last 12 months and wheezing 'ever' was 16.4, 20.1 and 26.2%, respectively. Fitted multivariable log-binomial regression model revealed that compared with the non-asthmatic, participants with self-reported asthma tended to be current smokers (adjusted prevalence ratio (adjusted PR) = 1.82; 95% CI: 1.30-2.56; p = 0.001) or have had ETS exposure at home (adjusted PR = 1.64; 95% CI: 1.21-2.23; p = 0.002). Conclusions: We recorded a high prevalence of ETS exposure at home, high prevalence of self-reported asthma and identified ETS exposure at home and being a current smoker as strong risk factors for self-reported asthma among adolescents. Voluntary household smoking bans may substantially minimize the ETS exposure among adolescents. Additionally, such restriction may inculcate an antismoking attitude and prevent smoking initiation among adolescents. Such efforts may bring about reduction in ETS exposure and associated asthma risk and other smoking-related morbidities in this and other similar settings.

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“…The study population, setting and design have been previously described elsewhere [17], and brie y outlined here. During October 2015, we conducted a cross-sectional study among high-school students in Hawally -one of the six Governorates of Kuwait to i) assess the prevalence of ETS exposure at home, ii) assess the prevalence of various allergic conditions including asthma and iii) evaluate the association between ETS exposure at home and self-reported asthma.…”

Section: Population Setting and Study Designmentioning

confidence: 99%

“…From the Ministry of Education's website, we obtained a list of schools located in Hawally Governorate. From this list of 10 schools for boys, 9 schools for girls and 44 private schools with co-education system, nine schools were selected as a sample of convenience, which included three public sector schools each for male and female students and three private schools with coeducation [17].…”

Section: Population Setting and Study Designmentioning

confidence: 99%

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Exposure to environmental tobacco smoke and prevalence of asthma among adolescents in a Middle Eastern country

Booalayan

Abdulrasool

Al-Shanfari

et al. 2020

Preprint

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Background: There is increasing evidence linking exposure to environmental tobacco smoke (ETS) at homes to the development of asthma among adolescents. Few studies have addressed this issue in the Middle Eastern countries including Kuwait. Therefore, this study cross-sectional assessed the prevalence of ETS exposure at home, prevalence of asthma and other respiratory morbid conditions and examined the ETS exposure and personal smoking status as risk factors for self-reported asthma among high-school students in Kuwait. Methods: During October 2015, a cross-sectional study design was implemented using a self-administered modified version of the ISAAC (International study of asthma and allergies in childhood) questionnaire among students enrolled in nine high-schools of Hawally Governorate of Kuwait. Prevalence of ETS exposure and self-reported asthma were computed. Multivariable log-binomial regression models were used to evaluate association between exposures of interest and self-reported asthma status. Results: Of 800 invited students, 746 (92.2%) participated, of whom 74.8% were Kuwaiti and 50.1% were female with a mean (SD) age of 16.8 (0.68) years. ETS exposure prevalence at home was 54% and personal current smoking was 12.4%. Self-reported asthma prevalence was 20.5%. Furthermore, the prevalence of physician-diagnosed asthma, wheezing during the last 12 months and wheezing ‘ever’ was 16.4%, 20.1% and 26.2%, respectively. Final multivariable log-binomial regression model showed that compared to the adolescents without asthma, adolescents with self-reported asthma tended to be current smokers (adjusted prevalence ratio (adjusted PR) = 1.82; 95% CI: 1.30 – 2.56; p = 0.001) or significantly more likely to have had ETS exposure at home (adjusted PR = 1.64; 95% CI: 1.21 – 2.23; p = 0.002). Conclusions: We recorded high prevalence of ETS exposure at home, high prevalence of self-reported asthma and identified ETS exposure at home and being a current smoker as strong risk factors for self-reported asthma among adolescents. Voluntary household smoking bans may substantially minimize the ETS exposure among adolescents. Additionally, such restriction may inculcate an antismoking attitude and prevent smoking initiation among adolescents. Such efforts are likely to pay dividends in terms of reduction in ETS exposure and associated asthma risk and other smoking-related morbidities in this and other similar settings.

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Exposure to Environmental Tobacco Smoke and Prevalence of Atopic Dermatitis among Adolescents in Kuwait

Cited by 14 publications

References 19 publications

Prevalence of smoking in the Kuwaiti adult population in 2014: a cross-sectional study

Prevalence of smoking in the Kuwaiti adult population in 2014: a cross-sectional study

Exposure to environmental tobacco smoke and prevalence of asthma among adolescents in a middle eastern country

Exposure to environmental tobacco smoke and prevalence of asthma among adolescents in a Middle Eastern country

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