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Determining the burden of secondhand smoke exposure on the respiratory health of Thai children.
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- المؤلفون: Charoenca, Naowarut1,2 (AUTHOR); Kungskulniti, Nipapun1,2 (AUTHOR) ; Tipayamongkholgul, Mathuros1 (AUTHOR); Sujirarat, Dusit1 (AUTHOR); Lohchindarat, Sorasak3 (AUTHOR); Mock, Jeremiah4 (AUTHOR); Lorin Hamann, Stephen5 (AUTHOR)
- المصدر:
Tobacco Induced Diseases. 2013, Vol. 11 Issue 1, p7-12. 6p. 3 Charts.
- الموضوع:
- معلومة اضافية
- الموضوع:
- نبذة مختصرة :
Background: The impact of secondhand smoke (SHS) on Southeast Asian children's health has been assessed by a limited number of studies. The purpose of this study was to determine whether in Thailand, pre- and postnatal exposure to SHS is associated with acute lower respiratory conditions in young children. Methods: We conducted a case control study of 462 children under age five admitted with acute lower respiratory illnesses, including asthma and pneumonia, at a major hospital in Bangkok. We selected 462 comparison controls from the well-child clinic at the hospital and matched them by sex and age. We used a structured questionnaire to collect information about exposure to SHS and other factors. We conducted bivariate and multivariate analyses to identify risk factors for acute lower respiratory conditions. Results: The number of cigarettes smoked at home per day by household members was significantly greater among cases. A greater number of household caregivers of cases held and carried children while smoking as compared to controls (26% versus 7%, p <0.05). Cases were more likely to have been exposed to SHS in the household (adjusted OR = 3.82, 95% CI = 2.47-5.9), and outside (adjusted OR = 2.99, 95% CI = 1.45-6.15). Parental lower educational level and low household income were also associated with respiratory illnesses in Thai children under five. Conclusions: Thai children who are exposed to SHS are at nearly 4 times greater risk of developing acute lower respiratory conditions. Continued effort is needed in Thailand to eliminate children's exposure to SHS, especially at home. [ABSTRACT FROM AUTHOR]
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