| Secondhand smoke exposure, smoking hygiene, and hospitalization in the first 18 months of life. | |
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MedLine Citation:
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PMID: 15237069 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Recognizing the suboptimal public health effects of a complete cessation strategy for parents and child caregivers who smoke, some researchers have called for a harm reduction approach; however, the evidence remains scanty and controversial. OBJECTIVE: To examine the effects of secondhand smoke and smoking hygiene on infant health and related health care costs during the first 18 months of life. METHODS: We conducted prospective follow-up on 8327 newborns during April and May of 1997 for 18 months in a population-based birth cohort of infants from Hong Kong, China. MAIN OUTCOME MEASURES: Number of hospital admissions, adjusted odds ratios for ever hospitalization for each secondhand smoke exposure variable, and corresponding population attributable risks. RESULTS: Most secondhand smoke exposure came from fathers and other household contacts, whereas only 2.8% of mothers smoked postpartum. The odds ratio of ever hospitalization due to all illnesses combined for infants living in a household with any (maternal, paternal, or other) smoker who was smoking at least 3 m away from the infant, as reported by a parent, was 1.00 (95% confidence interval, 0.88-1.13) compared with those in a smoke-free household. The corresponding odds ratio for infants living with any smoker at home with poor smoking hygiene (<3 m away) was 1.28 (95% confidence interval, 1.07-1.52), which translated into 2.8% of all inpatient episodes in the first year of life, representing an additional 616 admissions. CONCLUSIONS: Hospital admission was significantly more likely among infants exposed to secondhand smoke if it was accompanied by poor smoking hygiene. Harm reduction strategies should be rigorously adhered to when complete cessation is not possible. |
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Authors:
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Gabriel M Leung; Lai-Ming Ho; Tai-Hing Lam |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of pediatrics & adolescent medicine Volume: 158 ISSN: 1072-4710 ISO Abbreviation: Arch Pediatr Adolesc Med Publication Date: 2004 Jul |
Date Detail:
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Created Date: 2004-07-06 Completed Date: 2004-08-12 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9422751 Medline TA: Arch Pediatr Adolesc Med Country: United States |
Other Details:
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Languages: eng Pagination: 687-93 Citation Subset: AIM; IM |
Affiliation:
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Department of Community Medicine and School of Public Health, University of Hong Kong, Hong Kong, China. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Attitude to Health Confidence Intervals Counseling / statistics & numerical data Family Female Follow-Up Studies Hong Kong / epidemiology Hospitalization / statistics & numerical data* Humans Hygiene* / education, standards Infant Infant Welfare / statistics & numerical data* Infant, Newborn Male Mothers / education, statistics & numerical data* Odds Ratio Pregnancy Prenatal Exposure Delayed Effects Prospective Studies Risk Factors Smoking / adverse effects*, epidemiology Tobacco Smoke Pollution / adverse effects*, statistics & numerical data |
| Chemical | |
Reg. No./Substance:
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0/Tobacco Smoke Pollution |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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