Document Detail

Secondhand smoke exposure, smoking hygiene, and hospitalization in the first 18 months of life.
MedLine Citation:
PMID:  15237069     Owner:  NLM     Status:  MEDLINE    
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.
Gabriel M Leung; Lai-Ming Ho; Tai-Hing Lam
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  158     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-07-06     Completed Date:  2004-08-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  687-93     Citation Subset:  AIM; IM    
Department of Community Medicine and School of Public Health, University of Hong Kong, Hong Kong, China.
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MeSH Terms
Attitude to Health
Confidence Intervals
Counseling / statistics & numerical data
Follow-Up Studies
Hong Kong / epidemiology
Hospitalization / statistics & numerical data*
Hygiene* / education,  standards
Infant Welfare / statistics & numerical data*
Infant, Newborn
Mothers / education,  statistics & numerical data*
Odds Ratio
Prenatal Exposure Delayed Effects
Prospective Studies
Risk Factors
Smoking / adverse effects*,  epidemiology
Tobacco Smoke Pollution / adverse effects*,  statistics & numerical data
Reg. No./Substance:
0/Tobacco Smoke Pollution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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