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. 1982 Jun;72(6):574–579. doi: 10.2105/ajph.72.6.574

Parental smoking and the risk of childhood asthma.

S L Gortmaker, D K Walker, F H Jacobs, H Ruch-Ross
PMCID: PMC1650136  PMID: 7072874

Abstract

Data from two random population surveys are used to assess the relationship between parental smoking and the prevalence of asthma in children aged 0-17. Data from a 1977 Midwestern urbanized county indicate that, if mothers smoked, the prevalence of parent reported asthma increased from 5.0 per cent to 7.7 per cent (estimated relative risk of 1.5), and the prevalence of functionally impairing asthma increased from 1.1 per cent to 2.2 per cent (relative risk of 2.0). In a more rural Eastern county in 1980, a lower overall prevalence of asthma was noted. However, similar estimated relative risks of asthma (1.8) and functionally impairing asthma (2.4) were found to be associated with maternal smoking. Inconsistent relationships were found between the estimated prevalence of asthma and paternal smoking. When multivariate controls were introduced, the relationships between maternal smoking and asthma persisted. Estimated attributable risks indicate that between 18 per cent and 34 per cent of the asthma reported in these samples can be attributed to maternal smoking. Implications of these findings for primary care physicians are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bonham G. S., Wilson R. W. Children's health in families with cigarette smokers. Am J Public Health. 1981 Mar;71(3):290–293. doi: 10.2105/ajph.71.3.290. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bridge D. P., Corn M. Contribution to the assessment of exposure of nonsmokers to air pollution from cigarette and cigar smoke in occupied spaces. Environ Res. 1972 Jun;5(2):192–209. doi: 10.1016/0013-9351(72)90034-5. [DOI] [PubMed] [Google Scholar]
  3. Cameron P., Kostin J. S., Zaks J. M., Wolfe J. H., Tighe G., Oselett B., Stocker R., Winton J. The health of smokers' and nonsmokers' children. J Allergy. 1969 Jun;43(6):336–341. doi: 10.1016/0021-8707(69)90078-1. [DOI] [PubMed] [Google Scholar]
  4. Cameron P., Robertson D. Effect of home environment tobacco smoke on family health. J Appl Psychol. 1973 Apr;57(2):142–147. doi: 10.1037/h0037083. [DOI] [PubMed] [Google Scholar]
  5. Colley J. R., Holland W. W., Corkhill R. T. Influence of passive smoking and parental phlegm on pneumonia and bronchitis in early childhood. Lancet. 1974 Nov 2;2(7888):1031–1034. doi: 10.1016/s0140-6736(74)92148-5. [DOI] [PubMed] [Google Scholar]
  6. Fleiss J. L. Inference about population attributable risk from cross-sectional studies. Am J Epidemiol. 1979 Aug;110(2):103–104. doi: 10.1093/oxfordjournals.aje.a112794. [DOI] [PubMed] [Google Scholar]
  7. Harlap S., Davies A. M. Infant admissions to hospital and maternal smoking. Lancet. 1974 Mar 30;1(7857):529–532. doi: 10.1016/s0140-6736(74)92714-7. [DOI] [PubMed] [Google Scholar]
  8. Hoegg U. R. Cigarette smoke in closed spaces. Environ Health Perspect. 1972 Oct;2:117–128. doi: 10.1289/ehp.7202117. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lebowitz M. D., Burrows B. Respiratory symptoms related to smoking habits of family adults. Chest. 1976 Jan;69(1):48–50. doi: 10.1378/chest.69.1.48. [DOI] [PubMed] [Google Scholar]
  10. Leventhal H., Cleary P. D. The smoking problem: a review of the research and theory in behavioral risk modification. Psychol Bull. 1980 Sep;88(2):370–405. doi: 10.1037/0033-2909.88.2.370. [DOI] [PubMed] [Google Scholar]
  11. O'Connell E. J., Logan G. B. Parental smoking in childhood asthma. Ann Allergy. 1974 Mar;32(3):142–145. [PubMed] [Google Scholar]
  12. Repace J. L., Lowrey A. H. Indoor air pollution, tobacco smoke, and public health. Science. 1980 May 2;208(4443):464–472. doi: 10.1126/science.7367873. [DOI] [PubMed] [Google Scholar]
  13. Said G., Zalokar J., Lellouch J., Patois E. Parental smoking related to adenoidectomy and tonsillectomy in children. J Epidemiol Community Health. 1978 Jun;32(2):97–101. doi: 10.1136/jech.32.2.97. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Schmeltz I., Hoffmann D., Wynder E. L. The influence of tobacco smoke on indoor atmospheres. Prev Med. 1975 Mar;4(1):66–82. doi: 10.1016/0091-7435(75)90055-9. [DOI] [PubMed] [Google Scholar]
  15. Tager I. B., Weiss S. T., Rosner B., Speizer F. E. Effect of parental cigarette smoking on the pulmonary function of children. Am J Epidemiol. 1979 Jul;110(1):15–26. doi: 10.1093/oxfordjournals.aje.a112783. [DOI] [PubMed] [Google Scholar]
  16. White J. R., Froeb H. F. Small-airways dysfunction in nonsmokers chronically exposed to tobacco smoke. N Engl J Med. 1980 Mar 27;302(13):720–723. doi: 10.1056/NEJM198003273021304. [DOI] [PubMed] [Google Scholar]
  17. Whittemore A. S., Korn E. L. Asthma and air pollution in the Los Angeles area. Am J Public Health. 1980 Jul;70(7):687–696. doi: 10.2105/ajph.70.7.687. [DOI] [PMC free article] [PubMed] [Google Scholar]

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