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Rischi attribuibili al fumo passivo in Pediatria di base
PASSIVE SMOKE AND MORBIDITY IN PRIMARY CHILD CARE
A. Veneziano, M. Mayer, L. Greco
Maggio 2000 - pagg. 300 -302
Abstract
Aim of the study is to evaluate the load of passive smoking at home on the incidence of
common respiratory diseases in children. 464 children 0-10 years old were followed for a
mean of 4 years to accrue 1821 child-years. The incidence of each disease was prospectively
recorded. Parents’ smoke was evalued by a structured questionnaire during a direct
interview. The children of parents smoking both more than 10 sigarettes/day, compared to
children of non-smokers showed a measurable excess of influenza (45.7% versus 32%,
O.R. 1.62), faringitis (60% versus 54%, O.R. 1.27), laringitis (17.1% versus 15.5%, O.R.
1.12), otitis (17.1% versus 11%, O.R. 1.67), asthma (14.3% versus 13%, O.R. 1.11). These
differences, although often not-significant, due to type II error, are very similar to those observed
in larger studies. Home passive smoking is associated with a moderate excess of
upper respiratory tract infection in children: the excess work load to the pediatrician in
charge is valued at about 125 visit/year.
Classificazione MeSH
Bibliografia
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2. Rantakallio P. Relationship of maternal smoking to morbidity and mortality of the child up to the age of five. Acta Paediatr Scand 1978;67:621-31.
3. Colley JR, Holland WW, Corkhill RT. Influence of passive smoking and parental phlegm on pneumonia and bronchitis in early childhood. Lancet 1974;2:1031-4.
4. Fergusson DM, Horwood LJ, Shannon FT. Parental smoking and respiratory illness in infancy. Arch Dis Child 1980;55:358-61.
5. Kraemer MJ, Richardson MA, Weiss NS, et al. Risk factors for persistent middle-ear effusions: otitis media, catarrhalis, cigarette smoke exposure, and atopy. JAMA 1983;249: 1022-5.
6. Black N. The aetiology of glue ear: a casecontrol study. Int J Pediatr Otorhinolaryngol 1985;9:121-33.
7. Etzel RA, Pattishall EN, Haley NJ, Fletcher RH, Henderson FW. Passive smoking and middle ear effusion among children in day care. Pediatrics1992;90:228-32.
8. Strachan DP, Jarvis MJ, Feyerabend C. Passive smoking, salivary cotinine concentrations, and middle ear effusion in 7 year old children. BMJ 1989;298:1549-52.
9. Sandler DP, Wilcox AJ, Everson RB. Cumulative effects of lifetime passive smoking on cancer risk. Lancet 1985;1:312-5.
10. Wayne F Schramm. Smoking during pregnancy: Missouri longitudinal study. Paediatric and Perinatal Epidemiology 1997;11, Suppl.1:73-85.