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Rischi attribuibili al fumo passivo in Pediatria di base
PASSIVE SMOKE AND MORBIDITY IN PRIMARY CHILD CARE
ANTONELLA VENEZIANO, MARINA MAYER, LUIGI GRECO
Dipartimento di Pediatria dell’Universitŕ “Federico II”, Napoli
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.