Environmental Tobacco Smoke Exposure and Chinese Schoolchildren's Respiratory Health
Open accessAbstract
Background Although China is the most coveted cigarette market worldwide, few studies have examined the longitudinal effects of environmental tobacco smoke (ETS) on health.Purpose To examine the relationship between exposure to ETS and respiratory health in Chinese schoolchildren.Methods The study subjects included 1718 children, who were never-smokers, aged 10.05±0.86 years and asthma-free at baseline. The children performed spirometric tests in 2006 and 18 months later. Parents reported the children's respiratory symptoms and illnesses, ETS exposure, and other related information by self-administered survey at both assessment points. The data were analyzed in 2010.Results Significant exposure-response relationships were found between ETS exposure and coughing at night (p for trend<0.001); sneezing (p for trend=0.031); and sneezing with itchy, watery eyes (p for trend=0.006) in the first survey, and coughing at night (p for trend=0.019); phlegm without a cold (p for trend<0.001); and sneezing (p for trend=0.036) in the second survey. Compared with those who reported no ETS exposure in either survey, children who had a high ETS exposure level (>5 cigarettes/day) in either survey had lower growth rates in forced expiratory flow between 25% and 75% of forced vital capacity (FEF(25-75); β= -0.104, p=0.020) and forced expiratory flow at 25% of forced vital capacity (FEF(25); β= -0.077, p=0.027). A monotonic exposure-response effect was observed between ETS exposure and the deficits in the growth rate of FEF(25) and FEF(25-75.)Conclusions Exposure to ETS increased the risks of respiratory symptoms in Chinese school-aged children and was associated with impaired lung function growth. A dose-response relationship was observed for the latter effect.
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Chinese school-aged children exposed to SHS had increased cough and reduced lung function compared with unexposed children.
“Another study reported that Chinese school-aged children exposed to SHS had increased cough and reduced lung function compared with findings in unexposed children.52”
From Impact of Tobacco Smoke and Nicotine Exposure on Lung Development (2016) · cites this paper as [52]
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- Authors
- He, Q.-Q., Wong, T.-W., Du, L., Jiang, Z.-Q., Yu, T.-S. I., Qiu, H., Gao, Y., Wong, A. H. S., Liu, W.-J., & Wu, J.-G.
- Affiliations
- Chinese University of Hong Kong (HK)
- Guangzhou Center for Disease Control and Prevention (CN)
- Corresponding author
- Wong, Tze-Wai
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2011-11
- Volume
- 41
- Issue
- 5
- Pages
- 487-493
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W2097446456
- Cited by
- 25
- References
- 33
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 2 · 2016: 2 · 2015: 5 · 2014: 3 · 2013: 2 · 2012: 1
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- environmental tobacco smoke, passive smoking, elementary school students, respiratory health, respiratory symptoms, lung function, forced expiratory flow, growth rate, exposure-response relationship, Chinese children
- MeSH terms
- Adolescent, Child, China, Data Collection, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Maximal Midexpiratory Flow Rate, Prospective Studies, Respiratory Function Tests, Respiratory Tract Diseases, Smoking, Spirometry, Tobacco Smoke Pollution, Cohort Studies
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