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Cited by 93Smoking Behavior and CessationPneumonia and Respiratory InfectionsPediatric health and respiratory diseases

Association of environmental tobacco smoking exposure with an increased risk of hospital admissions for pneumonia in children under 5 years of age in Vietnam

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Suzuki, M, Thiem, V D, Yanai, H, Matsubayashi, T, Yoshida, L-M, Tho, L H, Minh, T T, Anh, D D +2 more·2009·Thorax
DOI 10.1136/thx.2008.106385
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Abstract

BACKGROUND: The association between environmental tobacco smoking (ETS) and childhood pneumonia has not been established in developed or developing countries. A study was conducted to assess the effect and impact of ETS exposure on pneumonia among children in central Vietnam. METHODS: A population-based large-scale cross-sectional survey was conducted covering all residents of 33 communes in Khanh Hoa Province, the central part of Vietnam. Information on demographics, socioeconomic status and house environment, including smoking status of each household member, was collected from householders. Hospital admissions for pneumonia among children aged <5 years in each household in the previous 12 months were recorded based on caregiver's report. RESULTS: A total of 353 525 individuals living in 75 828 households were identified in the study areas. Of these, 24 781 (7.0%) were aged <5 years. The prevalence of ETS was 70.5% and the period prevalence of hospital admissions for pneumonia was 2.6%. Multiple logistic regression analysis showed that exposure to ETS was independently associated with hospital admissions for pneumonia (adjusted odds ratio 1.55, 95% CI 1.25 to 1.92). The prevalence of tobacco smoking was higher among men than women (51.5% vs 1.5%). It is estimated that 28.7% of childhood pneumonia in this community is attributable to ETS. CONCLUSIONS: Children in Vietnam are exposed to substantial levels of ETS which results in 44 000 excess hospital admissions due to pneumonia each year among children aged <5 years.

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Crossref · 10.1136/thx.2008.106385

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  • Tobacco smoke exposure can cause small airway dysfunction and wheeze.

    “Tobacco smoke exposure can adversely affect lung development, cause small airway dysfunction and wheeze, and increase the frequency of upper and lower respiratory tract illnesses.[16][17][18]”

    From Impact of Tobacco Smoke and Nicotine Exposure on Lung Development (2016) · cites this paper as [16]

    The “Comparisons with other studies” section says environmental tobacco smoke exposure is related to wheeze in children. It does not address small-airway dysfunction or establish that exposure causes wheeze. Page numbers are unavailable in our copy. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • Tobacco smoke exposure can increase the frequency of upper and lower respiratory tract illnesses.

    “Tobacco smoke exposure can adversely affect lung development, cause small airway dysfunction and wheeze, and increase the frequency of upper and lower respiratory tract illnesses.[16][17][18]”

    From Impact of Tobacco Smoke and Nicotine Exposure on Lung Development (2016) · cites this paper as [16]

    The Results report more pneumonia hospital admissions among children under 5 exposed to environmental tobacco smoke, supporting an association with a lower respiratory tract illness. The paper also discusses respiratory tract infections generally, but our copy does not establish an increased frequency of upper respiratory tract illnesses; its measured outcome was pneumonia admission. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Tobacco smoke exposure can adversely affect lung development.

    “Tobacco smoke exposure can adversely affect lung development, cause small airway dysfunction and wheeze, and increase the frequency of upper and lower respiratory tract illnesses.[16][17][18]”

    From Impact of Tobacco Smoke and Nicotine Exposure on Lung Development (2016) · cites this paper as [16]

    The Significance of study section discusses smoke-related damage to respiratory defenses, and the Abstract discusses childhood respiratory illness, but neither addresses lung development. Searches for lung development and lung growth found no passage establishing that point in our copy. (LLM, conf=0.72)

    Experimental — accuracy not yet measured

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Authors
Suzuki, M., Thiem, V. D., Yanai, H., Matsubayashi, T., Yoshida, L.-M., Tho, L. H., Minh, T. T., Anh, D. D., Kilgore, P. E., & Ariyoshi, K.
Affiliations
  • Nagasaki University (JP)
  • Khanh Hoa General Hospital (VN)
  • International Vaccine Institute (KR)
Corresponding author
Yanai, H
ORCID
Venue
Thorax
Publisher
BMJ
Published
2009-01-21
Volume
64
Issue
6
Pages
484-489
ISSN
0040-6376 (ISSN-L)
DOI
10.1136/thx.2008.106385
OpenAlex
W2116769905
Cited by
93
References
39
Citations by year
2025: 3 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 7 · 2019: 7 · 2018: 6 · 2017: 11 · 2016: 5 · 2015: 5 · 2014: 4 · 2013: 9 · 2012: 8
FWCI
5.30
Type
journal article
Language
en
Open access
Locations
  • Thorax (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Repositories DataBase (IRDB) (submittedVersion, cc-by-nc-nd)
  • Nagasaki University's Academic Output SITE (Nagasaki University) (submittedVersion, cc-by-nc-nd)
  • HighWire Press Open Archive (submittedVersion)
Funders
  • London School of Hygiene and Tropical Medicine
  • Ministry of Education, Culture, Sports, Science and Technology
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
  • Health Sciences › Health Professions › Emergency Medical Services › Pediatric health and respiratory diseases
Keywords
environmental tobacco smoke, passive smoking, pediatric pneumonia, hospitalization, children under five, attributable risk, household smoking, Khanh Hoa Province, Vietnam
MeSH terms
Cross-Sectional Studies, Developing Countries, Educational Status, Environmental Exposure, Female, Hospitalization, Housing, Humans, Infant, Male, Pneumonia, Socioeconomic Factors, Tobacco Smoke Pollution, Vietnam, Age Distribution, Sex Distribution

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