哮喘联盟

   摘要
   二手烟（SHS）是一种常见的室内环境暴露，尤其是在低收入家庭中更为普遍。一些研究发现其与哮喘相关；然而，所有相关研究结果是矛盾的。本研究旨在评估在少数民族低收入家庭的室内环境中SHS暴露的患病率，并确定暴露与童年时期哮喘、喘息及使用口服糖皮质激素的相关性。这项回顾性研究分析的数据来源于堪萨斯城安全和健康家庭伙伴关系研究，以确定SHS暴露的患病率。采用Logistic回归模型评估暴露与哮喘、口服糖皮质激素的使用以及喘息间的相关性。总体而言，40%的儿童与至少一名吸烟者居住，15%的儿童与至少一名在室内吸烟的人居住。未发现哮喘或口服糖皮质激素的使用与SHS暴露有显著相关性。在过去一年里，与一名吸烟者居住的儿童发生喘息的几率增加1.54倍。有很大比例居住在堪萨斯城地区的低收入家庭儿童继续遭受着SHS的不利影响。这些数据表明需要国家政策的革新，以保护儿童在其家庭环境中免受此暴露。
 

（林江涛 审校）
Allergy Asthma Proc. 2014 Nov;35(6):462-6. doi: 10.2500/aap.2014.35.3788.


 

Secondhand tobacco smoke exposure in low-income children and its association with asthma.
 

Ciaccio CE1, DiDonna A, Kennedy K, Barnes CS, Portnoy JM, Rosenwasser LJ.
 

Abstract
Secondhand tobacco smoke (SHS) is a common indoor environmental exposure that is particularly prevalent in low-income families. It has been found to be associated with asthma in some studies; however, across all relevant studies, results have been conflicting. This study aimed to determine the prevalence of SHS exposure in the home environment in a low-income, minority population and to determine the association of exposure with childhood asthma, wheeze, and oral corticosteroids use. This retrospective study analyzed self-reported data collected as part of the Kansas City Safe and Healthy Homes Partnership to determine prevalence of SHS exposure. A logistic regression model was then used to assess the association between exposure and asthma, oral steroid use, and wheeze. Overall, 40% of children lived with at least one smoker and 15% of children lived with at least one smoker who smoked inside the house. No significant association was found between asthma or oral corticosteroid use and SHS exposure. Children who lived with a smoker had a 1.54 increased odds of wheeze in the past year. A large percentage of low-income children in the Kansas City area continue to suffer the adverse effects of SHS. These data support the need for innovative public policy to protect children from such exposure in their home environment.
 

Allergy Asthma Proc. 2014 Nov;35(6):462-6. doi: 10.2500/aap.2014.35.3788.