哮喘联盟

   摘要
   背景：目前评价二手烟对东南亚儿童健康造成的影响的研究很少。本研究的目的是为了确定泰国儿童出生前后暴露于二手烟雾与急性下呼吸道感染的关系
   研究方法：对462例来自曼谷一家大型医院的5岁以下患有急性下呼吸道疾病（包括哮喘和肺炎）的儿童进行病例对照研究，从幼儿保健诊所挑选了462名性别年龄匹配的儿童做为对照。通过结构式问卷调查收集二手烟的暴露和其他因素的信息。用二变量和多变量分析来识别急性下呼吸道疾病的危险因素。
   结果：所有患儿中，家庭成员每天在家吸烟的人数很多。与对照组相比，很多患儿的家庭看护人一边看护和搂抱儿童一边吸烟（26% vs 7%, p <0.05)。患儿很可能在家中(校正比值比= 3.82,  95%置信区间 = 2.47-5.9)或者户外(校正比值比 = 2.99, 95%置信区间 = 1.45-6.15)暴露于二手烟。在泰国5岁以下儿童呼吸道疾病与父母低教育水平和低家庭收入相关。
   结论：暴露于二手烟雾的泰国儿童得急性下呼吸道疾病的风险增加了将近4倍。泰国政府需要不断作出努力以消除儿童尤其是在家中暴露于二手烟雾的影响。

(林江涛 审校)
Tob Induc Dis. 2013 Mar 18;11(1):7. [Epub ahead of print]

 

Determining the burden of secondhand smoke exposure on the respiratory health of Thai children.
 

Charoenca N, Kungskulniti N, Tipayamongkholgul M, Sujirarat D, Lohchindarat S, Mock J, Hamann SL.
 

Abstract
BACKGROUND:The impact of secondhand smoke (SHS) on Southeast Asian children's health has been assessed by a limited number of studies. The purpose of this study was to determine whether in Thailand, pre- and postnatal exposure to SHS is associated with acute lower respiratory conditions in young children.
METHODS:We conducted a case control study of 462 children under age five admitted with acute lower respiratory illnesses, including asthma and pneumonia, at a major hospital in Bangkok. We selected 462 comparison controls from the well-child clinic at the hospital and matched them by sex and age. We used a structured questionnaire to collect information about exposure to SHS and other factors. We conducted bivariate and multivariate analyses to identify risk factors for acute lower respiratory conditions.
RESULTS:The number of cigarettes smoked at home per day by household members was significantly greater among cases. A greater number of household caregivers of cases held and carried children while smoking as compared to controls (26% versus 7%, p <0.05). Cases were more likely to have been exposed to SHS in the household (adjusted OR = 3.82, 95%CI = 2.47-5.9), and outside (adjusted OR = 2.99, 95%CI = 1.45-6.15). Parental lower educational level and low household income were also associated with respiratory illnesses in Thai children under five.
CONCLUSIONS:Thai children who are exposed to SHS are at nearly 4 times greater risk of developing acute lower respiratory conditions. Continued effort is needed in Thailand to eliminate children's exposure to SHS, especially at home.
 

Tob Induc Dis. 2013 Mar 18;11(1):7. [Epub ahead of print]