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Increased prevalence of asthma and allied diseases among active adolescent tobacco smokers after controlling for passive smoking exposure. A cause for concern?
Clin Exp Allergy. 2004 Jul; 34(7):1017-23.CE

Abstract

BACKGROUND

Whereas effects on allergic and respiratory health have been established for passive tobacco smoking, contradictory results still exist for active tobacco smoking.

OBJECTIVE

Whether adolescents with asthma and allied diseases have higher rates of active smoking compared with adolescents without asthma was assessed after controlling for environmental tobacco smoking exposure.

METHODS

A population-based sample of 14,578 adolescents was enrolled in an epidemiological survey on allergies in France.

RESULTS

After controlling for age, sex, geographic region, familial allergy and passive smoking, current (in the past year) wheezing (12.4%), current asthma (5.6%), lifetime asthma (12.3%), current rhinoconjunctivitis (13.9%), lifetime hayfever (14.4%) and current eczema (9.3%) but not lifetime eczema (22.5%) were all significantly related to active smoking (>1 cigarette/day) (9.3%). A higher risk of current wheezing, current and lifetime asthma or current eczema was seen in smokers exposed to passive smoking compared with smokers not exposed to it using a polychotomous logistic regression model, in which the different modalities of exposure to active and passive smoking constituted the response variable. Passive smoking was significantly associated only with current diseases. Active smoking was also highly related to both severe asthma (OR=4.02; 95% confidence interval: 1.37, 11.79) and severe rhinoconjunctivitis (OR=2.95; 1.58, 5.49). The highest rate of adolescents suffering from the co-morbidity of lifetime asthma and hayfever (3.6%) was also seen in active smokers compared with passive and non-smokers (5.5% vs. 3.6% and 3.1%, respectively; P=0.001).

CONCLUSIONS

Being asthmatic or allergic does not seem to act as a deterrent towards starting active smoking or continuing to smoke in adolescence. Results suggest the need for considering individual allergic status in programming health educational activities aimed at reducing smoking among adolescents.

Authors+Show Affiliations

INSERM U472: Epidemiology and Biostatistics, Villejuif, France. annesi@vjf.inserm.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15248844

Citation

Annesi-Maesano, I, et al. "Increased Prevalence of Asthma and Allied Diseases Among Active Adolescent Tobacco Smokers After Controlling for Passive Smoking Exposure. a Cause for Concern?" Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology, vol. 34, no. 7, 2004, pp. 1017-23.
Annesi-Maesano I, Oryszczyn MP, Raherison C, et al. Increased prevalence of asthma and allied diseases among active adolescent tobacco smokers after controlling for passive smoking exposure. A cause for concern? Clin Exp Allergy. 2004;34(7):1017-23.
Annesi-Maesano, I., Oryszczyn, M. P., Raherison, C., Kopferschmitt, C., Pauli, G., Taytard, A., Tunon de Lara, M., Vervloet, D., & Charpin, D. (2004). Increased prevalence of asthma and allied diseases among active adolescent tobacco smokers after controlling for passive smoking exposure. A cause for concern? Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology, 34(7), 1017-23.
Annesi-Maesano I, et al. Increased Prevalence of Asthma and Allied Diseases Among Active Adolescent Tobacco Smokers After Controlling for Passive Smoking Exposure. a Cause for Concern. Clin Exp Allergy. 2004;34(7):1017-23. PubMed PMID: 15248844.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Increased prevalence of asthma and allied diseases among active adolescent tobacco smokers after controlling for passive smoking exposure. A cause for concern? AU - Annesi-Maesano,I, AU - Oryszczyn,M P, AU - Raherison,C, AU - Kopferschmitt,C, AU - Pauli,G, AU - Taytard,A, AU - Tunon de Lara,M, AU - Vervloet,D, AU - Charpin,D, PY - 2004/7/14/pubmed PY - 2004/11/16/medline PY - 2004/7/14/entrez SP - 1017 EP - 23 JF - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JO - Clin Exp Allergy VL - 34 IS - 7 N2 - BACKGROUND: Whereas effects on allergic and respiratory health have been established for passive tobacco smoking, contradictory results still exist for active tobacco smoking. OBJECTIVE: Whether adolescents with asthma and allied diseases have higher rates of active smoking compared with adolescents without asthma was assessed after controlling for environmental tobacco smoking exposure. METHODS: A population-based sample of 14,578 adolescents was enrolled in an epidemiological survey on allergies in France. RESULTS: After controlling for age, sex, geographic region, familial allergy and passive smoking, current (in the past year) wheezing (12.4%), current asthma (5.6%), lifetime asthma (12.3%), current rhinoconjunctivitis (13.9%), lifetime hayfever (14.4%) and current eczema (9.3%) but not lifetime eczema (22.5%) were all significantly related to active smoking (>1 cigarette/day) (9.3%). A higher risk of current wheezing, current and lifetime asthma or current eczema was seen in smokers exposed to passive smoking compared with smokers not exposed to it using a polychotomous logistic regression model, in which the different modalities of exposure to active and passive smoking constituted the response variable. Passive smoking was significantly associated only with current diseases. Active smoking was also highly related to both severe asthma (OR=4.02; 95% confidence interval: 1.37, 11.79) and severe rhinoconjunctivitis (OR=2.95; 1.58, 5.49). The highest rate of adolescents suffering from the co-morbidity of lifetime asthma and hayfever (3.6%) was also seen in active smokers compared with passive and non-smokers (5.5% vs. 3.6% and 3.1%, respectively; P=0.001). CONCLUSIONS: Being asthmatic or allergic does not seem to act as a deterrent towards starting active smoking or continuing to smoke in adolescence. Results suggest the need for considering individual allergic status in programming health educational activities aimed at reducing smoking among adolescents. SN - 0954-7894 UR - https://www.unboundmedicine.com/medline/citation/15248844/Increased_prevalence_of_asthma_and_allied_diseases_among_active_adolescent_tobacco_smokers_after_controlling_for_passive_smoking_exposure__A_cause_for_concern DB - PRIME DP - Unbound Medicine ER -