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The effect of cigarette smoking on allergic conditions in Maltese children (ISAAC).
Pediatr Allergy Immunol. 2012 Aug; 23(5):472-8.PA

Abstract

Maltese children are frequently exposed to tobacco smoke through passive and personal smoking. In the phase 3 ISAAC study questionnaire, we enquired about passive smoking to the parents of 3816 (80% response rate) 5- to 8-yr-old children and about passive and personal smoking to 4139 (90% response rate) 13- to 15-yr-old participating children. Thirty-one percent of 5- to 8-yr olds were passive smokers with their father more likely to be the smoker (p < 0.0001). Maternal smoking in the first year of the child's life resulted in the children having an increased chance of wheezing 'ever' (p < 0.001), exercise-induced wheezing (p < 0.05) and being diagnosed with asthma (p < 0.0001). Current smoking by the mother also led to the child having current rhinitis (p < 0.001). Fifty-one percent of 13- to 15-yr olds were passive smokers again with the father more likely to be the smoker (p < 0.0001). Maternal (p < 0.0001) and paternal smoking (p < 0.05) resulted in the children having an increased chance of wheezing sometime in their life, exercise-induced wheezing, nocturnal cough, and being diagnosed with asthma. Current smoking by the mother was more common in children having current rhinitis (p < 0.05), while current smoking by both mother and/or father led to itchy/watery eyes accompanying rhinitis (p < 0.05). Recurrent itchy rashes were also more likely in passive smokers (p < 0.001). Personal smoking by the 13- to 15-yr olds (8.15% boys vs. 8.8% girls ns) resulted in a higher cumulative prevalence of wheezing (p < 0.0001), rhinitis (p < 0.05), and recurrent itchy rash (p < 0.001) but only affected current prevalence of wheezing (p < 0.0001). These smokers were more likely to experience exercise-induced wheezing (p < 0.0001), nocturnal cough (p < 0.0001), and being diagnosed with asthma (p < 0.05) and eczema (p < 0.001). Children smoking more than 10 cigarettes/day persisted with wheezing (p = 0.04) had more frequent episodes of exercise-induced wheeze (p = 0.04), nocturnal cough (p < 0.0001), and rhinoconjunctivitis (p = 0.02) than milder smokers. Smoking seems to be affecting childhood allergies in Maltese children quite significantly.

Authors+Show Affiliations

Department of Medicine, Mater Dei Hospital and University of Malta, Malta. stevemonte@waldonet.net.mtNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22435636

Citation

Montefort, Stephen, et al. "The Effect of Cigarette Smoking On Allergic Conditions in Maltese Children (ISAAC)." Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology, vol. 23, no. 5, 2012, pp. 472-8.
Montefort S, Ellul P, Montefort M, et al. The effect of cigarette smoking on allergic conditions in Maltese children (ISAAC). Pediatr Allergy Immunol. 2012;23(5):472-8.
Montefort, S., Ellul, P., Montefort, M., Caruana, S., Grech, V., & Agius Muscat, H. (2012). The effect of cigarette smoking on allergic conditions in Maltese children (ISAAC). Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology, 23(5), 472-8. https://doi.org/10.1111/j.1399-3038.2012.01276.x
Montefort S, et al. The Effect of Cigarette Smoking On Allergic Conditions in Maltese Children (ISAAC). Pediatr Allergy Immunol. 2012;23(5):472-8. PubMed PMID: 22435636.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of cigarette smoking on allergic conditions in Maltese children (ISAAC). AU - Montefort,Stephen, AU - Ellul,Pierre, AU - Montefort,Maxine, AU - Caruana,Simone, AU - Grech,Victor, AU - Agius Muscat,Hugo, Y1 - 2012/03/22/ PY - 2012/3/23/entrez PY - 2012/3/23/pubmed PY - 2012/12/10/medline SP - 472 EP - 8 JF - Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology JO - Pediatr Allergy Immunol VL - 23 IS - 5 N2 - Maltese children are frequently exposed to tobacco smoke through passive and personal smoking. In the phase 3 ISAAC study questionnaire, we enquired about passive smoking to the parents of 3816 (80% response rate) 5- to 8-yr-old children and about passive and personal smoking to 4139 (90% response rate) 13- to 15-yr-old participating children. Thirty-one percent of 5- to 8-yr olds were passive smokers with their father more likely to be the smoker (p < 0.0001). Maternal smoking in the first year of the child's life resulted in the children having an increased chance of wheezing 'ever' (p < 0.001), exercise-induced wheezing (p < 0.05) and being diagnosed with asthma (p < 0.0001). Current smoking by the mother also led to the child having current rhinitis (p < 0.001). Fifty-one percent of 13- to 15-yr olds were passive smokers again with the father more likely to be the smoker (p < 0.0001). Maternal (p < 0.0001) and paternal smoking (p < 0.05) resulted in the children having an increased chance of wheezing sometime in their life, exercise-induced wheezing, nocturnal cough, and being diagnosed with asthma. Current smoking by the mother was more common in children having current rhinitis (p < 0.05), while current smoking by both mother and/or father led to itchy/watery eyes accompanying rhinitis (p < 0.05). Recurrent itchy rashes were also more likely in passive smokers (p < 0.001). Personal smoking by the 13- to 15-yr olds (8.15% boys vs. 8.8% girls ns) resulted in a higher cumulative prevalence of wheezing (p < 0.0001), rhinitis (p < 0.05), and recurrent itchy rash (p < 0.001) but only affected current prevalence of wheezing (p < 0.0001). These smokers were more likely to experience exercise-induced wheezing (p < 0.0001), nocturnal cough (p < 0.0001), and being diagnosed with asthma (p < 0.05) and eczema (p < 0.001). Children smoking more than 10 cigarettes/day persisted with wheezing (p = 0.04) had more frequent episodes of exercise-induced wheeze (p = 0.04), nocturnal cough (p < 0.0001), and rhinoconjunctivitis (p = 0.02) than milder smokers. Smoking seems to be affecting childhood allergies in Maltese children quite significantly. SN - 1399-3038 UR - https://www.unboundmedicine.com/medline/citation/22435636/The_effect_of_cigarette_smoking_on_allergic_conditions_in_Maltese_children__ISAAC__ L2 - https://doi.org/10.1111/j.1399-3038.2012.01276.x DB - PRIME DP - Unbound Medicine ER -