Ethnic variability in persistent asthma after in utero tobacco exposure

The effects of in utero tobacco smoke exposure on childhood respiratory health have been investigated, and outcomes have been inconsistent. To determine if in utero tobacco smoke exposure is associated with childhood persistent asthma in Mexican, Puerto Rican, and black children. There were 295 Mexi...

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Veröffentlicht in:Pediatrics (Evanston) 2011-09, Vol.128 (3), p.e623-e630
Hauptverfasser: Akuete, Kwei, Oh, Sam S, Thyne, Shannon, Rodriguez-Santana, Jose R, Chapela, Rocio, Meade, Kelley, Rodriguez-Cintron, William, LeNoir, Michael, Ford, Jean G, Williams, L Keoki, Avila, Pedro C, Burchard, Esteban González, Tcheurekdjian, Haig
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container_title Pediatrics (Evanston)
container_volume 128
creator Akuete, Kwei
Oh, Sam S
Thyne, Shannon
Rodriguez-Santana, Jose R
Chapela, Rocio
Meade, Kelley
Rodriguez-Cintron, William
LeNoir, Michael
Ford, Jean G
Williams, L Keoki
Avila, Pedro C
Burchard, Esteban González
Tcheurekdjian, Haig
description The effects of in utero tobacco smoke exposure on childhood respiratory health have been investigated, and outcomes have been inconsistent. To determine if in utero tobacco smoke exposure is associated with childhood persistent asthma in Mexican, Puerto Rican, and black children. There were 295 Mexican, Puerto Rican, and black asthmatic children, aged 8 to 16 years, who underwent spirometry, and clinical data were collected from the parents during a standardized interview. The effect of in utero tobacco smoke exposure on the development of persistent asthma and related clinical outcomes was evaluated by logistic regression. Children with persistent asthma had a higher odds of exposure to in utero tobacco smoke, but not current tobacco smoke, than did children with intermittent asthma (odds ratio [OR]: 3.57; P = .029). Tobacco smoke exposure from parents in the first 2 years of life did not alter this association. Furthermore, there were higher odds of in utero tobacco smoke exposure in children experiencing nocturnal symptoms (OR: 2.77; P = .048), daily asthma symptoms (OR: 2.73; P = .046), and emergency department visits (OR: 3.85; P = .015) within the year. Exposure to tobacco smoke in utero was significantly associated with persistent asthma among Mexican, Puerto Rican, and black children compared with those with intermittent asthma. These results suggest that smoking cessation during pregnancy may lead to a decrease in the incidence of persistent asthma in these populations.
doi_str_mv 10.1542/peds.2011-0640
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To determine if in utero tobacco smoke exposure is associated with childhood persistent asthma in Mexican, Puerto Rican, and black children. There were 295 Mexican, Puerto Rican, and black asthmatic children, aged 8 to 16 years, who underwent spirometry, and clinical data were collected from the parents during a standardized interview. The effect of in utero tobacco smoke exposure on the development of persistent asthma and related clinical outcomes was evaluated by logistic regression. Children with persistent asthma had a higher odds of exposure to in utero tobacco smoke, but not current tobacco smoke, than did children with intermittent asthma (odds ratio [OR]: 3.57; P = .029). Tobacco smoke exposure from parents in the first 2 years of life did not alter this association. Furthermore, there were higher odds of in utero tobacco smoke exposure in children experiencing nocturnal symptoms (OR: 2.77; P = .048), daily asthma symptoms (OR: 2.73; P = .046), and emergency department visits (OR: 3.85; P = .015) within the year. Exposure to tobacco smoke in utero was significantly associated with persistent asthma among Mexican, Puerto Rican, and black children compared with those with intermittent asthma. 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subjects Adult
African Americans - statistics & numerical data
Asthma
Asthma - epidemiology
Asthma - ethnology
Asthma in children
Child
Childhood asthma
Childrens health
Company distribution practices
Demographic aspects
Distribution
Ethnicity
Female
Health aspects
Hispanic Americans - statistics & numerical data
Human exposure
Humans
Influence
Logistic Models
Maternal Welfare
Mexican Americans - statistics & numerical data
Minority & ethnic groups
Pediatrics
Pregnancy
Prenatal Exposure Delayed Effects - epidemiology
Prenatal influences
Puerto Rico - ethnology
Smoking - epidemiology
Smoking cessation
Smoking in pregnancy
Social aspects
Tobacco smoke
Tobacco Smoke Pollution - statistics & numerical data
title Ethnic variability in persistent asthma after in utero tobacco exposure
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