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 |
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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 |
format | Article |
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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. These results suggest that smoking cessation during pregnancy may lead to a decrease in the incidence of persistent asthma in these populations.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2011-0640</identifier><identifier>PMID: 21859918</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>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</subject><ispartof>Pediatrics (Evanston), 2011-09, Vol.128 (3), p.e623-e630</ispartof><rights>Copyright American Academy of Pediatrics Sep 2011</rights><rights>Copyright © 2011 by the American Academy of Pediatrics 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-ca62b0c4e6801f93bd94cade8afdf8e7420a4c572d3a966d0adede9fef43c833</citedby><cites>FETCH-LOGICAL-c454t-ca62b0c4e6801f93bd94cade8afdf8e7420a4c572d3a966d0adede9fef43c833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21859918$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akuete, Kwei</creatorcontrib><creatorcontrib>Oh, Sam S</creatorcontrib><creatorcontrib>Thyne, Shannon</creatorcontrib><creatorcontrib>Rodriguez-Santana, Jose R</creatorcontrib><creatorcontrib>Chapela, Rocio</creatorcontrib><creatorcontrib>Meade, Kelley</creatorcontrib><creatorcontrib>Rodriguez-Cintron, William</creatorcontrib><creatorcontrib>LeNoir, Michael</creatorcontrib><creatorcontrib>Ford, Jean G</creatorcontrib><creatorcontrib>Williams, L Keoki</creatorcontrib><creatorcontrib>Avila, Pedro C</creatorcontrib><creatorcontrib>Burchard, Esteban González</creatorcontrib><creatorcontrib>Tcheurekdjian, Haig</creatorcontrib><title>Ethnic variability in persistent asthma after in utero tobacco exposure</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><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.</description><subject>Adult</subject><subject>African Americans - statistics & numerical data</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Asthma - ethnology</subject><subject>Asthma in children</subject><subject>Child</subject><subject>Childhood asthma</subject><subject>Childrens health</subject><subject>Company distribution practices</subject><subject>Demographic aspects</subject><subject>Distribution</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health aspects</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>Human exposure</subject><subject>Humans</subject><subject>Influence</subject><subject>Logistic Models</subject><subject>Maternal Welfare</subject><subject>Mexican Americans - statistics & numerical data</subject><subject>Minority & ethnic groups</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Prenatal Exposure Delayed Effects - epidemiology</subject><subject>Prenatal influences</subject><subject>Puerto Rico - ethnology</subject><subject>Smoking - epidemiology</subject><subject>Smoking cessation</subject><subject>Smoking in pregnancy</subject><subject>Social aspects</subject><subject>Tobacco smoke</subject><subject>Tobacco Smoke Pollution - statistics & numerical data</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkb1PwzAUxC0EglJYGVHEnvIcOx9ekFAFBQmJpbvlOC-tURoH26ngv8dRAcH0hvv5dOcj5IrCguY8ux2w8YsMKE2h4HBEZhRElfKszI_JDIDRlAPkZ-Tc-zcA4HmZnZKzjFa5ELSakdVD2PZGJ3vljKpNZ8JnYvpkQOeND9iHRPmw3alEtQHdJI3x2iTYWmltE_wYrB8dXpCTVnUeL7_vnKwfH9bLp_TldfW8vH9JNc95SLUqsho0x6IC2gpWN4Jr1WCl2qatsOQZKK5jyIYpURQNRK1B0WLLma4Ym5O7g-0w1jtsdAzoVCcHZ3bKfUqrjPyv9GYrN3YvGY3fI4pocPNt4Oz7iD7INzu6PkaWlWAlLxgTEUoP0EZ1KE2vbR_wI2jbdbhBGQstX-V9VpS0zGOPyC8OvHbWe4ftbyAKcppJTjPJaSY5zRQfXP-t8Yv_7MK-ACT7kFY</recordid><startdate>201109</startdate><enddate>201109</enddate><creator>Akuete, Kwei</creator><creator>Oh, Sam S</creator><creator>Thyne, Shannon</creator><creator>Rodriguez-Santana, Jose R</creator><creator>Chapela, Rocio</creator><creator>Meade, Kelley</creator><creator>Rodriguez-Cintron, William</creator><creator>LeNoir, Michael</creator><creator>Ford, Jean G</creator><creator>Williams, L Keoki</creator><creator>Avila, Pedro C</creator><creator>Burchard, Esteban González</creator><creator>Tcheurekdjian, Haig</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>5PM</scope></search><sort><creationdate>201109</creationdate><title>Ethnic variability in persistent asthma after in utero tobacco exposure</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-ca62b0c4e6801f93bd94cade8afdf8e7420a4c572d3a966d0adede9fef43c833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>African Americans - statistics & numerical data</topic><topic>Asthma</topic><topic>Asthma - epidemiology</topic><topic>Asthma - ethnology</topic><topic>Asthma in children</topic><topic>Child</topic><topic>Childhood asthma</topic><topic>Childrens health</topic><topic>Company distribution practices</topic><topic>Demographic aspects</topic><topic>Distribution</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Health aspects</topic><topic>Hispanic Americans - statistics & numerical data</topic><topic>Human exposure</topic><topic>Humans</topic><topic>Influence</topic><topic>Logistic Models</topic><topic>Maternal Welfare</topic><topic>Mexican Americans - statistics & numerical data</topic><topic>Minority & ethnic groups</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Prenatal Exposure Delayed Effects - epidemiology</topic><topic>Prenatal influences</topic><topic>Puerto Rico - ethnology</topic><topic>Smoking - epidemiology</topic><topic>Smoking cessation</topic><topic>Smoking in pregnancy</topic><topic>Social aspects</topic><topic>Tobacco smoke</topic><topic>Tobacco Smoke Pollution - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akuete, Kwei</creatorcontrib><creatorcontrib>Oh, Sam S</creatorcontrib><creatorcontrib>Thyne, Shannon</creatorcontrib><creatorcontrib>Rodriguez-Santana, Jose R</creatorcontrib><creatorcontrib>Chapela, Rocio</creatorcontrib><creatorcontrib>Meade, Kelley</creatorcontrib><creatorcontrib>Rodriguez-Cintron, William</creatorcontrib><creatorcontrib>LeNoir, Michael</creatorcontrib><creatorcontrib>Ford, Jean G</creatorcontrib><creatorcontrib>Williams, L Keoki</creatorcontrib><creatorcontrib>Avila, Pedro C</creatorcontrib><creatorcontrib>Burchard, Esteban González</creatorcontrib><creatorcontrib>Tcheurekdjian, Haig</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akuete, Kwei</au><au>Oh, Sam S</au><au>Thyne, Shannon</au><au>Rodriguez-Santana, Jose R</au><au>Chapela, Rocio</au><au>Meade, Kelley</au><au>Rodriguez-Cintron, William</au><au>LeNoir, Michael</au><au>Ford, Jean G</au><au>Williams, L Keoki</au><au>Avila, Pedro C</au><au>Burchard, Esteban González</au><au>Tcheurekdjian, Haig</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ethnic variability in persistent asthma after in utero tobacco exposure</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2011-09</date><risdate>2011</risdate><volume>128</volume><issue>3</issue><spage>e623</spage><epage>e630</epage><pages>e623-e630</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>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.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>21859918</pmid><doi>10.1542/peds.2011-0640</doi><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
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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