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Published on: February 12, 2015
Infant exposure to environmental tobacco smoke: Jordan University hospital-based study
E Badran1, A S Salhab, M Al-Jaghbir
1Department of Paediatrics, Faculty of Medicine, University of Jordan, Amman, Jordan.
Insights
Many infants experience passive smoking at home, with over a third showing detectable cotinine levels in urine. This highlights significant environmental tobacco smoke exposure in early life, necessitating protective measures for infants.
Area of Science:
- Pediatrics
- Environmental Health
- Public Health
Background:
- Environmental tobacco smoke (ETS) exposure is a significant health risk for infants.
- Assessing ETS exposure in infants is crucial for understanding early-life health impacts.
- Infants are particularly vulnerable to the adverse effects of secondhand smoke.
Purpose of the Study:
- To quantify exposure to environmental tobacco smoke in infants during their first year of life.
- To assess the prevalence of passive smoking in households with infants.
- To measure biomarkers of tobacco smoke exposure in infants.
Main Methods:
- Recruited 220 infants and their mothers from a pediatric outpatient clinic.
- Collected maternal questionnaires on household smoking habits.
- Analyzed infant urine samples for cotinine levels as a biomarker of exposure.
Main Results:
- 60.0% of infants were reported to be exposed to passive smoking at home.
- 36.4% of infants had detectable levels of cotinine in their urine (mean 7.1 ng/mL).
- Saliva cotinine in neonate mothers suggested potential in utero exposure.
Conclusions:
- A high proportion of infants are exposed to environmental tobacco smoke at home.
- Biomarker evidence confirms significant exposure to secondhand smoke in infants.
- Urgent recommendations are needed to protect infants from tobacco smoke exposure.
Abstract:
To study exposure to environmental tobacco smoke during the first year of life, 220 infants attending the outpatient paediatric clinic of the University of Jordan for routine visits with their mothers were recruited to the study. Mothers completed a questionnaire about smoking habits of household members, and urine samples were obtained from infants for analysis of cotinine levels. A total of 60.0% of infants were reported to be exposed to passive smoking at home and 36.4% had detectable levels of urine cotinine (mean 7.1 ng/mL, range 0.27-41 ng/mL). Detectable saliva cotinine levels in 8/20 mothers of neonates (1-2 days old) suggested in utero exposure. Recommendations are made to protect this vulnerable population from tobacco smoke exposure.
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