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Published on: February 12, 2015
Cross-sectional study about impact of parental smoking on rhinitis symptoms in children
A Faraldo-García1, A Lopez-Silvarrey2, S Pertega3
1Departament of Otorhinolaryngology, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
Insights
Rhinitis is common in children and adolescents, with over half exposed to environmental tobacco smoke (ETS). Parental smoking, particularly both parents, is linked to higher rhinitis rates in children, while maternal smoking is associated with adolescent rhinitis.
Area of Science:
- Pediatric Allergy and Immunology
- Environmental Health
- Epidemiology
Background:
- Rhinitis and exposure to environmental tobacco smoke (ETS) are significant public health concerns in children.
- Understanding the prevalence and associations of rhinitis symptoms with ETS is crucial for community health initiatives.
Purpose of the Study:
- To assess the prevalence of rhinitis and ETS exposure in children and adolescents within the community.
- To investigate the relationship between parental smoking (ETS) and rhinitis symptoms in these age groups.
Main Methods:
- A cross-sectional study utilizing the International Study of Asthma and Allergies in Childhood rhinitis questionnaire.
- Involved 10,690 children (6-7 years) and 10,730 adolescents (13-14 years).
- Logistic regression was used to calculate the odds ratio of rhinitis symptoms based on ETS exposure levels.
Main Results:
- High prevalence of rhinitis was observed: 'rhinitis ever' was 29.4% in children and 46.2% in adolescents.
- Environmental tobacco smoke exposure was prevalent, affecting 51% of households.
- Parental smoking showed associations with rhinitis: higher prevalence in adolescents when only the mother smoked, and in children when both parents smoked.
Conclusions:
- Rhinitis is highly prevalent in the studied community, and ETS exposure remains common.
- The association between ETS and rhinitis symptoms in this population is less pronounced than previously reported for asthma.
- Further research may be needed to elucidate the specific mechanisms and strength of the ETS-rhinitis link in children.
Objective:
Assess the prevalence of rhinitis and exposure to environmental tobacco smoke (ETS) of children in our community and its relationship with symptoms of rhinitis METHODS (DESIGN, SETTING, PARTICIPANTS, MAIN OUTCOME MEASURES): Cross-sectional study using questionnaire on rhinitis of the International Study of Asthma and Allergies in Childhood, in children (6-7 years) and adolescents (13-14 years). Categories: "rhinitis ever", "recent rhinitis", "recent rhinoconjunctivitis", "severe rhinoconjunctivitis". Parental smoking: (i) neither parent smokes; (ii) only the mother smokes; (iii) only the father smokes; and (iv) both parents smoke. Odds ratio of the prevalence of symptoms of rhinitis according to ETS exposure was calculated using logistic regression.
Results:
10 690 children and 10 730 adolescents. The prevalence of "rhinitis ever" in children: 29.4%, "recent rhinitis" 24%, "recent rhinoconjunctivitis" 11.5% and "severe rhinoconjunctivitis" 0.1%. In adolescents: 46.2%, 34.5%, 16.2% and 0.2%, respectively. Environmental tobacco smoke exposure in the home occurred in 51% of cases. Parental smoking was associated with a higher prevalence of forms of rhinitis in adolescents when only the mother was a smoker. In children when both parents were smokers.
Conclusion:
Rhinitis is highly prevalent in our community. Environmental tobacco smoke exposure is still very common. The relationship between ETS and rhinitis symptoms in children of this community is not as robust as that found for asthma.
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