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Published on: May 24, 2017
Exposure to environmental tobacco smoke by healthy children aged below five (Preliminary study)
Gözde İnci1, Serpil Uğur Baysal2, Ali Rıza Şişman3
1Dokuz Eylül University, Faculty of Medicine, Department of Pediatrics, Izmir, Turkey.
Insights
Environmental tobacco smoke exposure is frequent in young children, with one-third identified as passive smokers. This exposure, measured by cotinine/creatinine ratios, significantly increases acute respiratory infections in children.
Area of Science:
- Environmental Health
- Pediatrics
- Toxicology
Background:
- Environmental tobacco smoke (ETS) exposure is a significant health concern for children.
- Assessing ETS exposure can be done through urinary cotinine/creatinine ratios and parental history.
- Adverse health effects of passive smoking on child health require further investigation.
Purpose of the Study:
- To investigate passive smoking exposure in healthy children aged one month to five years.
- To determine the adverse health effects of passive smoking on this pediatric population.
Main Methods:
- A cohort of healthy children aged one month to five years was recruited.
- Parental questionnaires gathered demographic data and information on respiratory tract infections.
- Urinary cotinine and creatinine levels were measured to calculate cotinine/creatinine ratios, indicating ETS exposure.
Main Results:
- 70.3% of households had smokers, and 50% of mothers were smokers.
- Urinary cotinine/creatinine ratios were significantly higher in children of smokers (p=0.011).
- One-third of the children were identified as passive smokers, with increased acute respiratory infections linked to home smoking presence (p=0.047).
Conclusions:
- Preschool children exhibit frequent exposure to cigarette smoke.
- This study highlights the prevalence of passive smoking and its association with increased respiratory infections in young children.
- Findings contribute to national data and emphasize the need to raise awareness about the harmful effects of passive smoking on child health.
Aim:
Children are commonly affected by environmental tobacco smoke. The presence of exposure can be deduced from urinary urine kotinine/creatinine ratio and history. The aim of this study was to investigate passive smoking in healthy children between one-month and five year old, and to determine the adverse effects of passive smoking on child health.
Material And Methods:
Children between one-month and five year old who were regularly monitored for health were included following informed consent given by their parents. The questionnaire method was used. Demographic variables, respiratory tract infections, recurrent infections were questioned. The levels of cotinine, creatinine were measured and the cotinine/creatinine ratios were calculated in urine specimens taken from the children. Growth status and infection frequency were determined using demographic data, cotinine/creatinine ratios in urine, exposure rate to second-hand tobacco smoke of the children.
Results:
The ratio of household smokers was 70.3%, the ratio of non-smokers was 29.7%. Fifty percent of the mothers were smokers. Urinary cotinine/creatinine ratios were found to be significantly higher in children of smokers compared with children of non-smokers (p=0.011). One third of the children was evaluated as passive smokers. The presence of a smoker at home and the increase in the number of cigarettes smoked during the day increased the frequency of acute respiratory infections (p=0.047).
Conclusion:
In these regularly-monitored preschool children, we found frequent exposure to cigarette smoke. This study contributes to national data and will aid in increasing the awareness for the deleterious effects of passive smoking on child health.
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