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Published on: August 7, 2017
[Passive smoking and other risk factors associated to the lower respiratory illnesses in sucking infants]
F Galve Royo1, C García Vera, F J Rubio Sevillano
1Centro de Salud Teruel.
Insights
Passive smoking, older siblings, and male sex significantly increase lower respiratory illness (LRIs) risk in infants. Shorter breastfeeding durations also correlate with higher LRI incidence during the first year of life.
Area of Science:
- Pediatrics
- Epidemiology
- Public Health
Context:
- Lower respiratory illnesses (LRIs) are a significant cause of infant morbidity.
- Identifying risk factors is crucial for prevention strategies.
- This study examines LRI prevalence and associated factors in infants within their first year of life.
Purpose:
- To evaluate the frequency of LRIs in the first year of life.
- To determine the relationship between LRIs and risk factors including passive smoking, feeding methods, and family structure.
- To assess the impact of sex on LRI incidence.
Summary:
- A retrospective study of 240 infants found that 37% experienced at least one LRI episode in their first year.
- Key risk factors identified include passive smoking (OR=1.86), exclusive breastfeeding for less than 5 months (OR=2.1), and having older siblings (OR=3.12).
- Male infants showed a statistically significant higher number of LRI episodes compared to females (p=0.0489).
Impact:
- Findings highlight the critical role of environmental factors like passive smoking and socioeconomic factors like family structure in infant respiratory health.
- Results underscore the protective effect of adequate breastfeeding duration.
- The study provides evidence for targeted public health interventions to reduce LRI burden in infants.
Objectives:
We try to evaluate the frequency of lower respiratory illnesses (LRIs), during the first year of life and it's relation to other risk factors, overall passive smoking and modes of feeding.
Design:
This is a retrospective study in our city.
Setting:
Primary Health Care.
Patients And Other Participants:
The study population is 240 children during the first year of life, born in 1993 and we have collected clinical information about risk factors and LRIs number.
Measurements And Main Results:
A 37% have suffered from at least one episode of LRIs, during the first year of life. The parental smoking appears in 46.6%. The incidence of LRIs was strongly associated with passive smoking (OR = 1.86), exclusive breast-feeding and at least for 5 months (OR = 2.1) and older brothers (OR = 3.12). The number of episodes of LRIs was statistically significative higher in males (males 0.82 +/- 1.67 episodes; females 0.48 +/- 0.67 episodes) (p = 0.0489).
Conclusions:
In our report, the risk factors more strongly related with LRIs in suckling infants are passive smoking, older brothers, male sex and less than 5 months of breast feeding.
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