THE EFFECTS OF PASSIVE SMOKING ON THE RESPIRATORY SYSTEM OF CHILDREN WHO APPLIED TO A FAMILY PRACTICE OUTPATIENT CLINIC
Objective: The aim of the present study was to evaluate the effects of exposure to passive household smoking on respiratory illness and to investigate the relationship between passive smoking among children and the characteristics of patients, socio-economic status, crowded homes, using a stove versus central heating.
Materials and Methods: The study was performed in Family Medicine Outpatient Clinics of Diyarbakır University Medical Faculty in 2003. Knowledge about indoor smoking habits, characteristics of patients and demographic data were obtained from parents. A total of 124 children (72 males, 52 females), 55 with upper respiratory infection, 69 with lower respiratory infection, aged 0-14 years with a mean age of 39.5±45.4 months were evaluated. Logistic Regression Analysis was used to adjust for age, sex, household smoking, maternal or paternal smoking, recurrence of infection, socio-economic status, crowded house, using a stove for heating or central heating.
Results: Approximately 72% of children were presently exposed to passive household cigarette smoke at home. Both parents were all-time non-smokers in only 28.2% of the children. 17.8% of the mothers smoked over 20 cigarettes per day, however, this rate was 48.4 % for the fathers. 51.5% of the children lived in a crowded house (>6 subject). Risk factors that affected the cough were: both mother and father smoking, OR: 1.1 (%95 CI: 1.1-1.3), smoking at home over 10 years, OR: 1.3 (%95 CI: 1.1-1.5), only one parent smoking, OR: 1.2 (%95 CI: 1.0-1.3), living in a home with over six inhabitants, OR: 1.2 (%95 CI: 1.0-1.3).
Conclusions: The use of tobacco products by adults with especially both parents smoking and overcrowded homes have enormous adverse impacts on the respiratory system of children.