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Article: The effects of environmental tobacco smoke on health services utilization in the first eighteen months of life.

TitleThe effects of environmental tobacco smoke on health services utilization in the first eighteen months of life.
Authors
Issue Date2001
PublisherAmerican Academy of Pediatrics. The Journal's web site is located at http://pediatrics.aappublications.org/
Citation
Pediatrics, 2001, v. 107 n. 6, p. E91 How to Cite?
AbstractOBJECTIVE: To examine the effects of environmental tobacco smoke (ETS) on health services use in Chinese infants with nonsmoking mothers. DESIGN: Prospective, population-based birth cohort. SETTING: General population of Hong Kong in 1997-1998. PARTICIPANTS: A total of 8327 parent-infant pairs who were followed up for 18 months. MAIN OUTCOME MEASURES: Doctor consultations and hospitalizations. Results. After adjusting for the age, education level, and employment status of mothers-as well as infants' birth weight, method of delivery, breastfeeding status, and birth order-ETS exposure through the mother in utero was positively associated with higher consultation (adjusted odds ratio [OR]: 1.26; 95% confidence interval [CI]: 1.14, 1.39) and hospitalization (OR: 1.18; 95% CI: 1.05, 1.31) use in infants with nonsmoking mothers attributable to any illness. In addition, postnatal exposure to ETS at home was linked to higher rates of hospitalizations for any illness compared with nonexposed infants (OR: 1.12; 95% CI: 1.00, 1.25), although the relationship did not hold for outpatient consultation visits. The OR for higher hospital use in infants exposed to 2 or more smokers at home was 1.30 (95% CI: 1.08, 1.58). CONCLUSIONS: The use of tobacco products by household members, even among nonsmoking mothers, has an enormous adverse impact on the health of children, as well as increases health services use and cost. The present data support the revision of public policy to reflect an evidence-based approach to the promotion of smoking cessation in all household members during and after pregnancy. environmental tobacco smoke, health services, infants.
Persistent Identifierhttp://hdl.handle.net/10722/151560
ISSN
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLam, THen_US
dc.contributor.authorLeung, GMen_US
dc.contributor.authorHo, LMen_US
dc.date.accessioned2012-06-26T06:24:40Z-
dc.date.available2012-06-26T06:24:40Z-
dc.date.issued2001en_US
dc.identifier.citationPediatrics, 2001, v. 107 n. 6, p. E91en_US
dc.identifier.issn1098-4275en_US
dc.identifier.urihttp://hdl.handle.net/10722/151560-
dc.description.abstractOBJECTIVE: To examine the effects of environmental tobacco smoke (ETS) on health services use in Chinese infants with nonsmoking mothers. DESIGN: Prospective, population-based birth cohort. SETTING: General population of Hong Kong in 1997-1998. PARTICIPANTS: A total of 8327 parent-infant pairs who were followed up for 18 months. MAIN OUTCOME MEASURES: Doctor consultations and hospitalizations. Results. After adjusting for the age, education level, and employment status of mothers-as well as infants' birth weight, method of delivery, breastfeeding status, and birth order-ETS exposure through the mother in utero was positively associated with higher consultation (adjusted odds ratio [OR]: 1.26; 95% confidence interval [CI]: 1.14, 1.39) and hospitalization (OR: 1.18; 95% CI: 1.05, 1.31) use in infants with nonsmoking mothers attributable to any illness. In addition, postnatal exposure to ETS at home was linked to higher rates of hospitalizations for any illness compared with nonexposed infants (OR: 1.12; 95% CI: 1.00, 1.25), although the relationship did not hold for outpatient consultation visits. The OR for higher hospital use in infants exposed to 2 or more smokers at home was 1.30 (95% CI: 1.08, 1.58). CONCLUSIONS: The use of tobacco products by household members, even among nonsmoking mothers, has an enormous adverse impact on the health of children, as well as increases health services use and cost. The present data support the revision of public policy to reflect an evidence-based approach to the promotion of smoking cessation in all household members during and after pregnancy. environmental tobacco smoke, health services, infants.en_US
dc.languageengen_US
dc.publisherAmerican Academy of Pediatrics. The Journal's web site is located at http://pediatrics.aappublications.org/en_US
dc.relation.ispartofPediatricsen_US
dc.subject.meshAdulten_US
dc.subject.meshChild Health Services - Economics - Statistics & Numerical Data - Utilizationen_US
dc.subject.meshCohort Studiesen_US
dc.subject.meshEnvironmental Exposure - Statistics & Numerical Dataen_US
dc.subject.meshFamily Healthen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHospitalization - Statistics & Numerical Dataen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshMaternal Behavior - Psychologyen_US
dc.subject.meshMaternal Health Services - Economics - Statistics & Numerical Data - Utilizationen_US
dc.subject.meshOffice Visits - Statistics & Numerical Dataen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshSmoking - Epidemiology - Psychologyen_US
dc.subject.meshTobacco Smoke Pollution - Adverse Effectsen_US
dc.titleThe effects of environmental tobacco smoke on health services utilization in the first eighteen months of life.en_US
dc.typeArticleen_US
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_US
dc.identifier.emailLeung, GM:gmleung@hku.hken_US
dc.identifier.emailHo, LM:lmho@hkucc.hku.hken_US
dc.identifier.authorityLam, TH=rp00326en_US
dc.identifier.authorityLeung, GM=rp00460en_US
dc.identifier.authorityHo, LM=rp00360en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1542/peds.107.6.e91-
dc.identifier.pmid11389289-
dc.identifier.scopuseid_2-s2.0-0035377386en_US
dc.identifier.hkuros57059-
dc.identifier.volume107en_US
dc.identifier.issue6en_US
dc.identifier.spageE91en_US
dc.identifier.isiWOS:000169105500006-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLam, TH=7202522876en_US
dc.identifier.scopusauthoridLeung, GM=7007159841en_US
dc.identifier.scopusauthoridHo, LM=7402955625en_US

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