Environmental Tobacco Smoking, Parental Allergy History and Pediatric Asthma and Wheezing / 農村醫學 地域保健

ABSTRACT

OBJECTIVES: This study was conducted to investigate whether joint effects between family allergy history and environmental tobacco smoke(ETS) by parents were associated with pediatric asthma and wheezing. METHODS: The study objects of this study were 2301 element school students and their parents in an urban-rural areas of Gyeonggi-do. Pediatric asthma and wheezing were identified by measures of International Study of Asthma and Allergies in Childhood (ISAAC) questionnaires. We investigated history of parental allergy, ETS, and other socioeconomic status of both parent. Data were analyzed using logistic regression methods. RESULTS: After adjusting other variables, children with maternal asthma history were more likely to be reported life time wheezing (OR 3.79 95%CI2.43-5.90), recent wheezing (OR4.09 95%CI2.28-7.38), and diagnostic asthma (OR2.61 95%CI 1.44-4.75). Paternal asthma history increasing risk of life time wheezing (OR 2.01 95%CI1.19-3.38) and recent wheezing (OR2.38 95%CI1.24-4.56). Joint effect between parental allergy history and ETS significantly effected on child's life time wheezing and recent wheezing. The risks of life time wheezing (OR2.47 95%CI1.64-3.717) and recent wheezing (OR 2.51 95%CI1.34-4.69) were significantly higher than others without both factors. The risk of recent wheezing of children with maternal recent smoking and parental allergy history (OR4.83 95%CI1.89-12.33) was higher than their counterpart. CONCLUSIONS: The result of this study implies that children with family allergy history and passive smoking are more likely to be get asthma and wheezing than children with family allergy history and non-passive smoking. This study provide the object information to increase the efficiency of non-smoking campaign and education for decreasing pediatric asthma risk.