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Exposure to Tobacco Smoke and Chronic Asthma Symptoms

dc.contributor.authorCabana, Michael D.en_US
dc.contributor.authorBirk, Nancy Adairen_US
dc.contributor.authorSlish, Kathryn K.en_US
dc.contributor.authorYoon, Esther Y.en_US
dc.contributor.authorPace, Kiraen_US
dc.contributor.authorNan, Binen_US
dc.contributor.authorClark, Noreen M.en_US
dc.date.accessioned2009-07-10T19:14:00Z
dc.date.available2009-07-10T19:14:00Z
dc.date.issued2005-12-01en_US
dc.identifier.citationCabana, Michael D.; Birk, Nancy Adair; Slish, Kathryn K.; Yoon, Esther Y.; Pace, Kira; Nan, Bin; Clark, Noreen M. (2005). "Exposure to Tobacco Smoke and Chronic Asthma Symptoms." Pediatric Asthma, Allergy & Immunology 18(4): 180-188 <http://hdl.handle.net/2027.42/63404>en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/63404
dc.description.abstractThe objective was to determine if tobacco exposure is associated with year-round asthma symptoms. We analyzed baseline data from a multistate survey of 896 pediatric patients with asthma participating in a randomized controlled trial. Daytime symptoms, nocturnal symptoms, and limitations in activity because of asthma tend to increase during the winter season (p < 0.05 for all comparisons, except spring to winter daytime symptoms). One hundred forty of 896 (16%) children had year-round symptoms (i.e., active asthma symptoms during every season). Using separate multivariate analyses, we found that having a parent who smokes (odds ratio [OR]: 2.22; 95% confidence interval [CI]: 1.35, 3.64) or a member of the household who smokes (OR: 1.94; 95% CI: 1.29, 2.93) was associated with a higher likelihood of year-round symptoms, controlling for region of residence, insurance status, and use of a daily controller medication. Asthma symptoms are more likely to increase in the winter season. In anticipation of these patterns, clinicians should consider initiating controller medication therapy or reinforcing asthma education prior to these time periods for those patients at risk for seasonal exacerbations. Exposure to tobacco smoke is associated with year-round asthma symptoms, highlighting the importance of health care providers identifying and counseling about smoking cessation, especially for children with year-round asthma symptoms. (Pediatr Asthma Immunol 2005; 18[4]:180–188.)en_US
dc.format.extent134076 bytes
dc.format.extent2489 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherMary Ann Liebert, Inc., publishersen_US
dc.titleExposure to Tobacco Smoke and Chronic Asthma Symptomsen_US
dc.typeArticleen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/63404/1/pai.2005.18.180.pdf
dc.identifier.doidoi:10.1089/pai.2005.18.180en_US
dc.identifier.sourcePediatric Asthma, Allergy & Immunologyen_US
dc.identifier.sourcePediatric Asthma, Allergy & Immunologyen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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