Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1997-9-9
pubmed:abstractText
Studies of the effects of passive smoking on lower respiratory illness (LRI) have relied on questionnaires to measure exposure. We studied the association between two measures of passive smoking and the incidence of acute LRI in infants. We analyzed data from a community-based cohort study of respiratory illness during the first year of life in North Carolina. The incidence of LRI was determined by telephone calls at 2-week intervals. Environmental, demographic, and psychosocial risk factors for LRI were measured during home interviews. Tobacco smoke exposure was measured as the mean number of cigarettes smoked per day in the infant's presence. Smoke absorption by the infants was measured by the urinary cotinine/ creatinine ratio. Of the 485 infants in the study, 325 (67%) had telephone follow-up and at least two home interviews. In bivariate analyses, reported tobacco smoke exposure and urinary cotinine were associated with LRI. Only the association between reported exposure and LRI remained significant after adjusting for confounders, [adjusted incidence of LRI (episodes/child-year) non-exposed: 0.6; < or = 10 cigarettes/day: 0.9 (RR 1.5, 95% CI: 1.1, 2.0); > 10 cigarettes/day: 1.3 (RR 2.2, 95% CI: 1.3, 3.8)]. We conclude that infants reportedly exposed to tobacco smoke have an increased incidence of LRI. There are differences between questionnaire and biochemical measures of passive smoking. Urinary cotinine will not necessarily improve the validity of studies of the relationship of passive smoking to LRI in infants.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
8755-6863
pubmed:author
pubmed:issnType
Print
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
417-23
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:9220523-Adult, pubmed-meshheading:9220523-Cohort Studies, pubmed-meshheading:9220523-Confidence Intervals, pubmed-meshheading:9220523-Cotinine, pubmed-meshheading:9220523-Environmental Exposure, pubmed-meshheading:9220523-Female, pubmed-meshheading:9220523-Humans, pubmed-meshheading:9220523-Infant, pubmed-meshheading:9220523-Intervention Studies, pubmed-meshheading:9220523-Lung Diseases, pubmed-meshheading:9220523-Male, pubmed-meshheading:9220523-Medical History Taking, pubmed-meshheading:9220523-Mother-Child Relations, pubmed-meshheading:9220523-North Carolina, pubmed-meshheading:9220523-Predictive Value of Tests, pubmed-meshheading:9220523-Prevalence, pubmed-meshheading:9220523-Questionnaires, pubmed-meshheading:9220523-Regression Analysis, pubmed-meshheading:9220523-Respiratory Tract Infections, pubmed-meshheading:9220523-Risk Factors, pubmed-meshheading:9220523-Sampling Studies, pubmed-meshheading:9220523-Tobacco Smoke Pollution, pubmed-meshheading:9220523-Urinalysis
pubmed:year
1997
pubmed:articleTitle
Urinary cotinine and parent history (questionnaire) as indicators of passive smoking and predictors of lower respiratory illness in infants.
pubmed:affiliation
Department of Pediatrics, University of North Carolina at Chapel Hill 27599-7225, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, U.S. Gov't, P.H.S., Randomized Controlled Trial, Research Support, Non-U.S. Gov't