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Prediction of abstinence at 10 weeks based on smoking status at 2 weeks during a quit attempt: secondary analysis of two parallel, 10-week, randomized, double-blind, placebo-controlled clinical trials of 21-mg nicotine patch in adult smokers 2009 Pinney Associates, Inc., Pittsburgh, Pennsylvania 15213, USA. sferguson@pinneyassociates.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Clinical therapeutics
Periodical, Abbrev.
Clin.Ther.
Pub Date Free Form
Sep
Volume
31
Issue
9
Start Page
1957
Other Pages
1965
Notes
LR: 20151119; JID: 7706726; 0 (Nicotinic Agonists); 6M3C89ZY6R (Nicotine); 2009/07/21 [accepted]; ppublish
Place of Publication
United States
ISSN/ISBN
1879-114X; 0149-2918
Accession Number
PMID: 19843485
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.clinthera.2009.08.029 [doi]
Output Language
Unknown(0)
PMID
19843485
Abstract
BACKGROUND: Smoking cessation outcomes are calculated as the probability of abstinence at follow-up among all enrolled smokers, but it is also useful to estimate the probability of success for those who experienced success or failure at earlier time points. OBJECTIVES: The primary aims were to estimate the probability of maintaining abstinence through week 10 among subjects who were abstinent at week 2, and to assess the effect of active treatment with a nicotine patch. We also examined outcomes at week 6 and, among subjects who smoked during the first 2 weeks of treatment, the probability of reestablishing abstinence later, as well as the effect of active treatment on this outcome. METHODS: We analyzed pooled data from 2 previously published, parallel, double-blind studies in which subjects were initially randomized to receive an active nicotine patch (starting at 21 mg) or a placebo patch. Subjects randomized to active treatment followed a double-blind step-down dosing regimen: 24-h/21-mg patches for the first 6 weeks of treatment, followed by 14- and 7-mg patches for successive 2-week periods. Biochemically verified abstinence (exhaled carbon monoxide <or=8 ppm) was assessed during laboratory visits. RESULTS: Most subjects were white (94.8%) and female (61.6%), with a mean (SD) age of 43.1 (10.2) years. Subjects had been smoking for a mean of 24.5 (10.2) years and smoked a mean of 30.6 (10.4) cigarettes per day. In both the nicotine (n = 249) and placebo (n = 253) groups, all subjects who were abstinent during the first 2 weeks had a high probability of maintaining abstinence through week 10, but subjects treated with the active patch were significantly more likely to remain abstinent (active: 79.8% [67/84], placebo: 52.6% [20/38]; relative risk [RR] = 1.52 [95% CI, 1.10-2.09]). Also, at week 6, subjects receiving active treatment had a greater chance of remaining abstinent (active: 94.3% [82/87], placebo: 78.0% [32/41]; RR = 1.21 [95% CI, 1.02-1.43]). To assess the effect of treatment on recovery from smoking lapses, we examined the probability of abstinence during week 10 among subjects who smoked during the first 2 weeks of treatment. Among them, treatment was associated with a greater probability of later success: 31.4% (50/159) of those treated with the active patch and 12.5% (26/208) of those receiving placebo were abstinent at week 10 (RR = 2.52 [95% CI, 1.64-3.85]). Similar results were observed at week 6 (49.4% [80/162] vs 21.2% [45/212]; RR = 2.33 [95% CI, 1.72-3.15]). CONCLUSIONS: More than two thirds (71.3%) of subjects who were abstinent 2 weeks into a quit attempt maintained that abstinence through the end of 10 weeks of treatment. Use of a nicotine patch was significantly associated with maintaining abstinence and with recovering abstinence after an early lapse.
Descriptors
Administration, Cutaneous, Adult, Dose-Response Relationship, Drug, Double-Blind Method, Female, Follow-Up Studies, Humans, Male, Middle Aged, Nicotine/administration & dosage/therapeutic use, Nicotinic Agonists/administration & dosage/therapeutic use, Randomized Controlled Trials as Topic, Recurrence, Smoking/prevention & control, Smoking Cessation/methods/statistics & numerical data, Time Factors, Treatment Outcome
Links
Book Title
Database
Publisher
Data Source
Authors
Ferguson,S. G., Gitchell,J. G., Shiffman,S., Sembower,M. A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
From the American Academy of Pediatrics: Technical report--Secondhand and prenatal tobacco smoke exposure 2009
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Pediatrics
Periodical, Abbrev.
Pediatrics
Pub Date Free Form
Nov
Volume
124
Issue
5
Start Page
e1017
Other Pages
44
Notes
JID: 0376422; 0 (Tobacco Smoke Pollution); 2009/10/19 [aheadofprint]; 2009/10/19 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1098-4275; 0031-4005
Accession Number
PMID: 19841110
Language
eng
SubFile
Journal Article; AIM; IM
DOI
10.1542/peds.2009-2120 [doi]
Output Language
Unknown(0)
PMID
19841110
Abstract
Secondhand tobacco smoke (SHS) exposure of children and their families causes significant morbidity and mortality. In their personal and professional roles, pediatricians have many opportunities to advocate for elimination of SHS exposure of children, to counsel tobacco users to quit, and to counsel children never to start. This report discusses the harms of tobacco use and SHS exposure, the extent and costs of tobacco use and SHS exposure, and the evidence that supports counseling and other clinical interventions in the cycle of tobacco use. Recommendations for future research, policy, and clinical practice change are discussed. To improve understanding and provide support for these activities, the harms of SHS exposure are discussed, effective ways to eliminate or reduce SHS exposure are presented, and policies that support a smoke-free environment are outlined.
Descriptors
Adult, Child, Counseling, Female, Fetus/drug effects, Health Education, Humans, Parents, Pregnancy, Prenatal Exposure Delayed Effects/prevention & control, Public Policy, Smoking/prevention & control, Tobacco Smoke Pollution/adverse effects/prevention & control, Tobacco Use Cessation
Links
Book Title
Database
Publisher
Data Source
Authors
Best,D., Committee on Environmental Health, Committee on Native American Child Health, Committee on Adolescence
Original/Translated Title
URL
Date of Electronic
20091019
PMCID
Editors
Variable bacterial load of Legionella spp. in a hospital water system 2009 Department of Biomedical Science - Hygiene Section, University of Bari, Bari, Italy. c.napoli@igiene.uniba.it
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Science of the total environment
Periodical, Abbrev.
Sci.Total Environ.
Pub Date Free Form
20-Dec
Volume
408
Issue
2
Start Page
242
Other Pages
244
Notes
JID: 0330500; 2009/08/04 [received]; 2009/09/16 [revised]; 2009/09/24 [accepted]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1879-1026; 0048-9697
Accession Number
PMID: 19836825
Language
eng
SubFile
Journal Article; IM
DOI
10.1016/j.scitotenv.2009.09.039 [doi]
Output Language
Unknown(0)
PMID
19836825
Abstract
Several approved protocols for the prevention of Legionella pneumonia base the type of intervention (to disinfect or not) on the level of contamination found (cfu/L). However, if the level of contamination by Legionella spp. of a water system fluctuates in a short period of time, inadequate sampling could lead to different decisions being made. To determine if there are significant variations in the bacterial count of Legionella spp., water samples were taken at different times from the same sites. Eight wards were selected from a large hospital in Southern Italy and a water sample was taken from 21 taps in each ward at the same time each day for 5 consecutive days. A Freidman test detected statistically significant differences in average Legionella spp. load over the 5 sampling days (p value10,000 cfu/L in hospitals without documented cases of disease. In the present study, the daily average loads varied, during the 5-day sampling period, above and below this cut-off (10,000 cfu/L). This means that the decision to disinfect or not would be different depending on which day the sampling was carried out. Our data suggest that, especially in health-care facilities, a single sampling would not give a realistic estimation of risk; therefore, even at lower levels of bacterial load, measures should be taken to reduce it further.
Descriptors
Colony Count, Microbial, Hospitals, Italy, Legionella pneumophila/growth & development, Legionnaires' Disease/microbiology/prevention & control, Statistics, Nonparametric, Water Microbiology
Links
Book Title
Database
Publisher
Data Source
Authors
Napoli,C., Iatta,R., Fasano,F., Marsico,T., Montagna,M. T.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Development of a PCR assay for the strain-specific identification of probiotic strain Lactobacillus paracasei IMPC2.1 2009 Institute of Sciences of Food Production, National Research Council, Bari, Italy.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of food microbiology
Periodical, Abbrev.
Int.J.Food Microbiol.
Pub Date Free Form
30-Nov
Volume
136
Issue
1
Start Page
59
Other Pages
65
Notes
GENBANK/EU187503; JID: 8412849; 0 (DNA, Bacterial); 0 (RNA, Ribosomal, 16S); 2009/05/18 [received]; 2009/09/15 [revised]; 2009/09/17 [accepted]; 2009/09/26 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1879-3460; 0168-1605
Accession Number
PMID: 19833402
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.ijfoodmicro.2009.09.017 [doi]
Output Language
Unknown(0)
PMID
19833402
Abstract
Recent investigations clearly indicate that the probiotic bacterium Lactobacillus paracasei IMPC2.1 can be incorporated into vegetables to obtain innovative probiotic foods whose marketing has been authorized by the Italian Ministry of Health. In this study, strain IMPC2.1 was characterized at a molecular level in order to define its taxonomic position and to develop a PCR test for strain-specific identification. Molecular methods, such as 16S rRNA gene sequencing and multiplex PCR, have provided evidence that strain IMPC2.1 indeed belongs to the L. paracasei species. In addition, a cluster analysis of fluorescent amplified fragment length polymorphism (f-AFLP) data strongly indicated that strain IMPC2.1 and nine other L. paracasei strains (including strain ATCC 334) belong to the same species and are definitely differentiated from the type strain L. casei ATCC 393. The f-AFLP technique was also used to identify a strain-specific DNA fragment of L. paracasei IMPC2.1 - encoding an amino acid sequence similar to a glycosyltransferase of probiotic strain Lactobacillus rhamnosus HN001 - which enabled us to develop a rapid PCR test for strain-specific identification. The strain-specificity of the PCR test was assessed by comparison with a total of 73 bacterial strains mainly isolated from vegetable products that did not produce any amplified fragment. These strains belonged to the L. paracasei species, to 6 additional species of Lactobacillus and to Weissella cibaria, W. confusa, Lactococcus lactis, Leuconostoc mesenteroides and Pediococcus pentosaceus. A method similar to the one used in this study can be adopted to develop easy, rapid detection techniques for monitoring other bacteria in complex microbiota.
Descriptors
Amplified Fragment Length Polymorphism Analysis, Bacterial Typing Techniques/methods, Biodiversity, DNA, Bacterial/genetics, Food Microbiology, Lactobacillus/classification/genetics/growth & development/isolation & purification, Molecular Sequence Data, Phylogeny, Polymerase Chain Reaction/methods, Probiotics, RNA, Ribosomal, 16S/genetics, Sequence Analysis, DNA, Species Specificity
Links
Book Title
Database
Publisher
Data Source
Authors
Sisto,A., De Bellis,P., Visconti,A., Morelli,L., Lavermicocca,P.
Original/Translated Title
URL
Date of Electronic
20090926
PMCID
Editors
Mobile phone-based interventions for smoking cessation 2009 Clinical Trials Research Unit, University of Auckland, Cnr Morrin & Merton Rds, Glen Innes, Auckland, New Zealand.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Cochrane database of systematic reviews
Periodical, Abbrev.
Cochrane Database Syst.Rev.
Pub Date Free Form
7-Oct
Volume
(4):CD006611. doi
Issue
4
Start Page
CD006611
Other Pages
Notes
LR: 20141120; JID: 100909747; UIN: Cochrane Database Syst Rev. 2012;11:CD006611. PMID: 23152238; RF: 37; epublish
Place of Publication
England
ISSN/ISBN
1469-493X; 1361-6137
Accession Number
PMID: 19821377
Language
eng
SubFile
Journal Article; Meta-Analysis; Review; IM
DOI
10.1002/14651858.CD006611.pub2 [doi]
Output Language
Unknown(0)
PMID
19821377
Abstract
BACKGROUND: Innovative effective smoking cessation interventions are required to appeal to those who are not accessing traditional cessation services. Mobile phones are widely used and are now well integrated into the daily lives of many, particularly young adults. Mobile phones are a potential medium for the delivery of health programmes such as smoking cessation. OBJECTIVES: To determine whether mobile phone-based interventions are effective at helping people who smoke, to quit. SEARCH STRATEGY: We searched MEDLINE, EMBASE, Cinahl, PsycINFO, The Cochrane Library, the National Research Register and the ClinicalTrials register, with no restrictions placed on language or publication date. SELECTION CRITERIA: We included randomized or quasi-randomized trials. Participants were smokers of any age who wanted to quit. Studies were those examining any type of mobile phone-based intervention. This included any intervention aimed at mobile phone users, based around delivery via mobile phone, and using any functions or applications that can be used or sent via a mobile phone. DATA COLLECTION AND ANALYSIS: Information on the specified quality criteria and methodological details was extracted using a standardised form. Participants who dropped out of the trials or were lost to follow up were considered to be smoking. Meta-analysis of the included studies was undertaken using the Mantel-Haenszel Risk Ratio fixed-effect method provided that there was no evidence of substantial statistical heterogeneity as assessed by the I(2) statistic. Where meta-analysis was not possible, summary and descriptive statistics are presented. MAIN RESULTS: Four studies were excluded as they were small non-randomized feasibility studies, and two studies were excluded because follow up was less than six months. Four trials (reported in five papers) are included: a text message programme in New Zealand; a text message programme in the UK; and an Internet and mobile phone programme involving two different groups in Norway. The different types of interventions are analysed separately. When combined by meta-analysis the text message programme trials showed a significant increase in short-term self-reported quitting (RR 2.18, 95% CI 1.80 to 2.65). However, there was considerable heterogeneity in long-term outcomes, with the much larger trial having problems with misclassification of outcomes; therefore these data were not combined. When the data from the Internet and mobile phone programmes were pooled we found statistically significant increases in both short and long-term self-reported quitting (RR 2.03, 95% CI 1.40 to 2.94). AUTHORS' CONCLUSIONS: The current evidence shows no effect of mobile phone-based smoking cessation interventions on long-term outcome. While short-term results are positive, more rigorous studies of the long-term effects of mobile phone-based smoking cessation interventions are needed.
Descriptors
Adult, Cell Phones, Counseling/methods, Humans, Randomized Controlled Trials as Topic, Smoking Cessation/methods
Links
Book Title
Database
Publisher
Data Source
Authors
Whittaker,R., Borland,R., Bullen,C., Lin,R. B., McRobbie,H., Rodgers,A.
Original/Translated Title
URL
Date of Electronic
20091007
PMCID
Editors
Neurological symptoms after a provocative dive: spinal DCS or anterior spinal artery syndrome? 2009 Department of Underwater and Hyperbaric Medicine, Gulhane Military Medical Academy, Haydarpasa Teaching Hospital, Istanbul, Turkey. gunalpuzun@yahoo.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Aviation, Space, and Environmental Medicine
Periodical, Abbrev.
Aviat.Space Environ.Med.
Pub Date Free Form
Oct
Volume
80
Issue
10
Start Page
898
Other Pages
899
Notes
JID: 7501714; ppublish
Place of Publication
United States
ISSN/ISBN
0095-6562; 0095-6562
Accession Number
PMID: 19817244
Language
eng
SubFile
Case Reports; Journal Article; IM; S
DOI
Output Language
Unknown(0)
PMID
19817244
Abstract
Reported here is a 37-yr-old professional diving instructor who had developed complaints of back pain and weakness in the lower extremities after diving. He was eventually diagnosed as having spinal cord decompression sickness along with a likely diagnosis of anterior spinal artery (artery of Adamkiewicz) syndrome. Additionally, since the transthoracic echocardiography revealed patent foramen ovale, we hypothesized that it might have been a potential route for gas bubbles to occlude the anterior spinal artery in this diver.
Descriptors
Adult, Anterior Spinal Artery Syndrome/diagnosis/epidemiology, Comorbidity, Decompression Sickness/epidemiology/etiology/therapy, Diving/adverse effects, Foramen Ovale, Patent/epidemiology, Humans, Hyperbaric Oxygenation, Male
Links
Book Title
Database
Publisher
Data Source
Authors
Uzun,G., Cakar,E., Kiralp,M. Z., Carli,A., Durmus,O., Senol,M. G., Mutluoglu,M., Uz,O., Dincer,U., Ozcakar,L.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Atmospheric levels of BTEX compounds during the 2008 Olympic Games in the urban area of Beijing 2009 Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Science of the total environment
Periodical, Abbrev.
Sci.Total Environ.
Pub Date Free Form
15-Dec
Volume
408
Issue
1
Start Page
109
Other Pages
116
Notes
LR: 20131121; JID: 0330500; 0 (Air Pollutants); 0 (Benzene Derivatives); 0 (Vehicle Emissions); 0 (Xylenes); 3FPU23BG52 (Toluene); 7U1EE4V452 (Carbon Monoxide); 2009/02/20 [received]; 2009/09/11 [revised]; 2009/09/16 [accepted]; 2009/10/08 [aheadofprint];
Place of Publication
Netherlands
ISSN/ISBN
1879-1026; 0048-9697
Accession Number
PMID: 19815254
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.scitotenv.2009.09.026 [doi]
Output Language
Unknown(0)
PMID
19815254
Abstract
The hourly concentrations of BTEX (Benzene, Toluene, Ethylbenzene, m,p-Xylene and o-Xylene) in the urban area of Beijing were measured during July-October 2008, covering the periods of the 2008 Olympic Games and Paralympic Games. The atmospheric BTEX were pre-concentrated on Tenax-TA tubes, and analyzed by GC-PID (Gas Chromatography with Photo Ionization Detector) after thermal desorption. During the games, the mean daytime concentrations of benzene, toluene, ethylbenzene, m,p-xylene and o-xylene were 2.37, 3.97, 1.92, 3.51 and 1.90 microg/m3, respectively, and were 52.8%, 63.9%, 56.4%, 56.8% and 46.9%, respectively lower than those after the games. The significantly positive correlation between BTEX and CO as well as the ratio of benzene/toluene suggested that the vehicle exhaust was the major source of BTEX during the whole investigated period. The extremely high ratios of ethylbenzene to m,p-xylene (E/X) were mainly observed at noontime in haze days, indicating that photochemical reactions were highly active under these typical days.
Descriptors
Air Pollutants/analysis/chemistry, Atmosphere/chemistry, Benzene Derivatives/analysis/chemistry, Carbon Monoxide/analysis, China, Cities, Environmental Monitoring, Internationality, Photochemistry, Sports, Time Factors, Toluene/analysis, Urban Population, Vehicle Emissions/analysis, Volatilization, Xylenes/analysis
Links
Book Title
Database
Publisher
Data Source
Authors
Liu,J., Mu,Y., Zhang,Y., Zhang,Z., Wang,X., Liu,Y., Sun,Z.
Original/Translated Title
URL
Date of Electronic
20091008
PMCID
Editors
Smoking cessation: intentions, attempts and techniques 2009 Department of Population Studies and Surveillance, Cancer Care Ontario, 620 University Avenue Toronto, Ontario M5G 2L7. scott.leatherdale@cancercare.on.ca
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Health reports
Periodical, Abbrev.
Health Rep.
Pub Date Free Form
Sep
Volume
20
Issue
3
Start Page
31
Other Pages
39
Notes
LR: 20131213; JID: 9012854; ppublish
Place of Publication
Canada
ISSN/ISBN
0840-6529; 0840-6529
Accession Number
PMID: 19813437
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
19813437
Abstract
BACKGROUND: A better understanding of charateristics associated with intentions to quit smoking and quit attempts and of the use of various aids is required to develop effective cessation strategies. DATA AND METHODS: Data from the 2006 Canadian Tobacco Use Monitoring Survey were used to examine intentions to quit smoking, quit attempts, use of cessation aids, and receipt of cessation advice from health professionals. RESULTS: One-third of Canadian smokers aged 15 or older reported intentions to quit within the next 30 days, and almost half had tried to quit in the past year. The number of cigarettes smoked per day was associated with intending to quit and quit attempts. The intention to quit was strongly associated with the number of past quit attempts. Half of current smokers who had seen a doctor in the past year had been advised to reduce or quit smoking.
Descriptors
Adolescent, Adult, Canada, Female, Humans, Intention, Male, Middle Aged, Smoking Cessation/methods/psychology, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Leatherdale,S. T., Shields,M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Oesophageal cancer in Golestan Province, a high-incidence area in northern Iran - a review 2009 Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, 14117 Tehran, Iran.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
European journal of cancer (Oxford, England : 1990)
Periodical, Abbrev.
Eur.J.Cancer
Pub Date Free Form
Dec
Volume
45
Issue
18
Start Page
3156
Other Pages
3165
Notes
LR: 20150813; GR: Intramural NIH HHS/United States; JID: 9005373; RF: 86; 2009/07/26 [received]; 2009/09/11 [revised]; 2009/09/15 [accepted]; 2009/10/01 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1879-0852; 0959-8049
Accession Number
PMID: 19800783
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Intramural; Review; IM
DOI
10.1016/j.ejca.2009.09.018 [doi]
Output Language
Unknown(0)
PMID
19800783
Abstract
Golestan Province, located in the south-east littoral of the Caspian Sea in northern Iran, has one of the highest rates of oesophageal cancer (OC) in the world. We review the epidemiologic studies that have investigated the epidemiologic patterns and causes of OC in this area and provide some suggestions for further studies. Oesophageal squamous cell carcinoma (OSCC) constitutes over 90% of all OC cases in Golestan. In retrospective studies, cigarettes and hookah smoking, nass use (a chewing tobacco product), opium consumption, hot tea drinking, poor oral health, low intake of fresh fruit and vegetables, and low socioeconomic status have been associated with higher risk of OSCC in Golestan. However, the association of tobacco with OSCC in this area is not as strong as that seen in Western countries. Alcohol is consumed by a very small percentage of the population and is not a risk factor for OSCC in this area. Other factors, such as polycyclic aromatic hydrocarbons, N-nitroso compounds, drinking water contaminants, infections, food contamination with mycotoxins, and genetic factors merit further investigation as risk factors for OSCC in Golestan. An ongoing cohort study in this area is an important resource for studying some of these factors and also for confirming the previously found associations.
Descriptors
Alcohol Drinking/adverse effects/epidemiology, Alphapapillomavirus/isolation & purification, Asia/epidemiology, Carcinoma, Squamous Cell/epidemiology/etiology, Esophageal Neoplasms/epidemiology/etiology, Female, Hot Temperature/adverse effects, Humans, Iran/epidemiology, Male, Malnutrition/complications, Opioid-Related Disorders/complications/epidemiology, Polymorphism, Genetic/genetics, Risk Factors, Smoking/adverse effects/epidemiology, Tobacco, Smokeless/adverse effects, Turkmenistan/ethnology, Water Supply
Links
Book Title
Database
Publisher
Data Source
Authors
Islami,F., Kamangar,F., Nasrollahzadeh,D., Moller,H., Boffetta,P., Malekzadeh,R.
Original/Translated Title
URL
Date of Electronic
20091001
PMCID
Editors
Exposure to secondhand tobacco smoke and child behaviour - results from a cross-sectional study among preschool children in Bavaria 2010 Bavarian Health & Food Safety Authority, Department of Environmental Health, Oberschleissheim, Germany. dorothee.twardella@lgl.bayern.de
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Acta Paediatrica (Oslo, Norway : 1992)
Periodical, Abbrev.
Acta Paediatr.
Pub Date Free Form
Jan
Volume
99
Issue
1
Start Page
106
Other Pages
111
Notes
LR: 20151119; JID: 9205968; 0 (Tobacco Smoke Pollution); 2009/09/29 [aheadofprint]; ppublish
Place of Publication
Norway
ISSN/ISBN
1651-2227; 0803-5253
Accession Number
PMID: 19793315
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1111/j.1651-2227.2009.01522.x [doi]
Output Language
Unknown(0)
PMID
19793315
Abstract
AIM: To evaluate the association of postnatal exposure to secondhand tobacco smoke on childhood behavioural problems after taking maternal smoking during pregnancy into account. METHODS: In a cross-sectional survey of preschool children in Bavaria, exposure to secondhand tobacco smoke in the child's home was assessed via a parent questionnaire. The Strength and Difficulties Questionnaire (SDQ) was applied to assess child's behaviour. The association with secondhand tobacco smoke exposure was assessed for 'probable' outcomes of the problem subscales and of prosocial behaviour. RESULTS: Among 5494 children (48% female), the SDQ indicated behavioural problems in up to 11%. After adjustment for socioeconomic factors, low birth weight and maternal smoking before and during pregnancy, a dose-response relationship with exposure to secondhand tobacco smoke was observed regarding hyperactivity/inattention (odds ratio compared to 'none' was 1.35 for 'low/medium' and 2.39 for 'high' exposure, 95% confidence intervals 1.02-1.78 and 1.62-3.53, respectively) as well as for conduct problems (OR 1.68 (1.37-2.06) and 1.93 (1.39-2.68)). CONCLUSION: Secondhand tobacco smoke exposure at home appears to be associated with an increased risk of behavioural problems among preschool children. Prevention of behavioural problems may be a further reason to target secondhand tobacco smoke exposure in children.
Descriptors
Child Behavior Disorders/epidemiology/etiology, Child, Preschool, Cross-Sectional Studies, Female, Germany/epidemiology, Humans, Male, Multivariate Analysis, Odds Ratio, Pregnancy, Prenatal Exposure Delayed Effects, Risk Assessment, Socioeconomic Factors, Surveys and Questionnaires, Tobacco Smoke Pollution/adverse effects
Links
Book Title
Database
Publisher
Data Source
Authors
Twardella,D., Bolte,G., Fromme,H., Wildner,M., von Kries,R., GME Study Group
Original/Translated Title
URL
Date of Electronic
PMCID
Editors