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Logo of jepicomhInstructions for authorsCurrent TOCJournal of Epidemiology and Community Health
J Epidemiol Community Health. Dec 1993; 47(6): 454–458.
PMCID: PMC1059858

Respiratory symptoms and lung function effects of domestic exposure to tobacco smoke and cooking by gas in non-smoking women in Singapore.

Abstract

STUDY OBJECTIVES--To investigate the effects of passive exposure to tobacco smoke and gas cooking at home on respiratory symptoms and lung function of non-smoking women. SETTING--Evidence on the effects of passive smoking and exposure to nitrogen dioxide from gas cooking on the respiratory health of adults is limited and variable. Over 97% of women in Singapore do not smoke, and a principal source of indoor air pollution for housewives is passive smoking and gas cooking. DESIGN--This was a cross sectional (prevalence) study of a population based sample of 2868 adults aged 20 to 74 years in Singapore. A structured questionnaire administered by trained interviewers was used to collect data on passive smoking, gas cooking, respiratory symptoms, and other relevant variables. Passive smoking was defined as exposure to cigarette smoke from one or more members of the household who had ever smoked. Gas cooking was defined in terms of the weekly frequency of gas cooking, as well as the frequency with which the respondent's kitchen was filled with heavy cooking fumes (rarely, occasionally, often). Forced expiratory volume in one second (FEV1) was measured by using a portable Micro-spirometer. Multivariate analyses were used to estimate relative odds of association for respiratory symptoms and FEV1 effect, with adjustment for potential confounding variables. PARTICIPANTS--Of a total of 1438 women in the sample, 1282 women who had never smoked provided questionnaire data and 1008 women provided acceptable readings of FEV1 for analysis. MAIN RESULTS--Passive smoking was significantly associated with greater relative odds of usual or chronic cough and phlegm, wheezing, and breathlessness on exertion, as well as lower FEV1. Greater relative odds of respiratory symptoms were also associated with the weekly frequency of gas cooking, although these results were statistically insignificant. Chronic cough and phlegm and breathlessness on exertion, however, were significantly associated with the frequency with which the kitchen was filled with heavy cooking fumes. A lower FEV1 was found in women who cooked frequently (more than thrice a week). CONCLUSION--Domestic exposure to cigarette smoke and gas cooking is associated with increased risks of respiratory symptoms and impairment of lung function in non-smoking women in Singapore.

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Selected References

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  • Samet JM, Marbury MC, Spengler JD. Health effects and sources of indoor air pollution. Part I. Am Rev Respir Dis. 1987 Dec;136(6):1486–1508. [PubMed]
  • Samet JM, Marbury MC, Spengler JD. Health effects and sources of indoor air pollution. Part II. Am Rev Respir Dis. 1988 Jan;137(1):221–242. [PubMed]
  • Cameron P, Kostin JS, Zaks JM, Wolfe JH, Tighe G, Oselett B, Stocker R, Winton J. The health of smokers' and nonsmokers' children. J Allergy. 1969 Jun;43(6):336–341. [PubMed]
  • Colley JR, Holland WW, Corkhill RT. Influence of passive smoking and parental phlegm on pneumonia and bronchitis in early childhood. Lancet. 1974 Nov 2;2(7888):1031–1034. [PubMed]
  • Harlap S, Davies AM. Infant admissions to hospital and maternal smoking. Lancet. 1974 Mar 30;1(7857):529–532. [PubMed]
  • Leeder SR, Corkhill R, Irwig LM, Holland WW, Colley JR. Influence of family factors on the incidence of lower respiratory illness during the first year of life. Br J Prev Soc Med. 1976 Dec;30(4):203–212. [PMC free article] [PubMed]
  • Melia RJ, Florey CV, Chinn S. The relation between respiratory illness in primary schoolchildren and the use of gas for cooking--I. Results from a national survey. Int J Epidemiol. 1979 Dec;8(4):333–338. [PubMed]
  • Fergusson DM, Horwood LJ, Shannon FT. Parental smoking and respiratory illness in infancy. Arch Dis Child. 1980 May;55(5):358–361. [PMC free article] [PubMed]
  • Lebowitz MD, Burrows B. Respiratory symptoms related to smoking habits of family adults. Chest. 1976 Jan;69(1):48–50. [PubMed]
  • Weiss ST, Tager IB, Speizer FE, Rosner B. Persistent wheeze. Its relation to respiratory illness, cigarette smoking, and level of pulmonary function in a population sample of children. Am Rev Respir Dis. 1980 Nov;122(5):697–707. [PubMed]
  • Ware JH, Dockery DW, Spiro A, 3rd, Speizer FE, Ferris BG., Jr Passive smoking, gas cooking, and respiratory health of children living in six cities. Am Rev Respir Dis. 1984 Mar;129(3):366–374. [PubMed]
  • Weiss ST, Tager IB, Speizer FE, Rosner B. Persistent wheeze. Its relation to respiratory illness, cigarette smoking, and level of pulmonary function in a population sample of children. Am Rev Respir Dis. 1980 Nov;122(5):697–707. [PubMed]
  • Tager IB, Weiss ST, Rosner B, Speizer FE. Effect of parental cigarette smoking on the pulmonary function of children. Am J Epidemiol. 1979 Jul;110(1):15–26. [PubMed]
  • Tager IB, Weiss ST, Muñoz A, Rosner B, Speizer FE. Longitudinal study of the effects of maternal smoking on pulmonary function in children. N Engl J Med. 1983 Sep 22;309(12):699–703. [PubMed]
  • Tashkin DP, Clark VA, Simmons M, Reems C, Coulson AH, Bourque LB, Sayre JW, Detels R, Rokaw S. The UCLA population studies of chronic obstructive respiratory disease. VII. Relationship between parental smoking and children's lung function. Am Rev Respir Dis. 1984 Jun;129(6):891–897. [PubMed]
  • Hasselblad V, Humble CG, Graham MG, Anderson HS. Indoor environmental determinants of lung function in children. Am Rev Respir Dis. 1981 May;123(5):479–485. [PubMed]
  • Burchfiel CM, Higgins MW, Keller JB, Howatt WF, Butler WJ, Higgins IT. Passive smoking in childhood. Respiratory conditions and pulmonary function in Tecumseh, Michigan. Am Rev Respir Dis. 1986 Jun;133(6):966–973. [PubMed]
  • Keller MD, Lanese RR, Mitchell RI, Cote RW. Respiratory illness in households using gas and electricity for cooking. II. Symptoms and objective findings. Environ Res. 1979 Aug;19(2):504–515. [PubMed]
  • Schilling RS, Letai AD, Hui SL, Beck GJ, Schoenberg JB, Bouhuys A. Lung function, respiratory disease, and smoking in families. Am J Epidemiol. 1977 Oct;106(4):274–283. [PubMed]
  • Comstock GW, Meyer MB, Helsing KJ, Tockman MS. Respiratory effects on household exposures to tobacco smoke and gas cooking. Am Rev Respir Dis. 1981 Aug;124(2):143–148. [PubMed]
  • Gillis CR, Hole DJ, Hawthorne VM, Boyle P. The effect of environmental tobacco smoke in two urban communities in the west of Scotland. Eur J Respir Dis Suppl. 1984;133:121–126. [PubMed]
  • Kauffmann F, Tessier JF, Oriol P. Adult passive smoking in the home environment: a risk factor for chronic airflow limitation. Am J Epidemiol. 1983 Mar;117(3):269–280. [PubMed]
  • Masi MA, Hanley JA, Ernst P, Becklake MR. Environmental exposure to tobacco smoke and lung function in young adults. Am Rev Respir Dis. 1988 Aug;138(2):296–299. [PubMed]
  • Gunawardena KA, Houston K, Smith AP. Evaluation of the turbine pocket spirometer. Thorax. 1987 Sep;42(9):689–693. [PMC free article] [PubMed]
  • Hosie HE, Nimmo WS. Measurement of FEV1 and FVC. Comparison of a pocket spirometer with the Vitalograph. Anaesthesia. 1988 Mar;43(3):233–238. [PubMed]

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