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Tob Control. Oct 2005; 14(5): 307–314.
PMCID: PMC1748110

Secondhand smoke and respiratory ill health in current smokers

Abstract

Background: Numerous studies have concluded that secondhand smoke (SHS) is harmful to non-smokers but controversy persists regarding its effects on smokers. The impact of SHS exposure on the acute respiratory health of current active smokers was examined using a cross sectional design.

Methods: 9923 uniformed staff in the Hong Kong Police Force completed a standardised questionnaire on current and past smoking, SHS exposure at home and at work, acute respiratory symptoms, and recent physician consultation. 3999 male current smokers were included in the analysis.

Results: About 5% of the smokers were exposed to SHS at home only, 53% were exposed at work only, and 30% were exposed both at home and at work. The prevalence ratios for respiratory symptoms (throat and nasal problems, cough, phlegm, and wheeze), physician consultation, and self medication were higher for those who were exposed to SHS at home or at work. The odds ratios of reporting one or more respiratory symptoms, for SHS exposures at home or at work, were 1.33 (95% confidence interval (CI) 1.12 to 1.59) and 1.66 (95% CI 1.36 to 2.02) respectively, after adjusting for age, marital status, education, rank and duties, exposure to self perceived dusty or polluted environment in previous job, and total dose of active smoking. The adjusted odds ratios showed significant positive dose–response gradients with SHS exposure at home, at work, and at both places combined.

Conclusions: SHS exposure is strongly associated with increased acute respiratory symptoms and recent outpatient service utilisation in current smokers. If the association is causal, public health action to limit SHS exposure could also benefit smokers.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Dayal HH, Khuder S, Sharrar R, Trieff N. Passive smoking in obstructive respiratory disease in an industrialized urban population. Environ Res. 1994 May;65(2):161–171. [PubMed]
  • Mannino DM, Siegel M, Rose D, Nkuchia J, Etzel R. Environmental tobacco smoke exposure in the home and worksite and health effects in adults: results from the 1991 National Health Interview Survey. Tob Control. 1997 Winter;6(4):296–305. [PMC free article] [PubMed]
  • Lam TH, Ho LM, Hedley AJ, Adab P, Fielding R, McGhee SM, Aharonson-Daniel L. Environmental tobacco smoke exposure among police officers in Hong Kong. JAMA. 2000 Aug 9;284(6):756–763. [PubMed]
  • Eisner MD, Smith AK, Blanc PD. Bartenders' respiratory health after establishment of smoke-free bars and taverns. JAMA. 1998 Dec 9;280(22):1909–1914. [PubMed]
  • Repace JL, Jinot J, Bayard S, Emmons K, Hammond SK. Air nicotine and saliva cotinine as indicators of workplace passive smoking exposure and risk. Risk Anal. 1998 Feb;18(1):71–83. [PubMed]
  • Vogt TM, Schweitzer SO. Medical costs of cigarette smoking in a health maintenance organization. Am J Epidemiol. 1985 Dec;122(6):1060–1066. [PubMed]
  • Lam TH, Leung GM, Ho LM. The effects of environmental tobacco smoke on health services utilization in the first eighteen months of life. Pediatrics. 2001 Jun;107(6):E91–E91. [PubMed]
  • Howell F, Doorley P. Employee attitudes to involuntary smoking at the workplace. Ir Med J. 1991 Oct;84(3):94–96. [PubMed]
  • Lam TH, Janghorbani M, Hedley AJ, Ho SY, McGhee SM, Chan B. Public opinion on smoke-free policies in restaurants and predicted effect on patronage in Hong Kong. Tob Control. 2002 Sep;11(3):195–200. [PMC free article] [PubMed]

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