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Prev Med. 2019 Jun;123:34-40. doi: 10.1016/j.ypmed.2019.02.028. Epub 2019 Feb 25.

Burden of respiratory disease attributable to secondhand smoke exposure at home in children in Spain (2015).

Author information

1
Agència de Salut Pública de Barcelona (Public Health Agency, Barcelona), Pl. Lesseps, 1, PC 08023 Barcelona, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health), Av. Monforte de Lemos, 3-5, Pabellón 11, Planta 0, PC 28029 Madrid, Spain; Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research, Barcelona), Sant Antoni Maria Claret, 167, PC 08025 Barcelona, Spain.
2
Agència de Salut Pública de Barcelona (Public Health Agency, Barcelona), Pl. Lesseps, 1, PC 08023 Barcelona, Spain; Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra (UPF) (Experimental and Health Sciences Department, Pompeu Fabra University), Dr. Aiguader, 88, PC 08003 Barcelona, Spain.
3
Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d'Oncologia (ICO), Granvia de L'Hospitalet, 199-203, PC 08908 L'Hospitalet de Llobregat, Spain; Cancer Prevention and Control Group, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Granvia de L'Hospitalet, 199, PC 08908 L'Hospitalet de Llobregat, Spain; Department of Clinical Sciences, Campus de Bellvitge, School of Medicine and Health Sciences, Universitat de Barcelona, Feixa Llarga, s/n, PC 08907 L'Hospitalet de Llobregat, Spain.
4
Epidemiology Unit, Galician Directorate for Public Health, Galician Health Authority, Xunta de Galicia, San Caetano, s/n, PC 15704 Santiago de Compostela, Spain; Department of Preventive Medicine and Public Health, School of Medicine, University of Santiago de Compostela, Praza do Obradoiro, s/n, PC 15782 Santiago de Compostela, Spain.
5
Cancer Prevention and Control Group, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Granvia de L'Hospitalet, 199, PC 08908 L'Hospitalet de Llobregat, Spain; Direcció General de Planificació en Salut, Departament de Salut, Generalitat de Catalunya, Travessera de les Corts, 131-159 (Pavelló Ave Maria), PC 08028 Barcelona, Spain.
6
Fundación para la Investigación Biomédica del Hospital Universitario La Princesa (IISP) (The Biomedical Research Foundation of University Hospital La Princesa), Diego de León, 62 1st floor, PC 28006 Madrid, Spain.
7
Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO) (Oncological Network, Prevention & Research Institute), Via Cosimo Il Vecchio, 2, PC 50139 Firenze, Italy.
8
Universidad Politécnica de Cartagena (UPCT) (Polytechnic University of Cartagena), Plaza Cronista Isidoro Valverde, s/n, PC 30202 Cartagena, Spain.
9
Agència de Salut Pública de Barcelona (Public Health Agency, Barcelona), Pl. Lesseps, 1, PC 08023 Barcelona, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health), Av. Monforte de Lemos, 3-5, Pabellón 11, Planta 0, PC 28029 Madrid, Spain; Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research, Barcelona), Sant Antoni Maria Claret, 167, PC 08025 Barcelona, Spain; Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra (UPF) (Experimental and Health Sciences Department, Pompeu Fabra University), Dr. Aiguader, 88, PC 08003 Barcelona, Spain. Electronic address: mjlopez@aspb.cat.

Abstract

This study aimed to estimate the number of incident cases and hospital admissions attributable to secondhand smoke (SHS) exposure at home for asthma, otitis media (OM), and lower respiratory infections (LRI) in children in Spain. The burden of respiratory disease caused by SHS exposure was estimated in terms of incident cases and hospitalized cases for asthma, OM, and LRI. Estimates were calculated using the population attributable fraction. The age-specific (0-1 year, 0-4 years, 5-11 years, and 0-11 years) prevalence of SHS exposure in children was estimated through a telephone survey performed in a representative sample of Spanish households with children in 2016. The risk estimates for all diseases were selected from international meta-analyses. The number of hospitalized cases was obtained for each disease from the Hospital Minimum Data Set provided by the Ministry of Health of Spain. Incident cases were obtained from the Global Health Data Exchange. In 2015, SHS exposure caused an estimated total of 136,403 incident cases of the following respiratory diseases: 9058 (8.5%) cases of asthma, 120,248 (8.5%) of OM, and 7097 (13.5%) of LRI in children aged 0-14 years old in Spain. Likewise, SHS exposure caused a total of 3028 hospitalized cases, with 379 (8.5%) for asthma and 167 (8.5%) for OM in children 0-11 years old, and 2482 (11.6%) for LRI in children <2 years old. The high burden of respiratory disease attributed to SHS exposure supports the need to improve protection of children against SHS exposure by extending smoke-free regulations to homes and cars.

KEYWORDS:

Child; Hospitalization; Morbidity; Respiratory tract diseases; Tobacco smoke pollution

PMID:
30817956
DOI:
10.1016/j.ypmed.2019.02.028
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