Active smoking, environmental tobacco smoke and bronchitic symptoms among adolescents in Taiwan: A prospective cohort study

Jer Min Chen, Bing Fang Hwang, Yang Ching Chen, Yungling Leo Lee

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: The study investigates the association between active smoking, exposure to environmental tobacco smoke (ETS) and the development of bronchitis and bronchitic symptoms among adolescents. Methods: A prospective cohort study was conducted with 4134 adolescents aged 12-14 from the Taiwan Children Health Study in 14 communities in Taiwan since 2007. Parents or guardians completed written questionnaires regarding demographic information, household ETS and respiratory symptoms at baseline. The adolescents themselves completed identical questionnaires on respiratory outcomes in the 2009 survey. Associations between active smoking, exposure to ETS and the 2-year incidence of respiratory outcomes were analyzed by multiple Poisson regression models, taking overdispersion into account. Results: Active smoking was associated with an increased risk of developing chronic cough and chronic phlegm. We found significant dose-response associations between the duration of smoking, the numbers of cigarettes and the onset of bronchitic symptoms. Exposure to ETS was a significant risk factor for the development of chronic cough. Among asthmatic adolescents, exposure to ETS was associated with an additional risk for the onset of chronic phlegm. Conclusion: This study demonstrates that active smoking and exposure to ETS are associated with higher risks for developing bronchitic symptoms among adolescents.

Original languageEnglish
Pages (from-to)116-121
Number of pages6
JournalPreventive Medicine
Volume65
DOIs
Publication statusPublished - Jan 1 2014
Externally publishedYes

Fingerprint

Taiwan
Smoke
Environmental Exposure
Tobacco
Cohort Studies
Smoking
Prospective Studies
Cough
Bronchitis
Parents
Demography
Incidence
Surveys and Questionnaires

Keywords

  • Adolescents
  • Asthma
  • Bronchitis
  • Smoking
  • Tobacco smoke pollution

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Medicine(all)

Cite this

Active smoking, environmental tobacco smoke and bronchitic symptoms among adolescents in Taiwan : A prospective cohort study. / Chen, Jer Min; Hwang, Bing Fang; Chen, Yang Ching; Lee, Yungling Leo.

In: Preventive Medicine, Vol. 65, 01.01.2014, p. 116-121.

Research output: Contribution to journalArticle

@article{92598b43fd26493d8aee4565a0ccbfe1,
title = "Active smoking, environmental tobacco smoke and bronchitic symptoms among adolescents in Taiwan: A prospective cohort study",
abstract = "Objective: The study investigates the association between active smoking, exposure to environmental tobacco smoke (ETS) and the development of bronchitis and bronchitic symptoms among adolescents. Methods: A prospective cohort study was conducted with 4134 adolescents aged 12-14 from the Taiwan Children Health Study in 14 communities in Taiwan since 2007. Parents or guardians completed written questionnaires regarding demographic information, household ETS and respiratory symptoms at baseline. The adolescents themselves completed identical questionnaires on respiratory outcomes in the 2009 survey. Associations between active smoking, exposure to ETS and the 2-year incidence of respiratory outcomes were analyzed by multiple Poisson regression models, taking overdispersion into account. Results: Active smoking was associated with an increased risk of developing chronic cough and chronic phlegm. We found significant dose-response associations between the duration of smoking, the numbers of cigarettes and the onset of bronchitic symptoms. Exposure to ETS was a significant risk factor for the development of chronic cough. Among asthmatic adolescents, exposure to ETS was associated with an additional risk for the onset of chronic phlegm. Conclusion: This study demonstrates that active smoking and exposure to ETS are associated with higher risks for developing bronchitic symptoms among adolescents.",
keywords = "Adolescents, Asthma, Bronchitis, Smoking, Tobacco smoke pollution",
author = "Chen, {Jer Min} and Hwang, {Bing Fang} and Chen, {Yang Ching} and Lee, {Yungling Leo}",
year = "2014",
month = "1",
day = "1",
doi = "10.1016/j.ypmed.2014.05.007",
language = "English",
volume = "65",
pages = "116--121",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",

}

TY - JOUR

T1 - Active smoking, environmental tobacco smoke and bronchitic symptoms among adolescents in Taiwan

T2 - A prospective cohort study

AU - Chen, Jer Min

AU - Hwang, Bing Fang

AU - Chen, Yang Ching

AU - Lee, Yungling Leo

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Objective: The study investigates the association between active smoking, exposure to environmental tobacco smoke (ETS) and the development of bronchitis and bronchitic symptoms among adolescents. Methods: A prospective cohort study was conducted with 4134 adolescents aged 12-14 from the Taiwan Children Health Study in 14 communities in Taiwan since 2007. Parents or guardians completed written questionnaires regarding demographic information, household ETS and respiratory symptoms at baseline. The adolescents themselves completed identical questionnaires on respiratory outcomes in the 2009 survey. Associations between active smoking, exposure to ETS and the 2-year incidence of respiratory outcomes were analyzed by multiple Poisson regression models, taking overdispersion into account. Results: Active smoking was associated with an increased risk of developing chronic cough and chronic phlegm. We found significant dose-response associations between the duration of smoking, the numbers of cigarettes and the onset of bronchitic symptoms. Exposure to ETS was a significant risk factor for the development of chronic cough. Among asthmatic adolescents, exposure to ETS was associated with an additional risk for the onset of chronic phlegm. Conclusion: This study demonstrates that active smoking and exposure to ETS are associated with higher risks for developing bronchitic symptoms among adolescents.

AB - Objective: The study investigates the association between active smoking, exposure to environmental tobacco smoke (ETS) and the development of bronchitis and bronchitic symptoms among adolescents. Methods: A prospective cohort study was conducted with 4134 adolescents aged 12-14 from the Taiwan Children Health Study in 14 communities in Taiwan since 2007. Parents or guardians completed written questionnaires regarding demographic information, household ETS and respiratory symptoms at baseline. The adolescents themselves completed identical questionnaires on respiratory outcomes in the 2009 survey. Associations between active smoking, exposure to ETS and the 2-year incidence of respiratory outcomes were analyzed by multiple Poisson regression models, taking overdispersion into account. Results: Active smoking was associated with an increased risk of developing chronic cough and chronic phlegm. We found significant dose-response associations between the duration of smoking, the numbers of cigarettes and the onset of bronchitic symptoms. Exposure to ETS was a significant risk factor for the development of chronic cough. Among asthmatic adolescents, exposure to ETS was associated with an additional risk for the onset of chronic phlegm. Conclusion: This study demonstrates that active smoking and exposure to ETS are associated with higher risks for developing bronchitic symptoms among adolescents.

KW - Adolescents

KW - Asthma

KW - Bronchitis

KW - Smoking

KW - Tobacco smoke pollution

UR - http://www.scopus.com/inward/record.url?scp=84901479759&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84901479759&partnerID=8YFLogxK

U2 - 10.1016/j.ypmed.2014.05.007

DO - 10.1016/j.ypmed.2014.05.007

M3 - Article

C2 - 24823904

AN - SCOPUS:84901479759

VL - 65

SP - 116

EP - 121

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

ER -