Active, passive, and electronic cigarette smoking is associated with asthma in adolescents.

Active, passive, and electronic cigarette smoking is associated with asthma in adolescents.
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DOI:
10.1038/s41598-017-17958-y
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发表时间:
2017-12-19
期刊:
影响因子:
4.6
通讯作者:
Choi HG
Choi HG
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Kim SY;Sim S;Choi HG

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本研究调查了韩国青少年主动、被动和电子烟(E-cigarette)吸烟与哮喘的关系。我们使用了2011年、2012年和2013年进行的韩国青年风险行为网络调查的横断面研究。将主动吸烟分为4组(每月0天、1-5天、6-19天和≥20天)。被动吸烟也分为4组(0天、1-2天、3-4天和每周≥5天)。在过去30天内,电子烟被定义为是或否。年龄、性别、肥胖、居住地区、经济水平和父母教育水平作为混杂因素进行调整。吸烟变量相互调整。采用复合抽样的多元logistic回归分析计算校正比值比(AOR)和95%置信区间(CI)。在过去的12个月里,总共有2.3%(4,890/216,056)的参与者报告了哮喘。主动吸烟与哮喘显著相关(吸烟≥20天/月的AOR [95% CI]= 1.57 [1.38-1.77],P < 0.001)。被动吸烟也与哮喘有关(吸烟≥5天/周的AOR [95% CI]= 1.40 [1.28-1.53],P < 0.001)。电子烟与哮喘的发生呈正相关,但不能排除既往吸烟史的影响(AOR [95%CI] = 1.12 [1.01-1.26],P = 0.027)。
The present study investigated the associations of active, passive, and electronic cigarette (E-cigarette) smoking with asthma in Korean adolescents. We used the cross-sectional study of Korea Youth Risk Behavior Web-based Survey conducted in 2011, 2012 and 2013. Active smoking was classified into 4 groups (0 days, 1–5 days, 6–19 days, and ≥20 days a month). Passive smoking was also categorized into 4 groups (0 days, 1–2 days, 3–4 days, and ≥5 days a week). E-cigarette was defined as yes or no in the last 30 days. Age, sex, obesity, region of residence, economic level, and parental educational level were adjusted for as confounders. Smoking variables were adjusted for one another. Adjusted odd ratios (AORs) and 95% confidence intervals (CIs) were calculated using multiple logistic regression analysis with complex sampling. In total, 2.3% (4,890/216,056) of participants reported asthma in the past 12 months. Active smoking was significantly associated with asthma (AOR [95% CI] of smoking ≥20 days/month = 1.57 [1.38–1.77], P < 0.001). Passive smoking was also related with asthma (AOR [95% CI] of smoking ≥5 days/week = 1.40 [1.28–1.53], P < 0.001). E-cigarette showed positive relation with asthma, although the effects of past smoking history could not be excluded (AOR [95% CI] = 1.12 [1.01–1.26], P = 0.027).
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