Prevalence of active and passive smoking among asthma and asthma-associated emergency admissions: a nationwide prevalence survey study-Reference-Cited by-同舟云学术

Prevalence of active and passive smoking among asthma and asthma-associated emergency admissions: a nationwide prevalence survey study

Published:2023-05-18 Issue:7 Volume:71 Page:730-741
ISSN:1081-5589
Container-title:Journal of Investigative Medicine
language:en
Short-container-title:Journal of Investigative Medicine

Author:

Balan Irina¹,Mahmood Syed Nazeer²,Jaiswal Richa³,Pleshkova Yelena⁴,Manivannan Divya⁵,Negit Shayaan⁶,Shah Viraj⁷,Desai Prarthana⁸,Akula Narayana Varalakshmi⁹,Nawaz Muhammad Umair¹⁰,Gurram Namratha¹¹,Tirupathi Raghavendra¹²,Patel Urvish¹³,Venkata Vikramaditya Samala¹⁴

Affiliation:

1. Montefiore Medical Center – Wakefield, Division of Geriatrics, Bronx, NY, USA

2. MedStar Washington Hospital Center, Washington, DC, USA

3. Medical University of South Carolina, Charleston, SC, USA

4. AdventHealth Hospital, Sebring, FL, USA

5. Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India

6. University of the Caribbean School of Medicine, BV Cupecoy, Sint Maarten (Dutch part)

7. Hackensack Meridian Ocean University Medical Center, Brick, NJ, USA

8. The Maharaja Sayajirao University of Baroda, Vadodara, Gujarat, India

9. Rajiv Gandhi Institute of Medical Sciences, Ongole, Andhra Pradesh, India

10. Jinnah Sindh Medical University, Karachi, SD, Pakistan

11. University at Albany, Albany, NY, USA

12. Keystone Health Center, Department of Internal Medicine, Chambersburg, PA, USA

13. Department of Public Health and Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

14. Department of Medicine, Cheshire Medical Center and Dartmouth-Hitchcock Keene, Keene, NH, USA

Abstract

Asthma affects 7% of children and 8% of adults in the United States. There is a paucity of studies examining the association between passive smoking and an increased risk of asthma exacerbations that led the authors to examine the association between various modes of smoking and rates of asthma exacerbations. A retrospective cross-sectional/case-control study was conducted using the National Health and Nutrition Examination Survey dataset (2013–2018). Out of 312,979 respondents, 35,758 (11.43%) had a history of asthma, 9083 (2.9%) had asthma attacks in the past year, and 4731 (1.51%) had asthma-related emergency room admissions in the past year. Prevalence of asthma-related emergency admissions were higher among active cigarette smoking (46.25 vs 35.46%), e-cigarette smoking (26.63 vs 16.07%), and passive smoking at home (37.53 vs 25.67%), workplace passive smoking (14.35 vs 12.11%), in bar (32.38 vs 26.16%), and car (26.21 vs 14.44%) (p < 0.0001). In multivariate regression analysis, we found regular cigarette smoking (OR 1.13, 95% confidence interval (CI) 1.009–1.260, p = 0.0252), e-cigarette (OR 2.13, 95% CI 1.92–2.36, p = 0.0043), cigar use (OR 1.21, 95% CI 1.1–1.33, p < 0.001), ultra-long cigarette length (OR 4.85, 95% CI 3.33–7.06, p < 0.0001), and passive smoking (OR 5.25, 95% CI 3.43–8.06, p < 0.0001) were associated with increased rates of asthma exacerbations over last 12 months. The study shows increased odds of asthma exacerbations among those using ultra-long cigarettes, e-cigarettes, and cigars. Consequently, passive inhalation from even a single smoker in the home, workplace, bars and cars is associated with worsening outcomes in asthma patients.

Publisher

SAGE Publications

Subject

General Biochemistry, Genetics and Molecular Biology,General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/10815589231169239

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