Second-hand smoke and chronic bronchitis in Taiwanese women: a health-care based study
Open Access
- 28 January 2010
- journal article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 10 (1), 44
- https://doi.org/10.1186/1471-2458-10-44
Abstract
Cigarette smoking cannot fully explain the epidemiologic characteristics of chronic obstructive pulmonary disease (COPD) in women, particularly for those who rarely smoke, but COPD risk is not less than men. The aim of our study is to investigate the relationship between second-hand smoke (SHS) exposure and chronic bronchitis in Taiwanese women. We used Taiwan's National Health Insurance Bureau claims data in 1999, and cross-checked using criteria set by the American Thoracic Society; there were 33 women with chronic bronchitis, 182 with probable chronic bronchitis, and 205 with no chronic bronchitis during our interview time between 2000 and 2005. We measured second-hand smoke (SHS) exposure by self-reported measures (household users and duration of exposure), and validated this by measuring urinary cotinine levels of a subset subjects. Classification of chronic bronchitis was also based on spirometry defined according to the GOLD guidelines to get the severity of COPD. Women who smoked and women who had been exposed to a lifetime of SHS were 24.81-fold (95% CI: 5.78-106.38) and 3.65-fold (95% CI: 1.19-11.26) more likely to have chronic bronchitis, respectively, than those who had not been exposed to SHS. In addition, there was a significant increasing trend between the severity of COPD and exposure years of SHS (p < 0.01). The population attributable risk percentages of chronic bronchitis for smokers and those exposed to SHS were 23.2 and 47.3% respectively. These findings indicate that, besides cigarette smoking, exposure to SHS is a major risk factor for chronic bronchitis in Taiwanese women.Keywords
This publication has 41 references indexed in Scilit:
- The impact of SHS exposure on health status and exacerbations among patients with COPDInternational Journal of Chronic Obstructive Pulmonary Disease, 2009
- Alveolar Macrophage Recruitment and Activation by Chronic Second Hand Smoke Exposure in MiceCOPD: Journal of Chronic Obstructive Pulmonary Disease, 2009
- Global burden of COPD: risk factors, prevalence, and future trendsThe Lancet, 2007
- Passive smoking exposure and risk of COPD among adults in China: the Guangzhou Biobank Cohort StudyThe Lancet, 2007
- Global Initiative for Chronic Obstructive Lung Disease strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease: An Asia–Pacific perspectiveRespirology, 2005
- Tracers for assessing exposure to environmental tobacco smoke: what are they tracing?Environmental Health Perspectives, 1999
- THE TOXICOLOGY OF ENVIRONMENTAL TOBACCO SMOKEAnnual Review of Pharmacology and Toxicology, 1997
- PASSIVE SMOKING AND CHRONIC OBSTRUCTIVE LUNG DISEASEThe Lancet, 1987
- Spirometric Studies in Normal Subjects IActa Medica Scandinavica, 1963
- PULMONARY INSUFFICIENCYMedicine, 1948