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Copyright ©ERS Journals Ltd 2003
Passive smoking and respiratory symptoms in the FinEsS Study
1 Dept of Lung Medicine and 3 The Research Unit, Örebro University Hospital, Örebro, 4 The Institute of Environmental Medicine, Karolinska Institutet, Stockholm, and 5 The OLIN studies, Dept of Medicine, Sunderby Central Hospital of Norrbotten, Luleå, Sweden. 2 Dept of Pulmonology, Institute of Experimental and Clinical Medicine, Tallinn, Estonia
CORRESPONDENCE: M.L. Larsson, Dept of Lung Medicine, Örebro University Hospital, SE-701 85 Örebro, Sweden. Fax: 46 19186526. E-mail: matz.larsson@orebroll.se
Keywords: asthma, epidemiology, passive smoking, respiratory symptoms
Received: April 25, 2002
Accepted November 28, 2002
This study was supported by grants from the Estonian Science Foundation, The National Health Institute, The Heart and Lung Foundation, and The Research Committee of Örebro County Council, Sweden.
The aim of the present study was to examine the relationship between reported environmental tobacco smoke (ETS) exposure and respiratory symptoms.
In 1996, a postal questionnaire was randomly distributed in three areas of Estonia to a population-based sample, of which 4,995 females and 1,822 males had never smoked. The main outcome measures were current respiratory symptoms and the amount of reported ETS exposure outside the home.
ETS exposure at home was more common in females (31% versus 19%), while exposure outside of the home was more common in males (53% versus 7%). Females reported more symptoms from tobacco smoke than males (37.7% versus 21.6%). If ETS exposure outside of the home exceeded 5 h daily, the risk for wheeze (odds ratio (OR) 2.67, 95% confidence interval (CI) 1.98–3.61) and physician-diagnosed asthma (OR 1.79, 1.02–3.16) were increased. ETS exposure outside of the home was shown to be strongly related to almost all respiratory symptoms in a dose/response manner. ETS exposure at home did not show significantly elevated ORs for any respiratory symptoms.
This study shows that females seem to be more troubled by environmental smoke exposure than males and provides further evidence of the serious health hazards associated with environmental smoke exposure. Indeed, the findings of this study support a ban on smoking in the workplace and public areas.
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