Children of heavy smokers may not be getting asthma treatment they need

December 18, 2000

Children of heavy smokers may not be getting the treatment for asthma that they need, suggests research in Thorax.

Passive smoking is a major cause of respiratory illness among children. But the research showed that the more heavily parents smoked, the less likely were they to make an appointment for asthma for their children.

Over 400 asthmatic children aged 2 to 12 with a parent who smoked were studied. Health service contacts for asthma, taken from GP case records in 73 practices, were assessed. The effects of passive smoking were measured by levels of a tobacco by-product, cotinine, in the children's spit.

The results showed that when parents perceived their child's asthma to be severe, they were likely to make more visits. And the higher the reported levels of smoking at home, the fewer visits were made for asthma, with the highest rates dropping the visit frequency by over a third. Frequency also fell the more parents smoked, and this was particularly so if the mother smoked. This effect was not seen for other illnesses. Age of the child and the number of other children in the family all influenced the amount of visits made to the GP.

The authors conclude that heavy smoking may simply reduce parental awareness of their children's asthma symptoms. Or it may be that heavy smokers do not want to be told to stop smoking by their GP. But they say, it means that asthmatic children whose parents smoke may not be being treated adequately.
-end-
Contact: Professor Iain Crombie, Department of Epidemiology and Public Health, University of Dundee, Dundee, Scotland. Tel: 01382 632 124 Fax: 01382 644197

[Does passive smoking increase the frequency of health service contacts in children with asthma?] 2001;56:9-12

This release is reproduced verbatim and with permission from the British Medical Association as a service to reporters interested in health and behavioral change. Please contact Public Affairs Division for the text of the paper, and the authors direct for further comment. For further information about Thorax or to obtain a copy of the article, please contact Public Affairs Division, British Medical Association, BMA House, Tavistock Square, London WC1H 9JP, Tel: 020 7383 6254 or email: pressoffice@bma.org.uk. After 6 p.m. and on weekends telephone: +44 (0)208 241 6386 / +44 (0)208 997 3653/+44 (0)208 674 6294 / +44 (0)1525 379792 / +44 (0)208 651 5130.

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