Environmental tobacco smoke exposure during travel among adults with asthma.

Abstract:

OBJECTIVES:In California, state law now prohibits smoking in most public places. We examined the prevalence and short-term health impact of environmental tobacco smoke (ETS) exposure during travel among adults with asthma. DESIGN, SETTING, AND PARTICIPANTS:A cohort of 374 nonsmoking adults with asthma recruited from a random sample of allergy, pulmonary, and family practice physicians in northern California underwent structured telephone interviews. MEASUREMENTS AND RESULTS:The prevalence of self-reported ETS exposure during travel in the past 12 months was substantial (30%; 95% confidence interval, 25 to 35%). Of the exposed subjects, approximately one third (34%) indicated no other regular source of ETS exposure. ETS-related cough, wheezing, or chest tightness during travel was the most common complaint (66%), followed by eye irritation (46%) and nose irritation (43%). After ETS exposure, many subjects indicated extra inhaled asthma medication use (55%). Subjects with no other regular ETS exposure reported a greater likelihood of eye irritation (58% vs 40%; p = 0.068) and nose irritation (58% vs 36%; p = 0.025) than persons with regular exposure. In contrast, there were no differences in respiratory symptoms, asthma medication use, or asthma exacerbation by regular ETS exposure status. CONCLUSIONS:In adults with asthma, ETS exposure is common during travel. For many subjects, travel is their principal source of exposure.

journal_name

Chest

journal_title

Chest

authors

Eisner MD,Blanc PD

doi

10.1378/chest.122.3.826

subject

Has Abstract

pub_date

2002-09-01 00:00:00

pages

826-8

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)47175-8

journal_volume

122

pub_type

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