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Environmental Tobacco Smoke and Adult-Onset Asthma: A Population-Based Incident Case-Control Study

M.S. Jaakkola, R. Piipari, N. Jaakkola and J.J.K. Jaakkola

American Journal of Public Health, 2003, vol. 93, issue 12, 2055-2060

Abstract: Objectives. The authors assessed the effects of environmental tobacco smoke (ETS) on the development of asthma in adults. Methods. In the Pirkanmaa district of South Finland, all 21- to 63-year-old adults with new cases of asthma diagnosed during a 2.5-year period (n=521 case patients, out of 441000 inhabitants) and a random sample of control subjects from the source population (932 control subjects) participated in a population-based incident case-control study. Results. Risk of asthma was related to workplace ETS exposure (adjusted odds ratio [OR]=2.16; 95% confidence interval [CI]=1.26, 3.72) and home exposure (OR =4.77; 95% CI=1.29, 17.7) in the past year. Cumulative ETS exposure over a lifetime at work and at home increased the risk. Conclusions. This study indicates for the first time that both cumulative lifetime and recent ETS exposures increase the risk of adult-onset asthma.

Date: 2003
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