Ethnic variability in persistent asthma after in utero tobacco exposure

Kwei Akuete, Sam S. Oh, Shannon Thyne, Jose R. Rodriguez-Santana, Rocio Chapela, Kelley Meade, William Rodriguez-Cintron, Michael LeNoir, Jean G. Ford, L. Keoki Williams, Pedro C. Avila, Esteban González Burchard, Haig Tcheurekdjian

Research output: Contribution to journalArticle

Abstract

BACKGROUND: The effects of in utero tobacco smoke exposure on childhood respiratory health have been investigated, and outcomes have been inconsistent. OBJECTIVE: To determine if in utero tobacco smoke exposure is associated with childhood persistent asthma in Mexican, Puerto Rican, and black children. PATIENTS AND METHODS: There were 295 Mexican, Puerto Rican, and black asthmatic children, aged 8 to 16 years, who underwent spirometry, and clinical data were collected from the parents during a standardized interview. The effect of in utero tobacco smoke exposure on the development of persistent asthma and related clinical outcomes was evaluated by logistic regression. RESULTS: Children with persistent asthma had a higher odds of exposure to in utero tobacco smoke, but not current tobacco smoke, than did children with intermittent asthma (odds ratio [OR]: 3.57; P=.029). Tobacco smoke exposure from parents in the first 2 years of life did not alter this association. Furthermore, there were higher odds of in utero tobacco smoke exposure in children experiencing nocturnal symptoms (OR: 2.77; P = .048), daily asthma symptoms (OR: 2.73; P = .046), and emergency department visits (OR: 3.85; P = .015) within the year. CONCLUSIONS: Exposure to tobacco smoke in utero was significantly associated with persistent asthma among Mexican, Puerto Rican, and black children compared with those with intermittent asthma. These results suggest that smoking cessation during pregnancy may lead to a decrease in the incidence of persistent asthma in these populations.

Original languageEnglish (US)
JournalPediatrics
Volume128
Issue number3
DOIs
StatePublished - Sep 2011

Fingerprint

Smoke
Tobacco
Asthma
Odds Ratio
Parents
Spirometry
Smoking Cessation
Hospital Emergency Service
Logistic Models
Interviews
Pregnancy
Incidence
Health
Population

Keywords

  • African American
  • Asthma
  • Latino
  • Pregnancy
  • Tobacco

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Akuete, K., Oh, S. S., Thyne, S., Rodriguez-Santana, J. R., Chapela, R., Meade, K., ... Tcheurekdjian, H. (2011). Ethnic variability in persistent asthma after in utero tobacco exposure. Pediatrics, 128(3). https://doi.org/10.1542/peds.2011-0640

Ethnic variability in persistent asthma after in utero tobacco exposure. / Akuete, Kwei; Oh, Sam S.; Thyne, Shannon; Rodriguez-Santana, Jose R.; Chapela, Rocio; Meade, Kelley; Rodriguez-Cintron, William; LeNoir, Michael; Ford, Jean G.; Williams, L. Keoki; Avila, Pedro C.; Burchard, Esteban González; Tcheurekdjian, Haig.

In: Pediatrics, Vol. 128, No. 3, 09.2011.

Research output: Contribution to journalArticle

Akuete, K, Oh, SS, Thyne, S, Rodriguez-Santana, JR, Chapela, R, Meade, K, Rodriguez-Cintron, W, LeNoir, M, Ford, JG, Williams, LK, Avila, PC, Burchard, EG & Tcheurekdjian, H 2011, 'Ethnic variability in persistent asthma after in utero tobacco exposure', Pediatrics, vol. 128, no. 3. https://doi.org/10.1542/peds.2011-0640
Akuete K, Oh SS, Thyne S, Rodriguez-Santana JR, Chapela R, Meade K et al. Ethnic variability in persistent asthma after in utero tobacco exposure. Pediatrics. 2011 Sep;128(3). https://doi.org/10.1542/peds.2011-0640
Akuete, Kwei ; Oh, Sam S. ; Thyne, Shannon ; Rodriguez-Santana, Jose R. ; Chapela, Rocio ; Meade, Kelley ; Rodriguez-Cintron, William ; LeNoir, Michael ; Ford, Jean G. ; Williams, L. Keoki ; Avila, Pedro C. ; Burchard, Esteban González ; Tcheurekdjian, Haig. / Ethnic variability in persistent asthma after in utero tobacco exposure. In: Pediatrics. 2011 ; Vol. 128, No. 3.
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