Smoking and Asthma

Stapleton, Megan; Howard-Thompson, Amanda; George, Christa M.; Hoover, Robert M.; Self, Timothy H.

doi:10.3122/jabfm.2011.03.100180

Cited by 139 publications

(118 citation statements)

References 110 publications

(61 reference statements)

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“…These disorders lead to periodic symptoms such as wheeze or cough, especially at night. Asthma is one of the most common respiratory disorders; it affects 22 million Americans (1). Many studies reported that the prevalence of asthma is increasing (2−5).…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Asthma in an Adult Population in Khorramabad, Iran

et al. 2014

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Section: Introductionmentioning

confidence: 99%

The Prevalence of Asthma in an Adult Population in Khorramabad, Iran

et al. 2014

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“…Were you aware that steroid resistance occurs more often in asthma patients who smoke compared with asthma patients who do not smoke? 4 The data for this are reasonably clear and suggest that smoking asthmatic patients will respond to higher doses of steroids, when indicated. Overall, as family physicians we need to help our patients stop smoking, be aware of and work to eliminate secondhand smoke, and be aware that higher doses of steroids may be needed to gain effect in patients with asthma.…”

Section: Asthma Smoking and Steroid Dosingmentioning

confidence: 73%

Exciting Research Studies on Practical Medical Problems and Health Services Delivery

Bowman¹,

Neale²

2011

The Journal of the American Board of Family Medicine

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Major articles with major findings are in this issue. Patient-centered medical care is associated with large decreases in medical care costs! Pelvic examinations can lead to increased symptoms and infections. What should we do? Maternal postpartum depression is related to poorer infant health care quality of life at least until 16 months of age, but cannot be detected until well into the immediate postpartum time period. Using the Colorado Asthma toolkit, practices can significantly improve their management of asthma. Smoking has implications for asthma and its management. Healthy patients often do not understand their insurance, nor why they need it if they are healthy. Younger women are not aware of the potential teratogenic harms of their diabetes and hypertension medicines. Insomnia patients often will accept behavioral treatments. A health literacy screening was not of much practical help in one office. Obesity should be a documented medical problem and is an accepted topic for group medical visits. Patient-Centered Care Lowers Medical CostsNews flash: patient-centered care is associated with less use of health care services and lower medical expenditures.1 There was a fairly dramatic difference in charges: 50%. When controlling for multiple other factors, more patient-centered care was associated with a 15% (for women patients) and 31% (for men) decrease in cost over the ensuing year; it is interesting to note the sex difference. Impressively, the decreased utilization was diffuse across specialty visits, ancillary testing, and even hospitalization despite the relatively small number of patients (n ϭ 509). The physicians were secondand third-year residents, so perhaps the differences would not be as great if they were attending physicians. Increasing the ability of physicians to provide patient-centered care could decrease costs, providing more dollars to care for those who are currently underserved. What Are the Negative Effects of a Pelvic Examination?What about urinary symptoms or urinary tract or vaginal infections? We do so many pelvic exams, but mostly we think of emotional consequences, such as women fearing the examination itself or the possible results (diagnosis of sexually transmitted diseases or an abnormal Papanicolaou smear). However, Tiemstra et al 2,3 present new data that suggest that women have more urinary symptoms (prospective and retrospective study), more vaginal symptoms (retrospective study), and are more likely to have actual urinary tract infections (retrospective chart review). The authors' points were reinforced when I (MAB) recently saw 2 patients with urinary tract infections that they blamed on recent pelvic exams. More study needs to be done, but these results are intriguing and suggest we need more work on whether pelvic exams cause problems and how to prevent such negative outcomes.

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“…Among these factors is exposure to passive smoking (Quinto et al, 2013), which has a deleterious effect on the prognosis of childhood asthma and induces resistance to treatment by corticosteroids (Stapleton et al, 2011;Radic et al, 2011). Recent studies still show parental smoking as the number one environmental exposure that causes asthma in the pediatric population (Nhlbi, 2007;Burke et al 2012).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Parental Smoking on the Severity of Asthma in Children: A Cross-Sectional Study

Irani¹,

Saliba²

2017

GJHS

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Background: Several environmental factors trigger attacks of asthma by immunological and non-immunological mechanisms. Among these factors are cited the passive or second hand smoking (SHS) which has a deleterious effect on the prognosis of childhood asthma and induces a resistance to treatment by corticosteroids. The aim of the present study was to identify parents of children with asthma who are smokers and to explore the possible negative impact of SHS exposure on the disease of asthmatic children. Materials and Methods:A cross sectional study was conducted from February 2012 to February 2013.The study population consisted of children with asthma. The information concerning the patients was collected from their medical records filled out by the physician in a clinical setting in direct communication with the patients, or their parents when it is a little child. A group of 100 children age between 2 and 15 years, with asthma were recruited for the study. The study children were divided into two groups: cases with 28 children from smoking families, and controls with 73 children from non-smoking families. Analysis of the number of respiratory infections, asthma exacerbations per year, and the average number of hospitalization was done in both groups.Results: Pearson chi2 test was adopted. We showed that smoking among the father was positively correlated with a higher number of hospitalizations for asthma, higher incidence of lower respiratory tract infections and asthma exacerbations. Similarly, the maternal smoking was positively correlated with a higher number of hospitalizations for asthma, lower respiratory tract infections and asthma exacerbations. Conclusion:Passive smoking causes respiratory illness, asthma, poor growth, neurological disorders in children. To avoid the risk of respiratory and allergic diseases by environmental tobacco smoke, absolute smoking cessation by parents is strongly recommended.

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Smoking and Asthma

Cited by 139 publications

References 110 publications

The Prevalence of Asthma in an Adult Population in Khorramabad, Iran

The Prevalence of Asthma in an Adult Population in Khorramabad, Iran

Exciting Research Studies on Practical Medical Problems and Health Services Delivery

The Effect of Parental Smoking on the Severity of Asthma in Children: A Cross-Sectional Study

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