ERICA: smoking is associated with more severe asthma in Brazilian adolescents
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal de Pediatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000600538 |
Resumo: | Abstract Objective: To investigate the association between smoking and asthma, and possible associated factors in Brazilian adolescents. Methods: A cross-sectional, national, school-based study with adolescents aged 12-17 years, participants in the Study of Cardiovascular Risks in Adolescents (Estudo de Riscos Cardiovasculares em Adolescentes - ERICA). A total of 66,394 participants answered a self-administered questionnaire with questions about asthma, smoking, lifestyle and sociodemographic variables. Bivariate analysis between Current Asthma (CA) and Severe Asthma (SA) and the other study variables were performed using Chi-squared. Then, the crude and adjusted Prevalence Ratios (PR), and respective 95% Confidence Intervals (95% CI) of current asthma/severe asthma and smoking variables, corrected for sociodemographic and lifestyle variables, were estimated using generalized linear models with Poisson regression, logit link, and robust variance. Results: The prevalence of current asthma and severe asthma were significantly higher in adolescents who were exposed to: experimentation (current asthma: PR = 1.78, 95% CI: 1.51-2.09; severe asthma: PR = 2.01; 95% CI: 1.35-2.98); current smoking (current asthma: PR = 2.08, 95% CI: 1.65-2.64; severe asthma: PR = 2.29; 95% CI: 1.38-3.82); regular smoking (current asthma: PR = 2.25, 95% CI: 1.64-3.07; severe asthma: PR: 2.41; 95% CI: 1.23-4.73); and passive smoking (current asthma: PR = 1.47, 95% CI: 1.27-1.67; severe asthma: PR = 1.66; 95% CI: 1.19-2.32); these associations remained significant after adjustment. Conclusions: Asthma and smoking were significantly associated in Brazilian adolescents, regardless of the sociodemographic and lifestyle factors, notably in those with more severe disease. |
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ERICA: smoking is associated with more severe asthma in Brazilian adolescentsAdolescentAsthmaEpidemiological studiesSmokingAbstract Objective: To investigate the association between smoking and asthma, and possible associated factors in Brazilian adolescents. Methods: A cross-sectional, national, school-based study with adolescents aged 12-17 years, participants in the Study of Cardiovascular Risks in Adolescents (Estudo de Riscos Cardiovasculares em Adolescentes - ERICA). A total of 66,394 participants answered a self-administered questionnaire with questions about asthma, smoking, lifestyle and sociodemographic variables. Bivariate analysis between Current Asthma (CA) and Severe Asthma (SA) and the other study variables were performed using Chi-squared. Then, the crude and adjusted Prevalence Ratios (PR), and respective 95% Confidence Intervals (95% CI) of current asthma/severe asthma and smoking variables, corrected for sociodemographic and lifestyle variables, were estimated using generalized linear models with Poisson regression, logit link, and robust variance. Results: The prevalence of current asthma and severe asthma were significantly higher in adolescents who were exposed to: experimentation (current asthma: PR = 1.78, 95% CI: 1.51-2.09; severe asthma: PR = 2.01; 95% CI: 1.35-2.98); current smoking (current asthma: PR = 2.08, 95% CI: 1.65-2.64; severe asthma: PR = 2.29; 95% CI: 1.38-3.82); regular smoking (current asthma: PR = 2.25, 95% CI: 1.64-3.07; severe asthma: PR: 2.41; 95% CI: 1.23-4.73); and passive smoking (current asthma: PR = 1.47, 95% CI: 1.27-1.67; severe asthma: PR = 1.66; 95% CI: 1.19-2.32); these associations remained significant after adjustment. Conclusions: Asthma and smoking were significantly associated in Brazilian adolescents, regardless of the sociodemographic and lifestyle factors, notably in those with more severe disease.Sociedade Brasileira de Pediatria2019-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000600538Jornal de Pediatria v.95 n.5 2019reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2018.05.010info:eu-repo/semantics/openAccessJordão,Erica Azevedo de Oliveira CostaKuschnir,Fabio ChigresFigueiredo,Valeska CarvalhoFélix,Mara Morelo RochaSilva,Thiago Luiz Nogueira daKuschnir,Maria Cristina CaetanoBloch,Katia VergettiSzklo,Moyseseng2019-10-23T00:00:00Zoai:scielo:S0021-75572019000600538Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2019-10-23T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false |
dc.title.none.fl_str_mv |
ERICA: smoking is associated with more severe asthma in Brazilian adolescents |
title |
ERICA: smoking is associated with more severe asthma in Brazilian adolescents |
spellingShingle |
ERICA: smoking is associated with more severe asthma in Brazilian adolescents Jordão,Erica Azevedo de Oliveira Costa Adolescent Asthma Epidemiological studies Smoking |
title_short |
ERICA: smoking is associated with more severe asthma in Brazilian adolescents |
title_full |
ERICA: smoking is associated with more severe asthma in Brazilian adolescents |
title_fullStr |
ERICA: smoking is associated with more severe asthma in Brazilian adolescents |
title_full_unstemmed |
ERICA: smoking is associated with more severe asthma in Brazilian adolescents |
title_sort |
ERICA: smoking is associated with more severe asthma in Brazilian adolescents |
author |
Jordão,Erica Azevedo de Oliveira Costa |
author_facet |
Jordão,Erica Azevedo de Oliveira Costa Kuschnir,Fabio Chigres Figueiredo,Valeska Carvalho Félix,Mara Morelo Rocha Silva,Thiago Luiz Nogueira da Kuschnir,Maria Cristina Caetano Bloch,Katia Vergetti Szklo,Moyses |
author_role |
author |
author2 |
Kuschnir,Fabio Chigres Figueiredo,Valeska Carvalho Félix,Mara Morelo Rocha Silva,Thiago Luiz Nogueira da Kuschnir,Maria Cristina Caetano Bloch,Katia Vergetti Szklo,Moyses |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Jordão,Erica Azevedo de Oliveira Costa Kuschnir,Fabio Chigres Figueiredo,Valeska Carvalho Félix,Mara Morelo Rocha Silva,Thiago Luiz Nogueira da Kuschnir,Maria Cristina Caetano Bloch,Katia Vergetti Szklo,Moyses |
dc.subject.por.fl_str_mv |
Adolescent Asthma Epidemiological studies Smoking |
topic |
Adolescent Asthma Epidemiological studies Smoking |
description |
Abstract Objective: To investigate the association between smoking and asthma, and possible associated factors in Brazilian adolescents. Methods: A cross-sectional, national, school-based study with adolescents aged 12-17 years, participants in the Study of Cardiovascular Risks in Adolescents (Estudo de Riscos Cardiovasculares em Adolescentes - ERICA). A total of 66,394 participants answered a self-administered questionnaire with questions about asthma, smoking, lifestyle and sociodemographic variables. Bivariate analysis between Current Asthma (CA) and Severe Asthma (SA) and the other study variables were performed using Chi-squared. Then, the crude and adjusted Prevalence Ratios (PR), and respective 95% Confidence Intervals (95% CI) of current asthma/severe asthma and smoking variables, corrected for sociodemographic and lifestyle variables, were estimated using generalized linear models with Poisson regression, logit link, and robust variance. Results: The prevalence of current asthma and severe asthma were significantly higher in adolescents who were exposed to: experimentation (current asthma: PR = 1.78, 95% CI: 1.51-2.09; severe asthma: PR = 2.01; 95% CI: 1.35-2.98); current smoking (current asthma: PR = 2.08, 95% CI: 1.65-2.64; severe asthma: PR = 2.29; 95% CI: 1.38-3.82); regular smoking (current asthma: PR = 2.25, 95% CI: 1.64-3.07; severe asthma: PR: 2.41; 95% CI: 1.23-4.73); and passive smoking (current asthma: PR = 1.47, 95% CI: 1.27-1.67; severe asthma: PR = 1.66; 95% CI: 1.19-2.32); these associations remained significant after adjustment. Conclusions: Asthma and smoking were significantly associated in Brazilian adolescents, regardless of the sociodemographic and lifestyle factors, notably in those with more severe disease. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000600538 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000600538 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jped.2018.05.010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
dc.source.none.fl_str_mv |
Jornal de Pediatria v.95 n.5 2019 reponame:Jornal de Pediatria (Online) instname:Sociedade Brasileira de Pediatria (SBP) instacron:SBPE |
instname_str |
Sociedade Brasileira de Pediatria (SBP) |
instacron_str |
SBPE |
institution |
SBPE |
reponame_str |
Jornal de Pediatria (Online) |
collection |
Jornal de Pediatria (Online) |
repository.name.fl_str_mv |
Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP) |
repository.mail.fl_str_mv |
||jped@jped.com.br |
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1752122321904074752 |