Gedikondele J Sokolo, Longo-Mbenza B, Nzanza J Matanda, Luila E Lukoki, Reddy P, Buso D
Department of Specialities/ENT, University of Kinshasa, DR Congo.
Afr Health Sci. 2011 Sep;11(3):315-9.
To assess associations between nose-throat (NT) diseases and passive smoking prevalence among school children.
A cross-sectional survey was carried out on a randomized multistage sample of 381 school children (50.9% males, aged 9.8 ± 3.5 years) from Kinshasa town. Parents and children were asked to fill in a questionnaire detailing their smoking habits. The NT symptoms and diseases were assessed by the survey NT specialist.
The prevalence of passive smoking was 38.6% (n = 147). Residence in peripheral areas, catholic school system, elementary level, exposure of family to passive smoking, history of NT surgery, medicines and menthol inhaling, headache, nasal pain, dysphagia, odynophagia, dysosmia, dysphonia, pharyngeal irritation, dry throat, snooze, and chronic pharyngitis were more reported by passive smokers. After adjusting for confounding factors, passive smoking (OR = 16.7 95%CI 3.3-83.3), catholic system(OR = 2 95%CI 1.2-3.2), and elementary degree(OR = 1.4 95%, CI 1.1-2.1) were identified as independent determinants of chronic pharyngitis.
Parents should not smoke in the same room used by their children.
评估学童鼻咽喉(NT)疾病与被动吸烟患病率之间的关联。
对金沙萨市381名学童(50.9%为男性,年龄9.8±3.5岁)的随机多阶段样本进行横断面调查。要求家长和孩子填写一份详细说明他们吸烟习惯的问卷。NT症状和疾病由NT专科调查员进行评估。
被动吸烟患病率为38.6%(n = 147)。居住在周边地区、天主教学校系统、小学阶段、家庭接触被动吸烟、有NT手术史、使用药物和吸入薄荷醇、头痛、鼻痛、吞咽困难、吞咽痛、嗅觉障碍、声音嘶哑、咽部刺激、喉咙干、打盹和慢性咽炎在被动吸烟者中报告得更多。在对混杂因素进行调整后,被动吸烟(比值比=16.7,95%置信区间3.3 - 83.3)、天主教学校系统(比值比=2,95%置信区间1.2 - 3.2)和小学学历(比值比=1.4,95%置信区间1.1 - 2.1)被确定为慢性咽炎的独立决定因素。
家长不应在孩子使用的同一房间内吸烟。