Gren Lisa H, Taylor Brooke, Lyon Joseph L
Department of Family and Preventive Medicine, The University of Utah, Salt Lake City, UT 84108, USA.
ISRN Pediatr. 2011;2011:750213. doi: 10.5402/2011/750213. Epub 2011 Oct 12.
Risk factors, such as parental smoking, are commonly associated with increased asthma symptoms and hospitalizations of children. Deseret Mutual Benefits Administrators (DMBA) is the health insurer for employees of The Church of Jesus Christ of Latter-day Saints and their families. Due to religious proscription, employees abstain from alcohol and tobacco use, creating a cohort of children not exposed to parental smoking. Calculation of hospitalization rates for DMBA, Utah, and the US were made in children to compare rates between a nonsmoking population and general populations. Compared to DMBA, rate ratios for asthma hospitalization and emergency department asthma visits were higher for the US and Utah. The incidence of hospital outpatient department and physician office visits was significantly greater for the US population compared to the DMBA. This study demonstrates a decreased need for health services used by children not exposed to second-hand smoke.
诸如父母吸烟等风险因素通常与儿童哮喘症状加重和住院治疗相关。德塞雷特互助福利管理公司(DMBA)是耶稣基督后期圣徒教会员工及其家属的健康保险公司。由于宗教禁令,员工戒酒戒烟,从而形成了一群未接触过父母吸烟的儿童群体。对DMBA、犹他州和美国儿童的住院率进行了计算,以比较非吸烟人群与普通人群之间的比率。与DMBA相比,美国和犹他州哮喘住院和急诊科哮喘就诊的比率更高。与DMBA相比,美国人群在医院门诊部和医生办公室就诊的发生率显著更高。这项研究表明,未接触二手烟的儿童对医疗服务的需求有所降低。