Omoloja Abiodun, Stolfi Adrienne, Chand Deepa, Laskin Benjamin, Gipson Debbie, Patel Hiren, Smith Jane Anne, Chishti Aftab
Wright State University, Dayton, OH, Rush Children's Hospital, Chicago, IL, The Children's Hospital of Philadelphia, Division of Nephrology, Philadelphia, PA, University of Michigan, School of Medicine, Ann Arbor, MI, Nationwide Children's Hospital, Division of Nephrology, Columbus, OH, and University of Kentucky Children's Hospital, Division of Nephrology, Hypertension & Renal Transplantation, Lexington, KY, USA.
Clin Nephrol. 2014 May;81(5):307-12. doi: 10.5414/cn108024.
The incidence of cardiovascular disease (CVD) in children with chronic kidney disease (CKD) is high. Exposure to second hand smoke (SHS) is a known risk factor for CVD. Due to a recent report of high incidence of SHS in children with CKD, we sought to investigate via questionnaire the smoking behaviors of caregivers of children with CKD.
A cross sectional study was conducted in which caregivers of children and adolescents with CKD were asked to complete a single anonymous self-administered survey.
Almost 40% of children and adolescents lived with one or more smokers. Over half of smokers smoked in the presence of their children and in the car. Smokers were significantly less aware of the detrimental effect of SHS exposure on the renal health of their children. Among smokers, almost 70% reported they had not been advised by their child's nephrologist to quit tobacco use.
There is a high prevalence of SHS exposure among children and adolescents with CKD, which may contribute to CVD. Caregivers are not fully aware of the detrimental effects of SHS exposure on the renal health of their children.
慢性肾脏病（CKD）患儿心血管疾病（CVD）的发病率很高。接触二手烟（SHS）是已知的心血管疾病风险因素。由于最近有报告称CKD患儿二手烟暴露的发生率很高，我们试图通过问卷调查来调查CKD患儿照料者的吸烟行为。
开展了一项横断面研究，要求CKD患儿及青少年的照料者完成一份匿名的自填式调查问卷。
近40%的儿童和青少年与一名或多名吸烟者生活在一起。超过半数的吸烟者在孩子面前以及在车内吸烟。吸烟者明显较少意识到二手烟暴露对其子女肾脏健康的有害影响。在吸烟者中，近70%报告称他们未得到孩子肾病科医生的戒烟建议。
CKD患儿及青少年二手烟暴露的发生率很高，这可能会导致心血管疾病。照料者并未充分意识到二手烟暴露对其子女肾脏健康的有害影响。
