Jinot J, Bayard S
U.S. Environmental Protection Agency, Washington, DC 20460, USA.
J Clin Epidemiol. 1994 Apr;47(4):339-49; discussion 351-3. doi: 10.1016/0895-4356(94)90154-6.
After an extensive review and assessment of the scientific evidence on the respiratory health effects of passive smoking, the U.S. Environmental Protection Agency has determined that the widespread exposure to environmental tobacco smoke in the United States presents a serious and substantial public health impact. The Environmental Protection Agency concluded that environmental tobacco smoke causes lung cancer in adult nonsmokers and increases the risk for a variety of noncancer respiratory disorders, especially in children. This article reviews evidence presented in the Environmental Protection Agency's 1992 report on the respiratory health effects of passive smoking and responds to critical allegations levied by Gio Gori in his article "Science, policy, and ethics: the case of environmental tobacco smoke", appearing in the same issue of this journal. Several recent studies appearing since the cutoff date for inclusion in the EPA report are also discussed.
在对关于被动吸烟对呼吸健康影响的科学证据进行广泛审查和评估之后，美国环境保护局已确定，在美国，广泛接触环境烟草烟雾对公众健康造成了严重且重大的影响。环境保护局得出结论，环境烟草烟雾会导致成年不吸烟者患肺癌，并增加患各种非癌症性呼吸系统疾病的风险，尤其是在儿童中。本文回顾了环境保护局1992年关于被动吸烟对呼吸健康影响的报告中所呈现的证据，并回应了乔·戈里在发表于本期刊同一期的《科学、政策与伦理：环境烟草烟雾案例》一文中提出的批评指控。还讨论了自美国环境保护局报告纳入截止日期以来出现的几项近期研究。
