TY - JOUR
T1 - Passive smoking at home is a risk factor for community-acquired pneumonia in older adults: A population-based case-control study
AU - Almirall, Jordi
AU - Serra-Prat, Mateu
AU - Bolib́ar, Ignasi
AU - Palomera, Elisabet
AU - Roig, Jordi
AU - Hospital, Imma
AU - Carandell, Eugenia
AU - Agustí, Mercè
AU - Ayuso, Pilar
AU - Estela, Andreu
AU - Torres, Antoni
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Objective: To assess whether passive smoking exposure at home is a risk factor for communityacquired pneumonia (CAP) in adults. Setting: A population-based case-control study was designed in a Mediterranean area with 860 000 inhabitants >14 years of age. Participants: 1003 participants who had never smoked were recruited. Primary and secondary outcome measures: Risk factors for CAP, including home exposure to passive smoking, were registered. All new cases of CAP in a well-defined population were consecutively recruited during a 12-month period. Methods: A population-based case-control study was designed to assess risk factors for CAP, including home exposure to passive smoking. All new cases of CAP in a well-defined population were consecutively recruited during a 12-month period. The subgroup of never smokers was selected for the present analysis. Results: The study sample included 471 patients with CAP and 532 controls who had never smoked. The annual incidence of CAP was estimated to be 1.14 cases×10-3 inhabitants in passive smokers and 0.90×10-3 in non-passive smokers (risk ratio (RR) 1.26; 95% CI 1.02 to 1.55) in the whole sample. In participants ≥65 years of age, this incidence was 2.50×10-3 in passive smokers and 1.69×10-3 in nonpassive smokers (RR 1.48, 95% CI 1.08 to 2.03). In this last age group, the percentage of passive smokers in cases and controls was 26% and 18.1%, respectively ( p=0.039), with a crude OR of 1.59 (95% CI 1.02 to 2.38) and an adjusted (by age and sex) OR of 1.56 (95% CI 1.00 to 2.45). Conclusions: Passive smoking at home is a risk factor for CAP in older adults (65 years or more).
AB - Objective: To assess whether passive smoking exposure at home is a risk factor for communityacquired pneumonia (CAP) in adults. Setting: A population-based case-control study was designed in a Mediterranean area with 860 000 inhabitants >14 years of age. Participants: 1003 participants who had never smoked were recruited. Primary and secondary outcome measures: Risk factors for CAP, including home exposure to passive smoking, were registered. All new cases of CAP in a well-defined population were consecutively recruited during a 12-month period. Methods: A population-based case-control study was designed to assess risk factors for CAP, including home exposure to passive smoking. All new cases of CAP in a well-defined population were consecutively recruited during a 12-month period. The subgroup of never smokers was selected for the present analysis. Results: The study sample included 471 patients with CAP and 532 controls who had never smoked. The annual incidence of CAP was estimated to be 1.14 cases×10-3 inhabitants in passive smokers and 0.90×10-3 in non-passive smokers (risk ratio (RR) 1.26; 95% CI 1.02 to 1.55) in the whole sample. In participants ≥65 years of age, this incidence was 2.50×10-3 in passive smokers and 1.69×10-3 in nonpassive smokers (RR 1.48, 95% CI 1.08 to 2.03). In this last age group, the percentage of passive smokers in cases and controls was 26% and 18.1%, respectively ( p=0.039), with a crude OR of 1.59 (95% CI 1.02 to 2.38) and an adjusted (by age and sex) OR of 1.56 (95% CI 1.00 to 2.45). Conclusions: Passive smoking at home is a risk factor for CAP in older adults (65 years or more).
U2 - https://doi.org/10.1136/bmjopen-2014-005133
DO - https://doi.org/10.1136/bmjopen-2014-005133
M3 - Article
VL - 4
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 6
M1 - e005133
ER -