Household smoking exposure in pediatric asthma: Prevalence, reporting patterns, and clinical care context Exposition à la fumée de tabac au sein du foyer dans l'asthme pédiatrique: prévalence, modes de déclaration et contexte des soins cliniques
Revue Francaise d'Allergologie, cilt.66, sa.4, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 66 Sayı: 4
- Basım Tarihi: 2026
- Doi Numarası: 10.1016/j.reval.2026.105031
- Dergi Adı: Revue Francaise d'Allergologie
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE
- Anahtar Kelimeler: Pediatric asthma, Secondhand smoke (SHS), Asthma control, Environmental tobacco smoke (ETS), Sociodemographic factors, Maternal smoking
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: Exposure to household tobacco smoke among children with asthma remains a relevant public health concern. However, the direct impact of secondhand smoke exposure on asthma control is still debated, and causal relationships cannot be clearly established based on current evidence. This study aimed to describe the prevalence and reporting patterns of household smoking exposure among children with asthma and to explore its associations with sociodemographic factors and asthma care characteristics. Methods: In this cross-sectional study, the SHS exposure of 188 children with asthma was compared to that of a healthy control group without any chronic disease. “Childhood Asthma Control Test” and “Asthma Control Test” were administered to children diagnosed with asthma, and the effects of SHS on disease control were examined. Results: It was found that 45.7% of asthmatic children and 63.2% of the healthy control group were exposed to SHS in their home environment (P < 0.01). Asthmatic children with a larger household size and living in extended families were exposed to passive smoke at a higher rate. The rate of well-controlled asthma was higher in asthmatic children who were not exposed to passive smoking (97.1 vs. 60.5%, P < 0.01). In asthmatic children, the rate of uncontrolled asthma was higher when the mother was a smoker (P < 0.01), whereas no difference was found between the two groups when asthma control levels were evaluated according to the father's smoking status (P > 0.05). Conclusion: Household tobacco smoke exposure is commonly reported among children with asthma. These reports reflect not only environmental exposure but also broader sociodemographic conditions and characteristics of asthma care. Within the limitations of this observational design, no causal inferences regarding the relationship between household smoking exposure and asthma control can be made. Nevertheless, the high prevalence of reported exposure underscores the importance of systematically addressing household smoking within the comprehensive clinical assessment of pediatric asthma.