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© 2003 American Public Health Association
RESEARCH AND PRACTICE |
Maritta S. Jaakkola and Ritva Piipari are with the Finnish Institute of Occupational Health, Helsinki, Finland. Niina Jaakkola is with the Environmental Epidemiology Unit, Department of Public Health, University of Helsinki. At the time of the study, Jouni J. K. Jaakkola was with the Environmental Health Program, Nordic School of Public Health, Göteborg, Sweden.
Correspondence: Requests for reprints should be sent to Maritta S. Jaakkola, MD, DSc, Institute of Occupational Health, the University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom (e-mail: M.Jaakkola{at}bham.ac.uk).
Objectives. The authors assessed the effects of environmental tobacco smoke (ETS) on the development of asthma in adults.
Methods. In the Pirkanmaa district of South Finland, all 21- to 63-year-old adults with new cases of asthma diagnosed during a 2.5-year period (n = 521 case patients, out of 441 000 inhabitants) and a random sample of control subjects from the source population (932 control subjects) participated in a population-based incident case–control study.
Results. Risk of asthma was related to workplace ETS exposure (adjusted odds ratio [OR] = 2.16; 95% confidence interval [CI] = 1.26, 3.72) and home exposure (OR = 4.77; 95% CI = 1.29, 17.7) in the past year. Cumulative ETS exposure over a lifetime at work and at home increased the risk.
Conclusions. This study indicates for the first time that both cumulative lifetime and recent ETS exposures increase the risk of adult-onset asthma.
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