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Jesse J. Sturm, MD, MPH, Karin Yeatts, PhD and Dana Loomis, PhD

At the time this study was conducted, Jesse J. Sturm was with the Department of Epidemiology, University of North Carolina at Chapel Hill. Karin Yeatts and Dana Loomis are with the Department of Epidemiology, University of North Carolina at Chapel Hill.

Correspondence: Requests for reprints should be sent to Jesse J. Sturm, MD, MPH, 907 S Bouldin St, Baltimore, MD 21224 (e-mail: jsturm1{at}jhmi.edu).

Objectives. We sought to determine the effects of exposure to environmental tobacco smoke (ETS) and childhood cigarette smoking on asthma symptoms among middle school children in North Carolina.

Methods. During 1999–2000, information was collected from a survey completed by the children. Outcomes of asthma symptom reporting were regressed on tobacco smoke exposures.

Results. Children who currently smoked or reported any exposure to ETS were at increased risk of reporting active asthma symptoms. Exposure to ETS and childhood cigarette smoking was responsible for 15% of the asthma cases observed in the study population and $1.34 million in excess medical expenditures.

Conclusions. Even at low levels of exposure, childhood cigarette smoking and ETS are independently associated with asthmatic symptoms.

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