Smoke-free legislation and childhood hospitalisations for respiratory tract infections

J.V. Been, C. Millett, J.T. Lee, C.P. van Schayck, A. Sheikh

Research output: Contribution to journalArticleAcademicpeer-review

14 Citations (Scopus)

Abstract

Second-hand smoke exposure is a major risk factor for respiratory tract infections (RTIs). Although evidence suggests important early-life health benefits of smoke-free public environments, the impact on childhood RTIs is unclear. We investigated the association between England's smoke-free legislation and childhood RTI hospitalisations.

We used the Hospital Episode Statistics database to obtain nationwide data on hospital admissions for acute RTIs among children (

We analysed 1 651 675 hospital admissions. Introduction of smoke-free legislation was followed by an immediate reduction in RTI admissions (-3.5%, 95% CI -4.7--2.3%), this mainly being attributable to a decrease in lower RTI admissions (-13.8%, 95% CI -15.6--12.0%). The reductions in admissions for upper RTI were more incremental.

The introduction of national smoke-free legislation in England was associated with similar to 11 000 fewer hospital admissions per year for RTIs in children.

Original languageEnglish
Pages (from-to)697-706
Number of pages10
JournalEuropean Respiratory Journal
Volume46
Issue number3
DOIs
Publication statusPublished - Sep 2015

Keywords

  • SECONDHAND SMOKE
  • YOUNG-CHILDREN
  • FREE LAW
  • EXPOSURE
  • IMPLEMENTATION
  • ASSOCIATION
  • RISK
  • METAANALYSIS
  • ADMISSIONS
  • COUNTRIES

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