Article

Burden of disease from exposure to secondhand smoke in children in Europe

  • Giulia Carreras /
  • Alessio Lachi /
  • Barbara Cortini /
  • Silvano Gallus /
  • Maria José López /
  • ángel López-Nicolás /
  • Alessandra Lugo /
  • María Teresa Pastor /
  • Joan B. Soriano /
  • Esteve Fernandez /
  • Giuseppe Gorini /
  • Esteve Fernández /
  • Yolanda Castellano /
  • Marcela Fu /
  • Montse Ballbè /
  • Beladenta Amalia /
  • Olena Tigova /
  • Maria José López /
  • Xavier Continente /
  • Teresa Arechavala /
  • Elisabet Henderson /
  • Silvano Gallus /
  • Alessandra Lugo /
  • Xiaoqiu Liu /
  • Elisa Borroni /
  • Paolo Colombo /
  • Sean Semple /
  • Rachel O’donnell /
  • Ruaraidh Dobson /
  • Luke Clancy /
  • Sheila Keogan /
  • Hannah Byrne /
  • Panagiotis Behrakis /
  • Anna Tzortzi /
  • Constantine Vardavas /
  • Vergina Konstantina Vyzikidou /
  • Gerasimos Bakelas /
  • George Mattiampa /
  • Roberto Boffi /
  • Ario Ruprecht /
  • Cinzia De Marco /
  • Alessandro Borgini /
  • Chiara Veronese /
  • Martina Bertoldi /
  • Andrea Tittarelli /
  • Giuseppe Gorini /
  • Giulia Carreras /
  • Barbara Cortini /
  • Simona Verdi /
  • Alessio Lachi /
  • Elisabetta Chellini /
  • ángel López-Nicolás /
  • Marta Trapero-Bertran /
  • Daniel Celdrán Guerrero /
  • Cornel Radu-Loghin /
  • Dominick Nguyen /
  • Polina Starchenko /
  • Joan B. Soriano /
  • Julio Ancochea /
  • Tamara Alonso /
  • María Teresa Pastor /
  • Marta Erro /
  • Ana Roca /
  • Patricia Pérez /
  • Elena García-Castillo
Journal ar
Pediatric Research
  • Fecha: 01 January 2020
  • ISSN: 15300447 00313998
  • Source Type: Journal
  • DOI: 10.1038/s41390-020-01223-6
  • Document Type: Article
  • Publisher: Springer Nature
© 2020, International Pediatric Research Foundation, Inc.Background: Secondhand smoke (SHS) exposure at home and fetal SHS exposure during pregnancy are a major cause of disease among children. The aim of this study is quantifying the burden of disease due to SHS exposure in children and in pregnancy in 2006¿2017 for the 28 European Union (EU) countries. Methods: Exposure to SHS was estimated using a multiple imputation procedure based on the Eurobarometer surveys, and SHS exposure burden was estimated with the comparative risk assessment method using meta-analytical relative risks. Data on deaths and disability-adjusted life years (DALYs) were collected from National statistics and from the Global Burden of Disease Study. Results: Exposure to SHS and its attributable burden stalled in 2006¿2017; in pregnant women, SHS exposure was 19.8% in 2006, 19.1% in 2010, and 21.0% in 2017; in children it was 10.1% in 2006, 9.6% in 2010, and 12.1% in 2017. In 2017, 35,633 DALYs among children were attributable to SHS exposure in the EU, mainly due to low birth weight. Conclusions: Comprehensive smoking bans up to 2010 contributed to reduce SHS exposure and its burden in children immediately after their implementation; however, SHS exposure still occurs, and in 2017, its burden in children was still relevant. Impact: Exposure to secondhand smoke at home and in pregnancy is a major cause of disease among children.Smoking legislation produced the adoption of voluntary smoking bans in homes; however, secondhand smoke exposure at home still occurs and its burden is substantial.In 2017, the number of deaths and disability-adjusted life years in children attributable to exposure to secondhand smoke in the European Union countries were, respectively, 335 and 35,633.Low birth weight caused by secondhand smoke exposure in pregnancy showed the largest burden.Eastern European Union countries showed the highest burden.

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