Cigarette, shisha and electronic smoking and respiratory symptoms in Swiss children: the LUIS study.

Mozun, Rebeca; Ardura-Garcia, Cristina; de Jong, Carmen C. M.; Goutaki, Myrofora; Usemann, Jakob; Singer, Florian; Latzin, Philipp; Kuehni, Claudia E.; Moeller, Alexander (2020). Cigarette, shisha and electronic smoking and respiratory symptoms in Swiss children: the LUIS study. Pediatric pulmonology, 55(10), pp. 2806-2815. Wiley-Blackwell 10.1002/ppul.24985

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BACKGROUND

Smoking habits in adolescents are changing. We assessed active smoking of conventional cigarettes, e-cigarettes and shishas in Swiss schoolchildren, studied risk factors and compared respiratory problems between smokers and non-smokers.

METHODS

We used data from LuftiBus in the school (LUIS), a school-based survey of respiratory health of children carried out 2013-2016 in the canton of Zurich, Switzerland. Participants were asked about use of cigarettes, shishas, and electronic smoking devices (ESD), and current respiratory symptoms. We studied associations between smoking and risk factors using logistic regression.

RESULTS

We included 3488 schoolchildren. Among 6-12-year-olds, 90/1905 (5%) had smoked occasionally (<once/week). Among 13-17-year-olds, 563/1583 (36%) had smoked occasionally of whom 414 smoked ESDs, 409 shishas, and 276 cigarettes. Among 13-17-year-olds who smoked frequently (≥once/week), 41/54 (76%) smoked cigarettes. A 22% of 15-17-year-olds (104/477) had used all three products. Smoking was more common in adolescents who were male (adjusted OR 2.1, 95% CI 1.7-2.6), lived in rural areas (1.8, 95% CI 1.2-2.9 vs. small urban), and whose mother (1.7, 95% CI 1.3-2.3) or father (1.5, 95% CI 1.2-1.9) smoked. Current respiratory symptoms like rhinitis, dyspnoea, and wheeze were more common among frequent smokers (44%, 30%, 12%, respectively) and occasional smokers (32%, 22%, 13%) than in never smokers (29%,19%, 8%, p for trend <0.05).

CONCLUSION

Smoking of shishas and ESDs is common among Swiss adolescents and often combined with smoking cigarettes. Adolescent smokers reported more respiratory symptoms than never smokers. We recommend smoking preventive strategies that include all forms of smoking. This article is protected by copyright. All rights reserved.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Paediatric Pneumology

Graduate School:

Graduate School for Cellular and Biomedical Sciences (GCB)

UniBE Contributor:

Mozun, Rebeca; Ardura Garcia, Cristina; de Jong, Carmen Cornelia Maria; Goutaki, Myrofora; Usemann, Jakob; Singer, Florian; Latzin, Philipp and Kühni, Claudia

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

8755-6863

Publisher:

Wiley-Blackwell

Funders:

[4] Swiss National Science Foundation

Language:

English

Submitter:

Andrea Flükiger-Flückiger

Date Deposited:

11 Aug 2020 19:04

Last Modified:

29 Sep 2020 16:24

Publisher DOI:

10.1002/ppul.24985

PubMed ID:

32716136

Additional Information:

Kuehni and Moeller contributed equally to this work.

Uncontrolled Keywords:

adolescents e-cigarettes respiratory symptoms shisha smoking

BORIS DOI:

10.7892/boris.145587

URI:

https://boris.unibe.ch/id/eprint/145587

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