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Secondhand smoke and health-related quality of life in never smokers: results from the SAPALDIA cohort study 2

Ackermann-Liebrich, Ursula
Schindler, Christian
Leuenberger, Philippe
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Published in Archives of internal medicine. 2007, vol. 167, no. 22, p. 2516-23
Abstract BACKGROUND: Although secondhand smoke (SHS) has been linked with various respiratory conditions and symptoms, its association with health-related quality of life (HRQOL) is unknown. METHODS: A cross-sectional study was performed of 2500 never smokers in Switzerland who participated in the Swiss Cohort Study on Air Pollution and Lung Diseases in Adults and completed a 36-Item Short Form Health Survey (SF-36) in 2002. Using linear regression models adjusting for confounders, we measured the association between HRQOL and moderate or high SHS exposure (< or =3 h/d or >3 h/d) compared with no SHS exposure. Data from men and women were analyzed separately and further stratified by source of SHS (home, workplace, and public spaces). RESULTS: After adjustments, SHS was associated with reduced scores in all SF-36 domains. High SHS exposure predicted a greater reduction in HRQOL. Compared with nonexposed women, those with high SHS exposure at home had significantly lower scores on the physical functioning (-7.8, P <.001), role physical (-10.5, P =.02), bodily pain (-9.2, P =.01), and social functioning (-8.1, P =.007) domains. Exposed men had lower scores for the role physical domain (-20.0, P <.001) and a trend toward lower scores in other domains. In women, exposure to SHS at home was associated with a stronger negative effect on HRQOL than at work and in public spaces. CONCLUSIONS: Secondhand smoke is associated with reduced HRQOL, more significantly so in women. Exposure to SHS at home and high levels of exposure are associated with lower SF-36 scores, suggesting a dose-response relationship.
Keywords AdolescentAdultCross-Sectional StudiesFemaleFollow-Up StudiesHealth StatusHumansMaleMiddle AgedPrevalenceQuality of LifeQuestionnairesRetrospective StudiesRisk FactorsSmoking/epidemiology/psychologySwitzerland/epidemiologyTobacco Smoke Pollution/adverse effects
PMID: 18071176
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Research group SAPALDIA Team
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BRIDEVAUX, Pierre-Olivier et al. Secondhand smoke and health-related quality of life in never smokers: results from the SAPALDIA cohort study 2. In: Archives of internal medicine, 2007, vol. 167, n° 22, p. 2516-23. doi: 10.1001/archinte.167.22.2516 https://archive-ouverte.unige.ch/unige:2070

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Deposited on : 2009-06-17

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