title: Do parents know about the adverse effects of passive smoking and the relationship with respiratory illness on their children?
abstract: Recent studies still show parental smoke as the number one environmental exposure agent causing asthma in pediatric population.
  
  
  OBJECTIVE
  The purpose of this study is to determine the knowledge of parents about the adverse effects of passive smoking and the prevalence of passive smoking in children.
  
  
  METHODS
  Cross sectional study, participants were caregivers of students from first to sixth grade (three private and two public schools) who answered a self-administered survey. Data was analyzed using SPSS.
  
  
  RESULTS
  Surveys were collected by availability. Total of caregivers was 594, (47% from private and 53% from public school). The total of estimated children in the survey was 1318, and 48.3% in general had recurrent respiratory illness. Among caregivers, 12.1% (72) reported to be smokers. There were 127 participants who revealed at least 1-3 smokers in their home; these smokers are affecting 167 children who are exposed to secondhand smoke. Among smokers, 16.9% smoked inside the house, 15.5% in their cars and 12.3% smoked in the presence of their children. Participants with higher education had a higher average score on knowledge about adverse effects of smoking (p<.001). Over half of the participants (52%) reported seen anti-smoking promotion on T.V. during previous days. Non-smokers revealed they have seen such promotion recently (p=0.00), but 31% of all participants reported not seen any anti-smoking promotion at all.
  
  
  CONCLUSIONS
  The prevalence of smokers in our study was 12.1%. We estimated there was more than one smoker in those households where smoking was allowed. There was a higher prevalence of smokers among parents from public schools. There was no significant difference between passive smoker households and non-smoker households for respiratory illness in their children. Pediatricians are giving information to caregivers about active and passive smoking but still, 34% of smokers reported not receiving any information. We need to reinforce the counseling given to caregivers about the adverse effects of smoking has on environmental pollution, and as a cause of other cancers besides lung cancer, recurrent infections and SIDS.
authors.affiliation: Department of Pediatrics, Universidad Central del Caribe School of Medicine and Ramon Ruiz Arnau Hospital, Bayamon, PR.
authors.forename: Cristina
authors.initials: C
authors.lastname: Jiménez-González
authors.forename: Vanessa
authors.initials: V
authors.lastname: Santini
authors.forename: Wanda I
authors.initials: WI
authors.lastname: Figueroa Cosme
authors.forename: Iris del C
authors.initials: Idel C
authors.lastname: Parilla
mesh_terms: D000328:Adult; D000368:Aged; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010290:Parents; D012140:Respiratory Tract Diseases / Q000209:etiology*; D011795:Surveys and Questionnaires; D014028:Tobacco Smoke Pollution / Q000009:adverse effects*; D055815:Young Adult
chemical_list: D014028:Tobacco Smoke Pollution