Tobacco exposure in children and adolescents with chronic kidney disease: parental behavior and knowledge. A study from the Midwest Pediatric Nephrology Consortium.
OBJECTIVE
The incidence of cardiovascular disease (CVD) in children with chronic kidney disease (CKD) is high. Exposure to second hand smoke (SHS) is a known risk factor for CVD. Due to a recent report of high incidence of SHS in children with CKD, we sought to investigate via questionnaire the smoking behaviors of caregivers of children with CKD.


METHODS
A cross sectional study was conducted in which caregivers of children and adolescents with CKD were asked to complete a single anonymous self-administered survey.


RESULTS
Almost 40% of children and adolescents lived with one or more smokers. Over half of smokers smoked in the presence of their children and in the car. Smokers were significantly less aware of the detrimental effect of SHS exposure on the renal health of their children. Among smokers, almost 70% reported they had not been advised by their child's nephrologist to quit tobacco use.


CONCLUSIONS
There is a high prevalence of SHS exposure among children and adolescents with CKD, which may contribute to CVD. Caregivers are not fully aware of the detrimental effects of SHS exposure on the renal health of their children.
Wright State University, Dayton, OH, Rush Children's Hospital, Chicago, IL, The Children's Hospital of Philadelphia, Division of Nephrology, Philadelphia, PA, University of Michigan, School of Medicine, Ann Arbor, MI, Nationwide Children's Hospital, Division of Nephrology, Columbus, OH, and University of Kentucky Children's Hospital, Division of Nephrology, Hypertension & Renal Transplantation, Lexington, KY, USA.
Abiodun
A
Omoloja
Adrienne
A
Stolfi
Deepa
D
Chand
Benjamin
B
Laskin
Debbie
D
Gipson
Hiren
H
Patel
Jane Anne
JA
Smith
Aftab
A
Chishti
D000293:Adolescent; D002318:Cardiovascular Diseases / Q000209:etiology*; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology*; D051436:Renal Insufficiency, Chronic / Q000150:complications*; D014028:Tobacco Smoke Pollution / Q000009:adverse effects*
D014028:Tobacco Smoke Pollution