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Associations between Environmental Tobacco Smoke Exposure in Early Life and Astigmatism among Chinese Preschool Children

Author

Listed:
  • Chen-Guang Li

    (Department of Biostatistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Gui-You Yang

    (Department of Biostatistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Katrina L. Schmid

    (School of Optometry and Vision Science, Faculty of Health, Queensland University of Technology, 60 Musk Ave, Kelvin Grove, Brisbane, QLD 4059, Australia)

  • Li-Hua Huang

    (Department of Biostatistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Guan-Hao He

    (Department of Biostatistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Li Liu

    (Department of Biostatistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Zeng-Liang Ruan

    (Department of Biostatistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Wei-Qing Chen

    (Department of Biostatistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
    Department of Information Management, Xinhua College of Sun Yat-sen University, Guangzhou 510080, China)

Abstract

This study aimed to investigate the association between environmental exposure to tobacco smoke (ETS) during early life and astigmatism in Chinese preschool children. In this cross-sectional study, information concerning prenatal and postnatal ETS exposure at three stages of early life (during pregnancy, from birth to one year and from one to three years), visual problems of children and parents (including a confirmed diagnosis of astigmatism), socio-demographics and perinatal characteristics were obtained from 27,890 parent-reported questionnaires. Logistic regression analyses were undertaken to yield adjusted odds ratios (OR) for assessing their associations. After adjusting for the potential confounders, children were more likely to exhibit astigmatism when they were exposed to ETS during pregnancy + from one to three years [OR (95% CI) = 1.37 (1.02, 1.84)], or from birth to one year + from one to three years [OR (95% CI) = 1.36 (1.11, 1.66)], or during pregnancy + from birth to one year + from one to three years old [OR (95% CI) = 1.29 (1.16, 1.45)], compared to children without ETS exposure at any stage of early life. In Chinese preschool children, prenatal and postnatal astigmatism was associated with ETS exposure; the greater the ETS dose, the greater the astigmatism risk.

Suggested Citation

  • Chen-Guang Li & Gui-You Yang & Katrina L. Schmid & Li-Hua Huang & Guan-Hao He & Li Liu & Zeng-Liang Ruan & Wei-Qing Chen, 2019. "Associations between Environmental Tobacco Smoke Exposure in Early Life and Astigmatism among Chinese Preschool Children," IJERPH, MDPI, vol. 16(19), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3725-:d:273216
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    References listed on IDEAS

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    1. Schick, Suzaynn & Glantz, Stanton A. Ph.D., 2005. "Philip Morris toxicological experiments with fresh sidestream smoke: more toxic than mainstream smoke," University of California at San Francisco, Center for Tobacco Control Research and Education qt54b9m1sb, Center for Tobacco Control Research and Education, UC San Francisco.
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    Cited by:

    1. Gui-You Yang & Li-Hua Huang & Katrina L. Schmid & Chen-Guang Li & Jing-Yi Chen & Guan-Hao He & Li Liu & Zeng-Liang Ruan & Wei-Qing Chen, 2020. "Associations Between Screen Exposure in Early Life and Myopia amongst Chinese Preschoolers," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    2. Lihua Huang & Gui-You Yang & Katrina L. Schmid & Jing-Yi Chen & Chen-Guang Li & Guan-Hao He & Zeng-Liang Ruan & Wei-Qing Chen, 2020. "Screen Exposure during Early Life and the Increased Risk of Astigmatism among Preschool Children: Findings from Longhua Child Cohort Study," IJERPH, MDPI, vol. 17(7), pages 1-13, March.

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