PURPOSE: assive smoking has been implicated as a cause for development of asthma in children. However there is lack any such study in this part of India. A study was planned to see passive smoking as a risk factor in development of asthma school going children of urban and rural areas of ajmer distirct India.
METHODS: The study has been conducted between the period 1st April 2005 to 31st March, 2006 in the school going children of the age group 5–15 years of rural and urban areas of Ajmer district. The total sample was 6,959. 4553 children belonged to urban areas and 2416 belonged to rural areas. Asthma by using a validated questionnaire, clinical examination,by spirometery and bronchodilator reversibility test.
RESULTS: The total sample was 6,959. 4553 children belonged to urban areas and 2416 belonged to rural areas. In urban area children exposed to passive tobacco smoke were 1642 (36.06%). Out of which 682 (38%) were Males and 960 (34.5%) were Females. The total no. of asthmatics, who were exposed to tobacco smoke was 143 (8.7%), including 88 males (12.7%) and 55 females (5.7%).2911 children were not exposed to tobacco smoke and asthma was found in 59 (2.02%)In rural areas children exposed to passive tobacco smoke were 932 (38%). Out of which 512 (41%)) were Males and 420 (36%)) were Females. The total no. of asthmatics, who were exposed to tobacco smoke was 55 (5.90%), including 36 males (7.03%) and 19 females (4.52%). 1484 children were not exposed to tobacco smoke and asthma was found in 28 (1.8%)In both urban and rural areas p<.05 when asthma rate was compared between children exposed to tobacco and not exposed to tobacco.
CONCLUSION: Exposure to tobacco smoke was a significant risk factor in children of both urban and rural areas of Ajmer district.
CLINICAL IMPLICATIONS: Exposure to tobacco smoke may result in bronchial hyper-reactivity due to which children are at risk for development of asthma.
DISCLOSURE: Sidharth Sharma, None.