HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (29) Citing Articles via Google Scholar Google Scholar Articles by Jaakkola, M. S. Articles by Jaakkola, J. J. K. Search for Related Content PubMed PubMed Citation Articles by Jaakkola, M. S. Articles by Jaakkola, J. J. K. Related Collections Other Respiratory Health Environmental Tobacco Smoke Asthma Global Health Occupational Health

Maritta S. Jaakkola, MD, DSc, Ritva Piipari, MD, Niina Jaakkola, PhD and Jouni J. K. Jaakkola, MD, PhD

Maritta S. Jaakkola and Ritva Piipari are with the Finnish Institute of Occupational Health, Helsinki, Finland. Niina Jaakkola is with the Environmental Epidemiology Unit, Department of Public Health, University of Helsinki. At the time of the study, Jouni J. K. Jaakkola was with the Environmental Health Program, Nordic School of Public Health, Göteborg, Sweden.

Correspondence: Requests for reprints should be sent to Maritta S. Jaakkola, MD, DSc, Institute of Occupational Health, the University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom (e-mail: M.Jaakkola{at}bham.ac.uk).

Objectives. The authors assessed the effects of environmental tobacco smoke (ETS) on the development of asthma in adults.

Methods. In the Pirkanmaa district of South Finland, all 21- to 63-year-old adults with new cases of asthma diagnosed during a 2.5-year period (n = 521 case patients, out of 441 000 inhabitants) and a random sample of control subjects from the source population (932 control subjects) participated in a population-based incident case–control study.

Results. Risk of asthma was related to workplace ETS exposure (adjusted odds ratio [OR] = 2.16; 95% confidence interval [CI] = 1.26, 3.72) and home exposure (OR = 4.77; 95% CI = 1.29, 17.7) in the past year. Cumulative ETS exposure over a lifetime at work and at home increased the risk.

Conclusions. This study indicates for the first time that both cumulative lifetime and recent ETS exposures increase the risk of adult-onset asthma.

This article has been cited by other articles:

				P. Sripaiboonkij, W. Phanprasit, and M. S. Jaakkola Respiratory effects of occupational exposures in a milk powder factory Eur. Respir. J., April 1, 2008; 31(4): 807 - 814. [Abstract] [Full Text] [PDF]

				T. T. Hugg, M. S. Jaakkola, R. O. Ruotsalainen, V. J. Pushkarev, and J. J.K. Jaakkola Parental smoking behaviour and effects of tobacco smoke on children's health in Finland and Russia Eur J Public Health, February 1, 2008; 18(1): 55 - 62. [Abstract] [Full Text] [PDF]

				M. J. Stark, K. Rohde, J. E. Maher, B. A. Pizacani, C. W. Dent, R. Bard, S. G. Carmella, A. R. Benoit, N. M. Thomson, and S. S. Hecht The Impact of Clean Indoor Air Exemptions and Preemption Policies on the Prevalence of a Tobacco-Specific Lung Carcinogen Among Nonsmoking Bar and Restaurant Workers Am J Public Health, August 1, 2007; 97(8): 1457 - 1463. [Abstract] [Full Text] [PDF]

				C. T. C. Okoli, L. A. Hall, M. K. Rayens, and E. J. Hahn Measuring Tobacco Smoke Exposure Among Smoking and Nonsmoking Bar and Restaurant Workers Biol Res Nurs, July 1, 2007; 9(1): 81 - 89. [Abstract] [PDF]

				M. S Jaakkola, L. Yang, A. Ieromnimon, and J. J K Jaakkola Office work exposures and respiratory and sick building syndrome symptoms Occup. Environ. Med., March 1, 2007; 64(3): 178 - 184. [Abstract] [Full Text] [PDF]

				J. J. K. Jaakkola, A. Ieromnimon, and M. S. Jaakkola Interior Surface Materials and Asthma in Adults: A Population-based Incident Case-Control Study Am. J. Epidemiol., October 15, 2006; 164(8): 742 - 749. [Abstract] [Full Text] [PDF]

				M. S. Jaakkola and J. J. K. Jaakkola Impact of smoke-free workplace legislation on exposures and health: possibilities for prevention. Eur. Respir. J., August 1, 2006; 28(2): 397 - 408. [Abstract] [Full Text] [PDF]

				M Skogstad, K Kjaerheim, G Fladseth, M Gjolstad, H L Daae, R Olsen, P Molander, and D G Ellingsen Cross shift changes in lung function among bar and restaurant workers before and after implementation of a smoking ban Occup. Environ. Med., July 1, 2006; 63(7): 482 - 487. [Abstract] [Full Text] [PDF]

				T M L Eagan, J Hetland, and L E Aaro Decline in respiratory symptoms in service workers five months after a public smoking ban Tob. Control, June 1, 2006; 15(3): 242 - 246. [Abstract] [Full Text] [PDF]

				Y.-L. Lee, T.-R. Hsiue, C.-H. Lee, H.-J. J. Su, and Y. Leon Guo Home exposures, parental atopy, and occurrence of asthma symptoms in adulthood in southern taiwan. Chest, February 1, 2006; 129(2): 300 - 308. [Abstract] [Full Text] [PDF]

				R. Piipari, J.J.K. Jaakkola, N. Jaakkola, and M.S. Jaakkola Smoking and asthma in adults Eur. Respir. J., November 1, 2004; 24(5): 734 - 739. [Abstract] [Full Text] [PDF]

				N.C. Thomson, R. Chaudhuri, and E. Livingston Asthma and cigarette smoking Eur. Respir. J., November 1, 2004; 24(5): 822 - 833. [Abstract] [Full Text] [PDF]

				W.T. McNicholas Controlling passive smoking through legislation in Ireland: an attack on civil liberty or good public health policy? Eur. Respir. J., September 1, 2004; 24(3): 337 - 338. [Full Text] [PDF]