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Journal of Public Health Advance Access published online on August 4, 2007
Journal of Public Health, doi:10.1093/pubmed/fdm047
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© The Author 2007, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

Smoking in young people with asthma


A. Hublet, MA, Researcher1,
D. De Bacquer, PHD, Professor Epidemiology and Statistics1
W. Boyce, PHD, Director of Social Program Evaluation Group2
E. Godeau, PHD, Principal Investigator HBSC France3
H. Schmid, PHD, Director SIPA4
C. Vereecken, PhD, Researcher1
F. De Baets, PhD, Head of Pediatric Pulmonology5
L. Maes, PhD, Professor in Health Promotion and Medical Sociology1

1 Department of Public Health, Ghent University, 9000 Ghent, Belgium
2 Social Program Evaluation Group, Queen's University, Ontario, Canada, K7L 3N6
3 Service Médical du Rectorat de Toulouse, Inserm U558, Toulouse and Association pour le Développement d'HBSC, 31400 Toulouse, France
4 Swiss Institute for the Prevention of Alcohol and Drug Problems (SIPA), 1003 Lausanne, Switzerland
5 Department of Paediatrics and Medical Genetics, Ghent University, 9000 Ghent, Belgium


Address correspondence to Anne Hublet, E-mail: anne.hublet{at}ugent.be


  Abstract

Background Modern guidelines for the management of asthma state that asthmatic patients should be strongly advised not to smoke. However, it remains unclear to what extend young people with asthma actually behave like this. This study compares the prevalence of daily smoking between 15-year adolescents with diagnosed asthma and without asthma, and evaluates to what extent risk factors for smoking play a comparable role in the smoking behaviour of these two groups.

Methods The study is part of the 2001–2002 international HBSC study. Besides questions about health behaviour, individual and social resources, a set of asthma questions were included in six countries.

Results Adolescents with diagnosed asthma are more likely to be daily smokers than non-asthmatic adolescents. In asthmatic and non-asthmatic adolescents, similar associations with risk factors are found for daily smoking (drunkenness, cannabis use, low life satisfaction, spending evenings with friends, having smoking parents and peers). Diagnosed asthmatics are more prone to score high on these factors than non-asthmatics.

Conclusions Smoking in adolescents with asthma is a public health problem. Smoking prevention efforts directed towards young people should pay attention to young people with asthma and the curative sector should increase their efforts to motivate asthmatic adolescents not to smoke.

Keywords: adolescents, asthma, risk factors, smoking


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