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Thorax 1998;53:381-387 ( May )

Review series

Health effects of passive smoking bullet  8 

Passive smoking and risk of adult asthma and COPD: an update

David B Coultas

The University of New Mexico Health Sciences Center, Department of Internal Medicine, Division of Epidemiology and Preventive Medicine, 900 Camino de Salud, Albuquerque, New Mexico 87131, USA

Correspondence to: Dr D B Coultas.

The first 150 words of the full text of this article appear below.

    Introduction

The number of published studies on passive smoking as a risk factor for adult onset asthma and chronic obstructive pulmonary disease (COPD) is small compared with the number on the adverse health effects of passive smoking on childhood respiratory symptoms and diseases. The paucity of research among adults may partly be due to a number of factors that make it difficult to design studies of these non-malignant respiratory diseases. The potential for misclassification of smoking status, with former or current smokers categorised as passive smokers, has been a longstanding concern in studies that rely on self reports of past smoking habits. Measuring past passive smoke exposure presents a major challenge in studies of chronic diseases that may become clinically apparent only after 20 or more years of exposure. Over-reporting of symptoms that subjects attribute to passive smoking is increasingly likely as public awareness of passive smoking increases. Also, it is difficult . . . [Full text of this article]




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