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The Health Effects of Passive Smoking: An Overview of Systematic Reviews Based on Observational Epidemiological Evidence

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  • Shiyi Cao
  • Chen Yang
  • Yong Gan
  • Zuxun Lu

Abstract

Purpose: We aim to systematically summarize the available epidemiological evidence to identify the impact of environmental tobacco smoke on health. Methods: A systematic literature search of PubMed, Embase, Web of Science, and Scopus for meta-analyses was conducted through January 2015. We included systematic reviews that investigated the association between passive smoking and certain diseases. Quantitative outcomes of association between passive smoking and the risk of certain diseases were summarized. Results: Sixteen meta-analyses covering 130 cohort studies, 159 case-control studies, and 161 cross-sectional studies and involving 25 diseases or health problems were reviewed. Passive smoking appears not to be significantly associated with eight diseases or health problems, but significantly elevates the risk for eleven specific diseases or health problems, including invasive meningococcal disease in children (OR 2.18; 95% CI 1.63–2.92), cervical cancer (OR 1.73; 95% CI 1.35–2.21), Neisseria meningitidis carriage (OR 1.68; 95% CI 1.19–2.36), Streptococcus pneumoniae carriage (OR 1.66; 95% CI 1.33–2.07), lower respiratory infections in infancy (OR 1.42; 95% CI 1.33–1.51), food allergy (OR 1.43; 95% CI 1.12–1.83), and so on. Conclusions: Our overview of systematic reviews of observational epidemiological evidence suggests that passive smoking is significantly associated with an increasing risk of many diseases or health problems, especially diseases in children and cancers.

Suggested Citation

  • Shiyi Cao & Chen Yang & Yong Gan & Zuxun Lu, 2015. "The Health Effects of Passive Smoking: An Overview of Systematic Reviews Based on Observational Epidemiological Evidence," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-12, October.
    • Handle: RePEc:plo:pone00:0139907
    DOI: 10.1371/journal.pone.0139907
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    References listed on IDEAS

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    1. Yuan Yang & Fan Zhang & Laura Skrip & Yang Wang & Shengchun Liu, 2013. "Lack of an Association between Passive Smoking and Incidence of Female Breast Cancer in Non-Smokers: Evidence from 10 Prospective Cohort Studies," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-9, October.
    2. Chien-Chang Lee & Nicole A Middaugh & Stephen R C Howie & Majid Ezzati, 2010. "Association of Secondhand Smoke Exposure with Pediatric Invasive Bacterial Disease and Bacterial Carriage: A Systematic Review and Meta-analysis," PLOS Medicine, Public Library of Science, vol. 7(12), pages 1-14, December.
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    Cited by:

    1. Terje Aven, 2020. "Risk Science Contributions: Three Illustrating Examples," Risk Analysis, John Wiley & Sons, vol. 40(10), pages 1889-1899, October.
    2. Huiting Chen & Jigen Na & Hang An & Ming Jin & Xiaoqian Jia & Lailai Yan & Nan Li & Zhiwen Li, 2022. "Passive Smoking Is Associated with Multiple Heavy Metal Concentrations among Housewives in Shanxi Province, China," IJERPH, MDPI, vol. 19(14), pages 1-9, July.
    3. Jigen Na & Huiting Chen & Hang An & Nan Li & Lailai Yan & Rongwei Ye & Zhiwen Li, 2022. "Association of Rare Earth Elements with Passive Smoking among Housewives in Shanxi Province, China," IJERPH, MDPI, vol. 19(1), pages 1-12, January.
    4. Jürgen Rehm & Jean-François Crépault & Omer S.M. Hasan & Dirk W. Lachenmeier & Robin Room & Bundit Sornpaisarn, 2019. "Regulatory Policies for Alcohol, other Psychoactive Substances and Addictive Behaviours: The Role of Level of Use and Potency. A Systematic Review," IJERPH, MDPI, vol. 16(19), pages 1-17, October.
    5. Chau Quy Ngo & Giap Van Vu & Phuong Thu Phan & Hanh Thi Chu & Lan Phuong Thi Doan & Anh Tu Duong & Quan-Hoang Vuong & Manh-Tung Ho & Minh-Hoang Nguyen & Hong-Kong T. Nguyen & Hai Thanh Phan & Giang Ha, 2020. "Passive Smoking Exposure and Perceived Health Status in Children Seeking Pediatric Care Services at a Vietnamese Tertiary Hospital," IJERPH, MDPI, vol. 17(4), pages 1-12, February.
    6. Shigekazu Ukawa & Akiko Tamakoshi & Hiroshi Yatsuya & Kazumasa Yamagishi & Masahiko Ando & Hiroyasu Iso, 2017. "Passive smoking and chronic obstructive pulmonary disease mortality: findings from the Japan collaborative cohort study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(4), pages 489-494, May.

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