ojs2 has produced an error Message: WARNING: mkdir(): Không đủ quyền truy cập In file: /home/nhvjpiod/public_html/lib/pkp/classes/file/FileManager.inc.php At line: 306 Stacktrace: Server info: OS: Linux PHP Version: 5.6.40 Apache Version: N/A DB Driver: mysql DB server version: 10.5.25-MariaDB
ojs2 has produced an error Message: WARNING: assert(): Assertion failed In file: /home/nhvjpiod/public_html/plugins/generic/usageStats/UsageStatsPlugin.inc.php At line: 430 Stacktrace: Server info: OS: Linux PHP Version: 5.6.40 Apache Version: N/A DB Driver: mysql DB server version: 10.5.25-MariaDB
Phần mềm Tạp chí mở

Hút thuốc lá thụ động và sức khỏe trẻ em (Secondhand smoke and children's health)

Lê Thị Thanh Hương

Tóm tắt


Tình trạng hút thuốc là thụ động có thể gây ra những ảnh hưởng nghiêm trọng tới sức khỏe cộng động, đặc biệt là sức khỏe trẻ em. Các triệu chứng và bệnh mà trẻ có thể gặp phải khi phơi nhiễm với khói thuốc lá bao gồm viêm tai giữa, viêm đường hô hấp dưới, các triệu chứng hô hấp như ho, khò khè, khó thở nhiều đờm dãi, v, v…, làm bệnh hen suyễn trở nên trầm trọng hơn, suy giảm chức năng phổi và gây ra hội chứng đột tử bất thường ở trẻ sơ sinh.

Nhiều nghiên cứu trên thế giới đã cho thấy mặc dù vấn đề phơi nhiễm thụ động với khói thuốc lá đã được chú ý trong thời gian gần đây, nhưng tỷ lệ trẻ em phơi nhiễm với khói thuốc lá vẫn khá cao. Năm 2010, Tổ chức Y tế thế giới đã ước tính có khoảng 700 triệu trẻ em trên thê giới vẫn phải sống trong bầu không khí bị ôn nhiễm bởi khói thuốc lá và hằng năm có gần 170.000 trẻ em tử vong do các bệnh liên quan đến thuốc lá. Bài báo này sẽ giới thiệu về thành phần của khói thuốc lá, tác hại của khói thuốc lá tới sức khỏe trẻ em, thực trạng trẻ em phơi nhiễm thụ động với khói thuốc lá, tren thế giới và ở Việt Nam, cũng như những nghiên cứu, chương trình can thiệp đã thực hiện nhằm giảm sự phơi nhiễm của trẻ em với khói thuốc lá đã được thực hiện ở Viêt Nam.

English abstract

Secondhand smoke (SHS), also called environmental tobacco smoke (ETS), can cause detrimental health effects to community health, especially to children's health. Main symptoms and diseases caused by children's exposure to SHS include middle ear disease, lower respiratory tract infections, respiratory symptoms and the exacerbation of asthma, lung dysfunction and sudden infant death syndrome.

Worldwide studies have shown that although the issue of SHS exposure has been given increased attention recently, the proportion of children exposed to SHS is still high. The World Health

Organization (WHO) estimated that there were about 700 million children in the world who have to inhale the air polluted by tobacco smoke and approximately 170,000 deaths among children each year caused by tobacco-related diseases [59]. This article will introduce the definition and composition of SHS and will discuss its harmful effects to children's health, the situation of children's exposure to SHS worldwide and in Viet Nam and interventions to reduce children's exposure to SHS in Viet Nam.


Từ khóa


khói thuốc lá trong môi trường; phơi nhiễm thụ động với khói thuốc lá; secondhand smoke/ environmental tobacco smoke; involuntary exposure to secondhand smoke

Toàn văn:

PDF (English)

##submission.citations##


Bộ Y tế (2003). Điều tra Y tế quốc gia 2002. Hà Nội, Bộ Y tế.

Bùi Thu Trang, Phạm Thị Cẩm Hà, et al. (2006). Xây dựng mô hình can thiệp "Ngôi nhà không khói thuốc" tại xã Chi Lăng Nam, huyện Thanh Miện, tỉnh Hải Dương. Hà Nội, Trường Đại học Y tế công cộng. Bài tập thực địa cộng đồng 2: 75.

Lê Thị Thanh Hương, Lê Vũ Anh, et al. (2011). "Nghiên cứu thăm dò tính khả thi của chương trình can thiệp "Trẻ em nói không với hút thuốc thụ động"." Tạp chí Y tế công cộng 21: 24-31.

Lý Ngọc Kính, Phan Thị Hải, et al. (2004). "Tình hình sử dụng thuốc lá trong học sinh tuổi 13-15 tại 5 tỉnh, thành phố Việt Nam." Tạp chí Y học thực hành 533: 29-38.

Nguyễn Khắc Hải, Đặng Anh Ngọc, et al. (2006). "Hiệu quả dự án "Làm sạch bầu không khí ô nhiễm khói thuốc lá: Tạo môi trường lành mạnh và an toàn cho trẻ em" " Tạp chí Y tế công cộng 6: 41-46.

Wipfli, H., Lê Bảo Châu, et al. (2009). "Phơi nhiễm thụ động với thuốc lá ở phụ nữ và trẻ em tại gia đình." Tạp chí Y tế công cộng 12: 46-51. Tiếng Anh

Bowen, A., H. Ma, et al. (2007). "A cluster-randomized controlled trial evaluating the effect of a handwashingpromotion program in Chinese primary schools." Am. J. Trop. Med. Hyg. 76(6): 1166-1173.

Britton, J. (2010). "Passive smoking damages children's health." Practitioner 254(1729): 27-30.

CDC (2008). "Global Youth Tobacco Surveillance 2000- 2007. Morbidity and Mortality Weekly Report, 57 (SS01); 1-21." Retrieved 28 April, 2010, from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5701a1.htm.

CDC (2010, January 2010). "Secondhand Smoke Fact Sheets." Retrieved 13 April, 2010, from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/general_facts/index.htm.

Christensen, P. (2004). "The health-promoting family: aconceptual framework for future research." Social Science & Medicine 59(2): 377-387.

Constant, C., I. Sampaio, et al. (2011). "Environmental tobacco smoke (ETS) exposure and respiratory morbidity in school age children." Rev Port Pneumol 17(1): 20-26.

Cook, D. G. and D. P. Strachan (1997). "Health effects of passive smoking. 3. Parental smoking and prevalence of respiratory symptoms and asthma in school age children." Thorax 52(12): 1081-1094.

Daher, N., R. Saleh, et al. (2010). "Comparison of carcinogen, carbon monoxide, and ultrafine particle emissions from narghile waterpipe and cigarette smoking: Sidestream smoke measurements and assessment of second-hand smoke emission factors." Atmos Environ 44(1): 8-14.

Dane, A. J., C. D. Havey, et al. (2006). "The detection of nitro pesticides in mainstream and sidestream cigarette smoke using electron monochromator-mass spectrometry." Anal. Chem. 78(10): 3227 - 3233.

DHHS (2006). The health consequences of involuntary exposure to tobacco smoke: A report of the Surgeon General. Atlanta, GA, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.

DHHS (2007). Children and secondhand smoke exposure. Excerpts from the health consequences of involuntary exposure to tobacco smoke: A report of the Surgeon General. Atlanta, GA, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.

DHHS (2010). A Report of the Surgeon General: How Tobacco Smoke Causes Disease - The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Atlanta GA, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.

DiFranza, J. R., C. A. Aligne, et al. (2004). "Prenatal and Postnatal Environmental Tobacco Smoke Exposure and Children's Health." Pediatrics 113(Suppl 4): 1007-1015.

Dong, G. H., Y. Cao, et al. (2007). "Effects of environmental tobacco smoke on respiratory health of boys and girls from kindergarten: results from 15 districts of northern China." Indoor Air 17(6): 475-483.

Dybing, E. and T. Sanner (1999). "Passive smoking, sudden infant death syndrome (SIDS) and childhood infections." Hum Exp Toxicol 18(4): 202-205.

EPA (1992). Respiratory health effects of passive smoking: Lung cancer and other disorders. Washington, D.C., U.S Environmental Protection Agency, Office of Research and Development, Office of Air Radiation.

Guang-Hui, D., M. Yan-Nan, et al. (2008). "Housing characteristics, home environmental factors and respiratory health in 3945 pre-school children in China." International Journal of Environmental Health Research 18(4): 267-282.

H#berg, S. E., H. Stigum, et al. (2007). "Effects of preand post-natal exposure to parental smoking on early childhood respiratory health." Am J Epidemiol 166(6): 679- 686.

Hawamdeh, A., F. A. Kasasbeh, et al. (2003). "Effects of passive smoking on children's health: a review." East Mediterr Health J 9(3): 441-447.

Hecht, S. S. (1998). "Biochemsitry, biology, and carcinogenicity of tobacco-specific N-Nitrosamines." Chemical Research in Toxicology 11(6): 559-603.

Hofhuis, W., J. C. De Jongste, et al. (2003). "Adverse health effects of prenatal and postnatal tobacco smoke exposure on children." Arch Dis Child 88(12): 1086-1090.

IARC (2004). IARC Monographs on the evaluation of carcinogenic risks to human: tobacco smoke and involuntary smoking. Vol. 83. Lyon (France): International Agency for Research on Cancer. 83.

Kasznia-Kocot, J., M. Kowalska, et al. (2010). "Environmental risk factors for respiratory symptoms and childhood asthma." Ann Agric Environ Med 17(2): 221-229.

Keskinoglu, P., D. Cimrin, et al. (2007). "The impact of passive smoking on the development of lower respiratory tract infections in children." J Trop Pediatr 53(5): 319-324.

King, K., M. Martynenko, et al. (2009). "Family Composition and Children's Exposure to Adult Smokers in Their Homes." Pediatrics 123(4): e559-e564.

Kraemer, M. J., M. A. Richardson, et al. (1983). "Risk factors for persistent middle-ear effusions: Otitis media, catarrh, cigarett smoke exposure, and atopy." JAMA 249(8): 1022-1025.

Kum-Nji, P., L. Meloy, et al. (2006). "Environmental tobacco smoke exposure: prevalence and mechanisms of causation of infections in children." Pediatrics 117(5): 1745- 1754.

Kwok, M. K., C. M. Schooling, et al. (2008). "Early life second-hand smoke exposure and serious infectious morbidity during the first 8 years: Evidence from Hong Kong's "Children of 1997" birth cohort." Tob Control 17(4): 263-270.

Lam, T. H., G. M. Leung, et al. (2001). "The effects of environmental tobacco smoke on health service utilization in the first eighteen months of life." Pediatrics 107(6): E91.

Lin, P.-L., H.-L. Huang, et al. (2010). "Second-hand smoke exposure and the factors associated with avoidance behavior among the mothers of pre-school children: a school-based cross-sectional study." BMC Public Health 10(1): 606.

Maziak, W., F. Mzayek, et al. (1999). "Effects of environmental tobacco smoke on the health of children in the Syrian Arab Republic." East Mediterr Health J 5(4):

-697.

Minh, H. V., P. T. H. Anh, et al. (2007). Study on the association between secondhand smoke and respiratory health of children under 6 years of age in Vietnam. Hanoi.

Ministry of Health of Vietnam (2010). Global Adult Tobacco Survey (GATS) Vietnam 2010. Hanoi, Ministry of Health.

Moon, R. Y. and L. Y. Fu (2007). "Sudden Infant Death Syndrome." Pediatrics in Review 28(6): 209-214.

NCI (1999). Health effects of exposure to environmental tobacco smoke: The report of the California EPA. Smoking and Tobacco Control Monograph No. 10, U.S. Department of Health and Human Services, National Institute of Health, National Cancer Institute. 2010.

Nga, P. T. Q. and L. T. T. Ha (2007). Evaluation of the effectiveness of the project 'Reducing social acceptability of smoking in Vietnam'. Hanoi, Vietnam Public Health Association & Health Bridge Canada: 91.

Oberg, M., M. S. Jaakkola, et al. (2011). "Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries." Lancet 377(9760): 139-146.

OEHHA Cal/ EPA. (2006). "Secondhand tobacco smoke and children's health." Retrieved 15 April, 2010, from http://oehha.ca.gov/air/environmental_tobacco/pdf/smoke2 final.pdf.

Pirastu, R., C. Bellu, et al. (2009). "Indoor exposure to environmental tobacco smoke and dampness: Respiratory symptoms in Sardinian children--DRIAS study." Environmental Research 109(1): 59-65.

Qian, Z., J. Zhang, et al. (2004). "Factor analysis of household factors: are they associated with respiratory conditions in Chinese children?" International Journal of Epidemiology 33(3): 582-588.

Radic, S. D., B. S. Gvozdenovic, et al. (2011). "Exposure to tobacco smoke among asthmatic children: parents' smoking habits and level of education." Int J Tuberc Lung Dis 15(2): 276-280.

Rinne, S. T., E. J. Rodas, et al. (2006). "Relationship of pulmonary function among women and children to indoor air pollution from biomass use in rural Ecuador." Respir Med 100(7): 1208-1215.

Rohde, J. E. and T. Sadjimin (1980). "Elementary-school pupils as health educators: Role of school health programmes in primary health-care." Lancet 1: 1350-1352.

Schick, S. and S. Glantz (2005). "Philip Morris toxicological experiments with fresh sidestream smoke: more toxic than mainstream smoke." Tob Control 14(6): 396 - 404.

Schick, S. and S. A. Glantz (2006). "Sidestream cigarette smoke toxicity increases with aging and exposure duration " Tob. Control 15(6): 424 - 429.

Schwartz, J., K. L. Timonen, et al. (2000). "Respiratory effects of environmental tobacco smoke in a panel study of asthmatic and symptomatic children." Am J Respir Crit Care Med 161(3): 802-806.

Strachan, D. P. and D. G. Cook (1998). "Parental smoking, middle ear disease and adenotonsillectomy in children." Thorax 53(1): 50-56.

Tsai, C.-H., J.-H. Huang, et al. (2010). "Household environmental tobacco smoke and risks of asthma, wheeze and bronchitic symptoms among children in Taiwan." Respir Res 11(1): 11.

Wahlgren, D. R., M. F. Hovell, et al. (2000). "Involuntary smoking and asthma." Curr Opin Pulm Med 6(1): 31-36.

WHO - Regional Office for Europe and European Environment and Health Information System. (2007, May 2007). "Exposure of children to environmental tobacco smoke - Fact sheet No. 3.4." Retrieved 14 April, 2010, from http://www.euro.who.int/Document/EHI/ENHIS_Factsheet_3_4.pdf.

WHO (1999). International consultation report on environmental tobacco smoke and child health. Geneva, World Health Organization: 29.

WHO (2009). WHO report on the global tobacco epidemic, 2009: Implementing smoke-free environments.

WHO (2010). Gender, women, and tobacco epidemic. Chapter 5. Second-hand smoke, women and children. Geneva.

Wilson, K. M., J. D. Klein, et al. (2011). "Tobaccosmoke exposure in children who live in multiunit housing." Pediatrics 127(1): 85-92.

Witschi, H., J. P. Joad, et al. (1997). "The toxicology of environmental tobacco smoke." Annu. Rev. Pharmacol. Toxicol. 37: 29 - 52.

Zakrzewski, M., J. Wojtak, et al. (2005). "The influence of sudden infant death syndrome (SIDS) risk factors on health, growth and development in the first year of life. A preliminary report." Med Wieku Rozwoj 9(4): 763-771.