A prospective study on the role of smoking, environmental tobacco smoke, indoor painting and living in old or new buildings on asthma, rhinitis and respiratory symptoms

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  • Juan Wang, Uppsala University, Sweden
  • Christer Janson, Department of Medical Sciences, Respiratory-, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden., Sweden
  • Rain Jogi, Tartu University Hospital, Estonia
  • Bertil Forsberg, University of Umeå, Umeå, Sweden., Sweden
  • Thorarinn Gislason, Univ Iceland, Landspitali National University Hospital, University of Iceland, Natl Univ Hosp Iceland, Iceland
  • Mathias Holm, Gothenburg University, Sweden
  • Kjell Torén, Sahlgrenska Academy at University of Gothenburg, Sweden
  • Andrei Malinovschi, Uppsala University and Uppsala Clinical Research Center, Uppsala University, Sweden., Sweden
  • Torben Sigsgaard
  • Vivi Schlünssen
  • Cecilie Svanes, Haukeland University Hospital, Bergen, University of Bergen, Norway
  • Ane Johannessen, University of Bergen, Norway
  • Randi Jacobsen Bertelsen, University of Bergen, Oral Health Centre of Expertise in Western Norway, Bergen, Norway
  • Karl A Franklin, Umeå University, Sweden
  • Dan Norbäck, Uppsala University and Uppsala Clinical Research Center, Uppsala University, Sweden., Sweden

We studied associations between tobacco smoke, home environment and respiratory health in a 10 year follow up of a cohort of 11,506 adults in Northern Europe. Multilevel logistic regression models were applied to estimate onset and remission of symptoms. Current smokers at baseline developed more respiratory symptoms (OR = 1.39-4.43) and rhinitis symptoms (OR = 1.35). Starting smoking during follow up increased the risk of new respiratory symptoms (OR = 1.54-1.97) and quitting smoking decreased the risk (OR = 0.34-0.60). ETS at baseline increased the risk of wheeze (OR = 1.26). Combined ETS at baseline or follow up increased the risk of wheeze (OR = 1.27) and nocturnal cough (OR = 1.22). Wood painting at baseline reduced remission of asthma (OR 95%CI: 0.61, 0.38-0.99). Floor painting at home increased productive cough (OR 95%CI: 1.64, 1.15-2.34) and decreased remission of wheeze (OR 95%CI: 0.63, 0.40-0.996). Indoor painting (OR 95%CI: 1.43, 1.16-1.75) and floor painting (OR 95%CI: 1.77, 1.11-2.82) increased remission of allergic rhinitis. Living in the oldest buildings (constructed before 1960) was associated with higher onset of nocturnal cough and doctor diagnosed asthma. Living in the newest buildings (constructed 1986-2001) was associated with higher onset of nocturnal breathlessness (OR = 1.39) and rhinitis (OR = 1.34). In conclusion, smoking, ETS and painting indoor can be risk factors for respiratory symptoms. Wood painting and floor painting can reduce remission of respiratory symptoms. Smoking can increase rhinitis. Living in older buildings can be a risk factor for nocturnal cough and doctor diagnosed asthma. Living in new buildings can increase nocturnal dyspnoea and rhinitis.

Original languageEnglish
Article number110269
JournalEnvironmental Research
Number of pages10
Publication statusPublished - Jan 2021

    Research areas

  • asthma, rhinitis, onset and remission, smoking, environmental tobacco smoke, painting

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