Parental smoking exposure increases pediatric adenotonsillectomy: a national population-based case-control study.

IF 2.6 3区医学 Q1 PEDIATRICS European Journal of Pediatrics Pub Date : 2025-02-07 DOI:10.1007/s00431-025-06010-1

Itai Hazan, Yehuda Schwarz, Tal Marom, Tomer Kerman, Oren Ziv, Nitzan Burrack, Pierre Attal, Sharon Ovnat Tamir

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Abstract

To understand whether parental smoking influences adeno/tonsillectomy rates in their offspring. A population-based case-control study using data from Clalit Health Services. Israeli children aged 0-18 years who underwent adeno/tonsillectomy between 2003 and 2022 were 1:3 matched with same-age, sex, and ethnicity controls. Parental smoking habits were linked to their children's files. Conditional logistic regression models estimated odds ratios (ORs) for adeno/tonsillectomy associated with parental smoking, adjusting for socioeconomic status. We identified 11,184 children who underwent surgery and 33,552 controls (mean age ± SD 4.10 ± 2.50 years). The likelihood of undergoing adeno/tonsillectomy was significantly higher for children with either one smoking parent (OR 1.14; 95%CI 1.09-1.19) or both (OR 1.53; 95%CI 1.39-1.68) compared to children of non-smokers. The association was more evident for tonsillectomy alone, with an OR of 3.20 (95%CI 2.06-4.97) when both parents were smokers. These associations remained consistent even after adjusting for socioeconomic status. Parental smoking rates were higher in the surgical group across all categories. Maternal smoking prevalence was 10% versus 7.5%, and paternal smoking prevalence was 36% versus 32%, in the surgical group vs. the control group, accordingly. The proportion of children with only one smoking parent was 34% compared to 31%, and for cases with both parents smoking, the rate was 6.3% versus 4.3%.

Conclusion: Parental smoking is associated with higher rates of pediatric adenoidectomy, tonsillectomy, and adenotonsillectomy, especially if both parents smoke. Counseling parents on the negative effects of smoking on their children is crucial in reducing the incidence of these surgeries.

What is known: • Parental smoking can cause multiple pediatirc diseases.

What is new: • Parental smoking is associated with higher rate of adenotonsillar surgery.

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父母吸烟暴露增加儿童腺扁桃体切除术：一项基于全国人群的病例对照研究。

了解父母吸烟是否会影响其后代的腺/扁桃体切除率。一项基于人群的病例对照研究，使用来自Clalit卫生服务的数据。2003年至2022年间接受腺/扁桃体切除术的0-18岁以色列儿童与同龄、性别和种族对照组的匹配比例为1:3。父母的吸烟习惯与孩子的档案有关。条件logistic回归模型估计与父母吸烟相关的腺/扁桃体切除术的优势比（ORs），并根据社会经济地位进行调整。我们确定了11,184名接受手术的儿童和33,552名对照组（平均年龄±SD 4.10±2.50岁）。父母一方吸烟的儿童接受腺/扁桃体切除术的可能性显著更高(OR 1.14；95%CI 1.09-1.19)或两者皆有(or 1.53；95%可信区间1.39-1.68)。单纯扁桃体切除术的相关性更为明显，当父母双方都是吸烟者时，OR为3.20 （95%CI 2.06-4.97）。即使在调整了社会经济地位之后，这些关联仍然是一致的。在所有类别中，手术组的父母吸烟率都更高。相应地，手术组和对照组的产妇吸烟率分别为10%和7.5%，父亲吸烟率分别为36%和32%。父母一方吸烟的儿童比例为34%，而父母双方都吸烟的儿童比例为6.3%，父母一方吸烟的儿童比例为4.3%。结论：父母吸烟与儿童腺样体切除术、扁桃体切除术和腺扁桃体切除术的发生率较高有关，尤其是父母双方都吸烟的儿童。就吸烟对孩子的负面影响向父母提供咨询对于减少此类手术的发生率至关重要。了解情况：•父母吸烟可导致多种儿科疾病。最新进展：•父母吸烟与腺扁桃体手术的高发率相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Pediatrics 医学-小儿科

CiteScore

5.90

自引率

2.80%

发文量

367

审稿时长

3-6 weeks

期刊介绍： The European Journal of Pediatrics (EJPE) is a leading peer-reviewed medical journal which covers the entire field of pediatrics. The editors encourage authors to submit original articles, reviews, short communications, and correspondence on all relevant themes and topics. EJPE is particularly committed to the publication of articles on important new clinical research that will have an immediate impact on clinical pediatric practice. The editorial office very much welcomes ideas for publications, whether individual articles or article series, that fit this goal and is always willing to address inquiries from authors regarding potential submissions. Invited review articles on clinical pediatrics that provide comprehensive coverage of a subject of importance are also regularly commissioned. The short publication time reflects both the commitment of the editors and publishers and their passion for new developments in the field of pediatrics. EJPE is active on social media (@EurJPediatrics) and we invite you to participate. EJPE is the official journal of the European Academy of Paediatrics (EAP) and publishes guidelines and statements in cooperation with the EAP.