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Review: parental smoking increases risk of recurrent otitis media, middle ear effusion, and tonsillectomy or adenoidectomy in children

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Question Is parental smoking associated with acute and recurrent otitis media, middle ear effusion, and surgery for diseases of the ear, nose, and throat in children?

Data sources

Medline and Embase/Excerpta Medica were searched in April 1997 using the terms (or derivations of the terms) tobacco smoke pollution, passive, second-hand, second hand, involuntary, parent, maternal, mother, paternal, father, or household combined with the terms “smok,” tobacco, or cigarette. The search was restricted to children according to textwords in the articles' titles or abstracts. Bibliographies of relevant overviews or studies were also reviewed.

Study selection

The abstracts of articles that had keywords relating to respiratory or allergic disease were reviewed (n=1593). From these, 99 papers were identified that included the textwords (or …

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  • Source of funding: UK Department of Health.

  • For correspondence: Dr D P Strachan, Department of Public Health Sciences, St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE, UK. Fax +44 (0)181 725 3584.