Evidence map›Paper›PMID 33149260›Full record

ArticlePediatric research2021

Burden of disease from exposure to secondhand smoke in children in Europe.

Giulia Carreras, Alessio Lachi, Barbara Cortini, Silvano Gallus, Maria José López, Ángel López-Nicolás, Alessandra Lugo, Maria Teresa Pastor, Joan B Soriano, Esteve Fernandez and 2 more

Abstract read
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In one paragraph

Article in Pediatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
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  4. Development of the Respiratory System During Adolescence.Advances in experimental medicine and biology · 2026
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  13. Review
  14. Short-Term Effects of Side-Stream Smoke on Nerve Growth Factor and Its Receptors TrKA and p75International journal of environmental research and public health · 2022
    Article
  15. Article
  16. Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 14 institutions in 7 countries.

Giulia CarrerasOncologic Network, Prevention and Research Institute (ISPRO), Florence, Italy. g.carreras@ispro.toscana.it.
Alessio LachiOncologic Network, Prevention and Research Institute (ISPRO), Florence, Italy.
Barbara CortiniOncologic Network, Prevention and Research Institute (ISPRO), Florence, Italy.
Silvano GallusIstituto di Ricerche Farmacologiche Mario Negri IRCCS (IRFMN), Milan, Italy.
Maria José LópezPublic Health Agency of Barcelona (ASPB), Barcelona, Spain.
Ángel López-NicolásPolytechnic University of Cartagena (UPCT), Cartagena, Spain.
Alessandra LugoIstituto di Ricerche Farmacologiche Mario Negri IRCCS (IRFMN), Milan, Italy.
Maria Teresa PastorHospital Universitario La Princesa (IISP), Madrid, Spain.
Joan B SorianoHospital Universitario La Princesa (IISP), Madrid, Spain.
Esteve FernandezConsortium for Biomedical Research in Respiratory Diseases (CIBER en Enfermedades Respiratorias, CIBERES), Madrid, Spain.
Giuseppe GoriniOncologic Network, Prevention and Research Institute (ISPRO), Florence, Italy.
TackSHS Project Investigators
Hospital Universitario de La Princesa · ESFondazione IRCCS Istituto Nazionale dei Tumori · ITHellenic Cancer Society · GRMario Negri Institute for Pharmacological Research · ITInstitut Català d'Ornitologia · ESUniversidad Politécnica de Cartagena · ESUniversity of Stirling · GBCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESEuropean Network for Smoking and Tobacco Prevention · BEAgencia de Salud Pública de Barcelona · ESHospital de Sant Pau · ESInstitut d'Investigació Biomédica de Bellvitge · ESPrevention Institute · USTobaccoFree Research Institute · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSecondhand smoke (SHS) exposure at home and fetal SHS exposure during pregnancy are a major cause of disease among children. The aim of this study is quantifying the burden of disease due to SHS exposure in children and in pregnancy in 2006-2017 for the 28 European Union (EU) countries.

methodsExposure to SHS was estimated using a multiple imputation procedure based on the Eurobarometer surveys, and SHS exposure burden was estimated with the comparative risk assessment method using meta-analytical relative risks. Data on deaths and disability-adjusted life years (DALYs) were collected from National statistics and from the Global Burden of Disease Study.

resultsExposure to SHS and its attributable burden stalled in 2006-2017; in pregnant women, SHS exposure was 19.8% in 2006, 19.1% in 2010, and 21.0% in 2017; in children it was 10.1% in 2006, 9.6% in 2010, and 12.1% in 2017. In 2017, 35,633 DALYs among children were attributable to SHS exposure in the EU, mainly due to low birth weight.

conclusionsComprehensive smoking bans up to 2010 contributed to reduce SHS exposure and its burden in children immediately after their implementation; however, SHS exposure still occurs, and in 2017, its burden in children was still relevant. IMPACT: Exposure to secondhand smoke at home and in pregnancy is a major cause of disease among children. Smoking legislation produced the adoption of voluntary smoking bans in homes; however, secondhand smoke exposure at home still occurs and its burden is substantial. In 2017, the number of deaths and disability-adjusted life years in children attributable to exposure to secondhand smoke in the European Union countries were, respectively, 335 and 35,633. Low birth weight caused by secondhand smoke exposure in pregnancy showed the largest burden. Eastern European Union countries showed the highest burden.

Indexed as

Environmental ExposureTobacco Smoke PollutionChildDisability-Adjusted Life YearsEuropeFemaleHumansInfant, Low Birth WeightMalePregnancyTobacco Smoke Pollution

Identifiers

PMID33149260
OpenAlexW3097156126

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.