Abstract: Statistically significant respiratory symptoms effects of smoking had been reported in many studies. The present paper was a partial report of a public health doctoral dissertation base on a cross-sectional environmental health study done in homes of a slum area in Jakarta, capital of Indonesia where ambient air pollution was significantly high. The paper described that among other factors, smoking was the health risk factor related to the development of respiratory symptoms among 263 children under-five in the research area. The children recruited were without any respiratory symptoms at the beginning of the observation, and then were followed for 2 weeks to detect the occurrence of any respiratory symptoms. Factors relating to physical conditions of homes and household activities were also recorded. Analysis of data was done including the control of confounding factors. A cut-off of 70 mg/m3 indoor PM10 concentration as the surrogate for quantitative measure of smoking was seen as the most specific and sensitive level in relation to the occurrence of respiratory symptoms among the children. The study signified that the consumption of cigarettes was significantly related to the increase of indoor PM10 concentration. Every single cigarette consumed by the father was related to of indoor PM10 increase in the range from 2.6 mg/m3 to 3.9 mg/m3. However, the study was not able to prove any influence on the variation of the indoor PM10 concentrations by the physical factor of the homes studied. The end conclusion of the study showed that in homes of an overcrowded area, parental smoking was the critical factor for the quality of indoor air, hence the health risk to the respiration system of the occupants.
Author: Rachmadi Purwana
Journal Code: jpkesmasdd070063