{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T00:42:25Z","timestamp":1759538545049,"version":"build-2065373602"},"reference-count":21,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Epidemiol Community Health"],"published-print":{"date-parts":[[1998,1]]},"abstract":"<jats:p>STUDY OBJECTIVE: To examine the financial cost of doctor consultations for cough, phlegm, and wheeze in children living in a home where family members smoke compared with those not exposed to environmental tobacco smoke. To model these costs to provide the Territory of Hong Kong with estimates of potentially avoidable health care resource use. DESIGN: Cross sectional questionnaire survey. SUBJECTS AND SETTING: All children (10,615) in classes primary 3 to 6 (aged 8-13 years) attending 27 schools in two districts of Hong Kong in 1992 and their parents. MEASUREMENTS AND MAIN RESULTS: Doctor consultations during the previous three months for symptoms of either cough, phlegm or wheeze were higher in younger children, ranging from 22.9% in 8 year olds to 8.4% in those aged 12 or over. For those children living in homes with one, or more than one, smoker category (there were four categories of smokers: father, mother, siblings, others), the adjusted odds ratios (95% confidence intervals) for a doctor consultation for any of these symptoms were 1.15 (1.01, 1.31) and 1.38 (1.14, 1.67) respectively. Using US$15 as the minimum cost incurred per consultation, the expected direct cost per annum per child of doctor consultations was 14% higher for children living in a one smoker category home and 25% for two or more compared with exposure to no smokers in the home. Using these values on a territory wide basis, the annual avoidable direct cost associated with exposure to tobacco smoke in children from birth to 12 years of age ranged from US$338,042 to US$991,591. CONCLUSIONS: Exposure to environmental tobacco smoke not only provides a respiratory health risk for children but also an avoidable excess cost to the family's financial resources and health service providers.<\/jats:p>","DOI":"10.1136\/jech.52.1.53","type":"journal-article","created":{"date-parts":[[2009,1,5]],"date-time":"2009-01-05T14:15:53Z","timestamp":1231164953000},"page":"53-58","source":"Crossref","is-referenced-by-count":9,"title":["Economic burden of environmental tobacco smoke on Hong Kong families: scale and impact."],"prefix":"10.1136","volume":"52","author":[{"given":"J","family":"Peters","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C J","family":"McCabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A J","family":"Hedley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T H","family":"Lam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C M","family":"Wong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1998,1,1]]},"reference":[{"issue":"6\u201390","key":"ref_1","article-title":"Respiratory health eVects of passive smoking: lung cancer and other disorders. 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Lancet 1974;i:529\u201332.","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1136\/jech.35.3.180","article-title":"Parental smoking and lower respiratory illness in the first three years of life","volume":"35","author":"Fergusson, D.M.; Horwood, L.J.; Shannon, F.T.","year":"1981","unstructured":"Fergusson DM, Horwood LJ, Shannon FT, et al. Parental smoking and lower respiratory illness in the first three years of life. J Epidemiol Community Health 1981;35:180\u20134.","journal-title":"J Epidemiol Community Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1136\/bmj.293.6542.303","article-title":"Influence of passive smoking on admissions for respiratory illness in early childhood","volume":"293","author":"Chen, Y.; Li, W.; Yu, S.","year":"1986","unstructured":"Chen Y, Li W, Yu S. Influence of passive smoking on admissions for respiratory illness in early childhood. BMJ 1986; 293:303\u20136.","journal-title":"BMJ"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1093\/ije\/17.2.348","article-title":"Chang-Ning Epidemiological study of children\u2019s health: I: Passive smoking and children\u2019s respiratory disease","volume":"17","author":"Chen, Y.; Li, W.; Yu, S.; Qian, W.","year":"1988","unstructured":"Chen Y, Li W, Yu S, Qian W. Chang-Ning Epidemiological study of children\u2019s health: I: Passive smoking and children\u2019s respiratory disease. Int J Epidemiol 1988;17:348\u201355.","journal-title":"Int J Epidemiol"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1542\/peds.85.4.505","article-title":"Maternal smoking and childhood asthma","volume":"85","author":"Weitzman, M.; Gortmaker, S.; Walker, D.K.; Sobol, A.","year":"1990","unstructured":"Weitzman M, Gortmaker S, Walker DK, Sobol A. Maternal smoking and childhood asthma. 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Scand J Prim Health Care 1993;11:147\u2013 50.","journal-title":"Scand J Prim Health Care"},{"key":"ref_9","first-page":"330","article-title":"Air pollution and respiratory health in primary school children in Hong Kong, 1989\u20131992. Report to the Environmental Protection Department, Hong Kong Government","author":"Hedley, A.J.; Peters, J.; Lam, T.H.","year":"1993","unstructured":"Hedley AJ, Peters J, Lam TH, et al. Air pollution and respiratory health in primary school children in Hong Kong, 1989\u20131992. Report to the Environmental Protection Department, Hong Kong Government. Hong Kong: Department of Community Medicine, University of Hong Kong, 1993: 330."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1093\/ije\/25.4.821","article-title":"EVects of an ambient air pollution intervention and environmental tobacco smoke on children\u2019s respiratory health in Hong Kong","volume":"25","author":"Peters, J.; Hedley, A.J.; Wong, C.M.","year":"1996","unstructured":"Peters J, Hedley AJ, Wong CM, et al. EVects of an ambient air pollution intervention and environmental tobacco smoke on children\u2019s respiratory health in Hong Kong. Int J Epidemiol 1996;25:821\u20138.","journal-title":"Int J Epidemiol"},{"key":"ref_11","first-page":"21","article-title":"Methods for the economic evaluation of health care programmes","author":"Drummond, M.F.; Stoddard, G.L.; Torrance, G.W.","year":"1987","unstructured":"Drummond MF, Stoddard GL, Torrance GW. Methods for the economic evaluation of health care programmes. Oxford: Oxford Medical, 1987: 21\u20134."},{"key":"ref_12","first-page":"171","article-title":"The economics of health: an introduction","author":"Cullis, J.G.; West, P.A.","year":"1979","unstructured":"Cullis JG, West PA. The economics of health: an introduction. Oxford: Martin Robertson, 1979: 171\u20133"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/0048-9697(91)90025-A","article-title":"Studies on the respiratory health of primary school children in urban communities of Hong Kong","volume":"106","author":"Ong, S.G.; Liu, J.; Wong, C.M.","year":"1991","unstructured":"Ong SG, Liu J, Wong CM, et al. Studies on the respiratory health of primary school children in urban communities of Hong Kong. Sci Total Environ 1991;106:121\u201335.","journal-title":"Sci Total Environ"},{"key":"ref_14","article-title":"Questionnaire on respiratory symptoms","author":"Council, Medical Research","year":"1960","unstructured":"Medical Research Council. Questionnaire on respiratory symptoms. London: MRC, 1960."},{"key":"ref_15","article-title":"Methods for cohort studies of chronic airflow limitation","volume-title":"WHO Regional Publications, European Series No 12","author":"Florey C du V, Leeder SR","year":"1982","unstructured":"Florey C du V, Leeder SR. Methods for cohort studies of chronic airflow limitation. Copenhagen: WHO, 1982. WHO Regional Publications, European Series No 12."},{"key":"ref_16","article-title":"Health problems, choices of care and patterns of utilisation in a wellpopulation telephone survey: surveys on health and medical care in Hong Kong. Hong Kong: Report to Health and Welfare Branch, Hong Kong Government","author":"Hedley, A.J.; Cheng, K.K.; Pei, G.K.","year":"1990","unstructured":"Hedley AJ, Cheng KK, Pei GK, et al. Health problems, choices of care and patterns of utilisation in a wellpopulation telephone survey: surveys on health and medical care in Hong Kong. Hong Kong: Report to Health and Welfare Branch, Hong Kong Government, 1990."},{"key":"ref_17","article-title":"Labour and Employment","volume-title":"The Other Hong Kong Report","author":"Ho, L.S.","year":"1992","unstructured":"Ho LS. Labour and Employment. In: Cheng YS, Kwong PCK, eds. The Other Hong Kong Report. Hong Kong: Chinese University Press, 1992: 197."},{"key":"ref_18","first-page":"28","article-title":"Population Census","author":"Census; Department, Statistics; Kong, Hong","year":"1991","unstructured":"Census and Statistics Department, Hong Kong 1991 Population Census. Hong Kong: Government Printer, 1991:28\u201344."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1002\/hpm.4740030306","article-title":"The economic impact of smoking in Canada","volume":"3","author":"Choi, B.C.K.; Nethercott, JR","year":"1998","unstructured":"Choi BCK, Nethercott JR. The economic impact of smoking in Canada. International Journal of Health Planning and Management 1998;3:197\u2013205.","journal-title":"International Journal of Health Planning and Management"},{"key":"ref_20","first-page":"1513","article-title":"Consulting patterns for some common respiratory conditions presented to the GPU","volume":"13","author":"Munro, C.; Lewis, J.; Lam, C.; Cho, S.K.","year":"1991","unstructured":"Munro C, Lewis J, Lam C, Cho SK. Consulting patterns for some common respiratory conditions presented to the GPU. Hong Kong Practitioner 1991;13:1513\u201330.","journal-title":"Hong Kong Practitioner"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1093\/intqhc\/6.4.371","article-title":"Doctor-shopping in Hong Kong: implications for quality of care","volume":"6","author":"Lo, A.; Hedley, A.J.; Pei, G.K.","year":"1994","unstructured":"Lo A, Hedley AJ, Pei GK, et al. Doctor-shopping in Hong Kong: implications for quality of care. 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