Table 3.58. Relative risks for spontaneous abortion among nonsmokers exposed to environmental tobacco smoke (ETS) compared with nonsmokers not exposed to ETS

Study (location)Study designPopulationMeasure of exposure to ETSRelative risk (95% confidence interval)
Ahlborg and Bodin 1991 (Sweden) Prospective study
Self-administered questionnaire
2,936 nonsmokersLiving with smoker
Spending most time at work around smokers
1.0 (0.7-1.5) for exposure at home *
1.5 (1.0-2.4) for exposure at workplace *
1.1 (0.8-1.5) for any exposure *
Windham et al. 1992 (California)Case-control study
Telephone interview
626 cases
1,300 controls
Spending > 1 hour/day at home or work around smokers
Number of cigarettes smoked by father
1.6 (1.2-2.1) for any exposure > 1 hour/day **
1.0 (0.8-1.3) for any paternal smoking **
No dose-response effect
Windham et al. 1999c (California)Prospective study
Telephone interview
5,144 pregnancies
4,209 nonsmokers
Hours/day at home and/or work
Amount smoked by spouse or partner
1.0 (0.8-1.3) ** for any ETS; no dose-response effect
*

Adjusted relative risk for spontaneous abortions and stillbirths combined.

**

Adjusted relative risk for spontaneous abortion at < 20 weeks' gestation.

§

Adjusted for age, prior spontaneous abortion, alcohol and caffeine consumption, and gestational age at interview.

From: Chapter 3. Health Consequences of Tobacco Use Among Women

Cover of Women and Smoking
Women and Smoking: A Report of the Surgeon General.
Office on Smoking and Health (US).

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