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已发表论文
父母吸烟与中国儿童过敏性结膜炎风险：一项横断面研究
Received 4 June 2025
Accepted for publication 7 October 2025
Published 31 October 2025 Volume 2025:18 Pages 1467—1476
DOI https://doi.org/10.2147/JAA.S544598
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 5
Editor who approved publication: Dr Luis Garcia-Marcos
Huan Wang,1,2 Shuchang Zhang3
1Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin, 300052, People’s Republic of China; 2Department of Ophthalmology, Tianjin Children’s Hospital, Tianjin, 300134, People’s Republic of China; 3Fei Si Lan Xi Yue Medical Cosmetology Clinic, Tianjin, 300134, People’s Republic of China
Correspondence: Huan Wang, Department of Ophthalmology, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin, 300052, People’s Republic of China, Tel +8613652026874, Email 13652026874@163.com
Purpose: Evidence on the link between parental smoking and allergic conjunctivitis (AC) is limited, particularly in Chinese children. This study aimed to examine the association between parental smoking and the risk of AC in children.
Patients and Methods: The cross-sectional study was conducted in the ophthalmology department at Tianjin Children’s Hospital from 2021 to 2022. We used logistic regression to explore the association between parental smoking and AC. The stability of the results was ensured using subgroup analysis and propensity score matching (PSM).
Results: A total of 4249 participants met the inclusion criteria and were analyzed. After adjusting for all covariates, parental smoking was significantly associated with AC. The adjusted odds ratio was 1.17 (1.03– 1.34). Significant interactions were observed for mode of delivery and multiple pregnancies, in relation to the prediction of AC (P < 0.05). Further exploratory subgroup analyses in children with myopia, hyperopia, and astigmatism revealed no significant interactions (all P values for interaction were > 0.05). After adjusting for potential confounders using PSM, the results remained stable.
Conclusion: This cross-sectional study showed that influence of inappropriate parental smoking on the risk of incident AC. Parental smoking was associated with increased risk of AC in children. Reducing parental smoking may help lower this risk. These findings underscore the importance of public health interventions to reduce children’s exposure to secondhand smoke.
Keywords: parental smoking, allergic conjunctivitis, pediatric
1Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin, 300052, People’s Republic of China; 2Department of Ophthalmology, Tianjin Children’s Hospital, Tianjin, 300134, People’s Republic of China; 3Fei Si Lan Xi Yue Medical Cosmetology Clinic, Tianjin, 300134, People’s Republic of China
Correspondence: Huan Wang, Department of Ophthalmology, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin, 300052, People’s Republic of China, Tel +8613652026874, Email 13652026874@163.com
Purpose: Evidence on the link between parental smoking and allergic conjunctivitis (AC) is limited, particularly in Chinese children. This study aimed to examine the association between parental smoking and the risk of AC in children.
Patients and Methods: The cross-sectional study was conducted in the ophthalmology department at Tianjin Children’s Hospital from 2021 to 2022. We used logistic regression to explore the association between parental smoking and AC. The stability of the results was ensured using subgroup analysis and propensity score matching (PSM).
Results: A total of 4249 participants met the inclusion criteria and were analyzed. After adjusting for all covariates, parental smoking was significantly associated with AC. The adjusted odds ratio was 1.17 (1.03– 1.34). Significant interactions were observed for mode of delivery and multiple pregnancies, in relation to the prediction of AC (P < 0.05). Further exploratory subgroup analyses in children with myopia, hyperopia, and astigmatism revealed no significant interactions (all P values for interaction were > 0.05). After adjusting for potential confounders using PSM, the results remained stable.
Conclusion: This cross-sectional study showed that influence of inappropriate parental smoking on the risk of incident AC. Parental smoking was associated with increased risk of AC in children. Reducing parental smoking may help lower this risk. These findings underscore the importance of public health interventions to reduce children’s exposure to secondhand smoke.
Keywords: parental smoking, allergic conjunctivitis, pediatric