While breathing in secondhand smoke is known to harm kids’ lungs, new research suggests that children whose parents smoked are also more prone to developing rheumatoid arthritis (RA) later in life. Black patients with RA are less likely to be prescribed a biologic treatment and more likely to use glucocorticoids, which carry a risk of serious long-term side effects.
“Our findings give more depth and gravity to the negative health consequences of smoking in relation to [rheumatoid arthritis], one of the most common autoimmune diseases,” lead author Dr. Kazuki Yoshida, of the division of rheumatology, inflammation and immunity at Brigham and Women’s Hospital, in Boston says.
Rheumatoid arthritis is an inflammatory disease characterized by arthritis in multiple joints. Several genetic and environmental factors contribute to RA risk, and personal smoking is the most well-established environmental risk factor. But research into the link between secondhand smoke and rheumatoid arthritis risk has been limited.
READ: Deep Disparities Persist in Who Gets Exposed to Secondhand Smoke
To learn more, the researchers analyzed data from nearly 91,000 U.S. women in a long-term health study.
Those with childhood exposure to parents’ secondhand smoke had a 75% higher risk of rheumatoid arthritis, and the risk was even higher among those who became smokers themselves.
A mother’s smoking during pregnancy and years lived with smokers after age 18 were not significantly linked with rheumatoid arthritis risk, according to the report published Aug. 18 in the journal Arthritis & Rheumatology.
“This relationship between childhood parental smoking and adult-onset [rheumatoid arthritis] may go beyond rheumatology,” Yoshida says. “Future studies should investigate whether childhood exposure to inhalants may predispose individuals to general autoimmunity later in life.”
The researchers note that their study was limited because it did not include men. They plan to continue their research with
both men and women.
Roughly 14 million children aged 3-11 years old are exposed to secondhand smoke, according to the CDC. They breathe it in at home, at daycares and in cars. Children are twice as likely as nonsmoking adults to be exposed to secondhand smoke.
READ: Secondhand Smoke Is Still A Problem! Here’s Why…
Effects of secondhand smoke
Secondhand smoke can also harm the lungs and bodies of babies that are still growing:
- Babies who breathe secondhand smoke are more likely to die unexpectedly from sudden infant death syndrome (SIDS), also called crib death.
- Babies and children who breathe secondhand smoke are sick more often with bronchitis, pneumonia, and ear infections.
- For children with asthma, breathing secondhand smoke can trigger an attack. The attack can be severe enough to send a child to the hospital. Sometimes an asthma attack is so severe that a child dies.
There is no amount of secondhand smoke that is safe for children and despite your attempts, simply going outside, opening windows, and turning on air purifiers and air fresheners do not remove smoke’s poisons. Smoke from one cigarette can stay in a room for hours so it’s best to not smoke in the house even when children aren’t present.
How to protect your child
The CDC recommends doing the following to protect your child from the effects of secondhand smoke:
- Ask people not to smoke around your children.
- Decide to have a smoke-free home and car, and ask family and friends to respect your decision.
- Get rid of all ashtrays in your home.
- Teach your children to stay away from secondhand smoke. Encourage your teens not to smoke.
- Make the decision to quit smoking. Get help from your doctor, family, and friends. Call this free quitline: 1-800-QUIT-NOW (1-800-784-8669).