© 1974 Oxford University Press
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Respiratory Symptoms in a Group of American Secondary School Students: The Overwhelming Association with Cigarette Smoking
1 Division of Epidemiology, The Columbia University School of Public Health 600 West 168th Street, New York, N.Y. 10032, U.S.A.
Twelve thousand five hundred and ninety-five students completed usable questionnaires in a survey of smoking and respiratory symptoms, in all public high schools in Rochester, New York, in the spring of 1968. Boys reported more smoking than girls, whites more than blacks, and older children than younger. The amount of smoking reported reflected parental smoking, especially among girls. Among boys, there was a negative relationship between social status and reported smoking but there was no comparable gradient among girls. There was school by school variation in reported smoking unexplained by age or social status, especially among girls. Current smoking was strongly associated with reported respiratory symptoms. Younger smokers had generally higher rates of symptoms but there were only minor differences between the sexes. Those with a past history of pneumonia reported an excess of recent lengthy chest illness. Among those not currently smoking, blacks had much higher rates of symptoms than whites, and children of lower social status, especially girls, also reported a somewhat higher rate of some symptoms.
Received 6 November 1973
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