Passiv rökning
Granskad av Prof Cathy Jackson, MRCGPSenast uppdaterad av Dr Colin Tidy, MRCGPSenast uppdaterad 29 May 2018
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I denna serie:RökningBenefits of stopping smokingHur man slutar rökaÄr e-cigaretter säkra?NikotinersättningsterapiBupropion för att sluta röka
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You have an increased risk of lung cancer and heart disease if you are exposed to other people smoking for long periods of time.
Överblick
Passive smoking is breathing in another person's cigarette smoke.
Children exposed to passive smoke have an increased risk of infections, asthma, and cot death.
Adults exposed to passive smoke have an increased risk of lung cancer and heart disease.
Many children wish their parents would stop smoking, especially in the home or car.
If you smoke, one good reason to give up smoking is to benefit those who live and work with you. If you can't give up, you should make every effort to keep cigarette smoke away from other people, ideally by smoking outside.
To read more facts about smoking, see the separate leaflet called Quit Smoking (Smoking Cessation).
Passive smoking risks
Children and babies who live in a home where there is a smoker:
Are more prone to asthma, and ear, nose and chest infections.
Have an increased risk of dying from cot death (sudden infant death syndrome).
Are more likely than average to become smokers themselves when older.
On average, do less well at reading and reasoning skills compared to children in smoke-free homes, even at low levels of smoke exposure.
Are at increased risk of developing chronic obstructive pulmonary disease (COPD) and cancer as adults.
Nicotine and other toxins can seep into clothing, soft furnishing, etc; a child does not have to be in a room or a car, while someone is smoking, to be harmed from the effects of their smoke.
Passive smoking of adults. You have an increased risk of lung cancer and heart disease if you are exposed to other people smoking for long periods of time. For example, the risk of developing lung cancer is increased by about 20-30% in people who are regularly exposed to other people's cigarette smoke. Cigarette smoke is also an irritant and can make asthma and other conditions worse.
Passive smoking in pregnancy
Smoking when you are pregnant can harm your unborn baby. See the separate leaflet called Pregnancy and Smoking for more details.
How much passive smoking is dangerous
The overall health impact of passive smoking is large. Although the health risks from passive smoking are small for the individual in comparison with the health risks from active smoking, the public health consequences of passive smoking are high due to the large numbers of people exposed.
For example, passive smoking by people living with smokers in the UK increases the risk of death from coronary heart disease by 50-60%. It is estimated to cause around 2,700 deaths per year in people aged 20-64, and a further 8,000 deaths per year among people aged 65 or older.
It is estimated that children breathing in other people's cigarette smoke resulted in 300,000 GP visits and 9,500 hospital admissions in 2011 in the UK. Up to five million children are thought to be regularly exposed to second-hand smoke in the home.
The results of a survey on children's views on smoking were published on the Department of Health's website. The survey revealed that children want smoke-free lives.
The survey found that:
98% of children wished their parents would stop smoking.
82% of children wished their parents wouldn't smoke in front of them at home.
78% of children wished their parents wouldn't smoke in front of them in the car.
41% of children said cigarette smoke made them feel ill.
42% of children said cigarette smoke made them cough.
Patientval för Rökning

Hälsosamt liv
Är e-cigaretter säkra?
E-cigarettes are devices designed to create the sensation of smoking and usually provide a dose of nicotine, without involving the use of tobacco.
av Dr Jacqueline Payne, FRCGP

Hälsosamt liv
Benefits of stopping smoking
Stopping smoking can make a big difference to your health and lifestyle. It is never too late to stop smoking to greatly benefit your health. For example, if you stop smoking in middle age, before having cancer or some other serious disease, you avoid most of the increased risk of death due to smoking. Help is available if you find it difficult to stop smoking.
av Dr Toni Hazell, MRCGP
Vanliga frågor
What is 'thirdhand smoke'?
Nicotine and other harmful toxins from cigarette smoke can linger in clothing, soft furnishings, and other items. This means that a child can still be exposed to the effects of smoke and be harmed, even if they were not in the room or car while someone was actively smoking.
Does passive smoking only affect lung health?
No, passive smoking affects various aspects of health. For adults, it increases the risk of both lung cancer and heart disease. For children, it can lead to asthma, ear, nose, and chest infections, and in babies, it increases the risk of sudden infant death syndrome. There's also an impact on cognitive development, with children in smoke-free homes performing better at reading and reasoning skills.
How do children feel about their parents smoking?
A survey of children's views showed that 98% wished their parents would stop smoking. The majority (82%) wished their parents wouldn't smoke in front of them at home, and 78% expressed the same wish for smoking in the car. Many children reported physical symptoms, with 41% saying cigarette smoke made them feel ill and 42% stating it made them cough.
Are there any resources available to help someone stop smoking?
Yes, for comprehensive information on how to stop smoking and the various treatments available to assist in quitting, you can refer to the separate leaflet titled 'Quit Smoking (Smoking Cessation)'.
Vidare läsning och referenser
- Smoking: harm reduction; NICE Public Health Guidance, June 2013
- Rökavvänjning; NICE CKS, October 2012 (UK access only)
- Hughes JR, Stead LF, Hartmann-Boyce J, et al; Antidepressants for smoking cessation. Cochrane Database Syst Rev. 2014 Jan 8;1:CD000031. doi: 10.1002/14651858.CD000031.pub4.
- Wu J, Sin DD; Improved patient outcome with smoking cessation: when is it too late? Int J Chron Obstruct Pulmon Dis. 2011;6:259-67. doi: 10.2147/COPD.S10771. Epub 2011 May 2.
- Cahill K, Stevens S, Perera R, et al; Pharmacological interventions for smoking cessation: an overview and network meta-analysis. Cochrane Database Syst Rev. 2013 May 31;(5):CD009329. doi: 10.1002/14651858.CD009329.pub2.
- Hartmann-Boyce J, McRobbie H, Bullen C, et al; Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev. 2016 Sep 14;9:CD010216.
- E-cigarettes: an evidence update; Public Health England, August 2015
- Cahill K, Lindson-Hawley N, Thomas KH, et al; Nicotine receptor partial agonists for smoking cessation. Cochrane Database Syst Rev. 2016 May 9;(5):CD006103. doi: 10.1002/14651858.CD006103.pub7.
- Anthenelli RM, Benowitz NL, West R, et al; Neuropsychiatric safety and efficacy of varenicline, bupropion, and nicotine patch in smokers with and without psychiatric disorders (EAGLES): a double-blind, randomised, placebo-controlled clinical trial. Lancet. 2016 Jun 18;387(10037):2507-20. doi: 10.1016/S0140-6736(16)30272-0. Epub 2016 Apr 22.
- Hackshaw A, Morris JK, Boniface S, et al; Low cigarette consumption and risk of coronary heart disease and stroke: meta-analysis of 141 cohort studies in 55 study reports. BMJ. 2018 Jan 24;360:j5855.
- Reid RD, Pritchard G, Walker K, et al; Managing smoking cessation. CMAJ. 2016 Dec 6;188(17-18):E484-E492. doi: 10.1503/cmaj.151510. Epub 2016 Oct 3.
- Cao S, Yang C, Gan Y, et al; The Health Effects of Passive Smoking: An Overview of Systematic Reviews Based on Observational Epidemiological Evidence. PLoS One. 2015 Oct 6;10(10):e0139907. doi: 10.1371/journal.pone.0139907. eCollection 2015.
Om författarenVisa fullständig biografi

Dr Colin Tidy, MRCGP
Allmänläkare, Medicinsk Författare
MBBS, MRCGP, MRCP (Paediatrics), DCH
Dr Colin Tidy är en NHS-läkare, baserad i Oxfordshire.
Om recensentenVisa fullständig biografi

Prof Cathy Jackson, MRCGP
Medicinsk Författare
BSc (Hons) Physiology, MB, ChB, MRCGP, MD
Professor Cathy Jackson graduated from Manchester Medical School having gained a first-class honours degree in physiology along the way.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
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29 May 2018 | Senaste versionen

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