The Indoor Air and Children's Health Study is a prospective cohort stu
dy of the relation between indoor air pollution and lower respiratory
illness (LRI) during the first 2 years of life. information on family
and household characteristics was obtained from a health maintenance o
rganization for 1,424 infants enrolled at birth. Data on LRI were abst
racted from medical records. The incidence of all LRI was 48.4 per 100
child-years. Wheezing associated respiratory illness (WARI)/asthma wa
s the most common specific LRI, with an incidence of 11.5 per 100 chil
d-years. Total LRI incidence was lowest during the first 5 months of l
ife. Girls had lower incidence than boys [rate ratio (RR) = 0.8; 95% c
onfidence interval (CI) = 0.7-0.8)]. With the exception of croup, all
LRI were most common during February and March. These results are comp
arable with those of other prospective studies. Consistent with other
studies, self-reported maternal smoking demonstrated an RR of 1.5 (95%
CI = 1.2-1.8) for total LRI, but the association varied for specific
LRIs from 2.3 (95% CI = 1.5-3.0) for WARI/asthma to 1.0 (95% CI = 0.7-
1.6) for bronchitis.