THE PREVALENCE OF PASSIVE SMOKING AND OTHER RISK FACTORS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN SAINT PETERSBURG

Abstract


There is an analysis of the prevalence of passive smoking, occupational hazards, exposure to biomass smoke in the home as a risk factors for chronic obstructive pulmonary disease (COPD) among the population aged 35-70 years of St. Petersburg on the basis of the results of the first phase of an epidemiological study RESPECT (RESearch on the PrEvalence and the diagnosis of COPD and its Tobacco-related aetiology). High prevalence of passive smoking was found among persons those aged older than 35 years, who are exposed to over 10 years in childhood and adolescence. They were accounted 43,5% (95% CI 41,4-45,7%). Overall, the prevalence of second-hand smoke among people older than 18 years more than 10 years was found 32,8% (95% CI 30,8­34,9%). Among them, women were significantly more exposed to the secondary effects of tobacco in the home than men (36,9 and 23,9%, respectively, p < 0,001). In opposite, men significantly more often than women exposed to environmental tobacco smoke at work (25,0 and 11,6%, respectively, p < 0,001). The proportion of participants who had never smoked, exposed to passive smoking more than 1 hour per week during the last week before the survey, was 22,4%. Never smoked persons with higher education less exposed anywhere (home or work) second-hand smoke (OR = 0,59, 95% CI 0,44-0,80). Over a quarter of the participants were exposed to of professional risk factors more than one year: 27,5% of dust at work (95% CI 25,5-29,6%); 23,7% gaz or chemical vapors/fumes (95% CI 21,8-25,7%).

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About the authors

M A Pokhaznikova

North-Western State Medical University named after I. I. Mechnikov

O Yu Kuznetsova

North-Western State Medical University named after I. I. Mechnikov

A K Lebedev

North-Western State Medical University named after I. I. Mechnikov

References

  1. The Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2014 - Available from: www.goldcopd.org. - Последнее посещение сайта 01.12.2014 г.
  2. Forey B. A., Thornton A. J., Lee P. N. Systematic review with meta-analysis of the epidemiological evidence relating smoking to COPD, chronic bronchitis and emphysema - BMC Pulm Med. - 2011. - Vol. 11. - www.ncbi.nlm.nih.gov/pmc/articles/PMC3128042. - Последнее посещение сайта 15.02.2015.
  3. Mirabelli M. C., London S. J., Charles L. E., Pompeii L. A, Wagenknecht L. E. Occupation and three-year incidence of respiratory symptoms and lung function decline: the ARIC Study - Respir. Res. - 2012. - Vol. 13. - www.ncbi.nlm.nih.gov/pmc/articles/PMC3352304. - Последнее посещение сайта 15.02.2015.
  4. Pruss-Ustun A., Bonjour S., Corvalan C. The impact of the environment on health by country: a meta-synthesis. - Environ. Health. - 2008. - Vol. 7. - www.ncbi.nlm.nih.gov/pmc/articles/PMC2276491. - Последнее посещение сайта 15.02.2015.
  5. Moran-Mendoza O., Perez-Padilla J. R., Salazar-Flores M. et al. Wood smoke-associated lung disease: a clinical, functional, radiological and pathological description // Int. J. Tuberc. Lung Dis. - 2008. - Vol. 12. - P. 1092-1098.
  6. Eisner M. D., Balmes J., Katz P. P., Trupin L., Yelin E. H., Blanc P. D. Lifetime environmental tobacco smoke exposure and the risk of chronic obstructive pulmonary disease - Environ. Health. - 2005. - Vol. 4 - www.ncbi.nlm.nih.gov/pmc/articles/PMC1145187. - Последнее посещение сайта 15.02.2015.
  7. Oberg M., Jaakkola M. S., Woodward A., Peruga A., Pruss-Ustun A. Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries // The Lancet. - 2011. - Vol. 377. - № 9760. - P. 139-146.
  8. Radon K., Busching K., Heinrich J., Wichmann H. E., Jorres R. A., Magnussen H., Nowak D. Passive smoking exposure: a risk factor for chronic bronchitis and asthma in adults? // Chest. - 2002. - Vol. 122. - № 3. - P. 1086-1090.
  9. Jordan R. E., Cheng K. K., Miller M. R., Adab P. Passive smoking and chronic obstructive pulmonary disease: cross-sectional analysis of data from the Health Survey for England. - BMJ Open. - 2011. - Vol. 1. - www.bmjopen.bmj.com/content/1/2/e000153. full/. - Последнее посещение сайта 15. 02. 2015.
  10. Mitchell E. A., Beasley R., Keil U., Montefort S., Odhiambo J. The association between tobacco and the risk of asthma, rhinoconjunctivitis and eczema in children and adolescents: analyses from Phase Three of the ISAAC programme // Thorax. - 2012. - Vol. 67 - P. 941-949.
  11. Mohammad Y., Shaaban R., Al-Zahab B. A., Khaltaev N., Bousquet J., Dubaybo B. Impact of active and passive smoking as risk factors for asthma and COPD in women presenting to primary care in Syria: first report by the WHO-GARD survey group // Int. J. Chron. Obstruct. Pulmon. Dis. - 2013. - № 8. - P. 473-482.
  12. Svanes C., Omenaas E., Jarvis D. et al. Parental smoking inchildhood and adult obstructive lung disease: results from the European Community Respiratory Health Survey // Thorax. - 2004. - Vol. 59. - P. 295-302.
  13. American Physiological Society. «Secondhand smoke may provoke inflammatory response in lungs». Science Daily. 27 August 2010 // www.sciencedaily.com/releases/2010/08/100826141230.htm. - Последнее посещение сайта 15.02.2015.
  14. Global Adult Tobacco Survey (GATS): Russian Federation 2009. Country report: http://www.who.int/ tobacco/surveillance/en_tfi_gats_russian_countryreport.pdf. - Последнее посещение сайта 15.02.2015.
  15. Mirabelli M. C., London S. J., Charles L. E., Pompeii L. A., Wagenknecht L. E. Occupation and three-year incidence of respiratory symptoms and lung function decline: the ARIC Study - Respir. Res. - 2012. - Vol. 13. - www.ncbi.nlm.nih.gov/pmc/articles/PMC3352304. - Последнее посещение сайта 15.02.2015.
  16. Fingerhut M., Nelson D. I., Driscoll T. et al. The contribution of occupational risks to the global burden of disease: summary and next steps// Med. Lav. - 2006. - Vol. 97. - Р. 313-321.
  17. Chuchalin A. G., Khaltaev N., Antonov N. S., Galkin D. V., Manakov L. G. et al. Chronic respiratory diseases and risk factors in 12 regions of the Russian Federation // Int. J. Chron. Obstruct. Pulmon. Dis. - 2014. - № 9. - P. 963-974.
  18. Han M. K. The «other» COPD // E. R. J. - 2014. - Vol. 43. - №. 3. - Р. 659-661.
  19. Ezzati M., Kammen D. M. The health impacts of exposure to indoor air pollution from solid fuels in developing countries: knowledge, gaps, and data needs // Environ. Health Perspect. - 2002. - Vol. 11. - P. 1057-1068.
  20. Ozbay B., Uzun K., Arslan H., Zehir I. Functional and radiological impairment in women highly exposed to indoor biomass fuels // Respirology. - 2001. - Vol. 6. - № 3. - P. 255-258.
  21. Похазникова М. А., Кузнецова О. Ю., Лебедев А. К., Немышева О. А., Зернюк Ю. А. Распространенность курения как фактора риска хронической обструктивной болезни легких в Санкт-Петербурге // Российский семейный врач. - 2014. - № 4. - C. 24-32.
  22. Eisner M. D., Katz P. P., Yelin E. H., Hammond S. K., Blanc P. D. Measurement of environmental tobacco smoke exposure among adults with asthma // Environmental Health Perspectives. - 2001. - Vol. 109. - № 8. - P. 809-814.

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Copyright (c) 2015 Pokhaznikova M.A., Kuznetsova O.Y., Lebedev A.K.

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