Hygienic assessment of health risks for employees of the Omsk ambulance service due to tobacco smoking

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UDC: 
613.84-037+614.23: 614.88 (571.13)
DOI: 
10.21668/health.risk/2024.1.08.eng
Authors: 

A.V. Butorin, V.P. Rodkin, V.A. Shirinskii

Organization: 

Omsk State Medical University, 12 Lenina St., Omsk, 644099, Russian Federation

Abstract: 

The results of many studies indicate that there is a cause-effect relationship between active tobacco smoking and risks of various diseases, lung and bronchial cancer (C34) and coronary heart disease (I25) being the most common among them. These diseases are one of the main causes of death in working age.

The aim of this study was to perform hygienic assessment of risks of lung and bronchial cancer and coronary heart disease due to active tobacco smoking. Healthcare workers employed at the Omsk ambulance station were chosen as the research object. Additional risk levels were calculated for lung and bronchial cancer and coronary heart disease in accordance with the methodical guidelines MR 2.1.10.0033-11 Assessment of Risks Associated with Impacts of Lifestyle Factors on Public Health.

Smoking was a health risk factor for 27.5 % of emergency medical services workers, including 42.5 % of men and 21.3 % of women. Sixty-six point seven percent of men aged between 31 and 40 years smoked. Prevalence of smoking among the females in the sample did not depend on age. The risk analysis revealed that smokers, equally men and women (p > 0.1) were the most likely to have lung and bronchial cancer and coronary heart disease. The corresponding median levels of additional risk equaled 1.45E-05 and 9.0E-06. The proportion of people with unacceptable levels of additional risks of the analyzed diseases (> 1.4E-04) equaled 43.3 and 53.3 % respectively among people older than 40 years. Likelihood of lung and bronchial cancer and coronary heart disease statistically significantly depends on the intensity of smoking.

Keywords: 
hygiene, risk, smoking, tobacco, incidence of the population, coronary heart disease, malignant neoplasms, healthcare workers
Butorin A.V., Rodkin V.P., Shirinskii V.A. Hygienic assessment of health risks for employees of the Omsk ambulance service due to tobacco smoking. Health Risk Analysis, 2024, no. 1, pp. 81–89. DOI: 10.21668/health.risk/2024.1.08.eng
References: 
  1. Tobacco. WHO, 2023. Available at: https://www.who.int/news-room/fact-sheets/detail/tobacco (October 02, 2023).
  2. Lawrence H., Hunter A., Murray R., Lim W.S., Mckeever T. Systematic Review on the Effect of Current Smoking on the Risk of Influenza. European Respiratory Journal, 2018, vol. 52, suppl. 62, PA1733. DOI: 10.1183/13993003.congress-2018.PA1733
  3. McAfee T., Burnette D. The impact of smoking on women's health. J. Womens Health (Larchmt), 2014, vol. 23, no. 11, pp. 881–885. DOI: 10.1089/jwh.2014.4983
  4. Salagay O.O., Antonov N.S., Sakharova G.M., Peredelskaya M.Yu., Starodubov V.I. The effect of smoking on the development and progress of chronic bronchitis. Profilakticheskaya meditsina, 2020, vol. 23, no. 4, pp. 7–13. DOI: 10.17116/profmed2020230417 (in Russian).
  5. Wang R., Qiang Y., Gao X., Yang Q., Li B. Prevalence of non-communicable diseases and its association with tobacco smoking cessation intention among current smokers in Shanghai, China. Tob. Induc. Dis., 2022, vol. 20, pp. 106. DOI: 10.18332/tid/155828
  6. Levina T.V., Dzizinskii A.A. The condition of the cardiovascular and respiration system in medical specialists depending on the smoking status. Sibirskii meditsinskii zhurnal, 2011, vol. 105, no. 6, pp. 43–46 (in Russian).
  7. Juranić B., Rakošec Ž., Jakab J., Mikšić Š., Vuletić S., Ivandić M., Blažević I. Prevalence, habits and personal attitudes towards smoking among health care professionals. J. Occup. Med. Toxicol., 2017, vol. 12, pp. 20. DOI: 10.1186/s12995-017-0166-5
  8. Shalnova S.A., Deev A.D., Oganov R.G. Factors influencing cardiovascular mortality in Russian population. Kardiovaskulyarnaya terapiya i profilaktika, 2005, vol. 4, no. 1, pp. 4–9 (in Russian).
  9. Levshin V.F., Slepchenko N.I. Tobacco smoking and risk of developing malignant tumors and other chronic noncommunicable diseases. Onkologiya. Zhurnal im. P.A. Gertsena, 2020, vol. 9, no. 3, pp. 41–47. DOI: 10.17116/onkolog2020903141 (in Russian).
  10. Buzinov R.V., Unguryanu T.N. An assessment of the risk associated with behavioral lifestyle factors. Health Risk Analysis, 2013, no. 2, pp. 45–48. DOI: 10.21668/health.risk/2013.2.05.eng
  11. Banks E., Joshy G., Korda RJ., Stavreski B., Soga K., Egger S., Day C., Clarke N.E. [et al.]. Tobacco smoking and risk of 36 cardiovascular disease subtypes: fatal and non-fatal outcomes in a large prospective Australian study. BMC Med., 2019, vol. 17, no. 1, pp. 128. DOI: 10.1186/s12916-019-1351-4
  12. Rulkiewicz A., Pilchowska I., Lisik W., Pruszczyk P., Domienik-Karłowicz J. Prevalence of Cigarette Smoking among Professionally Active Adult Population in Poland and Its Strong Relationship with Cardiovascular Co-Morbidities-POL-O-CARIA 2021 Study. J. Clin. Med., 2022, vol. 11, no. 14, pp. 4111. DOI: 10.3390/jcm11144111
  13. Stapelfeld C., Dammann C., Maser E. Sex-specificity in lung cancer risk. Int. J. Cancer, 2020, vol. 146, no. 9, pp. 2376–2382. DOI: 10.1002/ijc.32716
  14. Niksic M., Redondo-Sanchez D., Chang Y.-L., Rodriguez-Barranco M., Exposito-Hernandez J., Marcos-Gragera R., Oliva-Poch E., Bosch-Barrera J. [et al.]. The role of multimorbidity in short-term mortality of lung cancer patients in Spain: a population-based cohort study. BMC Cancer, 2021, vol. 21, no. 1, pp. 1048. DOI: 10.1186/s12885-021-08801-9
  15. Middha P., Weinstein S.J., Männistö S., Albanes D., Mondul A.M. β-Carotene Supplementation and Lung Cancer Incidence in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study: The Role of Tar and Nicotine. Nicotine Tob. Res., 2019, vol. 21, no. 8, pp. 1045–1050. DOI: 10.1093/ntr/nty115
  16. Nigam K., Samadi F.M., Srivastava S., Mohammad S., Sanyal S. Smoking and XPC Gene Polymorphism Interact to Modulate the Risk of Oral Cancer. J. Maxillofac. Oral Surg., 2021, vol. 20, no. 4, pp. 607–611. DOI: 10.1007/s12663-020-01340-z
  17. Reigle J., Secic D., Biesiada J., Wetzel C., Shamsaei B., Chu J., Zang Y., Zhang X. [et al.]. Tobacco smoking induces metabolic reprogramming of renal cell carcinoma. J. Clin. Invest., 2021, vol. 131, no. 1, pp. e140522. DOI: 10.1172/JCI140522
  18. Zaridze D.G. Tabak – osnovnaya prichina raka [Tobacco is the main cause of cancer]. Moscow, IMA-PRESS Publ., 2012, 208 p. (in Russian).
  19. Zang E.A., Wynder E.L. Differences in lung cancer risk between men and women: examination of the evidence. J. Natl Cancer Inst., 1996, vol. 88, no. 3–4, pp. 183–192. DOI: 10.1093/jnci/88.3-4.183
  20. Lopez A.D. Smoking and death in Russia. Tob. Control, 1998, vol. 7, no. 1, pp. 3–4. DOI: 10.1136/tc.7.1.3
  21. Panasiuk L., Mierzecki A., Wdowiak L., Paprzycki P., Lukas W., Godycki-Cwirko M. Prevalence of cigarette smoking among adult population in eastern Poland. Ann. Agric. Environ. Med., 2010, vol. 17, no. 1, pp. 133–138.
  22. Summers A.D., Sirin H., Palipudi K., Erguder T., Ciobanu A., Ahluwalia I.B. Changes in prevalence and predictors of tobacco smoking and interest in smoking cessation in Turkey: Evidence from the Global Adult Tobacco Survey, 2008–2016. Tob. Prev. Cessat., 2022, vol. 8, pp. 35. DOI: 10.18332/tpc/152748
  23. Faytelson-Levina T.V., Dzizinskii A.A., Krasnova J.N. The prevalence of tobacco smoking among medical specialists. Sibirskii meditsinskii zhurnal (Irkutsk), 2008, vol. 83, no. 8, pp. 32–35 (in Russian).
  24. Faytelson-Levina T.V., Dzizinskii A.A., Krasnova J.N. The prevalence of tobacco smoking among students of the Irkutsk State Medical University. Sibirskii meditsinskii zhurnal (Irkutsk), 2009, vol. 85, no. 2, pp. 94–96 (in Russian).
  25. Seryogin V.I., Sakharova G.M., Antonov N.S., Medvedeva O.V., Mirov A.I. Attitude to-wards tobacco smoking among obstetric and gynecology care providers. Sotsial'nye aspekty zdorov'ya naseleniya: scientific web publication, 2016, vol. 5, no. 51. DOI: 10.21045/2071-021-2016-51-5-4 (in Russian).
  26. Todorović I., Cheng F., Stojisavljević S., Marinković S., Kremenović S., Savić P., Golić-Jelić A., Stojaković N. [et al.]. Prevalence of Cigarette Smoking and Influence of Associated Factors among Students of the University of Banja Luka: A Cross-Sectional Study. Medicina (Kaunas), 2022, vol. 58, no. 4, pp. 502. DOI: 10.3390/medicina58040502
  27. Prijić Ž., Igić R. Cigarette smoking and medical students. J. BUON, 2021, vol. 26, no. 5, pp. 1709–1718. Available at: https://jbuon.com/archive/26-5-1709.pdf (October 4, 2023).
  28. Zong Q., Li H., Jiang N., Gong Y., Zheng J., Yin X. Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China. Front. Public Health, 2022, vol. 10, pp. 980208. DOI: 10.3389/fpubh.2022.980208
  29. Zadorkina T.G. Prevalence of smoking among employees of healthcare facilities. Profil-akticheskaya meditsina, 2016, vol. 19, no. 6, pp. 46–49. DOI: 10.17116/profmed201619546-49 (in Russian).
  30. Gambaryan M.G., Drapkina O.M., Kontsevaya A.V., Popovich M.V., Salagai O.O. Monitoring and evaluation of the implementation of tobacco control legislation for protecting people from tobacco smoke exposure and health consequences of tobacco use. Methodical guidelines. Kardiovaskulyarnaya terapiya i profilaktika, 2022, vol. 21, no. 5, pp. 3194. DOI: 10.15829/1728-8800-2022-3194 (in Russian).
  31. WHO report on the Global Tobacco Epidemic, 2008: the MPOWER package. Geneva, WHO, 2008, 329 p. Available at: https://www.who.int/publications/i/item/9789241596282 (October 04, 2023).
  32. Kurenie v Rossii: monitoring [Smoking in Russia: monitoring]. JSC ‘VCIOM’: Russian Public Opinion Research Center. Available at: https://wciom.ru/analytical-reviews/analiticheskii-obzor/kurenie-v-rossi... (October 06, 2023) (in Russian).
Received: 
24.10.2023
Approved: 
28.11.2023
Accepted for publication: 
20.03.2024

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