Respiratory symptoms/diseases and environmental tobacco smoke (ETS) in never smoker Italian women

Autor: Sandra Baldacci, Roberto Puntoni, Francesco Di Pede, Elena Lo Presti, Sara Farchi, Francesco Forastiere, Salvatore Basso, Marzia Simoni, Giuseppe Maria Corbo, Gabriella Matteelli, Francesco Pistelli, Giovanni Viegi, Laura Carrozzi, Nerina Agabiti, Riccardo Pistelli
Rok vydání: 2007
Předmět:
Zdroj: Respiratory Medicine. 101:531-538
ISSN: 0954-6111
DOI: 10.1016/j.rmed.2006.06.021
Popis: Summary Aim To study the relationship between respiratory/allergic disorders and chronic environmental tobacco smoke (ETS) exposure to husband or at workplace among non-smoking women of a general population in Italy. Methods Analyses regard 2195 married or employed women. Information was collected through a self-administered questionnaire. ETS exposure was validated by salivary cotinine. Results Exposure both to husband and at work resulted a significant risk factor for current dyspnoea (odds ratio (OR) 1.61, 95% confidence interval (CI) 1.20–2.16), any shortness of breath at rest (OR 2.81, 95% CI 1.83–4.30), recent wheeze (OR 1.71, 95% CI 1.04–2.82), recent attacks of shortness of breath with wheeze (OR 1.85, 95% CI 1.05–3.26), asthma diagnosis/symptoms (OR 1.50, 95% CI 1.09–2.08), diagnosis of asthma or bronchitis/emphysema (obstructive lung diseases (OLD)) (OR 2.24, 95% CI 1.40–3.58), current cough/phlegm (OR 1.52, 95% CI 1.07–2.15), and rhino-conjunctivitis (OR 1.48, 95% CI 1.13–1.94). Exposure only at work yielded higher adjusted odds ratios for all health conditions, except for rhino-conjunctivitis. Overall, about 24% of shortness of breath at rest, 16% of dyspnoea, 17% of rhino-conjunctivitis, 12% of OLD, and 10% of asthma diagnosis/symptoms are attributable to the effect of exposures to both husband and at work. Twelve percent of shortness of breath at rest and 10% of rhino-conjunctivitis cases might be avoided by eliminating exposure only at work and only to husband, respectively. Conclusions Lifetime ETS exposure, especially at work, is associated with respiratory symptoms/diseases, and it accounts for a sizeable proportion of such disorders. The combined effect of both exposures is higher than the separate effects.
Databáze: OpenAIRE