Doruk Sibel, Inönü Köseoğlu Handan, Erkorkmaz Unal
Department of Chest Diseases, Faculty of Medicine, Gaziosmanpasa University, Tokat, Turkey.
Tuberk Toraks. 2011;59(4):362-8. doi: 10.5578/tt.2487.
In present study it was aimed to determine the general characteristics of cases who cause environmental tobacco smoke (ETS) exposure. One hundred and forty five cases (53/92, F/M) who admitted to smoking cessation clinic were asked about general demographic characteristics, the history of ETS exposure in childhood and whether they cause of ETS exposure or not. Also Fagernström test for nicotine dependence (FTND) and hospital anxiety depression test (HADT) were performed. The mean age of the cases was 42.2 years. It was determined that 71% of cases exposed ETS in childhood and 69% of cases cause ETS exposure. There was no effect of the number of cigarette smoked per day and the amount of packet/years on to cause ETS exposure. The cases who cause ETS exposure to be forced more than others in places that it is forbidden smoking (p= 0.045), FTND score was higher (mean= 5.9) than others (mean= 4.8) (p= 0.009). The FTND score was ≥ 5 in 72% of cases who cause ETS exposure and in 53.3% of others (p= 0.045). 117 of cases were performed HADT, symptoms related with anxiety and depression were detected in 45 and 54 of cases respectively. The mean anxiety score was higher in cases who cause ETS exposure (p= 0.025). The symptoms related with anxiety and depression were determined similar in cases who cause ETS exposure or not. It was identified that there was no effect of gender, education, business status, another smoker at home, history of ETS exposure in childhood, socioeconomic status and to have knowledge about passive smoking on to cause ETS exposure. Prevention of nicotine addiction to be developed by starting smoking precludes the onset of the diseases related to smoking, and also enables inhibition of ETS exposure especially at home.
在本研究中，旨在确定导致环境烟草烟雾（ETS）暴露的病例的一般特征。询问了145例（53/92，女性/男性）入住戒烟诊所的患者的一般人口统计学特征、儿童时期ETS暴露史以及他们是否导致ETS暴露。此外，还进行了尼古丁依赖的法格斯特伦测试（FTND）和医院焦虑抑郁测试（HADT）。病例的平均年龄为42.2岁。确定71%的病例在儿童时期暴露于ETS，69%的病例导致ETS暴露。每天吸烟数量和每年吸烟包数对导致ETS暴露没有影响。在禁止吸烟的场所，导致ETS暴露的病例比其他人更常被迫暴露（p = 0.045），FTND评分更高（平均 = 5.9），高于其他人（平均 = 4.8）（p = 0.009）。72%导致ETS暴露的病例FTND评分≥5，而其他病例中这一比例为53.3%（p = 0.045）。117例病例进行了HADT，分别在45例和54例病例中检测到与焦虑和抑郁相关的症状。导致ETS暴露的病例平均焦虑评分更高（p = 0.025）。在导致ETS暴露或未导致ETS暴露的病例中，与焦虑和抑郁相关的症状相似。确定性别教育、职业状况、家中是否有其他吸烟者、儿童时期ETS暴露史、社会经济状况以及对被动吸烟的了解对导致ETS暴露没有影响。通过开始吸烟来预防尼古丁成瘾可预防与吸烟相关疾病的发生，还能尤其在家中抑制ETS暴露。
