Çil Barış, Polat Mehmet Reşit, Kabak Mehmet
Department of Chest Disease, Mardin State Hospital, Mardin, Turkey.
Department of Chest Disease, Batman Regional State Hospital, Batman, Turkey.
Turk Thorac J. 2021 Sep;22(5):381-385. doi: 10.5152/TurkThoracJ.2021.0280.
Although the damages to health that are caused by asbestos exposure are known, the mineral continues to be in use. Our main purpose in the study was to determine the relationship between awareness and asbestos use.
A total of 100 residents from the Armutova village of Ergani District in the Diyarbakir province of Turkey, with previous asbestos exposure were studied between January 2010 and December 2010. Exposure to asbestos was questioned in all participants. Asbestos doses were measured in the setting where they lived. The pulmonary function tests (PFTs) including forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) were performed, and chest radiography was taken.
The duration of asbestos exposure was found to be associated with reduced PFTs and the pathological lung findings on radiology. Although 97% of the participants were aware of asbestos and its health risks, the rates of its use were significantly higher, and associated with excessive exposure levels. Longer duration of asbestos exposure was significantly associated with reduced FVC. There were more prominent reductions in FEV1 with longer durations of asbestos exposure.
The high rates of asbestos use indicate that changing habits, particularly among individuals residing in rural areas, is difficult. In our country, the main route of asbestos exposure is through the environment, which is at least as hazardous as occupational exposure.
尽管已知石棉暴露会对健康造成损害,但这种矿物仍在使用。我们这项研究的主要目的是确定认知与石棉使用之间的关系。
2010年1月至2010年12月期间,对土耳其迪亚巴克尔省埃尔加尼区阿尔穆托瓦村的100名曾接触过石棉的居民进行了研究。询问了所有参与者的石棉接触情况。在他们居住的环境中测量了石棉剂量。进行了包括用力肺活量(FVC)和第1秒用力呼气量(FEV1)在内的肺功能测试,并拍摄了胸部X光片。
发现石棉暴露的持续时间与肺功能测试结果降低以及放射学上的肺部病理表现有关。尽管97%的参与者了解石棉及其健康风险,但其使用率明显更高,且与过高的暴露水平相关。石棉暴露持续时间越长,FVC降低越明显。随着石棉暴露时间延长,FEV1的降低更为显著。
石棉的高使用率表明,改变习惯,尤其是农村地区居民的习惯很困难。在我国,石棉暴露的主要途径是通过环境,这至少与职业暴露一样危险。