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二手烟的公共卫生负担:肺癌病例报告及文献复习。

Public Health Burden of Secondhand Smoking: Case Reports of Lung Cancer and a Literature Review.

机构信息

Department of Public Health, Faculty of Medicine and Dentistry, Palacký University Olomouc, Hněvotínská 3, 779 00 Olomouc, Czech Republic.

出版信息

Int J Environ Res Public Health. 2022 Oct 13;19(20):13152. doi: 10.3390/ijerph192013152.

Abstract

Secondhand smoke (SHS), composed of mainstream and sidestream smoke, is a known human carcinogen. It contains a variety of harmful substances at even higher concentrations than mainstream smoke itself, which is inhaled during firsthand smoking. Exposure to SHS, affecting more than a third of the worldwide population, increases the likelihood of lung cancer by roughly 30%, with specific contributions depending on the histological type of cancer. This study aimed to present the harmful potential of SHS through case reports and describe the burden of SHS via a literature review. From a collection of lung cancer case reports occurring in never smokers from the Olomouc district over the last 10 years, 2 cases with no risk factors for lung cancer except for significant exposure to SHS were identified. Both cases were of young women who lived in households where their parents smoked during childhood. They suffered from rarer histological types of lung cancer in which the association with SHS has not yet been analyzed. As the literature confirms, SHS has the most adverse effects in individuals exposed during childhood. It is necessary to both take measures to reduce the prevalence of SHS, especially among children in households and pay due attention to the smoking history of patients, including current and previous exposure to SHS, when obtaining anamnestic data. Furthermore, the effect of SHS on rarer histological types of lung cancer should be studied.

摘要

二手烟(SHS)由主流烟和侧流烟组成,是一种已知的人类致癌物。它含有多种有害物质,浓度甚至比一手烟(即主动吸烟时吸入的烟雾)本身还要高。接触二手烟会使全球超过三分之一的人口面临患肺癌的风险增加约 30%,具体的风险程度取决于癌症的组织学类型。本研究旨在通过病例报告展示 SHS 的潜在危害性,并通过文献回顾描述 SHS 的负担。在过去 10 年奥洛穆茨地区从未吸烟者的肺癌病例报告中,除了大量接触 SHS 外,没有其他肺癌风险因素的情况下,确定了 2 例病例。这两例都是年轻女性,她们在童年时期生活在父母吸烟的家庭中。她们患有罕见的肺癌组织学类型,目前尚未分析 SHS 与这些类型的关联。正如文献所证实的那样,二手烟对儿童时期暴露的个体影响最为不利。有必要采取措施降低 SHS 的流行率,尤其是在家庭中儿童中的流行率,并在获取病史数据时,适当关注患者的吸烟史,包括当前和以前接触二手烟的情况。此外,还应研究 SHS 对罕见肺癌组织学类型的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c2/9603183/5e5646ed0070/ijerph-19-13152-g001.jpg

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