患有呼吸系统疾病的患者对环境烟雾的看法
Mufide Arzu Ozkarafakili1, Metin Yangin2, Aslihan Calim3
1Department of Chest Diseases, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye.
概括
环境烟雾暴露对呼吸系统健康构成风险,特别是对于那些有现有肺部疾病的人来说. 这项研究揭示了COPD和喘患者中关于二手和第三手烟 (SHS/THS) 影响的重大知识差距.
科学领域:
- 环境健康 环境健康
- 肺部病理学 肺部病理学
- 公共卫生 公共卫生
背景情况:
- 环境烟雾暴露,包括二手和第三手烟 (SHS/THS),是一个重大的公共卫生问题.
- 由于暴露于烟雾中的有毒污染物对呼吸道的长期影响尚未完全理解.
- 弱势群体,特别是那些有先前存在的呼吸系统疾病的人群,可能会受到不成比例的影响.
研究的目的:
- 评估呼吸系统疾病患者对烟雾暴露风险的知识和意识.
- 研究不同类型的烟雾暴露与呼吸道疾病之间的关系.
- 确定影响患者对SHS/THS有害影响的理解因素.
主要方法:
- 一项涉及911名目前吸烟者入院门诊的研究.
- 进行了医学检查和肺功能评估.
- 用巴斯第三手吸烟问卷 (BATHS) 来评估THS暴露知识.
主要成果:
- 35.3%的参与者患有COPD,24.9%患有喘,62.5%报告中度至重度SHS暴露.
- 患有COPD和喘的患者在特定的BATHS分量表中得分较低,表明意识较低.
- 较高的意识得分 (BATHS) 与年龄较小,高等教育,就业,收入较高,较少的SHS暴露,较短的疾病持续时间,更好的肺功能,戒烟诊所的出席率和在家有幼儿相关.
结论:
- 关于环境烟雾暴露对患有呼吸道疾病的患者的不良影响,存在重大知识差距.
- 针对活跃吸烟者的教育干预措施对于减少活跃和被动吸烟至关重要.
- 公共卫生倡议应侧重于提高风险人群对SHS/THS的认识和减少暴露.
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