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Characteristics of women exposed and unexposed to environmental tobacco smoke (ETS) in a general population sample of North Italy (Po River Delta epidemiological study)

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Abstract

To define qualitative and quantitative categories of exposure to environmental tobacco smoke (ETS) and to assess possible differences for life-style factors between exposed and unexposed women, we studied 867 nonsmoking women (8–73 aged), selected from a general population sample living in the Po Delta area (near Venice, North Italy). Information was collected by a standardized questionnaire. ETS exposure at home, at work or elsewhere was considered. There was a prevalence of ETS exposure of 46% in the whole sample; the rate had a negative association with age. Exposure to ETS occurred more frequently at home, either singly (56%) or in combination with school/work and other places (75%). Exposed women were significantly younger, taller and lighter than those unexposed. Logistic regression on 20+ aged women showed that single-separated-widowed, workers, women living in a rental house, and women with a central forced air heating were significantly more exposed to ETS. Crowding index (n inhabitants/n rooms of the house) was significantly higher in those exposed. These results indicate that ETS exposure is quite frequent in Italian women and that some life-style factors (e.g. marital status or occupational status or some home characteristics), should be considered in the study of relationship between passive smoking and respiratory health.

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References

  1. Hecht SS, Carmella SG, Murphy SE, Akerkar SA, Brunnemann KD, Hoffmann D. A tobacco-specific lung carcinogen in the urine of men exposed to cigarette smoke. N Engl J M 1993; 329: 1543–1546.

    Google Scholar 

  2. Schwartz J, Zeger S. Passive smoking, air pollution, and acute respiratory symptoms in a diary study of student nurses. Am Rev Respir Dis 1990; 141: 82–87.

    Google Scholar 

  3. Robbins AS, Abbey DE, Lebowitz MD. Passive smoking and chronic respiratory disease symptoms in nonsmoking adults. Int J Epidemiol 1993; 22: 809–817.

    Google Scholar 

  4. Bennett WP, Alavanja MC, Blomeke B et al. Environmental tobacco smoke, genetic susceptibility, and risk of lung cancer in never-smoking women. J Natl Cancer Inst 1999; 91: 2009–2014.

    Google Scholar 

  5. Law MR, Hackshaw AK. Environmental tobacco smoke. Br Med Bull 1996; 52: 22–34.

    Google Scholar 

  6. Zaridze D, Maximovitch D, Zemlyanaya G, Aitakov ZN, Boffetta P. Exposure to environmental tobacco smoke and risk of lung cancer in nonsmoking women from Moscow, Russia. Int J Cancer 1998; 75: 335–338.

    Google Scholar 

  7. Wigle DT, Collishaw NE, Kirkbride J, Mao Y. Deaths in Canada from lung cancer due to involuntary smoking. CMAJ 1987; 136: 945–951.

    Google Scholar 

  8. Shen XB, Wang GX, Zhou BS. Relation of exposure to environmental tobacco smoke and pulmonary adenocarcinoma in nonsmoking women: A case control study in Nanjing. Oncol Resp 1998; 5: 1221–1223.

    Google Scholar 

  9. Lee PN. Passive smoking and lung cancer association: A result of bias? Hum Toxicol 1987; 6: 517–524.

    Google Scholar 

  10. Kilpatrick SJ Jr. Misclassification of environmental tobacco smoke exposure: Its potential influence on studies of environmental tobacco smoke and lung cancer. Toxicol Lett 1987; 35: 163–168.

    Google Scholar 

  11. Cress RD, Holly EA, Aston DA, Ahn DK, Kristiansen JJ. Characteristics of women nonsmokers exposed to passive smoke. Prev Med 1994; 23: 40–47.

    Google Scholar 

  12. Matanoski G, Canchanaraksa S, Lantry D, Chang Y. Characteristics of non-smoking women in NHANES I and NHANES I Epidemiological follow-up study with exposure to spouses who smoke. Am J Epidemiol 1995; 142: 149–157.

    Google Scholar 

  13. Riboli E, Preston-Martin S, Saracci R, et al. Exposure of non-smoking women to environmental tobacco smoke: A 10-country collaborative study. Cancer Causes Control 1990; 1: 243–252.

    Google Scholar 

  14. Carrozzi L, Giuliano G, Viegi G et al. The Po River Delta epidemiological study of obstructive lung disease: sampling methods, environmental and population characteristics. Eur J Epidemiol 1990; 6: 191–200.

    Google Scholar 

  15. Viegi G, Paoletti P, Prediletto R, et al. Prevalence of respiratory symptoms in an unpolluted area of Northern Italy. Eur Respir J 1988; 1: 311–318.

    Google Scholar 

  16. SPSS Reference Guide. Spss Inc. Chicago, Illinois, 1999.

  17. Curtin F, Morabia A, Bernstein M. Lifetime exposure to environmental tobacco smoke among urban women: Differences by socioeconomic class. Am J Epidemiol 1998; 148: 1040–1047.

    Google Scholar 

  18. Sears MR. Why are deaths from asthma increasing? Eur Respir Dis 1986; 147(Suppl): 175–181.

    Google Scholar 

  19. Baily G. Asthma increase, summer, 1994. Lancet 1994; 344: 413.

    Google Scholar 

  20. Bucknall CE, Kendrick S. Asthma trends. Emergency admission increasing in Scotland. BMJ 1994; 309: 604.

    Google Scholar 

  21. Downs SH, Marks GB, Sporik R, Belosouva EG, Car NG, Peat JK. Continued increase in the prevalence of asthma and atopy. Arch Dis Child 2001; 84: 20–23.

    Google Scholar 

  22. Hansen EF, Rappeport Y, Vestbo J, Lange P. Increase in prevalence and severity of asthma in young adults in Copenhagen. Thorax 2000; 55: 833–836.

    Google Scholar 

  23. Chapman S, Woodward S. Australian court rules that passive smoking causes lung cancer, asthma attacks, and respiratory disease. BMJ 1991; 302: 943–945.

    Google Scholar 

  24. Weiss ST, Utell MJ, Samet Jm. Environmental tobacco smoke exposure and asthma in adults. Environ Health Perspect 1999; 107: 891–895.

    Google Scholar 

  25. Blanc PD, Ellbjar S, Janson C, Norback D, Norrman E, Plaschke PK. Asthma-related work disability in Sweden. The impact of workplace exposures. Am J Respi Crit Care Med 1999; 160: 2028–2033.

    Google Scholar 

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Simoni, M., Carrozzi, L., Baldacci, S. et al. Characteristics of women exposed and unexposed to environmental tobacco smoke (ETS) in a general population sample of North Italy (Po River Delta epidemiological study). Eur J Epidemiol 17, 363–368 (2001). https://doi.org/10.1023/A:1012797315210

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