Burden of disease from second-hand tobacco smoke exposure at home among adults from European Union countries in 2017: an analysis using a review of recent meta-analyses

Carreras, Giulia; Lachi, Alessio; Cortini, Barbara; Gallus, Silvano; López, María José; Nicolás, Ángel López; Soriano, Joan B.; Fernández, Esteve; Tigova, Olena; Gorini, Giuseppe

doi:10.1016/j.ypmed.2020.106412

Cited by 21 publications

(11 citation statements)

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“…Legislative smoking bans have been shown to reduce youth smoking behaviour in public and reduce passive exposure in public places. But people tend to smoke more at home or in a car when smoking in public areas is banned [ 5 , 47 , 48 ]. This fact was shown in the Canadian cross-sectional health survey data of the population aged 12 and over, where in the period under review (2003–2012) bans on smoking in public were introduced across the provinces and territories.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…In 2017, 0.36% of overall disability-adjusted life years and 0.46% of all deaths were attributable to household SHS exposure in the 28 European Union countries [ 5 ]. As with firsthand smoking, a link between SHS and lung cancer has been demonstrated [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Exposure to SHS, however, is also reflected in an increased risk of cardiovascular diseases [ 8 ] and malignant processes in other body systems [ 9 , 10 , 11 , 12 ], although the exact impact of SHS on all body systems remains unclear. Recent smoke-free policies have reduced the burden of SHS, mostly in public places, but a significant portion of the global population remains in health-threatening exposure to SHS [ 5 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

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

Štěpánek

Ševčíková

Horáková

et al. 2022

IJERPH

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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.

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Štěpánek

Ševčíková

Horáková

et al. 2022

IJERPH

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“…The negative health impact of tobacco smoking on the population has been ascertained, and this practice poses a threat not only to active smokers, but also to people exposed to sidestream and third-hand exhausts (IARC 1986 ; NCR 1986 ; Hecht 1999 ). Hence, physical and chemical properties of tobacco exhausts have been extensively investigated (Lofroth et al 1989 ; Jenkins et al 2000 ), and their relationships with the toxicity of smoke have been elucidated (Husgafvel-Pursiainen 2004 ; Adam et al 2006 ; Slezakova et al 2009 ; Li et al 2017 ; Pelkonen et al 2019 ; Li et al 2020 ; Carreras et al 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Indexes of tobacco smoke contribution to environmental particulates based on molecular fingerprints of alkanes

Cecinato

Bacaloni

Romagnoli

et al. 2022

Environ Sci Pollut Res

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Tobacco smoke (TS) is the source of a number of toxicants affecting the atmosphere and poses a threat to smokers and the whole community. Chemical, physical, and toxicological features of smoking products (vapors as well as mainstream, side stream, and third-hand smoke) have been investigated extensively. Special attention is paid to organic compounds (individually or in combination giving rise to peculiar molecular fingerprints), potentially able to act as “chemical signature” of TS. In this regard, the percent distribution of long-chain normal , iso , and anteiso alkanes was ascertained as typical of TS. Nevertheless, until now no indexes have been identified as suitable for assessing the global TS contribution to environmental pollution, e.g., the TS percentage in carbonaceous aerosol and in deposited dusts, the only exception consisting in the use of nicotelline as tracer. This paper describes the results of an extensive study aimed at chemically characterizing the nonpolar lipid fraction associated to suspended particulates (PMs) and deposition dusts (DDs) collected at indoor and outdoor locations. Based on the iso , anteiso , and normal C 29 –C 34 alkane profile in the samples as well in tobacco smoke- and no-TS-related emissions (literature data), various parameters describing the distribution of compounds were investigated. Finally, a cumulative variable was identified as the tobacco smoke impact index (TS%) suitable for estimating the TS percentage occurring in the particulate matter. The TS% rates were plotted vs. the exceedance of normal C 31 alkane with respect to the average of C 29 and C 33 homologs, which results higher in TS than in most other emissions, revealing a link in the case of suspended particulates but not of deposited dusts. According to back analysis carried out on all particulate matter sets, it was found that traces of TS affect even remote areas, while inside the smokers’ homes the contributions of TS to PM could account for up to ~61% and ~10%, respectively, in PM and DD. This confirms the need of valuing the health risk posed by TS to humans, by means of tools easy to apply in extensive investigations. Supplementary Information The online version contains supplementary material available at 10.1007/s11356-021-16617-0.

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“…Exposure to ETS is an important public health issue, as there is growing evidence that ETS exposure leads to adverse health outcomes such as an increased risk of overall cancers in non-smokers, particularly the risk of lung cancer and breast cancer in women [ 10 ], and increased risk of coronary heart disease (CHD) by 25–30% [ 11 ]. In 2017, the Global Burden of Disease Study estimated that the disease burden due to ETS exposure at home in European countries was 24,000 deaths (0.46% of total deaths) and 526,000 disability-adjusted life years (DALYs; 0.36% of total DALYs) in all adults, mainly due to chronic obstructive pulmonary disease and ischemic heart disease [ 12 ]. Individuals with early childhood exposure to ETS have a higher risk of developing respiratory illnesses such as asthma, chronic bronchitis, and shortness of breath later in life [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Tobacco Use and Exposure to Environmental Tobacco Smoke amongst Pregnant Women in the United Arab Emirates: The Mutaba’ah Study

Zaki

Ali

Al‐Rifai

et al. 2022

IJERPH

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Self-reported tobacco use is high in the male adult Emirati population (males ~36% vs. females ~3%); however, there are minimal data on tobacco use or exposure to environmental tobacco smoke (ETS) during pregnancy in the United Arab Emirates (UAE). This study investigated the prevalence of, and factors associated with, tobacco use and exposure to environmental tobacco smoke (ETS) amongst pregnant women in the UAE. Baseline cross-sectional data were analysed from the Mutaba’ah Study. Expectant mothers completed a self-administered questionnaire collecting sociodemographic information, maternal tobacco use, and ETS exposure during antenatal visits at three hospitals in Al Ain (UAE; May 2017–February 2021). Amongst 8586 women included in the study, self-reported tobacco use during pregnancy was low (0.7%), paternal tobacco use was high (37.9%), and a third (34.8%) of expectant mothers were exposed to ETS (28.0% at home only). Pregnant women who were employed (adjusted odds ratio (aOR): 1.35, 95% confidence interval (CI): 1.19–1.52), with childbirth anxiety (aOR 1.21, 95% CI 1.08–1.36), and with an increased number of adults living in the same household (aOR 1.02 95% CI 1.01–1.03) were independently more likely to be exposed to ETS. Pregnant women with higher education levels (aOR 0.84, 95% CI 0.75–0.94) and higher gravidity (aOR 0.95, 95% CI 0.92–0.99) were less likely to be exposed to ETS. Public health efforts targeting smoking cessation amongst husbands and promoting smoke-free homes are warranted to help reduce prenatal ETS exposure in the UAE.

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Burden of disease from second-hand tobacco smoke exposure at home among adults from European Union countries in 2017: an analysis using a review of recent meta-analyses

Cited by 21 publications

References 50 publications

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

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

Indexes of tobacco smoke contribution to environmental particulates based on molecular fingerprints of alkanes

Tobacco Use and Exposure to Environmental Tobacco Smoke amongst Pregnant Women in the United Arab Emirates: The Mutaba’ah Study

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