Monitoring and evaluation of the implementation of tobacco control legislation for protecting people from tobacco smoke exposure and health consequences of tobacco use. Methodical guidelines

Gambaryan, Marine; Drapkina, О. М.; Kontsevaya, А. V.; Popovich, M.V.; Salagay, O. О.

doi:10.15829/1728-8800-2022-3194

Cited by 6 publications

(5 citation statements)

References 36 publications

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“…Для снижения ценовой доступности табачной продукции ежегодное увеличение акцизов на эту продукцию должно быть более выраженным, а налогово-ценовая политика -более жесткой. До сих пор актуальной задачей остается мониторинг и оценка мер, направленных на сокращение распространен-ности курения среди населения, и снижения заболеваемости и смертности от заболеваний, связанных с потреблением табака [18]. В ходе настоящего исследования выявлено, что минимальная отпускная стоимость пачки сигарет составила 30 руб.…”

Section: Discussionunclassified

Availability and affordability of alcohol and tobacco products for the population: results of a pilot study in the Sverdlovsk Oblast

Анциферова¹,

Kontsevaya²,

Муканеева³

et al. 2022

Cardiovasc Ther Prev

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Aim. To analyze the availability and affordability of alcohol and tobacco outlets using the specialized software developed by the National Medical Research Center for Therapy and Preventive Medicine in the pilot subject of the Russian Federation — the Sverdlovsk Oblast.Material and methods. For the first time, experts from the National Medical Research Center for Therapy and Preventive Medicine conducted a pilot study to assess the actual state of the infrastructure of a separate subject of the Russian Federation (Sverdlovsk Oblast). The study objects were the urban infrastructure elements in which alcohol and tobacco products are sold. In order to assess the infrastructure, special software was developed using Open Street Maps to perform data collection tasks. The infrastructure data collection for the pilot study took place from January to March 2022.Results. The total number of tobacco outlets is 299, most of which are located in supermarkets (82,6%, n=247). The share of individual tobacco outlets accounts for 13,7% (n=41). Out of 357 supermarkets, 247 (69%) have tobacco sales section. The average lowest price of a cigarette pack is 121,6±15,7 RUB (minimum — 30 RUB, maximum — 207 RUB). Twentyseven (10,9%) of 247 supermarkets located <100 m from educational institutions carry tobacco products. The minimum distance is 64 m. There are 449 alcohol outlets in total, most of them are located in supermarkets — 57,0% (n=256). Individual alcohol outlets account for 40,8% (n=183). Out of 357 supermarkets, 256 (71,7%) have alcohol sales section. Out of 158 individual alcohol outlets, vodka is available in 101 (63%) outlets, wine — in 112 (68,3%) out of 162 outlets, beer — in 112 (68,3%) out of 164 outlets, alcoholic cocktails — in 71 (45,2%) out of 57 outlets. The average lowest selling price of vodka is 255,9±62,2 RUB (minimum — 230 RUB), wine — 180,2±89,3 RUB (minimum — 110 rubles), beer — 51,2±15,5 RUB (minimum — 33 rubles), alcoholic cocktails — 58,9±15,4 RUB (minimum — 37 rubles). In addition, 27 (10,5%) of 256 supermarkets with a liquor section (minimum distance of 64m) are located <100 m from educational institutions, as well as 10 (5,4%) out of 183 individual stores specializing in the alcohol sale (minimum distance of 50 m).Conclusion. The results obtained with the help of the developed tool can be used as arguments for strengthening monitoring of compliance and making changes to the current legislation that restricts the availability of tobacco and alcohol products. The use of the developed tool will make it possible using evidence to make informed decisions in the development and implementation of public health programs at the municipal level.

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Section: Discussionunclassified

Availability and affordability of alcohol and tobacco products for the population: results of a pilot study in the Sverdlovsk Oblast

Анциферова¹,

Kontsevaya²,

Муканеева³

et al. 2022

Cardiovasc Ther Prev

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“…According to the results of a large-scale study in 10 regions of the Russian Federation [30], it was found that from 2013 to 2019 there was a statistically significant decrease in the rate of hospitalization for angina pectoris (by 16.6 %), myocardial infarction (by 3.5 %) and pneumonias (by 14.3 %).…”

Section: __________________________mentioning

confidence: 99%

“…Data on the prevalence of tobacco smoking among healthcare workers are of particular interest as they are a "model" society group in terms of creating a healthy image [7,[25][26][27][28][29][30]. The level of tobacco use remains high in this occupational group [7,23,28,29].…”

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confidence: 99%

“…The share of smokers went down by 3.7 % among the adult population of the Russian Federation, including 4.3 % among men, from 2013 to 2018 4 . Among the taken measures, implementation of tax and price policy, social advertising and medical assistance in overcoming this bad habit made the greatest contribution to the reduction of smoking prevalence rates [30]. According to ARCPOR [32] since 2013, the proportion of smoking Russians decreased by 7 % by 2022 and amounted to 33 %.…”

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confidence: 99%

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Hygienic assessment of health risks for employees of the Omsk ambulance service due to tobacco smoking

Butorin,

Rodkin,

Shirinskii

2024

Health Risk Analysis

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The results of many studies indicate that there is a cause-effect relationship between active tobacco smoking and risks of various diseases, lung and bronchial cancer (C34) and coronary heart disease (I25) being the most common among them. These diseases are one of the main causes of death in working age. The aim of this study was to perform hygienic assessment of risks of lung and bronchial cancer and coronary heart disease due to active tobacco smoking. Healthcare workers employed at the Omsk ambulance station were chosen as the research object. Additional risk levels were calculated for lung and bronchial cancer and coronary heart disease in accordance with the methodical guidelines MR 2.1.10.0033-11 Assessment of Risks Associated with Impacts of Lifestyle Factors on Public Health. Smoking was a health risk factor for 27.5 % of emergency medical services workers, including 42.5 % of men and 21.3 % of women. Sixty-six point seven percent of men aged between 31 and 40 years smoked. Prevalence of smoking among the females in the sample did not depend on age. The risk analysis revealed that smokers, equally men and women (p > 0.1) were the most likely to have lung and bronchial cancer and coronary heart disease. The corresponding median levels of additional risk equaled 1.45E-05 and 9.0E-06. The proportion of people with unacceptable levels of additional risks of the analyzed diseases (> 1.4E-04) equaled 43.3 and 53.3 % respectively among people older than 40 years. Likelihood of lung and bronchial cancer and coronary heart disease statistically significantly depends on the intensity of smoking.

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“…В среднем из результата анализа пяти студенческих когорт частота курения увеличивалась от первого к шестому курсу в 2,5 раза. Согласно статистическим данным по России в возрастном диапазоне от 18 до 24 лет уровень потребления табака достигает 30% [15,16]. Поэтому не исключено, что нами получены заниженные данные, что может ассоциироваться с нежеланием студентов-медиков признаваться в наличии у них вредной привычки.…”

Section: результатыunclassified

Prospective analysis of the major risk factors and vascular status in students during the period of education at a medical university

Evsevyeva¹,

Eremin

Sergeeva³

et al. 2023

Russ J Cardiol

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Aim. To study the changes of the major risk factors (RFs) and vascular status in students over six years of their education at a medical university.Material and methods. A total of 667 students aged 17,8±1,2 years were examined in the 1st year and 6th year (162 men, 505 women). Students who entered in the same year were combined into one cohort, while in total 5 cohorts were recruited. The screening examination was carried out as part of the annual intra-university events "Freshman Week", "Graduate Week" by staff of the University Health Center and included the collection of complaints and history, height, body weight, the measurement of peripheral and central blood pressure, as well as the assessment vascular stiffness and metabolic status. Statistical analysis of the material was carried out using SPSS Statistics 23.0.Results. Analysis of RFs in medical students over 6 years showed a significant increase of the prevalence of hypertension/prehypertension, resting tachycardia, obesity/overweight, malnutrition and physical inactivity. An assessment of central and peripheral hemodynamics, as well as vascular stiffness of students, revealed an increase in the level of aortic systolic pressure, combined with an increase in peripheral systolic blood pressure and pulse. At the same time, there was no significant increase in some parameters of vascular stiffness, against the background of a 2-fold increase in the prevalence of overweight. Analysis of the metabolic status reveals a significant change in total cholesterol and triglycerides but no alterations in capillary blood glucose.Conclusion. The data obtained indicate an increase in the prevalence of not only behavioral, but also biological RFs among medical students, as well as the development of preclinical vascular remodeling in them during a six-year education, which can later lead to early cardiovascular diseases. Therefore, widespread screening system of risk factors among students should be developed.

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Monitoring and evaluation of the implementation of tobacco control legislation for protecting people from tobacco smoke exposure and health consequences of tobacco use. Methodical guidelines

Abstract: .

Cited by 6 publications

References 36 publications

Availability and affordability of alcohol and tobacco products for the population: results of a pilot study in the Sverdlovsk Oblast

Availability and affordability of alcohol and tobacco products for the population: results of a pilot study in the Sverdlovsk Oblast

Hygienic assessment of health risks for employees of the Omsk ambulance service due to tobacco smoking

Prospective analysis of the major risk factors and vascular status in students during the period of education at a medical university

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