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Association of environmental tobacco smoke at work and forced expiratory lung function among never smoking asthmatics and non-asthmatics

Author

Listed:
  • Nino Künzli
  • Joel Schwartz
  • Elisabet Zemp Stutz
  • Ursula Ackermann-Liebrich
  • Philippe Leuenberger

Abstract

L'inconsistance de l'association entre exposition passive à la fumée de tabac (ETS) et fonction pulmonaire chez l'adulte pourrait être la conséquence de susceptibilités variables entre sous-groupes. L'association entre ETS au travail et fonction pulmonaire a été étudiée en utilisant les données spirométriques (FVC, FEV1 et FEF 25–75%) des non-fumeurs (âge 18–60 ans) de l'étude transversale de SAPALDIA (n=3534). Les facteurs sexe, asthme et réactivité bronchique étaient considérés comme facteurs de risque pour une sensibilité accrue à l'ETS. Des modèles multivariés sont contrôlés pour la taille, l'âge, le niveau de formation professionnelle, l'exposition à la place de travail, la région de l'étude et l'exposition domestique à l'ETS. Chez les asthmatiques, mais pas dans le collectif global, une association entre ETS au travail et diminution de la fonction pulmonaire a été démontrée (n=325) (FEV1: −4.8% (0 à −9.2); FEF 25–75%: −12.4% (−3.7 à −20.4); FVC: −1.7% (+2.1 à −5.5)). Les effets étaient particulièrement marqués chez les femmes asthmatiques (n=183) (FVC: −4.4% (−9.6 à +1.1); FEV1 −8.7% (−14.5 à −2.5); FEF 25–75%: −20.8% (−32 à −7.6)). Le design transversal de l'étude ne permet pas d'exclure des biais de sélection ou d'information sur l'exposition à l'ETS. L'identification des groupes à risque constitue un but important de la recherche en santé publique. Copyright Birkhäuser Verlag 2000

Suggested Citation

  • Nino Künzli & Joel Schwartz & Elisabet Zemp Stutz & Ursula Ackermann-Liebrich & Philippe Leuenberger, 2000. "Association of environmental tobacco smoke at work and forced expiratory lung function among never smoking asthmatics and non-asthmatics," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 45(5), pages 208-217, September.
    • Handle: RePEc:spr:ijphth:v:45:y:2000:i:5:p:208-217
    DOI: 10.1007/BF01306015
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