Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?
Yıl: 2018 Cilt: 66 Sayı: 1 Sayfa Aralığı: 43 - 51 Metin Dili: İngilizce DOI: 10.5578/tt.66524 İndeks Tarihi: 01-07-2019
Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?
Öz: Introduction: Despite the well documented relationship between lower airway diseases and smoking, there are limited data aboutsmoking and allergic rhinitis (AR). In this study, we aimed to document the smoking behaviour and environmental tobacco smoke(ETS) exposure of the patients with AR in comparison with patients with asthma, chronic obstructive pulmonary diseases (COPD)and healthy controls (HC).Materials and Methods: Demographics and disease characteristics were recorded from case files whereas smoking history, childhoodand current exposures to ETS, as well as the smoking behaviors were investigated by a self reported questionnaire.Results: A total of 937 subjects comprising patients with AR (n= 252), asthma (n= 249), COPD (n= 188) and HCs (n= 248) wereenrolled in the study. The rates of active smokers were 35% (HCs), 26% (COPD), 21% (AR), and 11% (asthma). Exposure to ETSwhile with friends was significantly higher among HCs and AR groups (p< 0.0001). The rate of willingness to quit smoking is high inAR patients (73%) but they did not determined about date of quiting.Conclusion: Our results showed that a significant number of patients with AR actively smoke and neither the patients with AR northe people in their surroundings were sufficiently aware of thehealth hazards of smoking with AR. It seems necessary to informpatients with about the health effects of smoking on all respiratorytract diseases.
Anahtar Kelime: Konular:
Allerjik rinitli hastaların sigaraya yönelik tutumları astım ve koah hastalarından farklı mı?
Öz: Giriş: Sigaranın alt hava yolu hastalıkları ile ilişkisi iyi tanımlanmıştır. Fakat sık görülen ve önemli bir üst hava yolu hastalığı olan allerjik rinit (AR) ile ilişkisi konusunda sınırlı bilgi bulunmaktadır. Bu çalışma ile amacımız AR hastalarının sigara içme tutumları ve çevresel pasif sigara dumanı maruziyetlerini astım, kronik obstrüktif akciğer hastalığı (KOAH) gibi alt hava yolu hastalıklarıyla ve sağlıklı kontrollerle karşılaştırarak ortaya koymaktır. Materyal ve Metod: Bireylerin demografik özellikleri ve hastalık karakteristikleri dosyalardan kaydedildi. Sigara öyküleri, çocukluk çağı ve şimdiki pasif sigara dumanı maruziyetleri, sigara konusundaki tutumları araştırıcılar tarafından hazırlanan bir anket ile değerlendirildi. Bulgular: Çalışmaya toplam 937 hasta [AR (n= 252), astım (n= 249), KOAH (n= 188) ve sağlıklı kontrol (n= 248)] alındı. Aktif sigara içenlerin oranına gruplara göre bakıldığında sağlıklı kontrollerde %35, KOAH grubunda %26, AR'lılarda %21 ve astımlı hastalarda %11 idi. Arkadaşları ile birlikte iken pasif sigara duman maruziyeti sağlıklı kontrol ve AR’lı hasta gruplarında diğer iki gruba göre belirgin olarak daha fazlaydı (p< 0.0001). Astım ve KOAH’lılarla karşılaştırınca AR’lı hastaların çevresindekiler yanlarında sigara içmemeye daha az özen gösteriyordu ama AR’lı hastalar da bu konuda etraflarındakileri daha az uyarıyordu. AR’lı hastalar arasında sigarayı bırakmayı isteme oranı yüksekti (%73) fakat bu hastalardan hiç birisi kendisine sigarayı bırakma günü belirlememişti. Sonuç: AR'lı hastaların arasında hem aktif olarak sigara içme oranları yüksekti hem de etrafındaki kişiler sigaranın AR hastaları için zararlı olabileceğini düşünerek yanlarında sigara içmemeye özen göstermiyorlardı. Bu durum bize toplumun sigaranın sadece alt hava yolu hastalıklarının değil tüm hava yolu hastalıklarının seyrini kötü etkilediği konusunda bilgilendirilmesi gerektiğini göstermiştir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Borelli B, Mc Quaid EL, Becker B, Hammond K, Papandonatos G, Fritz G, et al. Motivating parents of kids with asthma to quit smoking: the PAQS project. Health Educ Res 2002;17:659-69.
- Thomson NC, Chaudhuri R, Livingston E. Asthma and cigarette smoking. Eur Respir J 2004;24:822-33.
- Ng M, Freeman MK, Fleming TD, Robinson M, DwyerLindgren L, Thomson B, et al. Smoking prevelence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014;311:183-92.
- Tobacco Control Working Group. Diagnosis and treatment of smoking cessation consensus report. 2014, Ankara.
- Vozoris NT, Stanbrook MB. Smoking prevelence, behaviours and cessation among individuals with COPD or asthma. Respir Med 2011;105:477-84.
- Celli BR, MacNeeW, Agusti A, Anzuetto A, Berg B, Buist AS. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J 2004;23:932-46.
- Epidemiology of Allergic Rhinitis. In: Tuncer A,Yüksel H (eds). National guidelines for diagnosis and management of allergic rhinits. Turkish Society of National Allergy and Clinical Immunology.1st ed. Ankara: Bilimsel Tıp Yayınevi, 2012:3-5.
- Baena-Cagnani CE, Gomez RM, Baena-Cagnani R, Canonica GW. Impact of enviromental tobacco smoke and active tobacco smoking on the development and outcomes of asthma and rhinitis. Curr Opin Allergy Clin Immunol 2009;9:136-40.
- Bousquet PJ, Cropet C, Klossek JM, Allaf B, Neukirch F, Bousquet J. Effect of smoking on symptoms of allergic rhinitis. Ann Allergy Asthma Immunol 2009;103:195-200.
- Saulyte J, Regueira C, Montes-Martı´nez A, Khudyakov P, Takkouche B. Active or Passive Exposure to Tobacco Smoking and Allergic Rhinitis, Allergic Dermatitis, and Food Allergy in Adults and Children: A Systematic Review and Meta-Analysis. Plos Med 2014;11:e1001611.
- Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Prevention, updated December 2011. Available from http://www.ginasthma.org/. Accessed on March 10, 2012.
- Global Initiative for Chronic Obstrictive Lung Disease (GOLD). Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease, updated 2010. Available from http://www. goldcopd.org/.
- Brozek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB, et al. Global Allergy and Asthma European Network; Grading of Recommendations Assessment, Development and Evaluation Working Group. Global Allergy Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol 2010;126:466-76.
- Uysal MA, Mungan D, Yorgancıoğlu A, Yildiz F, Akgün M, Gemicioglu B, et al. The validation of the Turkish version of Asthma Control Test. Qual Life Res 2013;22:1773-9.
- Global Adult Tobacco Survey Turkey 2012. Public Health Institution of Turkey, Ankara, 2014 Available from http:// www.halksagligiens.hacettepe.edu.tr.
- Svanes C, Omenaas E, Jarvis D, Chinn S, Gulsvik A, Burney P. Parental smoking in childhood and adult obstructive lung disease: Results from the European Community Respiratory Health Survey. Thorax 2004;59:295-302.
- Upton MN, Smith GD, McConnachie A, Hart CL,Watt GC. Maternal and personal cigarette smoking synergize to increase airflow limitation in adults. Am J Respir Crit Care Med 2004;169:479-87.
- Johannessen A, Bakke PS, Hardie JA, Eagan TM. Association of exposure to environmental tobacco smoke in childhood with chronic obstructive pulmonary disease and respiratory symptoms in adults. Respirology 2012;17:499-505.
- Svanes C, Sunyer J, Plana E, Dharmage S, Heinrich J, Jarvis D, et al. Early life origins of chronic obstructive pulmonary disease. Thorax 2010;65:14-20.
- Chapman KR, Mannino DM, Soriano JB, Vermeire AP, Buist AS, Thun MJ, et al. Epidemiology and costs of chronic obstructive pulmonary disease. Eur Respir J 2006;27:188-207.
- Calverley PM, Walker P. Chronic obstructive pulmonary disease. Lancet. 2003;362:1053-61.
- Polosa R, Knoke JD, Russo C, Piccillo G, Caponnetto P, Sarva M, et al. Cigarette smoking is associated with a greater risk of incident asthma in allergic rhinitis. J Allergy Clin Immunol 2008;121:1428-34.
- Plaschke PP, Janson C, Norrman E, Björnsson E, Ellbjar S, Jarvholm B. Onset and remission of allergic rhinitis and asthma and the relationship with atopic sensitization and smoking. Am J Respir Crit Care Med 2000;162:920-24.
- Enviromental Protection Agency. Respirotary health effects of passive smoking: lung cancer and other disorders. EPA publ. 1992 EPA/600/6-90/oo6F, Washington, DC
- Gold DR. Enviromental tobacco smoke, indoor allergens and childhood asthma. Environ Health Perspect 2000;108:643-51.
- Prescott SL. Effects of early cigarette smoke exposure on early immune development and respiratory disease. Paediatr Respir Rev 2008;9:3-9.
- Gómez RM, Teijeiro A, Zernotti ME, Canonica G, Mimessi G. Smoking is a risk factor for having rhinitis in adolescents. Allergy 2008;63:419.
- Shahab L, Jarvis MJ, West R. Prevalence, diagnosis, and relation to tobacco dependence of chronic obstructive pulmonary disease in a nationally representative population sample. Thorax 2006;61:1043-7.
- Jimenez-Ruiz CA, Masa F, Miravitlles M, Gabriel R, Viejo JL, Villasante C, et al. Smoking characteristics: differences in attitudes and dependence between healthy smokers and smokers with COPD. Chest 2001;119:1365-70.
- Yun S, Chanetsa F, Kelsey A, Zhu B-P. Active and passive smoking among asthmatic Missourians: Implications for health education. Prev Med 2006;42:286-90.
| APA | ÇELEBİ SÖZENER Z, ÇİFTCİ F, SOYYİĞİT Ş, AYDIN O, SEN E, MUNGAN V, ÇELİK G (2018). Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?. , 43 - 51. 10.5578/tt.66524 |
| Chicago | ÇELEBİ SÖZENER Zeynep,ÇİFTCİ Fatma,SOYYİĞİT ŞADAN,AYDIN OMÜR,SEN ELIF,MUNGAN VESİLE DİLŞAD,ÇELİK GÜLFEM ELİF Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?. (2018): 43 - 51. 10.5578/tt.66524 |
| MLA | ÇELEBİ SÖZENER Zeynep,ÇİFTCİ Fatma,SOYYİĞİT ŞADAN,AYDIN OMÜR,SEN ELIF,MUNGAN VESİLE DİLŞAD,ÇELİK GÜLFEM ELİF Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?. , 2018, ss.43 - 51. 10.5578/tt.66524 |
| AMA | ÇELEBİ SÖZENER Z,ÇİFTCİ F,SOYYİĞİT Ş,AYDIN O,SEN E,MUNGAN V,ÇELİK G Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?. . 2018; 43 - 51. 10.5578/tt.66524 |
| Vancouver | ÇELEBİ SÖZENER Z,ÇİFTCİ F,SOYYİĞİT Ş,AYDIN O,SEN E,MUNGAN V,ÇELİK G Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?. . 2018; 43 - 51. 10.5578/tt.66524 |
| IEEE | ÇELEBİ SÖZENER Z,ÇİFTCİ F,SOYYİĞİT Ş,AYDIN O,SEN E,MUNGAN V,ÇELİK G "Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?." , ss.43 - 51, 2018. 10.5578/tt.66524 |
| ISNAD | ÇELEBİ SÖZENER, Zeynep vd. "Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?". (2018), 43-51. https://doi.org/10.5578/tt.66524 |
| APA | ÇELEBİ SÖZENER Z, ÇİFTCİ F, SOYYİĞİT Ş, AYDIN O, SEN E, MUNGAN V, ÇELİK G (2018). Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?. Tüberküloz ve Toraks, 66(1), 43 - 51. 10.5578/tt.66524 |
| Chicago | ÇELEBİ SÖZENER Zeynep,ÇİFTCİ Fatma,SOYYİĞİT ŞADAN,AYDIN OMÜR,SEN ELIF,MUNGAN VESİLE DİLŞAD,ÇELİK GÜLFEM ELİF Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?. Tüberküloz ve Toraks 66, no.1 (2018): 43 - 51. 10.5578/tt.66524 |
| MLA | ÇELEBİ SÖZENER Zeynep,ÇİFTCİ Fatma,SOYYİĞİT ŞADAN,AYDIN OMÜR,SEN ELIF,MUNGAN VESİLE DİLŞAD,ÇELİK GÜLFEM ELİF Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?. Tüberküloz ve Toraks, vol.66, no.1, 2018, ss.43 - 51. 10.5578/tt.66524 |
| AMA | ÇELEBİ SÖZENER Z,ÇİFTCİ F,SOYYİĞİT Ş,AYDIN O,SEN E,MUNGAN V,ÇELİK G Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?. Tüberküloz ve Toraks. 2018; 66(1): 43 - 51. 10.5578/tt.66524 |
| Vancouver | ÇELEBİ SÖZENER Z,ÇİFTCİ F,SOYYİĞİT Ş,AYDIN O,SEN E,MUNGAN V,ÇELİK G Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?. Tüberküloz ve Toraks. 2018; 66(1): 43 - 51. 10.5578/tt.66524 |
| IEEE | ÇELEBİ SÖZENER Z,ÇİFTCİ F,SOYYİĞİT Ş,AYDIN O,SEN E,MUNGAN V,ÇELİK G "Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?." Tüberküloz ve Toraks, 66, ss.43 - 51, 2018. 10.5578/tt.66524 |
| ISNAD | ÇELEBİ SÖZENER, Zeynep vd. "Smoking attitudes of the patients with allergic rhinitis: a comparison with asthma and chronic obstructive pulmonary disease. Are there differences when only upper airways are involved?". Tüberküloz ve Toraks 66/1 (2018), 43-51. https://doi.org/10.5578/tt.66524 |
