ASSESSMENT OF THE IMPACT OF HARMFUL WORKING CONDITIONS AND SMOKING ON THE HEALTH OF INDUSTRIAL WORKERS
Introduction. Currently, the main influence of adverse working conditions is manifested not only by the level of occupational morbidity and injuries but by the general state of health of employed persons. Among the most significant non-occupational exposure is tobacco smoking. The aim of the study was a comparative assessment of the influence of the factor “harmful working conditions” (Fwc) and the factor “Smoking” (Fsmo) on the prevalence and rate of development of the most frequently diagnosed chronic diseases in industrial workers. Material and methods. Working conditions, medical examination data and smoking status of 2810 Apatite-nepheline and copper-Nickel miners were studied (cross section study). Population risk (PR) and its annual increase (GPR) were studied in six classes of diseases: circulatory system (CS), digestive system (DS), genitourinary system (GUS), respiratory system (RS), musculoskeletal system (MSS), skin and subcutaneous tissue (SST), nervous system (NS). Morbidity factors were characterized by the duration of their exposure: harmful working conditions - work experience not related to age and duration of smoking; non - professional factors - age of employees not related to work experience and smoking; smoking-its duration not related to age and work experience. Results. Population rates among non-smokers and smokers, in groups with the same average age and work experience, did not differ statistically, except for CS, the frequency of which is lower in smokers. It can be assumed that these data refer to “paradoxical cases” in which the Fwc effect is masked by employee turnover. In contrast to extensive indices of PR, GPR indices of the majority of classes of diseases-accurately reveal negative influence of smoking on a state of health of miners. Conclusion. 1. For quantitative comparison of negative effects on the health of workers of Fwc and Fsmo it is necessary to use indices PR of dynamics in certain experience and age groups. 2. The impact of the Fwc on the GPR is more pronounced than Fsmo for MSS, RS, NS. The influence of Fsmo exceeds a Fwc for SST, CS and DS. 3. An annual gain in the risk of chronic diseases (except MSS), not differentiated by their classes, s in smokers is by 1.6 times more than in non-smokers.
About the authorsSorokin Gennadiy A.
Izmerov N. F. Problems of professional risk assessment and management. Report at the all-Russian meeting on labor protection. April 28, 2010. Avail. at: http:// www.myshared.ru/theme/prezentatsiya-po-ohrane-truda/6/ (in Russian).
Sorokin G.A. The Distinction the aged and experienced the dynamics of indicators of the health of employees is a criterion for comparison of professional and non-professional risks. Gigiena i sanitariya [Hygiene and Sanitation, Russian journal]. 2016; (4): 355-61. (in Russian). DOI: 10.18821/0016-9900-2016-95-4-355-360
WHO report on the global tobacco epidemic 2013 enforcement of bans on tobacco advertising, promotion and sponsorship [Electronic resource]. Access mode: http: //www.who.int/tobacco/ global_report/2013/summary/ru/.
Andreeva T. I., Krasovsky K. S. Tobacco and health. Kiev; 2004. (in Russian).
Sukhovskaya O.A, Kulikov V. D. Smoking: The Current state of the problem in Russia. Astma i allergija. 2016; (4): 3-7. [Electronic resource] Access mode: https://cyberleninka.ru/article/n/kurenie-sovremennoe-sostoyanie-problemy-v-rf (Accessed: 01.02.2019). (in Russian).
Global Initiative for Chronic Obstructive Lung Disease (2018Report). [Electronic resource]. Access mode: https://goldcopd.org/wp-content/uploads/2017/11/GOLD-2018-v6.0-FINAL-revised-20-Nov_WMS.pdf. (Accessed: 01.02.2019).
Pulmonology: national guidelines [Pul’monologija: nacional’noe rukovodstvo]. Under the editorship of A.G. Chuchalin. M., GEOTAR-Media, 2009. 960 p. (in Russian).
Syurin S. A., Gorbanev S. A. the influence of Smoking on the health of workers of the Nickel electrolysis production. Zdorov’e naselenija i sreda obitanija. 2017; (12): 21-4. (in Russian).
Krasovsky K.S. Smoking Prevalence among adults in the Russian Federation. Kontrol’ nad tabakom i obshhestvennoe zdorov’e v Vostochnoj Evrope. 2011; (1): 61-3. (in Russian).
Hanin A.L., Chernushenko T.I. Prevalence of Smoking in different age and gender groups of the mining town of Western Siberia. Medicina v Kuzbasse. 2012; 11 (3): 22-6. (in Russian).
Guide on Hygienic Assessment of Factors of Working Environment and Work Load. Criteria and Classification of Working Conditions: (2.2.2006-05 Guide) [Rukovodstvo po gigienicheskoj ocenke faktorov rabochej sredy i trudovogo processa. Kriterii i klassifikacija uslovij truda: (Rukovodstvo 2.2.2006-05)]. Moscow, 2005. (in Russian).
Chronic obstructive pulmonary disease: a practical guide for physicians [Hronicheskaja obstruktivnaja bolezn’ legkih: prakticheskoe rukovodstvo dlja vrachej]. Ed. by A.G. Chuchalin. Мoscow, 2004. 31 p. (in Russian).
Syurin S.A., Sorokin, G.A. Evaluation of age and age dynamics of health disorders in the Arctic zone of Russia. Gigiena i sanitariya [Hygiene and Sanitation, Russian journal]. 2018; 97(12): 1198-2002. (in Russian). DOI: http://dx.doi.org/10.18821/0016-9900-2018-97-12-1198-1202
Goldsmith T.C. The Evolution of Aging. How New Theories Will Change the Future of Medicine. Third Edition. Azinet Press. 2014. [Electronic resource]. Access mode: http://www.azinet.com/aging/Aging_Book.pdf (Accessed: 01.02.2019).
Arking R. The Biology of Aging: Observations and Principles. Oxford University Press, Oxford, 2006. [Electronic resource]. Access mode: www.questia.com/library/117818450/the-biology-of-aging-observations-and-principles (Accessed: 01.02.2019).
Sorokin G.A., Suslov V. L. Assessment of harmfulness of working conditions at the shipyard on indicators of risk to health of shipbuilders. Sudostroenie. 2017; (1): 57-9. (in Russian).
Suslov V.L., Sorokin G.A., Grebenkov S.V. Analysis and hygienic assessment of 9-year dynamics of morbidity with temporary loss of ability to work of shipbuilders. Meditsina truda i promyshlennaya ekologiya. 2018; 5: 25-31. (in Russian). DOI: 10.31089/1026-9428-2018-5-25-31
BoyIe Р. And Parkin D.M. Statistical methods for registries. Cancer Registration: Principles and Methods. IARC Scientific Publications No. 95 Lyon, France 1991.
Vigdorchik N.A. Natural occupational selection in terms of occupational health [Еstestvennyj professional’nyj otbor s tochki zreniya professional’noj gigieny truda]. Leningrad; 1928.
Sorokin G.A. Work, fatigue and professional risk [Rabota, utomlenie i professional’nyy risk]. St. Petersburg: Polytechnic University; 2016; 456. (in Russian).
Bukhtiyarov I.V. Problems of occupational medicine at mining enterprises in Siberia and the Far North. Gornaya promyshlennost’. 2013; 56 (110): 77-80. (in Russian).
Gorbanyov S.A., Syurin S.A. Influence of conditions and duration of work on health of Northern miners. Meditsina truda i promyshlennaya ekologiya. 2018; 5: 44-9. (in Russian). DOI: 10.31089/1026-9428-2018-5-44-49
Palmer K.T., Syddall H., Cooper C., Coggon D. Smoking and musculoskeletal disorders: findings from a British national survey. Ann. Rheum. Dis. 2003 Jan; 62 (1): 33-6.
Price T.B., Krishnan’Sarin S., Rothman D.L. Smoking impairs muscle recovery from exercise. Am. J. Physiol. Endocrinol. Metab. 2003; 285 (1): 116-22.
Ortiz A1, Grando SA. Smoking and the skin. International Journal of Dermatology. 2012; 51 (3): 250-62.
Soloviev A. M., Gomberg M. A., Akoubian V. A. Smoking and skin pathology. Russkij Medicinskij Zhurnal. 1998; 20 (6). [Electronic resource.] Access mode:https://www.rmj.ru/articles/dermatologiya/KURENIE_I_PATOLOGIYa_KOGhI /(Accessed: 14.02.2019).
Koh J.S., Kang H., Choi S.W., Kim H.O. Cigarette smoking associated with premature facial wrinkling: image analysis of facial skin replicas. International Journal of Dermatology. 2002; 41 (1): 212-7.
Sorokin G.A. The significance of herohygiene for identifying and assessing occupational, environmental and social risks. Gigiena i sanitariya [Hygiene and Sanitation, Russian journal]. 2017; 96(11): 1021-1024. (in Russian). DOI: http://dx.doi.org/10.18821/0016-9900-2017-96-11-1021-1024
- Refbacks are not listed
Контент доступен под лицензией Creative Commons Attribution 3.0 License.