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Michas G, Magriplis E, Micha R, Chourdakis M, Koutelidakis A, Dimitriadis G, Panagiotakos D, Zampelas A. Prevalence and factors associated with smoking in a nationally representative sample of Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS). Hellenic J Cardiol 2022; 67:19-27. [PMID: 35605946 DOI: 10.1016/j.hjc.2022.05.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2022] [Revised: 05/02/2022] [Accepted: 05/14/2022] [Indexed: 11/18/2022] Open
Abstract
The Publisher regrets that this article is an accidental duplication of an article that has already been published, https://doi.org/10.1016/j.hjc.2022.05.005. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal
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Affiliation(s)
- George Michas
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece
| | - Emmanuella Magriplis
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece
| | - Renata Micha
- Department of Food Science and Nutrition, School of Agricultural Sciences, University of Thessaly, 43 100, Karditsa, Greece
| | - Michail Chourdakis
- School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, University Campus, 54 124 Thessaloniki, Greece
| | - Antonis Koutelidakis
- Department of Food Science and Nutrition, University of Aegean, Mytilini, Greece
| | - George Dimitriadis
- 2ndDepartment of Internal Medicine, Research Institute and Diabetes Center, National and Kapodistrian University of Athens, "Attikon" University Hospital, Haidari, Greece
| | - Demosthenes Panagiotakos
- Department of Nutrition and Dietetics, School of Health Science and Education Harokopio University, Athens, Eleftheriou Venizelou 70, 176 76 Athens, Greece
| | - Antonis Zampelas
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece.
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Michas G, Magriplis E, Micha R, Chourdakis M, Koutelidakis A, Dimitriadis G, Panagiotakos D, Zampelas A. WITHDRAWN: Prevalence and factors associated with smoking in a nationally representative sample of Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS). Hellenic J Cardiol 2022:S1109-9666(22)00068-9. [PMID: 35605945 DOI: 10.1016/j.hjc.2022.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 05/02/2022] [Accepted: 05/14/2022] [Indexed: 11/18/2022] Open
Abstract
The Publisher regrets that this article is an accidental duplication of an article that has already been published, https://doi.org/10.1016/j.hjc.2022.05.005. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal
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Affiliation(s)
- George Michas
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece
| | - Emmanuella Magriplis
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece
| | - Renata Micha
- Department of Food Science and Nutrition, School of Agricultural Sciences, University of Thessaly, 43 100, Karditsa, Greece
| | - Michail Chourdakis
- School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, University Campus, 54 124 Thessaloniki, Greece
| | - Antonis Koutelidakis
- Department of Food Science and Nutrition, University of Aegean, Mytilini, Greece
| | - George Dimitriadis
- 2(nd) 1Department of Internal Medicine, Research Institute and Diabetes Center, National and Kapodistrian University of Athens, Attikon University Hospital, Haidari, Greece
| | - Demosthenes Panagiotakos
- Department of Nutrition and Dietetics, School of Health Science and Education Harokopio University, Athens, Eleftheriou Venizelou 70, 176 76 Athens, Greece
| | - Antonis Zampelas
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece.
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Grappasonni I, Scuri S, Petrelli F, Nguyen CTT, Sibilio F, Di Canio M, Samad MA, Amenta F. Survey on smoking habits among seafarers. ACTA BIO-MEDICA : ATENEI PARMENSIS 2019; 90:489-497. [PMID: 31910174 PMCID: PMC7233783 DOI: 10.23750/abm.v90i4.9001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Accepted: 12/03/2019] [Indexed: 11/23/2022]
Abstract
BACKGROUND Populations living in stressful environments experience higher mortality from lung cancer and chronic diseases. Work-related stress was identified as important determinant of smoking together to health problems caused by a incorrect lifestyles. Aim of the work was to analyze tobacco smoking addiction in seafarers working on merchant ships. Only a few studies are available on this topic. METHODS The survey was conducted using an anonymous questionnaire. The total number of questionnaires filled-in was 1478, out of 2000 distributed (response rate 73.9 %). RESULTS About half of the sample (55.07%) has never smoked, the 28.96% is currently a smoker, while 15.97% of responders belong to the category of ex-smokers. Analysis of the number of cigarettes smoked every day based on the rank shows that captains and officers smoke more cigarettes than the crew members who smoke 10 cigarettes maximum per day. Analysis of the level of dependence among the smokers group by the Fagerström Test for Nicotine Dependence (FTND) revealed that a 89.0% of sample has a low/very low dependence level, and only the 10.98% of the sample show a high/very high dependence. A further analysis of the results of FTND in the different age groups has shown that the 41-50 and 51-60 age groups have high dependence levels. CONCLUSIONS Working on board is associated to a high risk for chronic, lifestyle-related diseases, due also to lifestyle behaviours. This study suggests to further investigate the presence of other risk factors such as diet, physical exercise, combined with tobacco smoking, obesity. (www.actabiomedica.it).
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Anyfantis ID, Rachiotis G, Hadjichristodoulou C, Gourgoulianis KI. Respiratory Symptoms and Lung Function among Greek Cotton Industry Workers: A Cross-Sectional Study. THE INTERNATIONAL JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE 2017; 8:32-38. [PMID: 28051194 PMCID: PMC6679635 DOI: 10.15171/ijoem.2017.888] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Accepted: 09/02/2016] [Indexed: 11/25/2022]
Abstract
Background: Workers in cotton industry are occupationally exposed to various dust-related hazards. The nature of these agents and the respective exposure levels depend on the cotton industry specific sector. These exposures could be associated with respiratory symptoms and changes in lung function parameters. Objective: To evaluate associations between occupational exposure and respiratory function as well as reported symptoms in several groups of workers at different stages of the cotton industry in a vertical approach that covers all the major sectors—from cotton ginning to weaving and fabric production. Methods: A questionnaire on respiratory symptoms and individual as well as workplace characteristics was completed by 256 workers at the cotton industry and 148 office workers (control group). Both groups underwent spirometry. Results: Workers in cotton industry reported a higher prevalence of severe dyspnea (p=0.002) and wheezing (p=0.004) compared to the control group. Also they were found to have a lower predicted FEV1% (p<0.029) and lower FEV1/FVC (p<0.001) values. In addition, a higher prevalence of FEV1% <80% (p<0.001) and FEV1/FVC <70% (p=0.041) were found among textile workers. Similar results were found for non-smoker textile workers compared to non-smoker control group workers. Those working in cotton ginning mills recorded the highest decrease of spirometric values. Duration of employment in cotton industry and smoking use were found to be predictors of lung function decline for cotton industry workers. Conclusion: Occupational exposure to cotton dust was associated with increased prevalence of respiratory symptoms and obstructive pattern in pulmonary function test.
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Affiliation(s)
- Ioannis D Anyfantis
- Department of Respiratory Medicine, University of Thessaly Medical School, Biopolis, Larissa 41110, Greece.
| | - Georgios Rachiotis
- Department of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, Larissa 41222, Greece
| | - Cristos Hadjichristodoulou
- Department of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, Larissa 41222, Greece
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Rachiotis G, Barbouni A, Katsioulis A, Antoniadou E, Kostikas K, Merakou K, Kourea K, Khoury RN, Tsouros A, Kremastinou J, Hadjichristodoulou C. Prevalence and determinants of current and secondhand smoking in Greece: results from the Global Adult Tobacco Survey (GATS) study. BMJ Open 2017; 7:e013150. [PMID: 28104708 PMCID: PMC5253573 DOI: 10.1136/bmjopen-2016-013150] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES Greece is one of the leading tobacco-producing countries in European Union, and every year over 19 000 Greeks die from tobacco-attributable diseases. The aim of the present study was to provide nationally representative estimates on current and secondhand smoking prevalence in Greece and their determinants. DESIGN Cross-sectional. SETTING Greece. PARTICIPANTS A total of 4359 individuals participated in the Global Adult Tobacco Survey (GATS), a household survey of adults ≥15 years old (overall response rate 69%). They were selected through a multistage geographically clustered sampling design with face-to-face interview. PRIMARY AND SECONDARY OUTCOME MEASURES In 2013, we investigated the prevalence of current and secondhand smoking and their determinants. Univariate and logistic regression analysis was used in order to identify possible risk factors associated with the prevalence of current and secondhand smoking. RESULTS The prevalence of current smoking was 38.2% (95% CI 35.7% to 40.8%), and the mean number of cigarettes smoked per day was 19.8. Multivariate analysis confirmed that male gender (OR=3.24; 95% CI 2.62 to 4.00), age groups (25-39, OR=4.49; 95% CI 3.09 to 8.46 and 40-54, OR=3.51; 95% CI 1.88 to 5.87) and high school education (OR=1.97; 95% CI 1.41 to 2.74) were independently associated with the current smoking. Remarkably, responders with primary or less education had the lowest prevalence of current smoking (p<0.001). The prevalence of exposure to secondhand smoke at work, home and restaurants, was 52.3%, 65.7% and 72.2%. In total, 90.0% (95% CI 87.8% to 91.9%) of Greek population is exposed to tobacco smoke (current smoking and secondhand smoke). CONCLUSIONS Our results revealed an extremely high prevalence of current smoking and exposure to secondhand smoke among the adult population and a positive gradient between education and current smoking. These findings are alarming and implementation of comprehensive tobacco control and prevention strategies could be impactful in fighting the tobacco epidemic in Greece.
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Affiliation(s)
- George Rachiotis
- Faculty of Medicine, Department of Hygiene and Epidemiology, University of Thessaly, Larissa, Greece
| | - Anastasia Barbouni
- Department of Public and Administrative Health, National School of Public Health, Athens, Greece
| | - Antonis Katsioulis
- Faculty of Medicine, Department of Hygiene and Epidemiology, University of Thessaly, Larissa, Greece
| | - Eleni Antoniadou
- Department of Public and Administrative Health, National School of Public Health, Athens, Greece
| | - Konstantinos Kostikas
- Faculty of Medicine, Department of Hygiene and Epidemiology, University of Thessaly, Larissa, Greece
| | - Kyriakoula Merakou
- Department of Public and Administrative Health, National School of Public Health, Athens, Greece
| | - Kallirrhoe Kourea
- Faculty of Medicine, Department of Hygiene and Epidemiology, University of Thessaly, Larissa, Greece
| | - Rula N Khoury
- Regional Office for Europe, World Health Organization, Copenhagen, Denmark
| | - Agis Tsouros
- Regional Office for Europe, World Health Organization, Copenhagen, Denmark
| | - Jenny Kremastinou
- Department of Public and Administrative Health, National School of Public Health, Athens, Greece
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Choi SH, Pohl JM, Terrell JE, Redman RW, Duffy SA. Factors associated with smoking among operating engineers. Workplace Health Saf 2013; 61:385-92. [PMID: 23957830 PMCID: PMC4870817 DOI: 10.1177/216507991306100903] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2013] [Accepted: 06/17/2013] [Indexed: 05/28/2024]
Abstract
Although disparities in smoking prevalence between white collar workers and blue collar workers have been documented, reasons for these disparities have not been well studied. The objective of this study was to determine variables associated with smoking among Operating Engineers, using the Health Promotion Model as a guide. With cross-sectional data from a convenience sample of 498 Operating Engineers, logistic regression was used to determine personal and health behaviors associated with smoking. Approximately 29% of Operating Engineers currently smoked cigarettes. Multivariate analyses showed that younger age, unmarried, problem drinking, physical inactivity, and a lower body mass index were associated with smoking. Operating Engineers were at high risk of smoking, and smokers were more likely to engage in other risky health behaviors, which supports bundled health behavior interventions.
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Affiliation(s)
- Seung Hee Choi
- School of Nursing, University of Michigan, 400 North Ingalls, Ann Arbor, MI 48109-5482, USA
| | - Joanne M. Pohl
- School of Nursing, University of Michigan, 400 North Ingalls Bldg #3350, Ann Arbor, MI, 48109-5482, USA
| | - Jeffrey E. Terrell
- University of Michigan, 1500 E. Medical Center Drive, SPC 5312, Ann Arbor, MI, 48109-5312, USA
| | - Richard W. Redman
- School of Nursing, University of Michigan, 400 North Ingalls Bldg #4304, Ann Arbor, MI, 48109-5482, USA
| | - Sonia A. Duffy
- School of Nursing, University of Michigan, 400 North Ingalls Bldg #3178, Ann Arbor, MI, 48109-5482, USA,
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Choi SH, Pohl JM, Terrell JE, Redman RW, Duffy SA. Factors Associated With Smoking Among Operating Engineers. Workplace Health Saf 2013. [DOI: 10.3928/21650799-20130816-67] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Kim S, Kim J. The Associations Between Smoking and Occupational Categories. Asia Pac J Public Health 2012; 27:NP1752-64. [DOI: 10.1177/1010539512461669] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The implementation of smoke-free policies for workplaces and their impacts have been far from satisfactory. We investigated smoking prevalence in various occupations using data (n = 9283) from the Korea National Health and Nutrition Examination Survey collected from 2008 to 2010. Young adults who were working in the occupation categories of “service and sales,” “skilled agricultural, fishery, and forest workers,” and “crafts and machine operation” for men and “service and sales” for women showed 1.8 to 7.1 and 3.7 times higher ( P < .05) smoking prevalence compared with the reference (managers and professionals), respectively, and the highest prevalence among the 7 occupational categories that were studied. Drinking and stress level were positively associated with being current smokers. We provide quantitative evidence supporting clinicians and policy makers wishing to establish smoking-cessation programs in workplaces for young adults in South Korea, and evidence supporting the improvement of prevention by the concomitant reduction of risk factors.
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Rachiotis G, Drivas S, Kostikas K, Makropoulos V, Hadjichristodoulou C. Respiratory tract mortality in cement workers: a proportionate mortality study. BMC Pulm Med 2012; 12:30. [PMID: 22738120 PMCID: PMC3425084 DOI: 10.1186/1471-2466-12-30] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2011] [Accepted: 06/15/2012] [Indexed: 12/05/2022] Open
Abstract
Background The evidence regarding the association between lung cancer and occupational exposure to cement is controversial. This study investigated causes of deaths from cancer of respiratory tract among cement workers. Methods The deaths of the Greek Cement Workers Compensation Scheme were analyzed covering the period 1969-1998. All respiratory, lung, laryngeal and urinary bladder cancer proportionate mortality were calculated for cement production, maintenance, and office workers in the cement industry. Mortality from urinary bladder cancer was used as an indirect indicator of the confounding effect of smoking. Results Mortality from all respiratory cancer was significantly increased in cement production workers (PMR = 1.91; 95% CI 1.54 to 2.33). The proportionate mortality from lung cancer was significantly elevated (PMR = 2.05; 95% CI 1.65 to 2.52). A statistically significant increase in proportionate mortality due to respiratory (PMR = 1.7; 95% CI 1.2 to 2.34). and lung cancer (PMR = 1.67;95% CI = 1.15-2.34) among maintenance workers has been observed. The PMR among the three groups of workers (production, maintenance, office) did differ significantly for lung cancer (p = 0.001), while the PMR for urinary bladder cancer found to be similar among the three groups of cement workers. Conclusion Cement production, and maintenance workers presented increased lung and respiratory cancer proportionate mortality, and this finding probably cannot be explained by the confounding effect of smoking alone. Further research including use of prospective cohort studies is needed in order to establish a causal association between occupational exposure to cement and risk of lung cancer.
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Affiliation(s)
- George Rachiotis
- Department of Hygiene and Epidemiology, Medical Faculty, University of Thessaly, Larissa, Greece.
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Filippidis FT, Tzavara C, Dimitrakaki C, Tountas Y. Compliance with a healthy lifestyle in a representative sample of the Greek population: preliminary results of the Hellas Health I study. Public Health 2011; 125:436-41. [PMID: 21723571 DOI: 10.1016/j.puhe.2011.03.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2009] [Revised: 08/22/2010] [Accepted: 03/09/2011] [Indexed: 12/11/2022]
Abstract
OBJECTIVES To investigate lifestyle health behaviours, such as smoking, physical activity, weight status and dietary habits, in a representative sample of the adult Greek population. STUDY DESIGN Cross-sectional, household interviews (Hellas Health I survey, 2006). METHODS A stratified representative sample (n = 1005, 483 males, 522 females) of the Greek adult population (mean age 47.39 years, median age 46 years, range 18-99 years) was interviewed. Self-reported demographic and lifestyle behaviour data were obtained. The Food Frequency Questionnaire (FFQ) was used to record dietary habits, and a Mediterranean score was derived from the FFQ to assess adherence to the Mediterranean diet. A higher Mediterranean score indicates greater adherence to the Mediterranean diet. Physical activity was evaluated using the International Physical Activity Questionnaire. RESULTS Smoking is highly prevalent in the Greek population (43.1%), particularly among people aged 18-36 (52.9%) and 37-56 years (51.9%). Smoking prevalence was 52.4% in men and 34.5% in women (P < 0.001). In total, 54.1% of men and 45.3% of women were classified as physically active (P = 0.007). The proportion of physically active subjects decreased with age (P for trend<0.001). The prevalence of obesity was higher in women (18.3%) than men (14.3%, P < 0.001), and increased with age (P for trend<0.001). Men were found to have higher Mediterranean scores than women (27.09 vs 26.14, P < 0.05). Dietary habits also differed between younger and older participants, and the Mediterranean score increased with age. CONCLUSIONS The prevalence rates for smoking, physical inactivity and obesity are high, and compliance with the Mediterranean diet is low in Greece. Nationwide interventions focused on health promotion and primary prevention are urgently needed.
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Affiliation(s)
- F T Filippidis
- Centre for Health Services Research, Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, 25 Alexandroupoleos St., 11527 Athens, Greece
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Affiliation(s)
- D R Smith
- School of Health Sciences, Faculty of Health, University of Newcastle, Ourimbah, Australia.
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