1 / 27

SMOKING CESSATION IN A GROUP OF FOUNDRY WORKERS AGED 40 +

SMOKING CESSATION IN A GROUP OF FOUNDRY WORKERS AGED 40 +. Elena-Ana Pauncu, PhD, MD, University of Medicine and Pharmacy “Victor Babes” Discipline of Occupational Health, Timisoara, Romania; Professor Dr. Dorin Bardac, Medical Faculty ”V.Papilian, Sibiu, Romania;

fell
Download Presentation

SMOKING CESSATION IN A GROUP OF FOUNDRY WORKERS AGED 40 +

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SMOKING CESSATION IN A GROUP OF FOUNDRY WORKERS AGED 40 + Elena-Ana Pauncu, PhD, MD, University of Medicine and Pharmacy “Victor Babes” Discipline of Occupational Health, Timisoara, Romania; Professor Dr. Dorin Bardac, Medical Faculty ”V.Papilian, Sibiu, Romania; Dr. Mihaela Stoia, Department of Public Health, Sibiu, Romania; Dr. Mihaela Hărătău, Public Health Specialist, Romtens Foundation, Bucharest, Romania

  2. Healthy Life……Healthy cities……Healthy workplaces……

  3. Aim To present some results of a smoking cessation program developed in an enterprise, particularly in a foundry factory from Timisoara, Romania.

  4. ROMANIA

  5. ROMANIA (01.07.2003) Population – 21,733,556 Surface – 238,391 km2

  6. TIMIS(01.07.2003)

  7. Medium duration of life, Timis county

  8. Action Level The workplace, a foundry factory (medium size enterprise) in Timisoara (Timis county / Romania)

  9. Setting • The project took place in a foundry section of a metallurgic factory • Duration – 1 year (+ 1 year optional) • A local research was performed among the workers (questionnaire) • The employees working in the factory were divided in two groups, according to their age (the age limit was 40 years).

  10. Tools / Methods • Questionnaire regarding the smoking habits applied to 186 workers. • Health education sessions (performed by Pneumologist + Public Health specialist) • Smoking cessation counseling – using the Counseling Medical Office established within the Pneumology Hospital very close to the enterprise) • Health status evaluation of the workers included in the study (medical examination and comparison of the data before and after the implementation of the program) • Tobacco Control Policy – elaboration and implementation

  11. Why in a foundry ? • Smoking habits (high prevalence, around 65 %) • Nutrition habits (high cholesterol values) • Concurrence of professional exposure and unhealthy lifestyle

  12. Occupational exposure of workers • Silica dust • Climate • Fumes • PAHs • Formaldehydes • Physical effort • Metal dust (iron, steel, non-ferrous, etc.) • Cigarette smoking

  13. The chromatogram of the resin extract from foundry (continuous line) compared with a standard mixture of PAHs and other compounds (interrupted line). Column C8 (Octyl), elution 80% MeOH, detection at 254 nm (B - benzene, T - toluene, N - naphthalene, X - xylene, A -anthracene, F - fluorantene, P - pirene and C - crisen)

  14. Comparison between the chromatograms of the foundry dust extract from the filter, in two different days

  15. Questionnaire Research -Characteristics of Studied Groupsno persons with silicosis, same gender male

  16. Questionnaire Research -CompanySmoking Profile

  17. Respiratory symptoms

  18. Pulmonary function tests results

  19. Respiratory pathology

  20. Elaboration / Implementation of a Tobacco Control Policy Steps (entire process took 1 year and was coordinated by the Safety Officer): • Establish a working group (Safety Officer, Occupational Health Physician, Human Resources Manager) • Get support from the management • Review existing regulations / initiatives • Develop the Policy • Reviewing the Policy with the management • Agreeing the Policy with the workforce (continuous process) – more informing them rather than getting their feed-back • Announcing the Policy • Implementing the Policy (it is young – 1 year almost)

  21. Results • Initially, the percent of smokers was similar, 65%. • The adherence to the program was good, in both groups. Only 3% of participants’ dropped out after one or two months of the program. • The respiratory complains in the group aged 40 and older (G1) were more frequent, compared to those in the second group,(G2), younger than 40 years.

  22. Results

  23. Results • The actual results are satisfactory • 12 persons in the G1 “older group” and • 6 persons in the “younger group” G2 became non-smokers after one month of program implementation, and • another 23 persons had a good response after six months of implementation.

  24. Motivation of adherence at the cessation program • Impossibility to solve himself the problem • Need of saving money/personal reasons • Health related problems • Family attitude

  25. Motivation to continuing smoking • Immediate consequences of cessation / withdrawal syndrome • The attitude of smokers – environment impact • Imperious need to smoke • Automatism related reasons • Personality

  26. Evaluation • The results regarding the motivation for continuing smoking showed very diverse and interesting individual approaches. • The smoke free workplace policy played had an important role in changing the reaction of workers towards non-smoking into a positive one.

  27. THANK YOUSALUTE FROM ROMANIA

More Related