АНАЛИЗ ВЗАИМОСВЯЗИ НИКОТИНОВОЙ ЗАВИСИМОСТИ И ПАССИВНОГО КУРЕНИЯ СО СТЕПЕНЬЮ ТЯЖЕСТИ ХРОНИЧЕСКОЙ ОБСТРУКТИВНОЙ БОЛЕЗНИ ЛЕГКИХ У КУРЯЩИХ ЖЕНЩИН РЕПРОДУКТИВНОГО ВОЗРАСТА

Abstract

Introduction. We studied the nicotine addiction stage and secondhand smoke interrelationships with the chronic obstructive pulmonary disease severity in smokers of reproductive age. Aim of the study was to research in the nicotine addiction and secondhand smoke impact upon the development of chronic obstructive pulmonary disease severity in smoking women of reproductive age. Materials and Methods. Using the questionnaire methodology developed, the nicotine addiction stage was analyzed in reproductive women with and without secondhand smoke (based on questionnaire survey outcomes). There were 107 smoking female patients of reproductive age divided into two groups: Those with secondhand smoke and those without it. Observational group consisted of 42 non-smoking women without any chronic diseases. Chronic obstructive pulmonary disease was diagnosed based on the clinical recommendations of the Russian Respiratory Society (2021). The data obtained during the study were analyzed followed by the comparison of the outcomes between the groups of smoking patients with secondhand and non-secondhand smoking, against the observational group. The outcomes led us to determine whether there is a statistically significant relationship between secondhand smoke and nicotine addiction stage in the development of chronic obstructive pulmonary disease. The reliability of the outcomes was assessed using the methods of parametric and nonparametric statistics. Before using all statistical research methods, we checked whether the sampling complied with the Gaussian (normal) distribution law. Variables that did not obey the normal distribution law or those with the uncertain distribution law were analyzed using a nonparametric statistical method, i. e., Pearson criterion. Results and Discussion. Average age of the smoking patients is 26.5 years. Average index of smokers was 6.59 pack-years. The smokers’ index exceeded the middle of the indicator contributing to the chronic obstructive pulmonary disease development (10 pack – years), which is typical for a young age and their smoking experience. It was found that the nicotine addiction stage correlates with the chronic obstructive pulmonary disease severity with a statistically significant reliability. Conclusions. Secondhand smoke in addition to active smoking, reduces the temporal characteristics of chronic obstructive pulmonary disease severity.