Abstract
BackgroundVery few studies have evaluated the adverse effect of passive smoking exposure among active smokers, probably due to the unproven assumption that the dose of toxic compounds that a smoker inhales by passive smoke is negligible compared to the dose inhaled by active smoke.MethodsIn a controlled situation of indoor active smoking, we compared daily benzo(a)pyrene (BaP) dose, estimated to be inhaled by smokers due to the mainstream (MS) of cigarettes they have smoked, to the measured environmental tobacco smoke (ETS) they inhaled in an indoor environment. For this aim, we re-examined our previous study on daily personal exposure to BaP of thirty newsagents, according to their smoking habits.ResultsDaily BaP dose due to indoor environmental contamination measured inside newsstands (traffic emission and ETS produced by smoker newsagents) was linearly correlated (p = 0.001 R2 = 0.62) with estimated BaP dose from MS of daily smoked cigarettes. In smoker subjects, the percentage of BaP daily dose due to ETS, in comparison to mainstream dose due to smoked cigarettes, was estimated with 95% confidence interval, between 14.6% and 23% for full flavour cigarettes and between 21% and 34% for full flavour light cigarettes.ConclusionsDuring indoor smoking, ETS contribution to total BaP dose of the same smoker, may be not negligible. Therefore both active and passive smoking exposures should be considered in studies about health of active smokers.
Highlights
Very few studies have evaluated the adverse effect of passive smoking exposure among active smokers, probably due to the unproven assumption that the dose of toxic compounds that a smoker inhales by passive smoke is negligible compared to the dose inhaled by active smoke
Only a few studies have examined the adverse effects of passive smoking exposure among active smokers
The regression equations for the two cigarette categories (FF and full flavour light (FFL)) are the following: full flavour (FF)) Environmental BaP (Env-BaP) 13.2 0.185 MS-BaP R 2 0.62; p 0.0015 (1)
Summary
Very few studies have evaluated the adverse effect of passive smoking exposure among active smokers, probably due to the unproven assumption that the dose of toxic compounds that a smoker inhales by passive smoke is negligible compared to the dose inhaled by active smoke. A previous study demonstrated that smokers were 21.2 times more ETS exposed, based on nicotine, than non-smokers [6] Despite these results, only a few studies have examined the adverse effects of passive smoking exposure among active smokers. The low interest in studying the role of ETS on smoker health is probably due to the assumption that the added dose of toxic compounds to smokers from their own passive smoking is negligible, compared to the dose they voluntarily inhale by their cigarettes. According to our bibliographic review, this assumption is not supported by any experimental measures
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