Mensen die in het Verenigd Koninkrijk met asbest werken of hebben gewerkt, moeten, volgens de Britse Asbestregulering, elke 2 jaar medisch gecontroleerd worden. Rokers krijgen dan het advies om te stoppen, omdat asbest en roken samen een verhoogd risico op longkanker geven. Johnson en collega’s analyseerden dossiers van 170 mensen die in de periode van 1986 tot 2004 een eerste medische controle hadden gehad. Daaronder waren 109 rokers (64%) die allen het advies hadden gekregen om te stoppen. 34 Rokers kwamen twee jaar later terug voor een volgende controle. Van hen waren slechts 3 mensen met roken gestopt (9%). Er zijn, volgens de onderzoekers, daarom meer maatregelen nodig om ervoor te zorgen dat risicogroepen stoppen met roken. Bron: Johnson, A. et. al. (2006). Effectiveness of smoking cessation advice for asbestos workers. Occupational Medicine 56, 59-60.
Bron: Johnson, A., Farrow, P & Jenkins, R., (2006). Effectiveness of smoking cessation advice for asbestos workers. Occupational Medicine 56, 59-60.
Abstract
Aim. To assess effectiveness of smoking cessation advice to asbestos workers at statutory medical examinations.
Methods. Workers are required to be examined every 2 years while continuing potential exposure to asbestos, including cessation advice if smokers. Records of 170 workers seen between 1986 and 2004 in Kent and Canterbury Hospital were reviewed. Respiratory symptoms, signs, lung function, radiological findings and smoking status were analysed.
Results. At initial visit 109 (64%) were smokers. Thirty-four of these attended twice. Despite verbal advice, including emphasis on respiratory abnormalities detected in 62%, only three (9%) had ceased smoking by self-reporting at the second visit.
Conclusion. Despite appropriate counselling regarding the potential risks of asbestos exposure and smoking, the cessation rate among asbestos workers was disappointingly low. Further measures to encourage asbestos workers to enter smoking cessation programmes should be considered.