An impact of the governmental tobacco control policy on chronic bronchitis incidence in the Russian Federation

Chronic  bronchitis (CB) is one of the most common  respiratory diseases. An important  risk factor of CB is tobacco smoking which is highly prevalent in the Russian Federation (RF). In 2013, a Federal Law about health protection against second-hand tobacco smoke exposure and consequences of tobacco consumption came into the legal force in the RF. This law resulted in a significant reduction in the prevalence of active and passive tobacco smoking. The aim of the present  research was to analyze an impact  of the governmental  tobacco  control  policy on CB incidence  in the RF. Methods: The incidence of CB was analyzed using the official statistics for the period of 2009 – 2017 and was defined as number of newly diagnosed CB patients per 100,000. To evaluate an impact of the Federal Law on CB incidence,  primary morbidities were compared between the years 2009 – 2013 (before adoption of the Law) and 2014 – 2017 (after adoption of the Law). Results. Before the year 2013, the CB incidence had tended to a substantial increase followed by its reduction after the year 2014. A relative reduction in the CB incidence in 2014 – 2017 was ≥ 36%. Conclusions: The current analysis demonstrated a steady downward trend in CB incidence in RF after the adoption  of the Federal Law on tobacco control policy in 2013. This is probably related to decreasing prevalence of active smoking and to second-hand smoking reduction  as well. Therefore,  the comprehensive governmental tobacco control strategy positively inf luenced on the health status of Russian population.

1. Chuchalin A.G., Khaltaev N., Antonov N.S. et al. Chronic respiratory diseases and risk factors in 12 regions of the Russian Federation. Int. J. COPD. 2014; 9: 963–974. DOI: 10.2147/COPD.S67283.

2. Syurin S.A., Nikanov A.N., Rocheva I.I., Panychev D.V. [Lipid peroxidation in chronic bronchitis and chronic 11–16. Available at: https://cyberleninka.ru/article/v/vliyanie-tabachnogo-dyma-na-organy-dyhaniya (in Russian).

3. Antonov N.S., Saharova G.M. [Harmless tobacco consumption does not exist]. Astma i allergija. 2012; (4): 3–6. Available at: https://cyberleninka.ru/article/v/bezvrednyh-form-tabachnyh-izdeliy-ne-byvaet (in Russian).

4. Chuchalin A.G., ed. [Respiratory Medicine: A Manual. obstructtive pulmonary disease]. Ekologiya cheloveka. 3-Volume Set. 2nd Revised and Enlarged Edition]. Moscow: 2007; (4): 13–16. Available at: https://cyberleninka.ru/article/v/sostoyanie-protsessov-perekisnogo-okisleniya-lipidov-pri-hronicheskom-bronhite-i-hronicheskoy-obstruktivnoy-bolezni-legkih (in Russian).

5. Klochkova S.V., Ignatova G.L. [Prevalence and risk factors of chronic pulmonary diseases in militaries]. Vestnik YuUrGU. 2011; 39 (256): 124–126. Available at: https://cyberleninka.ru/article/v/rasprostranennost-i-faktory-riska-razvitiya-hronicheskih-zabolevaniy-legkih-u-voennosluzhaschih (in Russian).

6. Krysanov I.S. [A cost analysis of chronic obstructive pulmonary disease in Russian Federation]. Kachestvennaja klinicheskaja praktika 2014; (2): 51–56. Available at: https://cyberleninka.ru/article/v/analiz-stoimosti-hronicheskoy-obstruktivnoy-bolezni-lyogkih-v-rossiyskoy-federatsii (in Russian).

7. Zhuravskaya N.S. [Chronic bronchitis as an actual issue of Russian pulmonology]. Bulleten' fiziologii i patologii dyhaniya. 2003; (13): 70–75. Available at: https://cyberleninka.ru/article/v/hronicheskiy-bronhit-kak-aktualnaya-problema-otechestvennoy-pulmonologii (in Russian).

8. Shepelenko A.F. [Chronic bronchitis]. Trudnyy pacient. 2009; 7 (3): 33–38. Available at: https://cyberleninka.ru/article/v/hronicheskiy-bronhit (in Russian).

9. Krasnova Yu.N. [Effects of tobacco smoke on the respiratory system]. Sibirskiy medicinskiy zhurnal (Irkutsk). 2015; 6: Litterra; 2017. Vol. 1 (in Russian).

10. Chuchalin A.G. [Tobacco smoking and respiratory diseases]. Russkiy meditsinskiy zhurnal. 2008; 22 (16): 1477–1481. Available at: https://www.rmj.ru/articles/bolezni_dykhatelnykh_putey/Tabakokurenie_i_bolezni_organov_dyhaniya/ (in Russian).

11. Bagaitkar J., Demuth D.R., Scott D.A. Tobacco use increases susceptibility to bacterial infection. Tob. Induc. Dis. 2008; 4: 12. DOI: 10.1186/1617-9625-4-12.

12. Salagay O.O., Sakharova G.M., Antonov N.S. [Results of governmental policy on tobacco control in the Russian Federation]. Panorama obshchestvennogo zdravookhraneniya. 2018; 4 (3): 271–291 (in Russian).

13. Sakharova G.M., Antonov N.S., Salagay O.O. [Global Adult Survey on Tobacco Use in the Russian Federation: GATS 2009 and GATS 2016]. Narkologiya. 2017; 16 (7): 8–12 (in Russian).

14. Kozyreva P.M., ed. [A Bulletin of Russian Monitoring of Economics and Health Status of Population in the Russian Federation]. Moscow: Vysshaya shkola ekonomiki; 2016. Vol. 6 (in Russian).

15. Lightwood J.M., Glantz S.A. Declines in acute myocardial infarction after smoke-free laws and individual risk attributable to secondhand smoke. Circulation. 2009; 120 (14): 1373–1379. DOI: 10.1161/CIRCULATIONAHA.109.870691.