[Smoking and health in Austria].
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Biomedical subjects
Publications and source records attributed to B Gredler.
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A representative group of the Austrian population was surveyed to gain informations about various aspects of the blood pressure problem. 22% of the persons surveyed (16-70 years) reported hypotension and 14% hypertension. Especially women very often (29%) consider their blood pressure rather low. 17% of the respondents consider hypotension "very dangerous", 47% "dangerous under certain conditions"; 30% prefer the statement "rather not dangerous". Women are less concerned about hypotension than men. Although hypotension very often is not recognized as a serious health problem this issue has implication on morbidity statistics and other aspects of public health, e. g. frequency of medical consultations, drug treatment, health economy. The population shows a high degree of awareness of this question of health.
Evaluation of the impact of a recent anti-smoking campaign in Austria has been made among representative samples of the population. The data show that the campaign had a widespread effect: 99% of those interviewed were aware of the campaign (83% referred to it spontaneously, and 15% on being questioned), and all Austrians knew the slogan, "Life without smoking can be just as nice!" (88% mentioned it spontaneously). Furthermore, some 66% of respondents knew the campaign's symbol. According to the results of this survey, the reduction in the number of smokers (34%) has been much greater than in 1979 when a similar survey indicated a decrease of 27%. Moreover, for the first time the number of women who smoke is diminishing. There also appears to be a trend towards smoking cigarettes with a low tar content. Finally, a considerable increase was recorded in the number of smokers who would like to quit.
The social class distribution of 400 male lung cancer patients differs significantly from the distribution in 280 controls (more lower-class people among lung cancer patients). Lung cancer patients showed a similar distribution of smokers in all social classes, who had the same tar exposure. Controls showed a similar distribution of smokers in all social classes but a significant difference between the tar exposure of smokers in different social classes. Tar exposure of smokers increases with the decrease of social class, comprising a higher lung cancer risk in the lower social classes, which equals the class distribution of lung cancer patients found in the study.
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400 male lung cancer patients were analysed according to their social class distribution and compared with the relevant age group of the Austrian population. There are significantly more lower class people among lung cancer patients than in the general population. The higher lung cancer risk in lower social classes, therefore, may be associated with social factors. These may influence smoking habits, the main cause of lung cancer: lower class people are more often cigarette smokers, less exsmokers and prefere high tar cigarettes.
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