Stress in the family and at the workplace, tobacco smoking among men working at the expedition work in the Arctic conditions: prevalence and interrelations

The attitude to tobacco smoking associated with chronic social stress and increased length of service by expeditionary rotational method appears to be a reliable indicator for forming a comprehensive program of the prevention of cardiovascular diseases (CVDs) in oil and gas extraction enterprise in the Arctic. Objective. To determine the associations of stress prevalence in the family and workplace with the parameters of attitude to tobacco smoking depending on the length of service by expeditionary rotational method in the Arctic. Materials and methods. Men aged 25—54 working on an expeditionary rotational shift mode were the study object, the sample amounted to 750 persons, response — 82.4%. The WHO MONICA-MOPSY questionnaire was used to determine stress in the family and workplace, attitude to tobacco smoking. Results. A decrease in the proportion of never smoked subjects was found at the minimum length of service on an expeditionary rotational shift mode equal 3 years and less in men aged 25—54 years when there is stress in the family. At the medium work experience in men who reported stress in the family, low capabilities in relation to attempts of smoking cessation and a decrease in the proportion of ex-smokers were established, an increase in the intensity of tobacco smoking — in presence of stress in the family and workplace. The lowest capabilities for attempts to smoking cessation were identified in the maximum length of service and presence of stress in the family. Negative annual growth dynamics in the intensity of tobacco smoking was noted in presence of stress in the family regardless of the work experience by expeditionary rotational method and in presence of stress at work among persons with service length of 4—9 years. Conclusions. Analysis of the associations of chronic social stress factors with the attitude of rotational employees to smoking depending on the length of mobile nature of work can be a fundamental element of the scientific position in forming a program for primary prevention of cardiovascular diseases in men working in the Arctic.