Research Article

Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study

Volume: 32 Number: 4 December 1, 2025

Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study

Abstract

Objectives: This analytical cross-sectional study aimed to investigate respiratory complaints and their associated quality of life among fire response teams following the major forest fires that occurred in the Mediterranean and Aegean regions of Turkey in August 2021. The study utilized the Severe Respiratory Insufficiency (SRI) questionnaire, a valid tool for illuminating the effects of acute smoke exposure on respiratory health and for identifying key socio-demographic factors that affect quality of life in this at-risk population. Material and Method: Data for this analytical cross-sectional study were collected using a convenience sampling method from 83 participants who responded to the August 2021 fires. A total of 148 individuals were invited, and 83 were included in the study. The data collection tool included demographic questions and the 49-item SRI questionnaire. Due to the non-normal data distribution, inter-group analyses were performed using the Mann-Whitney U and Kruskal-Wallis H tests, with effect sizes and 95% Confidence Intervals (95% CI) reported. The level of statistical significance was set at (p<0.05). Results: Analysis revealed that participants in the 18-24 age group reported a higher quality of life compared to other age groups. Conversely, a statistically significant difference (p < 0.05) indicated that the 45-65 age group experienced a poorer quality of life when compared to other demographics. Alcohol consumption was found to directly impact quality of life; a significant difference (p < 0.05) was observed in quality of life between participants who abstained from alcohol and those who consumed alcohol once a week. Furthermore, individuals without substance addiction exhibited higher scores, indicating better quality of life, with a significant difference (p < 0.05) noted when compared to those with substance addiction. Conclusion: Key factors influencing the respiratory complaints and overall quality of life among individuals directly exposed to forest fires include age, alcohol use, substance addiction, education level, and engagement in sports activities.

Keywords

Ethical Statement

The study in question was carried out with the decision numbered 10 and dated 10.11.2021 of the Suleyman Demirel University Health Sciences Ethics Committee.

References

  1. 1. Brugha R, Grigg J. Urban air pollution and respiratory infections. Paediatr Respir Rev. 2014;15(2):194–9. 2. Lee HA, Lee WK, Lim D, Park SH, Baik SJ, Kong KA, et al. Risks of lung cancer due to radon exposure in the regions of Korea. J Korean Med Sci. 2015;30(5):542–8.
  2. 3. Schraufnagel DE, Balmes JR, de Matteis S, Hoffman B, Kim WJ, Perez-Padilla R, et al. Health benefits of air pollution reduction. Ann Am Thorac Soc. 2019;16(12):1478–87.
  3. 4. Urrutia-Pereira M, Guidos-Fogelbach G, Solé D. Climate changes, air pollution and allergic diseases in childhood and adolescence. J Pediatr (Rio J). 2022;98:S47–54. 5. Tutmaz V. Orman içi ve bitişiğinde yaşayanlar için orman yangınlarıyla mücadele rehberi. 59th ed. Ankara: Türkiye Ormancılar Derneği; 2022. 12–13.
  4. 6. Jerrett M. Air pollution as a risk for death from infectious respiratory disease. Am J Respir Crit Care Med. 2022;205(12):1374–5.
  5. 7. Bayram H, Dikensoy Ö. Hava kirliliği ve solunum sağlığına etkileri. Tüberküloz ve Toraks Derg. 2006;54(1):80–9.
  6. 8. Shima M, Adachi M. Effect of outdoor and indoor nitrogen dioxide on respiratory symptoms in schoolchildren. Int J Epidemiol. 2000;29(5):862–70.
  7. 9. He T, Jin L, Li X. On the triad of air PM pollution, pathogenic bioaerosols, and lower respiratory infection. Environ Geochem Health 2023;45(4):1067–77.
  8. 10. Truta-Popa LA, Hofmann W, Cosma C. Prediction of lung cancer risk for radon exposures based on cellular alpha particle hits. Radiat Prot Dosimetry 2011;145(2–3):218–23.

Details

Primary Language

English

Subjects

Chest Diseases

Journal Section

Research Article

Publication Date

December 1, 2025

Submission Date

January 21, 2025

Acceptance Date

October 18, 2025

Published in Issue

Year 2025 Volume: 32 Number: 4

APA
Başer, T., & Saygın, M. (2025). Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study. Medical Journal of Süleyman Demirel University, 32(4), 265-281. https://doi.org/10.17343/sdutfd.1619333
AMA
1.Başer T, Saygın M. Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study. Med J SDU. 2025;32(4):265-281. doi:10.17343/sdutfd.1619333
Chicago
Başer, Tayfun, and Mustafa Saygın. 2025. “Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study”. Medical Journal of Süleyman Demirel University 32 (4): 265-81. https://doi.org/10.17343/sdutfd.1619333.
EndNote
Başer T, Saygın M (December 1, 2025) Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study. Medical Journal of Süleyman Demirel University 32 4 265–281.
IEEE
[1]T. Başer and M. Saygın, “Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study”, Med J SDU, vol. 32, no. 4, pp. 265–281, Dec. 2025, doi: 10.17343/sdutfd.1619333.
ISNAD
Başer, Tayfun - Saygın, Mustafa. “Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study”. Medical Journal of Süleyman Demirel University 32/4 (December 1, 2025): 265-281. https://doi.org/10.17343/sdutfd.1619333.
JAMA
1.Başer T, Saygın M. Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study. Med J SDU. 2025;32:265–281.
MLA
Başer, Tayfun, and Mustafa Saygın. “Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study”. Medical Journal of Süleyman Demirel University, vol. 32, no. 4, Dec. 2025, pp. 265-81, doi:10.17343/sdutfd.1619333.
Vancouver
1.Tayfun Başer, Mustafa Saygın. Respiratory Symptoms and Quality of Life in First Responders to the 2021 Forest Fires in Turkey: A Cross-Sectional Sri-Based Study. Med J SDU. 2025 Dec. 1;32(4):265-81. doi:10.17343/sdutfd.1619333

                                                                                                                 14791 


Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial 4.0 International.