• Journal of Preventive Medicine and Public Health
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• 제30권4호
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• pp.852-869
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• 1997

This study was conducted to develop and evaluate the reliability and the validity of a questionnaire in order to determine the applicability as a screening tool for estimating environmental exposure and health effects related to air pollution. The questionnaire was developed with adopting some items of others such as ISAAC or ATS-DLD. And then we performed test-retest to 89 middle school students and their mothers at interval of three months. Cohen's Kappa values, weighted Kappa values, Spearman's correlation coefficients, and Pearson's correlation coefficients for each item were computed as reliability coefficients. The validity coefficients and validity coefficient bounds were also obtained by simply using these reliability coefficients. As results, Kappa ranged broadly from 0.10 to 0.61 of the items 'diet', $0.52\sim0.79$ of the environmental tobacco smoke, $0.39\sim0.44$ of the functional categories of surrounding environment, and $0.39\sim0.44$ of the using transportation systems; these items were regarded as confounding factors. For items related to health outcomes, Kappa ranged from -0.02 to 0.37 in the respiratory system of past medical history, and from 0.11 to 0.55 in the current health status. But Kappa of the others were over 0.60. In conclusion, if some items can be corrected or modified, the questionnaire developed in this study can be used as a tool for evaluating environmental exposure and health effects associated with air pollution.

• Journal of Korean Biological Nursing Science
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• 제21권2호
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• pp.114-122
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• 2019

Purpose: The purpose of the study was to examine the relationship between smoking attitude and coping skills toward secondhand e-cigarette smoking among nonsmoking college students. Methods: This study was conducted with 148 students from a University in Seoul, Korea. Participants completed questionnaires and the data were analyzed using a T-test, ANOVA, and Pearson's correlation coefficients. Results: The mean score of smoking attitude is $51.35{\pm}4.73$. The mean score of coping skills is $13.89{\pm}2.53$ in verbal skills, $10.16{\pm}2.37$ in behavioral skills, and $8.32{\pm}2.30$ in assertive skills. Coping skills toward secondhand smoking are noted as being different by current cohabitation smoker. A significant relationship between smoking attitude and behavioral coping skills(r = .23, p= .004) was found, which means that a better smoking attitude was correlated with more active behavioral coping skills. Conclusion: The results showed that nonsmoking college students with better smoking attitude react to the E-cigarette smoking with more active behaviors. Therefore, interventions are needed to be developed to encourage better smoking attitude and coping skills toward secondhand E-cigarette smoking.

• 치위생과학회지
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• 제17권6호
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• pp.487-494
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• 2017

본 연구는 국민건강영양조사 제4기와 제5기(2007년~2012년) 자료를 이용하였으며, 구강검진 조사자료가 제공되지 않은 2011년 자료를 제외하고, 20세 이상의 성인 11,643명을 대상으로 연도별 흡연 유형별 치주질환의 추이를 살펴보고, 치주질환에 영향을 주는 인자를 평가하였다. 5개년도를 통합한 자료에서는 비흡연자에 비해 직접흡연자는 단순, 다중 로지스틱 회귀분석 모두에서 치주질환이 있을 aOR이 1.78, 1.77이었으며(p<0.001), 연도별 경향성을 보았을 때, 여자에 비해 남자가 치주질환이 있을 aOR은 1.12로 나타났다(p<0.001). 연도별 흡연 유형에 따라 치주질환 유병률은 치주질환이 있는 집단에서 직접흡연자의 비율이 현저하게 증가추세를 보였다. 또한 주요인자를 보정한 연도별 흡연 유형과 치주질환의 관련성을 단변량 분석한 결과, 비흡연자에 비해 직접흡연자의 치주질환이 있을 aOR은 2007년도에 1.99로 가장 높게 나타났다. 반면에 간접흡연자가 비흡연자에 비해 치주질환이 있을 확률은 통계적으로 유의하지 않았다. 인구사회학적 변수와 임상적 변수를 보정한 다변량 로지스틱 분석결과, 2007년도를 제외하고는 치주질환 발생에 있어 직접흡연자의 위험비는 통계적으로 모두 유의하였다. 반면 치주질환 발생에 있어 간접흡연의 영향력은 2010년도에서만 1.68의 aOR로 통계적 유의성을 보였다(p=0.032). 결론적으로 본 연구를 통해 연도에 따라 간접흡연의 노출이 증가되고 있음을 간접적으로 예측할 수 있었고, 직접흡연자에 비해 통계적 영향력의 크기는 뚜렷하지 않지만 치주질환에 있어 위험인자로서 독립적으로 고려되어야 함을 확인할 수 있었다. 중대구강병인 치주질환의 다양한 위험요인을 규명하고, 이를 예방하기 위한 측면에서 간접흡연과 치주질환의 명확한 기전과 영향력 크기를 밝히기 위한 근거자료 마련이 지속화되어야 할 것이다.

• Toxicological Research
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• 제23권1호
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• pp.39-46
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• 2007

The aim of the study was to see if there is any differences in urinary 1-hydroxypyrene glucuronide (1-OHPG) and 2-naphthol levels in children ($8{\sim}14$ years old) and their mothers ($30{\sim}46$ years old) living three cities in South Korea (Seoul, Incheon and Pohang) and three in China (Changchun, Datong and Kunming), where the levels of air pollution varies. The factors related with urinary biomarkers levels were also evaluated. The study subjects consisted of 118 Korean (60 children and 58 their mothers) and 120 Chinese (60 children and 60 their mothers). Urinary 1-OHPG was measured by synchronous fluorescence spectroscopy after immuno-affinity purification using monoclonal antibody 8E11 and urinary 2-naphthol concentrations were determined by HPLC with fluorescence detector. Information on recent consumption of diet containing high PAHs, environmental tobacco smoke (ETS), type of cooking and heating fuels, and other life-style characteristics were collected by self-administered questionnaire. The arithmetic mean of urinary 1-OHPG levels (n = 120, $mean{\pm}SD$, $6.77{\pm}7.96{\mu}mol/mol$ creatinine) in Chinese were 10 fold higher than those in Korean (n = 118, $0.62{\pm}0.61{\mu}mol/mol$ creatinine) (P < 0.01). Urinary 2-naphthol levels in Chinese (n = 119, $59.50{\pm}82.29{\mu}g/g$ creatinine) were significantly higher than those in Korean (n = 117, $25.09{\pm}46.56{\mu}g/g$ creatinine) (P < 0.01). Urinary 1-OHPG and 2-naphthol levels were significantly higher in children living the polluted cities in China (Datong and Chanchun, respectively). Multiple linear regression analysis indicated that living in factory area (vs. residential area) and use of coal stove as heating fuel were significant predictors for urinary 1-OHPG (overall model $R^2$= 0.46, n = 204). And ETS was predictor for urinary 2-naphthol levels in Korean ($R^2$ = 0.36, n = 46). These results indicated that urinary 1-OHPG and 2-naphthol levels were related with different ambient particulate air pollution, type of heating fuels and ETS.