• Journal of Preventive Medicine and Public Health
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• 제39권4호
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• pp.365-370
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• 2006

Objectives: The purpose of this study was to investigate the differences in smoking rates according to the major occupational categories in South Korea. Methods: The study subjects were a weighted sample of 24,495 men and 26,121 women aged 25-64 from the 2003 Social Statistics Survey, which was conducted by the Korea National Statistical Office. Occupation was classified according to the Korean Standard Occupation Classification. We computed the age-standardized smoking rates according to gender and occupations after adjusting for the education level, marital status, and self-rated health. Results: For men, the smoking rate in elementary occupations was two times higher than that of clerks (OR=1.98, 95% CI=1.74-2.26). In general, a more prestigious job(professionals) correlated with lower smoking rates, and less prestigious jobs correlated with higher smoking rates, except for legislators, senior officials and managers. For women, smoking among service workers was 4.1 times higher than among clerical workers (OR=4.11, 95% CI=2.87-5.88). For women, their occupations, except elementary workers, and the unemployed, the retired and the armed forces, failed to show significant differences in smoking compared with the clerical workers. After adjusting for education, occupational differences in the smoking rate for men were attenuated in most occupations, except for legislators, professionals, and technicians. Further adjustment for marital status and self-rated health had a minimal effect on the occupational differences in the smoking rate for men. For women workers with service or elementary occupations, the ORs of smoking were attenuated with adjustment of the educational levels. However, the ORs of smoking were increased in workers with service, sales or elementary occupations, as well as for legislators, and the unemployed, the retired and the armed forces, after additionally adjusting for marital status. Conclusions: More prestigious jobs generally correlated with lower smoking rates in both sexes. The anti-tobacco policy should consider smoking rate differentials by occupations.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.6953-6961
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• 2015

Background: Tobacco and alcohol contain or may generate carcinogenic compounds related to cancers. CYP1A1 enzymes act upon these carcinogens before elimination from the body. The aim of this study was to investigate whether CYP1A1 T3801C polymorphism modulates the relationship between tobacco and alcohol-associated head and neck cancer (HNC) susceptibility among the northeast Indian population. Materials and Methods: One hundred and seventy histologically confirmed HNC cases and 230 controls were included within the study. The CYP1A1 T3801C polymorphism was determined using PCR-RFLP, and the results were confirmed by DNA sequencing. Logistic regression (LR) and multifactor dimensionality reduction (MDR) approaches were applied for statistical analysis. Results: The CYP1A1 CC genotype was significantly associated with HNC risk (P=0.045). A significantly increased risk of HNC (OR=6.09; P<0.0001) was observed in individuals with combined habits of smoking, alcohol drinking and tobacco-betel quid chewing. Further, gene-environment interactions revealed enhanced risks of HNC among smokers, alcohol drinkers and tobacco-betel quid chewers carrying CYP1A1 TC or CC genotypes. The highest risk of HNC was observed among smokers (OR=7.55; P=0.009) and chewers (OR=10.8; P<0.0001) carrying the CYP1A1 CC genotype. In MDR analysis, the best model for HNC risk was the three-factor model combination of smoking, tobacco-betel quid chewing and the CYP1A1 variant genotype (CVC=99/100; TBA=0.605; P<0.0001); whereas interaction entropy graphs showed synergistic interaction between tobacco habits and CYP1A1. Conclusions: Our results confirm that the CYP1A1 T3801C polymorphism modifies the risk of HNC and further demonstrated importance of gene-environment interaction.

• 한국산학기술학회논문지
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• 제17권11호
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• pp.573-583
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• 2016

본 연구는 일개 시 중학생들을 대상으로 흡연경험과 미래 흡연의도에 영향을 미치는 요인을 파악하고 흡연태도와 흡연 유해성 지식과의 관련성을 규명하기 위한 서술적 조사연구이다. 2015년 10월 13일부터 11월 27까지 C시의 중학생 1,044명에게 자기 기입식 설문조사를 시행하였고 수집된 자료는 SPSS WIN 18.0을 이용하여 분석하였다. 연구결과 흡연경험은 성별, 학년, 용돈, 이성친구 유무, 성적, 첫 흡연시기에서 유의한 차이가 있었고 미래의 흡연 의도는 성별, 종교, 용돈, 학교생활 만족도, 이성친구 유무, 성적에서 유의한 차이가 있었다(p<0.05). 흡연태도와 흡연 유해성 지식의 점수는 각각 평균 $3.30{\pm}0.43$점, $0.68{\pm}0.27$점 이었고 여학생, 학교생활 만족도와 성적이 높은 학생, 흡연경험이 없으며 '향후 흡연하지 않겠다'고 응답한 학생들은 두 가지 변수 모두 점수가 높았다. 흡연 유해성 지식이 높을수록 흡연태도 점수도 높아서 대상자의 미래흡연 가능성은 흡연 유해성 지식이 높을 때 감소하는 것으로 밝혀졌다. 이상의 결과를 토대로 중학생들의 미래 흡연율을 낮추기 위해서는 학생들의 흡연 특성에 맞추어 초등학교 때부터 가정과 학교가 연계된 금연 교육을 지속적으로 실시해야 할 것으로 사료된다.

• 한국식품위생안전성학회:학술대회논문집
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• 한국식품위생안전성학회 2002년도 춘계학술발표대회 및 심포지움
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• pp.216-216
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• 2002

Generally, tobacco smoking has noxious effects such as DNA damage, lung cancer induction, coronary artery disease. Nowadays, as concerns on health and longevity increases, a huge variety of products that aim to assist to quit smoking or reduce addictive symptoms such as nicotine patches are developed and manufactured with safely evaluation, but the safety of the most recent products of interest which do not contain tobacco and nicotine, and shape cigarettes is not evaluated and guaranteed relatively. In this study, we used H-menthol(nicotine free-tobacco fine) which are widely consumed through the world to evaluate the single and repeated dose inhalation toxicity and genotoxicity of H menthol (Nicotine free-tobacco free) herbal cigarettes provided by Cigastop Ltd. in ICR mice.

• 한국연초학회지
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• 제12권1호
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• pp.19-27
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• 1990

지금까지 연기중의 Nicotine, CO등 몇몇 화합물의 함량 측정과 관능 검사등을 통하여 담배의 품질을 평가해 왔다. 그러나 담배 연기중의 수 많은 화학 성분들을 고려할 때 전연기 성분이 생체에 미치는 영향을 측정함으로써 그 품질을 평가할수 있는 새로운 방범이 요구된다. 담배연기에 의한 생체 손상 쿵 가장 일차적이고 영향이 큰 것으로 알려진 활성 산소종(H2O2, O2-, ·OH)은 그 반응성이 크고 life time이 짧기 때문에 측정이 어렵다. 저자들은 이들을 분해하는 효소를 이용하여 연기중에서 생성되는 이들 산소 자유 라디칼을 측정하였으며 그 결과 담배의 종류에 따라 이들의 생성이 현저한 차이를 보여 일반적으로 고급 담배로 알려진 것들은 낮았고 저급 담배일 수록 높았다. 따라서 이들 산소 자유 라디칼의 측정은 흡연과 건강이라는 측면에서 매우 유용한 담배의 품질 평가 방법으로 이용될수 있을 것으로 생각된다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5579-5582
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• 2015

Background: Sale of single cigarettes is an important factor for early experimentation, initiation and persistence of tobacco use and a vital factor in the smoking epidemic in India as it is globally. Single cigarettes also promote the sale of illicit cigarettes and neutralises the effect of pack warnings and effective taxation, making tobacco more accessible and affordable to minors. This is the first study to our knowledge which estimates the size of the single stick market in India. Materials and Methods: In February 2014, a 10 jurisdiction survey was conducted across India to estimate the sale of cigarettes in packs and sticks, by brands and price over a full business day. Results: We estimate that nearly 75% of all cigarettes are sold as single sticks annually, which translates to nearly half a billion US dollars or 30 percent of the India's excise revenues from all cigarettes. This is the price which the consumers pay but is not captured through tax and therefore pervades into an informal economy. Conclusions: Tracking the retail price of single cigarettes is an efficient way to determine the willingness to pay by cigarette smokers and is a possible method to determine the tax rates in the absence of any other rationale.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3533-3540
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• 2016

Background: Cigarette smoking is one of the leading global causes of premature and preventable death. In Brunei Darussalam, smoking-related diseases have been a primary cause of mortality for the past three decades. Despite the increasing efforts that have been made in recent years to reduce the consumption of tobacco products in Brunei, the prevalence of adolescent smoking cigarette, however has risen alarmingly, from 8.9% in 2013 to 11.4% in 2014, with a higher prevalence found in males (17.8%) than in females (4.8%). In response to the need for more effective smoking prevention programmes in Brunei, this study sought to explore factors that influence Bruneian male adolescents to start and continue smoking. Materials and Methods: A qualitative study using focus group discussions (FGDs) as the data collection method was conducted from October to November 2015. A total of 43 studentss, comprising 31 smokers and 12 non-smokers, aged 13-17 years, from two government secondary schools in Bandar Seri Begawan, participated in six FGDs. Discussions were recorded and translated. Transcripts were entered into NVivo10, before thematic analysis was conducted. Results: We identified three themes under the core construct of 'factors influencing smoking initiation' ('family as teachers', 'overt pressure from peers' and 'perceived smoking has many advantages') and three themes under the core construct of 'factors influencing smoking continuation' ('craving and addiction', 'smoking as a 'social activity' and 'easy accessibility of cigarettes'). Conclusions: Based on the findings, it is recommended that future prevention activities should be embedded in a comprehensive approach, involving all stakeholders within a community, and should be focused towards bringing a change in smoking and parenting behavior of parents, social norms within the culture towards all population levels, and at strengthening the existing non-smoking policies in schools and other public places where young people congregate.

• 대한환경공학회지
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• 제36권5호
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• pp.317-324
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• 2014

본 연구는 흡연기작을 모사한 시료채취장비를 이용하여 환경담배연기를 주류연기와 비주류연기로 구분하여 채취하고, 환경담배연기 중의 미량원소성분을 중성자방사화분석을 이용하여 분석하였다. 또한, 실내공기 중 PM2.5를 집중적으로 채취하고 인체 영향이 큰 As, Cr, Mn, Se, V, Zn를 비롯한 약 20종의 미량원소를 분석하여 그 화학적 특성을 파악하며 환경담배연기가 실내공기질에 미치는 영향을 평가하고자 하였다. 담배개피 당 미량원소 발생량은 Cl, K, Na 등을 제외한 대부분의 원소에서 비주류연기에서 더 높게 나타났고, K, Cl, Na, Al의 발생량은 개피 당 $1{\mu}g$ 이상으로 가장 많았고, Br, Fe, Zn도 높은 배출량을 보여 외부오염원과 독립적으로 실내 환경에서의 Br, Cl, Fe, K, Zn의 농도 증가에 환경담배연기가 기여하는 것으로 판단된다. PM2.5의 농도는 흡연 사무실은 $58.7{\pm}18.1{\mu}g/m^3$인 반면, 비흡연 사무실은 $38.6{\pm}12.7{\mu}g/m^3$를 보여 ETS에 의해 흡연 사무실에서 1.5배 정도 높게 나타났고, 미량원소의 농도비는 Cu (1.0)를 제외한 모든 원소에서 농도비의 평균값이 1.1~6.0으로 흡연 사무실의 원소 농도가 비흡연 사무실의 원소 농도보다 높게 나타났다. 이러한 결과는 환경담배연기가 실내 공기 중 PM2.5와 미량원소의 농도 증가의 한 원인인 것을 보여주고 있다.

• Journal of Preventive Medicine and Public Health
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• 제37권1호
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• pp.37-43
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• 2004

Objectives : This study was carried out to understand the prevalence and risk factors of green tobacco sickness (GTS) among Korean tobacco harvesters. Methods : The authors conducted a questionnaire among the tobacco harvesters (1,064 persons from 555 out of 723 tobacco harvesting households) in Cheongsong-gun for 4 days from May 7 to 10, 2002. Results : The study subjects were 550 males and 514 females. The recognition and experience of GTS up until 2001 were 96.4% and 61.9%, respectively. The prevalence of GTS in 2001 was 42.5%, and was significantly higher in females than in males (59.0% vs. 26.6%, p<0.01). The incidence density of GTS according to the number of workdays in 2001 was 12.3 spells/100 person..days. The GTS symptoms reported by the tobacco harvesters in 2001 were dizziness in 441 cases (97.6%), nausea in 414 (91.6%), headache in 349 (77.2%) and vomiting in 343 (75.9%). The use of gloves, hat and wristlets, sweating at work and the number of working hours significantly increased the prevalence of GTS (p<0.05). Multiple logistic re- gression analysis was used to determine the factors significantly associated with GTS. Odds ratios for smoking, working over 10 hours and sweating at work were 0.26 (95% CI:0.19-0.35), 1.64 (95% CI:1.26-2.14) and 1.60 (95% CI:1.14-2.25), respectively. Of those who reported GTS in 2001, 311 cases (68.8%) underwent treatment from their local medical facilities. Conclusions : In Korea, there are many tobacco-harvesting households, and most may be stricken with GTS. More extensive epidemiological studies, including the incidence and associated risk factors, are expected and a surveillance system including measurements of cotinine in urine should be conducted.

• Journal of Preventive Medicine and Public Health
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• 제51권1호
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• pp.51-58
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• 2018

Objectives: Smoking is a significant public health issue in Bangladesh. The purpose of this study was to examine peer smoking and smoking-related beliefs among college students in Bangladesh. Methods: College students at two universities in Dhaka, Bangladesh participated in a self-administered survey in May and June 2017. Results: First, being a current or former smoker is associated with lower levels of beliefs among respondents that they would not smoke even with smoker friends or nervousness, and lower levels of intentions that they would not smoke, while current smokers and former smokers have different smoking-related beliefs. Second, having smoker friends is associated with lower levels of intentions that they would not smoke. Third, higher levels of normative beliefs that it is important not to smoke are associated with higher levels of beliefs that they would not smoke even with smoker friends or nervousness, higher levels of intentions that they would not smoke, and higher levels of avoidance of smoking. Conclusions: Smoking-related beliefs and perceived norms in individuals' social networks are important components in promoting tobacco cessation in Bangladesh. But it is challenging to prevent or intervene in smoking because of the high rates of smoking in this country and the high prevalence of smokers in individuals' social networks. Future studies should examine the most effective interventions to combat smoking in high-smoking social networks, such as using mobile apps or social media, and evaluate the effectiveness of such interventions.