• Journal of Preventive Medicine and Public Health
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• 제34권3호
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• pp.183-190
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• 2001

Objective : To estimate the annual economic costs attributable to cigarette smoking in Korea. Methods : The costs were classified as being direct medical and non-medical costs, indirect costs and others. We focused on those costs related that are incurred in the treatment of selected diseases (cardiovascular diseases, respiratory diseases, and cancers), which have been proven to be caused by smoking. In addition to the basic costs of treatment, the additional amount of costs occurred due to smoking was obtained by computing the population attributable risk (PAR%) caused by smoking. To compute the PAR%, relative risks of smoking to the number of outpatient visits, hospitalizations, and the death were estimated using the Cox proportional hazard model, respectively. Our major data source was the 'Korea Medical Insurance Corporation (KMIC) cohort study,' which was composed of a total of 115,682 male and 67,932 female beneficiaries who had complete records of their smoking histories in the year of 1992. Results : The annual costs that could be attributable to smoking were estimated to be in the range of 2,847,500 million Won to 3,959,100 million Won. The maximum estimate of 3,959,100 million Won includes 233,100 million Won for medical costs, 5,100 million Won for transportation costs, 27,600 million Won for care giver's economic costs, 69,100 million Won in productivity loss, 3,435,000 million Won lost because of premature death, 172,100 million Won in costs resulting from passive smoke inhalation and 17,100 million Won for costs that resulted from fires that were caused by careless smoking. Conclusion : Our study confirms that the magnitude of the economic burden of smoking to Korean society is substantial. Therefore, this study provides strong evidence that there is a strong need for a national policy of tobacco control in Korea.

• 한국식품영양학회지
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• 제29권6호
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• pp.878-888
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• 2016

The purpose of this study was to examine the relationship between the smoking and eating habits of high school students. We also presented the basic data for the effective smoking cessation and smoking prevention programs, and proper nutrition education programs. We surveyed 304 high school male students in Sokcho city. The results were as follows ; a total of 23.7% of the subjects were smokers, the smokers spent more pocket money than the non-smokers and they also spent more time on the internet or smartphone. The smokers had lower awareness of the dangers of smoking than that of non-smokers. They started drinking alcohol earlier than the non-smokers. Their water intake was higher and they preferred consumption of high-protein foods like fried chicken, but were not inclined to vegetables and sour tasting foods. These results imply that smoking habits of the subjects affected their eating and drinking habits. A matter of concern was the low intake of vegetables and sour tasting foods, which could lead to a deficiency of nutrients such as vitamins, minerals and dietary fibers. The smokers were less satisfied with their school life than the non-smokers. There was a negative correlation with the degree of awareness of the dangers that smoking can cause. Conversely, the amount of smoking and drinking habits were positively correlated. To reach a healthy adulthood, it is crucial to quit smoking and participate in smoking prevention education along with nutrition education and abstinence education for the adolescents.

• 한국치위생학회지
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• 제12권3호
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• pp.471-483
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• 2012

Objectives : This study looked at the relationship between occupational stress and the Oral Health Impact Profile (OHIP), to evaluate the effect of occupational stress-related factors. Methods : Data was obtained from a cross-sectional survey of 260 local officials in Gangwondo. The research comprised three questions relating to subjective oral symptoms, an occupational stress measurement tool and an oral health impact factor which was composed of questions. The data was analysed using t-test, one-way ANOVA, Pearson correlation and path analysis in Amos. Results : Occupational stress had a positive correlation to drinking frequency, Oral symptoms had a negative correlation. And drinking frequency, smoking amount and occupational stress had a positive correlation to oral symptoms. It denoted that drinking frequency, occupational stress and oral symptoms had a negative correlation to OHIP. The path model had an excellent goodness of fit (p=0.07, namely p>0.05). Five 'goodness-of-fit indices' of the model were all above 0.9: GFI=0.987, AGFI=0.952, NFI=0.902, IFI=0.939, CFI=0.934), and its RMSEA was 0.045. Occupational stress and oral symptoms had a firsthand impact on OHIP. In addition, it affected OHIP through the parameters of oral symptoms. Occupational stress exercised a firsthand influence on drinking frequency, drinking frequency exercised a firsthand influence on smoking amount. Smoking amount had a firsthand impact on oral symptoms. Conclusions: Oral health education programs for the development of an improved oral hygiene environment through reduction in drinking and smoking also need to focus on relieving stress by improving workplace culture. In addition, due to good communication is required to reduce occupational stress caused by interpersonal conflict.

• 한국치위생학회지
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• 제7권3호
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• pp.317-327
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• 2007

The purpose of this study was to examine the knowledge of dental hygiene students on smoking and their state of smoking in an attempt to assist dental hygienists to develop good anti-smoking education programs, as dental hygienists should play a critical role in conducting an anti-smoking campaign and education. The subjects in this study were dental hygiene students in six different colleges located in Seoul and Gyeonggi province. After a survey was conducted from April to June, 2007, the answer sheets from 1,322 students were gathered and analyzed. The findings of the study were as follows: 1. As for the reality of smoking, 82.7% were nonsmokers, and 12.2% had been smokers in the past, 5.1% were smokers, which accounted for 5%. Regarding when they started smoking, 47.1% and 35.3% started it in middle school and high school days respectively. So 80% or more began smoking as middle and high schoolers. As to a daily amount of smoking, 36.8% smoked five or less cigarettes, and 22.1% smoked six to 10 cigarettes, 14.7 % smoked 11 to 15 cigarettes. Concerning motivation of smoking, 51.5% did it out of curiosity, and 26.6% intended to get rid of stress. Among the smokers, 80.9% had ever tried to quit smoking, and as for the reason, 51.0 % wanted not to develop a disease in the future, and 25.0% weren't in good health. In regard to what made them fail to give up smoking, 49.0% answered they were increasingly stressed out, and 24.0 % were tempted by others. 2. As to the impact of smoking on the body and illness, the largest group believed it affected unborn babies, and the second largest group was aware of the harmfulness of secondhand smoking. The third largest group thought it exercised an influence on the lung and respiratory ailments, and the fourth largest group believed it was detrimental to health. The fifth greatest group thought tar was harmful to the body. They didn't know well about whether smoking deteriorated the sense of taste, but were well cognizant of the harmfulness of smoking. 3, Their knowledge on the impact of smoking on the body and diseases was evaluated by academic year and in consideration of whether they were smokers or not. And the largest number of them knew the best about smoking's impact on unborn babies and the harmfulness of secondhand smoking, regardless of academic year and whether they were smokers or not. They weren't well aware of its impact on weakening the sense of taste.

• 여성건강간호학회지
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• 제6권4호
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• pp.528-548
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• 2000

The purpose of this study was to identify the effect of college women s active and passive smoking on menstrual discomfort. The subjects were 252 college female students (active smokers, 71; people who passively inhaled others smoke, 104; nonsmokers who also didn't inhale others smoke, 77). Subjects were selected from 5 colleges in North Kyong Sang Province, Korea. Data was collected from March to June of 2000 with a structured questionnaire. The instruments used for this study were the revised Menstrual Distress Questionnaire (MDQ) developed by Moos(1968), general characteristic, menstrual characteristic, and smoking characteristic scale developed by researchers. The data were analysed by the SPSS/PC+ program. The results were as follows 1. There was no statistically significant difference of menstrual discomfort level among the active smokers, those who passively inhaled others smoke, and who did not inhale others smoke(F= 2.613, p= .075). 2. The mean score of menstrual discomfort was moderate(M= 60.8008, SD= 17.9243). The level of menstrual discomfort was various (minimum score 29.00- maximum score 110.0). 3. Factors influencing menstrual discomfort were on life stress events(F= 4.057, p = .045), irregular menstrual cycle(t = 3.968, p = .047), and amount of flow during menstruation(F = 4.018, p = .019). The recommendations from this study are necessity of further studies to investigate how heavy active and passive smoking have effect on menstrual discomfort.

• Journal of Acupuncture Research
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• 제19권4호
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• pp.27-41
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• 2002

Objective : The purpose of this study is to compare the effect of two other groups(Group A and B) which were treated with two other auricular acupuncture therapy to quit smoking. Methods : Seventy three high-school students were devided in two groups. Group A was treated with auricular acupuncture therapy by burying a needle in one side ear. Group B was not only treated with auricular acupuncture therapy by burying a needle in one side ear, but also treated with venesection on the other side ear. The effects of auricular acupuncture therapy to quit smoking were evaluated at two weeks and six months after the therapy. Results : Group A's score to quit smoking after the auricular acupuncture therapy was higher than Group B's score. Conclusions : Treating with auricular acupuncture therapy by burying a needle in one side ear and venesection on the other side, was effective neither on decreasing the amount of smoking nor on decreasing the desire to smoke compared with the only needle burying treatment.

• Clinical and Experimental Otorhinolaryngology
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• 제11권4호
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• pp.242-249
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• 2018

Objectives. Smoking is associated with hearing loss, while the correlation between tinnitus and smoking is not fully elucidated. This study aimed to evaluate risk factors of tinnitus in adolescents in terms of smoking, and we identified a rectifiable parameter that can be serially monitored. Methods. A cross-sectional study was conducted using data from the Korea National Health and Nutrition Examination Survey, with 2,782 participants aged 12 to 18 years, from 2008 through 2011. Participants with history of ear disease, hearing loss, and inadequate responses to questionnaires were excluded. We investigated the prevalence of tinnitus and tinnitus-related annoyance by questionnaire and sought potential risk factors in blood and urine tests and smoking history. Results. The prevalence of tinnitus in the 12- to 18-year-old population was 17.5%, with 3.3% reporting tinnitus-related annoyance. On univariate analysis, the prevalence of tinnitus increased with age (P<0.001) and was higher among girls (P=0.012). Blood tests and urinalysis showed significant correlation between tinnitus and red blood cell count, alkaline phosphatase levels, and urine cotinine (P=0.002, P<0.001, P=0.018, respectively). In multivariate analysis, the urine cotinine level was the only parameter associated with tinnitus (odds ratio, 1.000; 95% confidence interval, 0.999 to 1.000; P=0.038). Smoking was also significantly correlated with tinnitus (P=0.043), and amount of smoking with tinnitus-related annoyance (P=0.045). However, current smoking and past smoking were not correlated with tinnitus. Conclusion. Urine cotinine may be a rectifiable marker for management of tinnitus in adolescents. This suggests that smoking cessation should be incorporated in the management of tinnitus in adolescents.

• 한국치위생학회지
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• 제6권4호
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• pp.283-294
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• 2006

The purpose of this study was to examine the state of smoking among some college students, the smoking motivation of smoker students, what made them quit smoking and how they got ready for giving up smoking, as smoking had a huge impact on national health and there was a desperate necessity for preventive antismoking education programs to let students keep away from smoking. After a survey was conducted with self-administered questionnaires from October 1 through November 1, 2006, the responses from 400 students were gathered, and 384 answer sheets were analyzed except 16 incomplete ones. The findings of the study were as follows: 1. By gender, 62.4% of the male students and 28.6% of the female students were smokers, and the state of smoking was statistically significantly different according to their gender(p<0.05). 2. The largest number of the male students, which accounted 44.1%, started smoking in their high school days, and 39.5% of the females did that in middle school. As for a daily mean amount of smoking, 41.8% of the male students, the greatest percentage, smoked 10 to 19 cigarettes a day, and one to nine cigarettes were most common among the females, which represented 57.9 %. But the gap between the two was insignificant(p>0.05). As many as 83.6% of the males and 86.8% of the females had ever attempted to quit it. 3. Concerning awareness of antismoking policies, they felt that a raise in cigarette price would lead to less smoking, and that antismoking advertisement or posters through television or newspaper would deliver the same results as well. There was a statistically significant difference among their awareness(p<0.05). 4. Regarding preparation stage for quitting smoking, 31.3% of the male smokers had no intention to give it up, and 23.2% considered it. 36.7%, the largest percentage, got ready to refrain from it. Among the female smokers, 34.2% had no plans to abstain from smoking, and 36.8% took it into consideration. 23.7% got ready to do that. The females who got ready for that were outnumbered the males who did. 5. As to connections between the state of smoking and relevant knowledge, the students didn't have a good knowledge on that, and a statistically significant difference existed between the smokers and nonsmokers in smoking knowledge. 6. As for knowledge about oral diseases, they were highly cognizant of the relationship of smoking to tooth discoloration, nicotine stomatitis and bad breath, but they didn't know well about its relationship to delayed recovery from dental treatment, implant failure and ozena. Their smoking condition made a statistically significant difference to their knowledge(p<0.05). In the future, sustained research efforts should be channeled into determining how much smoking affects health and concerns oral diseases, and antismoking counseling programs should be prepared to bolster people's awareness of oral health.

• 한국연초학회지
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• 제28권2호
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• pp.136-143
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• 2006

This study was conducted to determine the amount of unprotonated nicotine in cigarette mainstream smoke and to investigate its relationship to level of filter ventilation and machine smoking conditions. Unprotonated nicotine from TPM trapped on a Cambridge filter pad(CFP) was adsorbed by Carboxen/PDMS SPME fiber, thermally desorbed and determined by GC/MS. 2R4F reference cigarette, twelve commercial brands from the Korean market and five test cigarette samples, which had the same tobacco blend with different levels of filter ventilation, were analyzed for unprotonated nicotine. In commercial brands, the amount of unprotonated nicotine changed slightly depending on the pH values of smoke, and decreased as the tar level increased. filter ventilation in these commercial cigarettes was $28{\sim}80%$ and the higher filter ventilation increased relative unprotonated nicotine levels, but not significantly. However, in five test cigarettes with different filter ventilation$(0{\sim}70%)$, unprotonated nicotine levels increased almost linearly with the level of filter ventilation. Concentrations of unprotonated nicotine in mainstream smoke generally increased in order $HC\;<\;ISO\;{\leq}\;MDPH$ machine smoking conditions. The ratio of unprotonated nicotine to total nicotine among $cigarettes({\alpha}_{fb})$ increased in order RC < MDPB < ISO conditions. Concentrations of unprotonated nicotine varied with three machine smoking conditions.

• 한국환경보건학회지
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• 제43권1호
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• pp.64-70
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• 2017

Objectives: The purpose of this study is to examine the effect of the raise of cigarette prices by KRW 2,000 at the beginning of 2015 on the change in smoking behavior among male office workers, and to analyze the correlation of various factors including their work behaviors and socio-economic factors with their smoking rate. Methods: In this research, a follow-up observation panel was constituted with 420 smokers as targets from among male office workers at a bank located in Daegu, South Korea. A cross-analysis and ANOVA analysis were carried out in order to examine whether changes in smoking status, amount of smoking, stop-smoking motivation, and reasons for smoking cessation failure after the passage of time since the cigarette price hike were statistically significant. The level of statistical significance was P < 0.05. Results: After the cigarette price hike, among the 420 smokers who were the target of the panel the rate of smoking cessation declined at the time-point of the survey to 15.5%, 12.4%, 8.5%, and 5.7% after one month, three months, six months, and 12 months, respectively. As a result of a follow-up observation of 65 smokers who stopped smoking immediately after the price hike, the actual non-smoking rate declined to 15.5%, 8.3%, 4.4%, and 3.1% after one month, three months, six months, and 12 months, respectively. One (1) year after the cigarette price hike, the non-smoking rate among the 420 smokers reached as low as 3.1% (13 persons). The most important reason for the failure of the attempts to quit smoking was stress for more than 60% of the smokers who attempted to stop. Conclusions: It seems that a powerful anti-smoking policy by the state targeting the nation's workers is necessary. For companies, mediation for workers' job stress can become a strategy for the success of non-smoking attempts. The government seems to require a practical policy to reduce the smoking rate by actively carrying out social, economic, and scientific research to come up with a reduction method for the cigarette hazard, an effective price hike policy, and other non-price policies.