• Korean Journal of Child Studies
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• v.26 no.4
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• pp.101-112
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• 2005

Subjects were 279 parents of 4- and 5-year-old day care children. Statistical techniques were factor analysis, t-test, ANOVA, Pearson's correlation, and multiple regression. Major findings were that parents with higher levels of education and income showed a higher level of attitudes and coping behavior toward preschoolers' exposure to secondhand smoke. Parents who were smokers had a higher level than non-smokers of knowledge and coping with preschoolers' secondhand smoke. Parents with higher levels of knowledge and more negative attitudes about secondhand smoke were more active in dealing with secondhand smoke. Parents' knowledge and attitudes were significant predictors of their coping behavior with preschoolers' secondhand smoke. Parents' knowledge was more predictive of parents' coping behavior than their attitudes.

• Journal of Yeungnam Medical Science
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• v.28 no.1
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• pp.45-53
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• 2011

Background: Increasing numbers of young people go to clubs. In Korea, however, no studies have been conducted regarding the exposure of club patrons to secondhand smoke. The present study was conducted to evaluate the degree of club customers' exposure to secondhand smoke. Methods: The study subjects included 10 male and 12 female non-smokers. The investigational site was a club located in Daegu. Urine samples were collected before exposure to secondhand smoke in the club and 6 hours after a 3-hour exposure. The urine cotinine levels were measured via the LC -MS/MS method. A survey was conducted to collect data regarding the subjects' smoking experiences and the degree of exposure to secondhand smoke in their daily lives. Results: The average urine cotinine level increased from 1.09 ${\mu}g/L$ to 5.55 ${\mu}g/L$ ($p$<0.05). No significant difference existed in the change in urine cotinine level between the male and female subjects. In addition, there was no significant difference in the change in urine cotinine level by the degree of exposure to secondhand smoke in daily life. Conclusions: The average urine cotinine level in all the subjects significantly increased after exposure to secondhand smoke. This is the first study on exposure to secondhand smoke in clubs; these results can be used to craft measures that reduce exposure to secondhand smoke in public places, such as clubs.

• Journal of Environmental Health Sciences
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• v.36 no.2
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• pp.77-81
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• 2010

Tobacco smoking and secondhand smoke exposure are linked to a number of adverse health outcomes. There is a new concept of thirdhand smoke that is residual tobacco smoke contamination remained after the cigarette is extinguished. This paper reviews published studies examining the residual tobacco smoke. Tobacco smoke can be attached to various surfaces and reemitted to air for long period of time. The dynamic process can allow thirdhand smoke exposure to tobacco smoke without direct exposure to secondhand smoke. One critical evidence of the thirdhand smoke exposure was significantly high urinary cotinine level of infant who did not have direct secondhand smoke exposure. Potential exposure to new and more potent chemicals generated from chemical reactions between residual tobacco smoke and ambient air pollutants can get more attention. Considering toxicity and exposure route, children are uniquely susceptible to thirdhand smoke exposure. The review provides strong background information for thirdhand smoke but warrant more researches on this issue.

• Journal of the Korean Society of School Health
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• v.33 no.1
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• pp.10-18
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• 2020

Purpose: The purpose of this study was to investigate the effects of secondhand smoke on depression and suicidal ideation in adolescents. Methods: The study used the raw data of the Korea Youth Risk Behavior Web-based Survey (2018). Age, academic achievement, living with family, economic status, and stress were adjusted and the relationship between secondhand smoke and depression and suicidal thoughts was analyzed by gender. Results: The results showed that secondhand smoke had a significant effect on mental health of adolescents. Male students who experienced secondhand smoke at school and at public places had 1.41 times and 1.37 times higher depression rates, respectively. Female students who experienced secondhand smoke at home, school, and public places had 1.27 times, 1.35 times, and 1.39 times higher depression rates, respectively. Suicidal thoughts were 1.17 times and 1.22 times higher among male students who experienced secondhand smoke at school and at public places. Female students who experienced secondhand smoke at home, school, and public places had 1.12 times, 1.08 times, and 1.21 times more suicidal thoughts. Conclusion: Secondhand smoke has a significant effect on adolescent depression and suicidal thoughts. Therefore, efforts should be made to have institutional changes and increased awareness across the country, such as homes, schools, and communities, to prevent exposure to secondhand smoke.

• Safety and Health at Work
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• v.7 no.4
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• pp.293-298
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• 2016

Background: The aim of this study was to increase knowledge regarding the dangers associated with tobacco use, and decrease secondhand smoke exposure and tobacco use behaviors with an antitobacco messaging campaign among rural, medically underserved, blue-collar workers. Methods: A quasiexperimental study was conducted with employees at two worksites. One worksite received the intervention, which consisted of nine different antitobacco messages. Baseline and follow-up surveys were conducted at each worksite to assess change in knowledge and behavior; the data were compared across the two worksites. Results: Two hundred twenty-two and 243 participants completed baseline and follow-up surveys at the intervention and comparison sites, respectively. A statistically significant difference was seen over time between the worksites on knowledge of the dangers of tobacco (p < 0.0001); the mean knowledge score increased at the intervention site, but remained unchanged at the comparison site. In general, non-smokers at both worksites appeared to try to decrease exposure to secondhand smoke over the follow-up period. Repeated measures analysis indicated that there were no differences in motivation to quit (p = 0.81), interest in quitting (p = 0.40), thinking about quitting (p = 0.53), or several tobacco-use behaviors over time among smokers at the intervention and comparison worksites. There were slight increases over time in the proportion of smokers who do not allow smoking in their homes/vehicles at the intervention worksite, although not statistically significant. Conclusion: Participants at the intervention worksite increased their knowledge regarding the dangers of tobacco use and secondhand smoke exposure. Among current tobacco users, the intervention appeared to increase family rules regarding secondhand smoke exposure in their homes and vehicles.

• Journal of Korean Biological Nursing Science
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• v.18 no.1
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• pp.27-35
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• 2016

Purpose: The purpose of this study was to identify the assertive behavior of asking smokers not to smoke and investigate the factors related to assertive behavior in patients with vascular diseases. Methods: Participants were 203 adult Korean patients with vascular diseases such as cerebral infarction and myocardial infarction. Data were collected using questionnaires that included the characteristics of secondhand smoke (SHS), secondhand smoke-related variables (Health belief model factors, health promotion model factors) and level of assertive behavior. Descriptive statistics, t-test, ANOVA and multiple regression using SPSS/WIN 18.0 were performed. Results: Participants who never ask smokers not to smoke was 39.9%, whereas participants who always ask was 7.4%. There was a weak positive relationship between assertive behavior and susceptibility to disease (r=.18), severity of disease (r=.19), benefit of assertive behavior to SHS exposure (r=.10), barrier of assertive behavior to SHS exposure (r=.24), and self-rated health (r=.21) respectively. There was a moderate positive relationship between assertive behavior and self-efficacy of assertive behavior to SHS exposure (r=.49). Health belief model factors explained 15.7% variance and health promotion model factors explained 27.0% of assertive behavior. Conclusion: The findings of this study suggest that self-efficacy of assertive behavior to SHS exposure is a very important factor. Therefore the development of a program to foster self-efficacy of assertive behavior regarding SHS exposure in patients with vascular diseases is needed.

• Journal of Environmental Health Sciences
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• v.40 no.1
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• pp.10-16
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• 2014

Objectives: This pilot study assessed secondhand smoke (SHS) exposure in smoking and non-smoking nightclubs in Seoul, Korea by measuring the concentration of particulate matter smaller than $2.5{\mu}m$ ($PM_{2.5}$). Methods: This comparative study was conducted in three nightclubs in Seoul. While one non-smoking nightclub was measured on weekdays and weekends, different smoking nightclubs were measured on weekdays and weekends. The concentration of $PM_{2.5}$ was observed using a real-time monitor over an average of three hours. The number of people in the clubs was also estimated. Settled dust was collected in a smoking and a non-smoking nightclub and analyzed for NNK concentration. Results: The $PM_{2.5}$ concentration in the smoking nightclubs was higher than those found in the non-smoking nightclub by 26 times on weekdays and three times on weekends. Indoor $PM_{2.5}$ concentration was correlated with the number of people in the smoking nightclubs. Relatively high $PM_{2.5}$ concentration was observed in the non-smoking nightclub on weekends. NNK concentration in the smoking nightclub was 7 times higer than in the non-smoking nightclub. Conclusion: Smoking in nightclubs caused high $PM_{2.5}$ concentration. Although the non-smoking nightclub had a lower $PM_{2.5}$ concentration, $PM_{2.5}$ concentration on weekends was higher due to the smoking room. Complete prohibition of smoking in nightclubs can protect patrons from secondhand smoke exposure.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.3
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• pp.1235-1242
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• 2016

Background: A school-based smoke free home (SFH) program is useful in empowering the mother and child to reduce secondhand smoke exposure but the effects of pretesting on knowledge and attitude has been largely ignored. We aimed to test whether such a program can be effective in Southern Thailand with an additional assessment of the net effect of the pretest. Materials and Methods: A Solomon four-group design was used. Twelve rural primary schools were assigned to one of the four conditions (each with 3 schools): intervention with and without a pretest, control with and without the same pretest. The intervention was performed in the classroom and home over a period of 1 month. Outcomes were assessed at baseline and 3 months after the intervention on whether the home was smoke free and related knowledge and attitude. Results: The intervention could lead to a smoke-free home without statistical significance. Attitude, knowledge and self-confidence on creating a smoke-free home, and self-confidence in avoidance of secondhand smoke exposure and persuading smokers to not smoke in their home were significantly improved. No pretest effect was observed. Conclusions: Gain in attitude, knowledge and self-confidence among family members from the brief school-based education should be enhanced by other measures.

• Journal of Environmental Health Sciences
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• v.46 no.2
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• pp.214-223
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• 2020

Objectives: The aim of this study is to identify temporal trends in urinary cotinine levels and exposure factors among Non-smokers in Korean adults. Methods: Biological samples and questionnaire data were collected from representative Korean adults recruited in the Korean National Environmental Health Survey from 2009 to 2017. Multiple regression analysis was performed to determine the factors affecting urinary cotinine concentrations of non-smokers. Results: The urinary cotinine levels of Korean non-smokers decreased in Cycle 2 (1.04 ㎍/L, 2012-2014) compared to Cycle 1 (1.93 ㎍/L, 2009-2011) but increased slightly in Cycle 3 (1.37 ㎍/L, 2015-2017). Among the diverse variables, the main factors of cotinine exposure were secondhand smoke exposure and the presence of smokers in the family. Conclusions: The results of this study identified temporal trends in cotinine exposure among non-smokers in the Korean adult population. These findings will be used to develop further assessment and environmental health policies on secondhand smoke exposure.

• Journal of Environmental Health Sciences
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• v.41 no.1
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• pp.11-16
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• 2015

Objectives: This study assessed the impact of the smoke-free law on secondhand smoke exposure in computer game rooms by measuring concentrations of particulate matter smaller than $2.5{\mu}m$($PM_{2.5}$). Methods: Indoor $PM_{2.5}$ concentrations were measured in 56 (during the smoke-free guidance period) and 118 computer game rooms (after the law went into effect) in four cities (Seoul, Cheonan, Daegu and Kunsan) in Korea. The number of smokers in the computer game rooms was also counted every five minutes. Results: Although a smoking ban had been implemented nationally, smoking was observed in 47% of the computer game rooms. Smoking density decreased from 1.62 persons per $100m^3$ during the guidance period to 0.32 persons per $100m^3$ after the smoke-free law. There is no statistically significant difference of $PM_{2.5}$ concentrations before and after the smoking ban. The $PM_{2.5}$ concentration was two times higher than the US NAAQS of $35{\mu}g/m^3$. The $PM_{2.5}$ concentration in computer game rooms without smokers was two times higher than the outdoor concentration. Conclusion: The smoke-free law in computer game rooms was complied with, even after the guidance period, in Korea. Indoor $PM_{2.5}$ concentration after smoke-free law implementation was high due to this non-compliance. High $PM_{2.5}$ concentration in computer game rooms without smokers might be due to smoking booths. The complete prohibition of smoking in computer game rooms should be implemented to protect patrons from secondhand smoke exposure.