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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
한국환경보건학회 한국환경보건학회지 한국환경보건학회지 제40권 제6호
발행연도
2014.1
수록면
492 - 501 (10page)

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Objectives: The purpose of this study was to assess the validity of self-reported cigarette smoking status andinvestigate factors associated with the accuracy self-reported and measured urinary cotinine in Korean adults. Methods: We used data from the 1st Korean National Environmental Health Survey (2009-2011) among adultsaged ≥19 years (N=6,246). The survey examined self-reported smoking status, and urinary cotinine was regardedas the biomarker of exposure to tobacco smoke. Urinary cotinine was analyzed using a gas chromatography-massspectrometry (GC/MS) and data analysis was conducted using IBM SPSS version 20.0, which uses the sampleweight and calculates variance estimates to adjust for the unequal probability of selection into the survey. Results: We calculated a cut-off point (53.3 ug/L) by using a ROC (Receiver Operating Characteristic) curve. The smoking prevalence was 24.6% based on self-reported data and 28.2% based on urinary cotinineconcentrations. When we assessed the agreement between self-reported and urinary cotinine, we found anaverage agreement of 97.7% among self-reported smokers and 94.5% among self-reported non-smokers. Amongself-reported smokers, factors affected the discrepancy were age, household economic status and average numberof cigarettes smoked per day. On the other hand, gender, former smoking experience, and exposure to SHS(second hand smoke) were associated with discrepancies among self-reported non-smokers. Conclusion: These results suggest that self-reported data on smoking status provide a valid estimate of actualsmoking status. In future research, we will conduct a continuous monitoring study for reliability verification ofthe data to reduce potential interpretation errors.

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