Relationship between Smoking-related Questionnaire and Urinary Cotinine in Some Students of A Vocational High School

한 공업계 고등학생에서 흡연관련 설문과 요중 코티닌과의 관련성

  • 이충원 (계명대학교 의과대학 예방의학교실) ;
  • 이중정 (계명대학교 의과대학 예방의학교실)
  • Published : 2002.06.01

Abstract

The purpose of the study was to assess relationship between smoking-related questionnaire and urinary cotinine. Seventy-five students of each one class of the first and second grade in one vocational school were administered the smoking-related items of the Youth Risk Behavior Survey October 2000, after which urine samples were collected. Urinary cotinine was detected by qualitative AccuSign Nicotine immunoassay. Positivity of urinary cotinine was detected in 29 of 75 students (38.7%). Kappa coefficients between self-reported smoking behaviors and positivity of urinary cotinine were all statistically significant, showing 0.41, 0.50, 0.28, 0.71 in lifetime smokers, regular smokers, current smokers, and current frequent smokers, respectively. These results showed that self-reported questionnaire may be useful in smoking-related survey and qualitative urinary cotinine may be used as validation of self-reported questionnaire.

Keywords

References

  1. 김성희, 이충원, 전영호. 대구지역 일부 고등학생들의 건강관련 위험행동조사. 대한보건협회학술지 2000; 26(1): 38-45
  2. 서일, 지선하, 김소윤, 신동천, 류소연, 김일순. 한국 중고등학생의 홉연양상의 변화 1988-1997. 한국역학회지 1998; 20(2): 257-266
  3. 신성례. 청소년들의 홉연량 자가보고와 소변코티년과의 관계 연구. 성인간호학회지 1997; 9: 495-504
  4. 이충원. 중소도시에 소재 한 일개 공업계 고교생의 건강위험행동조사. 계명의대논문집 2000; 19(1): 143-158
  5. Armstrong BK, White E, Saracci R. Principles of Exposure Measurement in Epidemiology. Oxford, Oxford University Press, 1992
  6. Benowitz NL. Cotinine as biomarker of environ-mental tobacco smoke exposure. Epidemiol Reviews 1996; 18: 188-204 https://doi.org/10.1093/oxfordjournals.epirev.a017925
  7. Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance - United States, 1993. MMWR 1995, Vol. 44, No. SS-1
  8. Davis RA, Stiles MF, Debethizy JD, Reynolds JH. Dietary nicotine: A source of urinary cotinine. Fd Chem Toxic 1991; 29: 821-7 https://doi.org/10.1016/0278-6915(91)90109-K
  9. Ellenhom MJ, Barceloux DG. Medical Toxicology: Diagnosis and Treatment of Human Poisoning. New York, Elsevier, 1988
  10. Feinstein AR. Clinical Epidemiology. Philadelphia, W.B. Saunders Company, 1985. Haufroid V, Lison D. Urinary cotinine as a tobacco-smoke exposure index: A minireview. Int Arch Occup Environ Health 1998; 71: 162-8 https://doi.org/10.1007/s004200050266
  11. Haufroid V, Lison D. Urinary cotinine as a tobacco-smoke exposure index: A minireview. Int Arch Occup Environ Health 1998; 71: 162-8 https://doi.org/10.1007/s004200050266
  12. Idle JR. Titrating exposure to tobacco smoke using cotinine-A minefield of misunderstandings. J Clin Epidemiol 1990; 43: 313-7 https://doi.org/10.1016/0895-4356(90)90117-8
  13. Ismail AA, Gill GV, Lawton K, Houghton GM, MacFarlane IA Comparison of questionnaire, breath carbon monoxide and urine cotinine in assessing the smoking habits of type 2 diabetic patients. Diabet Med 2000; 17: 119-123 https://doi.org/10.1046/j.1464-5491.2000.00230.x
  14. Jarvis MJ, Tunstall-Pedoe H, Feyerabend C, Vesey C, Saloojee Y. Comparison of tests used to distinguish smokers from nonsmokers. Am J Public Health 1987; 77: 1435-8 https://doi.org/10.2105/AJPH.77.11.1435
  15. Jarvis MJ Application of biochemical intake markers to passive smoking measurement and risk estimation. Mutation Research 1989; 222: 101-10 https://doi.org/10.1016/0165-1218(89)90023-2
  16. Leong JW 외 6명. The elimination half-life of urinary cotinine in children of tobaccosmoking mothers. Pulm Pharmaco Therapeutics 1998; 11: 287-90 https://doi.org/10.1006/pupt.1998.0153
  17. Matt GE 외 7명. Measuring environmental tobacco smoke exposure in infants and young children through urine cotinine and memory-based parental reports: Empirical findings and discussion. Tobacco Control 1999; 8: 282-9 https://doi.org/10.1136/tc.8.3.282
  18. PBM. AccuSign${\circledR}$ Nicotine: One-step nicotine test. 1999
  19. Pojer R, Whitfield lB, Poulos V, Eckhard IF, Richmond R, Hensley WJ, Carboxyhemoglobin, cotinine, and thiocyanate assay compared for distinguishing smokers from non-smokers. Clin Chern 1984; :30(8): 1377-1380
  20. Pokorski TL, Chen WW, Bertholf RL. Use of urine cotinine to validate smoking selfreports in U.S. Navy recruits. AddictiveBehaviors 1994; 19: 451-4
  21. Yang M, Kunugita N, Kitagawa K, Kang S, Coles B, Kadlubar FF, Katoh T, Matsuno K, Kawamoto T. Individual differences in urinary cotinine levels in Japanese smokers: Relation to genetic polymorphism of drug-metabolizing enzymes. Cancer Epidemiol Biomark Prev 2001; 10: 589-593