• 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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• 제36권2호
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• pp.117-124
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• 2003

Objectives : This study was performed to examine the relationship between maternal exposure to environmental tobacco smoke (ETS) and pregnancy outcomes (low birth weight or preform baby) in a prospective cohort study. Methods : We made a pregnant women's cohort, and followed the pregnancy outcomes, between May 1st 2001 and August 31st 2002. We surveyed 2,250 women who visited our hospital during their 35th gestational week, with a self-administered questionnaire. The final total of mother-infant pairs analyzed in this study was 1,712. We used a multiple logistic regression analysis to analyze the effect of maternal ETS on the incidence of preform or low birth weight, and a linear regression analysis for the birth weight and gestational age. Results : Higher exposure to ETS (>=1 hours/day) during pregnancy was more negatively associated with the gestational age and birth weight, than no exposure to ETS (no or less than 1 hour). Maternal exposure to ETS was associated with preform baby(adjusted odds ratio (AOR) 1.7; 95% confidence interval (CI) 0.9, 3.3) and low birth weight (AOR 2.3; 95% CI 0.9, 5.5). In addition, we found that maternal ETS may reduce the birth weight by 70g after adjusting for potential confounding factors. Conclusions : This study suggests that maternal exposure to ETS during pregnancy may increase the frequency of low birth weights and preform births.

• 한국독성학회:학술대회논문집
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• 한국독성학회 2002년도 Molecular and Cellular Response to Toxic Substances
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• pp.173-173
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• 2002

This study was conducted to compare two biomarkers of environmental tobacco smoke (ETS); urinary cotinine and 1-hydroxypyrene-glucuronide (1-OHPG). Urine samples were collected from 102 junior high school students. Urinary cotinine was determined by GC and urinary 1-OHPG was assayed by synchronous fluorescence spectroscopy (SFS) after immuno-affinity purification using monoclonal antibody 8E11.(omitted)

• Clinical and Experimental Pediatrics
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• 제59권8호
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• pp.319-327
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• 2016

Allergic diseases such as asthma, allergic rhinitis, atopic dermatitis, and food allergy, are most common chronic, noncommunicable diseases in childhood. In the past few decades, the prevalence has increased abruptly worldwide. There are 2 possible explanations for the rising prevalence of allergic diseases worldwide, that an increased disease-awareness of physician, patient, or caregivers, and an abrupt exposure to unknown hazards. Unfortunately, the underlying mechanisms remain largely unknown. Despite the continuing efforts worldwide, the etiologies and rising prevalence remain unclear. Thus, it is important to identify and control risk factors in the susceptible individual for the best prevention and management. Genetic susceptibility or environments may be a potential background for the development of allergic disease, however they alone cannot explain the rising prevalence worldwide. There is growing evidence that epigenetic change depends on the gene, environment, and their interactions, may induce a long-lasting altered gene expression and the consequent development of allergic diseases. In epigenetic mechanisms, environmental tobacco smoke (ETS) exposure during critical period (i.e., during pregnancy and early life) are considered as a potential cause of the development of childhood allergic diseases. However, the causal relationship is still unclear. This review aimed to highlight the impact of ETS exposure during the perinatal period on the development of childhood allergic diseases and to propose a future research direction.

• 치위생과학회지
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• 제14권2호
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• pp.123-131
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• 2014

본 연구는 제4차 국민건강영양조사 자료를 바탕으로 직장 및 가정 내 간접흡연에 노출되는 자를 연구대상으로 하였다. 대상자들을 성별, CPI 및 간접흡연 노출여부를 기준으로 비교 분석하였으며, 다음과 같은 결론을 얻었다. 첫째, 간접흡연 노출자는 남성 380명, 여성 1,519명으로 조사되었으며, 간접흡연 노출여부에 따른 코티닌 농도는 노출군에서 유의한 차이를 보였다(p<0.001). 둘째, 치은염(CPI 1, 2)과 간접흡연의 관계는 남성은 치과방문횟수(p<0.001), 여성은 연령(p<0.001) 및 치과방문횟수(p<0.001)와 관계가 있었다. 셋째, 치주염(CPI 3, 4)와 간접흡연의 관계는 남성은 연령(p<0.001), 여성은 연령(p<0.001), 간접흡연 노출여부(p<0.001)와 관계가 있었다. 넷째, 치주상태에 따른 치주상태별(CPI 1~4) 코티닌 농도 차이는, 남성은 CPI 1, CPI 4에서, 여성은 모든 CPI 군에서 노출여부에 따른 큰 차이를 보였다. 이상의 결과를 종합하면 간접흡연 노출여부가 여성의 치주상태에 영향을 미치는 것으로 나타났다. 이로써 효과적인 치주치료는 물론 국민 구강건강증진을 위해 간접흡연 위해성을 확대 고취시키고 비흡연자를 보호할 수 있는 적극적인 금연정책이 실행되어야 할 것으로 고려된다.

• 보건행정학회지
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• 제30권4호
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• pp.505-512
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• 2020

Background: In monitoring exposure to environmental smoke (ETS), biomarkers can overcome the subjectivity and inaccuracy of self-reporting measurements, and have the advantage of reflecting ETS exposure in all places. This study aims to evaluate the effectiveness of ETS exposure measurement using biomarkers such as urine cotinine. Methods: This study used the Korea National Health and Nutrition Survey data from 2009 to 2018. A total of 28,574 non-smokers with urine cotinine data were selected for the study. The cotinine concentration and ETS exposure rate using urine cotinine was estimated and then compared with the self-reporting measurements. The degree of agreement among measurements of ETS exposure was confirmed. Results: As a result of measuring ETS exposure with urine cotinine, 23,594 (83.8%) out of 28,574 subjects were classified as to exposure groups. This estimate differs significantly from measurements made by self-reporting. In addition, the average concentration of cotinine in non-smokers has decreased to a 10th level over the past 10 years. Based on the biomarker, the sensitivity of the self-reporting was 8.5%-29.0%, the specificity was 16.4%-19.5%, and the kappa value was 2.0%-5.8%. Conclusion: The findings of our study show that self-reporting measurement does not well reflect the extent to which non-smoker's exposure to smoking materials. Whereas cotinine concentration has decreased significantly over the past 10 years, the ETS exposure rate has not reduced. It strongly suggests the need for intervention in the group of non-smokers exposed to low concentrations of smoke. Therefore, an assessment using biomarkers such as cotinine-based measurement should be made in the Health Plan 2030.

• Asian Pacific Journal of Cancer Prevention
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• 제16권7호
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• pp.3029-3034
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• 2015

Background: While the perinatal outcomes of active maternal smoking are well documented, results of the effects of environmental tobacco smoke (ETS) exposure during pregnancy are inconsistent. We aimed to examine the effect of ETS exposure, assessed by maternal hair nicotine levels at $35^{th}$ week of gestation, on birth weight and the risk of small for gestational age (SGA) and low birth weight (LBW). Materials and Methods: A total of 871 non-smoking healthy pregnant women were recruited by one Korean hospital between 1 October 2006 and 31 July 2007. Hair samples were collected and anthropometric questionnaires administered at $35^{th}$ week of gestation. The primary outcome was birth weight and secondary outcomes were the risk of babies being SGA and LBW. Results: Log-transformed hair nicotine concentrations were inversely related with birth weight after adjusting for confounding variables (${\beta}=-0.077$, p=0.037). After stratifying hair nicotine levels by tertiles (T1, low [0.0-0.28 ng/mg]; T2, medium [0.29-0.62 ng/mg]; and T3, high [0.63-5.99 ng/mg]), the mean birth weight in each groups were 3,342g (T1) 3,296g (T2) and 3,290 g (T3), respectively. However the difference between groups was not statistically significant by analysis of co-variance (ANCOVA) adjusting for covariates (p=0.062). In logistic regression analysis, the risk of SGA was higher in the T3 (OR=1.59, 95%CI 1.05-2.42) than in the reference group (T1), after controlling for confounding variables. The risk of low birth weight (<2,500g, LBW) was not significantly higher (OR=1.44, 95%CI 0.95-2.19), but the risk of babies being below 3,000g birth weight was increased in the T3 group (OR=1.53, 95%CI 1.00-2.36) compared with that in the T1 group. Conclusions: Maternal ETS exposure during pregnancy was inversely related with birth weight. The risk of SGA increased in the highest ETS exposure group compared with in the low exposure group. To prevent ETS exposure during pregnancy, more comprehensive tobacco control policies are needed.

• 분석과학
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• 제17권5호
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• pp.410-415
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• 2004

본 연구에서는 담배 흡연과 관련된 유해성분들의 발생특성을 비교하기 위하여, BTEX를 위시한 주요 방향족 VOC 성분과 포름알데하이드와 아세트알데하이드를 포함하는 카보닐 화합물의 분포특성을 다각도로 비교하고자 하였다. 이를 위해, 직접흡연에 해당하는 exhaled mainstream smoke (EMS)와 간접흡연에 해당하는 side-stream smoke (SS) 시료 등을 분석하고, 이들의 농도분포를 비교하였다. 필터를 제거한 상태에서 흡입되는 담배 연기의 경우, 유해한 성분들이 수 백 ppm 수준의 고농도로 존재한다는 것을 확인하였다. 반면, 흡연자가 비흡연시에도 날숨을 통해 이들 성분을 수 십에서 수 백 ppb의 농도로 배출하는 것을 확인할 수 있었다. 이러한 분석결과와 날숨과 들숨의 관계로부터 주요 흡연성분들의 체내 잔류율 등을 유추해 보았다. 이러한 추정에 의하면, 방향족 및 카르보닐 성분들의 대부분이 99% 이상 체내에 잔류할 수 있다는 것을 확인하였다.

• 한국연초학회:학술대회논문집
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• 한국연초학회 1997년도 담배과학 국제학술대회
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• pp.30-78
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• 1997

비흡연자가 환경중의 담배연기를 흡입하게 되면 폐암유발 위험성을 증대시킨다는 주장이 미국, 유럽, 일본 그리고 몇몇 아시아 국가에서 제기되어 왔다. 본 논문에서는 한국에서 이러한 잠재위험성의 사실여부를 판단하는데 이용될 수 있는 현재까지의 과학적 근거를 제시하고 그에 대하여 토의하고자 한다. 잠재위험성의 성격, 환경중의 담배연기량에 대한 반응과 관련된 자료, 그리고 환경중 담배연기에 대한 실제적인 노출형태를 구분할 수 있는 자료 등이 토의된다. 잠재위험성에 대한 최종적인 판단은 한국의 공중보건정책의 기초로서 잠재위험성의 평가임무와 관련된 자격을 갖춘 사람들에게 맏겨질 것이다.

• Environmental Analysis Health and Toxicology
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• 제5권3_4호
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• pp.47-56
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• 1990

Smoking damages nonsmoker's health who have been exposed to passive smoking as well as smoker's own health. Passive smoking can cause serious health damage to particular groups, such as the old aged, children and pregnant women. The purpose of this study is to investigate the relationship between nicotine concentrations in environmental tobacco smoke (ETS) and urinary cotinine concentrations of nonsmokers exposed to ETS, and to provide basic information related to health risk assessment. The results of this study were summarized as follows: 1. When 180 cigarrette were smoked during S hours (high concentrations exposure) in 132 m$^3$chamber, mean concentrations of nicotine in ETS showed 263.52 $\mu\textrm{g}$/m$^3$${\pm}$51.93. When 45 cigarretts were smoked (low concentrations exposure), it was 69.43${\pm}$8.96 $\mu\textrm{g}$/m$^3$. 2. The urinary cotinine concentrations of each times (0, 2.5, 5, 17 and 24 hours) in nonsmokers ranged from 0.27∼12.52 ng/ml in high concentrations exposure and 0.22∼2.28 ng/ml in low concentrations exposure. Mean while the total urinary cotinine concentrations during 24 hours ranged from 11.62∼31.65 ng/ml in high concentrations exposure and 3.45∼5.64 ng/ml in low concentrations exposure. 3. The correlation equation and coefficient between cotinine concentrations in nonsmokers' urine (y) and nicotine concentrations in ETS (x) was y=0.421+0.0171x and 0:875 (p<0.01) respectively, 4. The quantity of nonsmokers' smoking exposure by passive smoking can be assumed as based on the estimation of nicotine concentrations in ETS by measuring cotinine concentrations of nonsmokers' urine.