Urine Cotinine and Environmental Tobacco Exposure in Korean Adolescents.

Hae Reung Lee; Hyeon Keun Kim; Jang Suk Yoo; Kyu Nam Kim; Seon Yeong Lee; Sun Mi Yoo; Hyo Bin Kim; Bong Seong Kim; Soo Jong Hong; Ja Hyeung Kim; So Yeon Lee; Moon Woo Seong; Do Hoon Lee

doi:10.4082/kjfm.2009.30.1.31

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Urine Cotinine and Environmental Tobacco Exposure in Korean Adolescents.

Hae Reung Lee, Hyeon Keun Kim, Jang Suk Yoo, Kyu Nam Kim, Seon Yeong Lee, Sun Mi Yoo, Hyo Bin Kim, Bong Seong Kim, Soo Jong Hong, Ja Hyeung Kim, So Yeon Lee, Moon Woo Seong, Do Hoon Lee

Korean Journal of Family Medicine 2009;30(1):31-38.
Published online: January 10, 2009

DOI: https://doi.org/10.4082/kjfm.2009.30.1.31

¹Department of Family Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea. syoo@paik.ac.kr

²Department of Pediatrics, Inje University Sanggye Paik Hospital, Seoul, Korea.

³Department of Pediatrics, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

⁴Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

⁵Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

⁶Department of Pediatrics, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

⁷Center for Clinical Services, National Cancer Center, Goyang, Korea.

인제대학교 상계백병원 가정의학과, ¹소아청소년과, ²울산대학교 의과대학 강릉아산병원 소아과학교실, ³울산대학교 의과대학 서울아산병원 소아과학교실, ⁴울산대학교 의과대학 울산대학교병원 소아과학교실, ⁵한림대학교 의과대학 한강성심병원 소아청소년과, ⁶국립암센터 진단검사의학과

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Abstract

Background
The aim of this study was to elucidate the relationship of environmental tobacco smoke (ETS) exposure and the urine cotinine concentrations in Korean adolescents. Methods: Study population was 1st grade adolescents (N=1467, girls 22.2%) recruited from four high schools, two from Seoul, one from Kangleung and one from Woolsan. We obtained information for active smoking and ETS exposure through self-reported questionnaire and urine cotinine concentrations. Results: The prevalence of active smoking was 6.9% in boys and 0.9% in girls. Median urine cotinine concentrations were 19.5 Ռg/L (range, 0-2341 Ռg/L) among smokers, and 0 Ռg/L (range, 0-1359 Ռg/L) among nonsmokers. The positive rate of urine cotinine among nonsmokers exposed to ETS was 2.9%. Boys were exposed to ETS at PC room (79.6%), home (39.4%), school (11.5%), and public places (5.9%); girls were exposed at home (40.9%), PC room (33.2%), public places (28.0%), and school (15.2%). The frequency and duration of ETS exposure were significantly larger and longer in boys than in girls. Boys contacted friends who smoked more than girls did (32.6% vs. 17.1%). Parents'smoking status was similar both in boys and girls. Any information about ETS exposure did not differ according to the detectable urine cotinine among nonsmoking adolescents. Conclusions: Low positive rateof urine cotinine and no association of urine cotinine with various ETS exposure history reflectthat urine cotinine may not a good marker for ETS exposure in Korean adolescents.

Keywords: Environmental tobacco smoke Urine cotinine Adolescent

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