Bo Yoon Jeong1, Min Kyung Lim2, E Hwa Yun1, Jin-Kyoung Oh1, Eun Young Park1, Do-Hoon Lee3. 1. National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea. 2. National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea; Graduate School of Cancer Science & Policy, National Cancer Center, Goyang, Republic of Korea. Electronic address: mickey@ncc.re.kr. 3. National Cancer Center Hospital, National Cancer Center, Goyang, Republic of Korea.
Abstract
OBJECTIVE: We assessed the extent to which self-reported exposure to SHS underestimates the actual exposure to SHS and what factors are associated with a tolerance for SHS exposure in the Korean setting where the smoke-free policy is incomplete. METHODS: Information on socio-demographic characteristics, alcohol drinking and smoking was collected for 7948 nonsmokers aged ≥ 19 years from the fourth Korea National Health and Nutrition Examination Survey, 2008-2009. Self-reported and cotinine verified SHS exposures were compared. Potential factors associated with cotinine verified but not self-reported SHS exposures were assessed using a logistic regression model. RESULTS: Self-reported SHS exposure significantly underestimated the actual SHS exposure as determined by cotinine verification (kappa coefficient: 0.1066). At younger age, frequent alcohol drinking in females and a longer smoking duration in males were positively associated with cotinine verified exposure but not with the self-reported SHS exposure; they were also positively associated with cotinine verified exposure irrespective of self-reported SHS exposure. CONCLUSIONS: Our findings show a tolerance for smoking in Korea. The current partial ban on smoking does not fully protect people from exposure to SHS. Smoking should be banned in all public places. In addition, efforts to de-normalize smoking in the Korean culture need to be strengthened.
OBJECTIVE: We assessed the extent to which self-reported exposure to SHS underestimates the actual exposure to SHS and what factors are associated with a tolerance for SHS exposure in the Korean setting where the smoke-free policy is incomplete. METHODS: Information on socio-demographic characteristics, alcohol drinking and smoking was collected for 7948 nonsmokers aged ≥ 19 years from the fourth Korea National Health and Nutrition Examination Survey, 2008-2009. Self-reported and cotinine verified SHS exposures were compared. Potential factors associated with cotinine verified but not self-reported SHS exposures were assessed using a logistic regression model. RESULTS: Self-reported SHS exposure significantly underestimated the actual SHS exposure as determined by cotinine verification (kappa coefficient: 0.1066). At younger age, frequent alcohol drinking in females and a longer smoking duration in males were positively associated with cotinine verified exposure but not with the self-reported SHS exposure; they were also positively associated with cotinine verified exposure irrespective of self-reported SHS exposure. CONCLUSIONS: Our findings show a tolerance for smoking in Korea. The current partial ban on smoking does not fully protect people from exposure to SHS. Smoking should be banned in all public places. In addition, efforts to de-normalize smoking in the Korean culture need to be strengthened.
Authors: Alicia Alemán; Paola Morello; Mercedes Colomar; Laura Llambi; Mabel Berrueta; Luz Gibbons; Pierre Buekens; Fernando Althabe Journal: Int J Environ Res Public Health Date: 2016-12-29 Impact factor: 3.390
Authors: Byung Jin Kim; Jeong Gyu Kang; Ji Hye Kim; Dae Chul Seo; Ki Chul Sung; Bum Soo Kim; Jin Ho Kang Journal: J Clin Med Date: 2019-08-16 Impact factor: 4.241