ABSTRACT

This research is aimed at measuring the effect of active smoking and SHS (second-hand smoke) on wheezing and asthma among Korean adolescents by using data from the 2011 Korea Youth Risk Behavior Web-based Survey. Of a total of 75,643 students analysed, about 40% were exposed to SHS, 12% were current smokers, and 9% were those who had been diagnosed with asthma From the result of logistic regression analysis to examine the effect of active smoking and SHS on wheezing and asthma in this study, the amount of smoking and the amount of SHS were significant factors for “wheezing ever”, “current wheezing”, “asthma ever”, and “current asthma”. The possibility of “wheezing ever” increased significantly according to the amount of smoking (less than 1 cigarette/day OR=1.24, 2∼9 cigarettes/day OR=1.61, more than 10 cigarettes/day OR=2.11) compared with non-smokers and according to the amount of SHS (1∼4 days/week OR=1.16, more than 5 days/week OR=1.30) compared with non-SHS. The possibility of current wheezing increased significantly according to the amount of smoking (less than 1 cigarette/day OR=1.45, 2∼9 cigarettes/day OR=2.12, more than 10 cigarettes/day OR=3.13) compared with non-smokers and according to the amount of SHS (1∼4 days/week OR=1.11, more than 5 days/week OR=1.39) compared with non-SHS. The amount of smoking (more than 10 cigarettes/day vs. non-smokers OR=1.37) and the amount of SHS (more than 5days/week vs. not SHS OR=1.10) effected significantly on the possibility of asthma ever. The amount of smoking (less than 1 cigarette/day vs. non-smokers OR=1.39, 2∼9 cigarettes/day OR=1.38, more than 10 cigarettes/day OR=2.82) and the amount of SHS (more than 5 days/week vs. not SHS OR=1.27) influenced significantly on the possibility of current asthma. In conclusion, adolescents's smoking and SHS can raise the possibility of wheezing and asthma. Therefore, policy makers need to enforce policies that help adolescents prevent from exposing to SHS including homes and public places like PC rooms, parks, bus stops and streets as well as quit smoking.

KEYWORD

Smoking, Second-hand Smoke(SHS), Quit Smoking, Wheezing, Asthma

REFERENCES(52)open

  1. [jounal] 김원진 / 2010 / 천식 환자에서 우울과 천식의 중증도 및 조절과의 관련성 / Tuberculosis and Respiratory Diseases 69 (4) : 265 ~ 270

  2. [jounal] 김지영 / 2003 / 가족의 흡연으로 인한 간접흡연이 천식에 미치는 영향 / Allergy Asthma & Respiratory Diseases 13 (4) : 238 ~ 247

  3. [jounal] 손홍지 / 2010 / PC 방 금연구역의 간접흡연 노출 / 한국환경보건학회지 36 (4) : 288 ~ 293

  4. [jounal] 이근복 / 2009 / 부모에 의한 간접흡연 및 부모의 알레르기성 질환력과 소아 천식과의 관계에 관한 연구 / 농촌의학.지역보건 34 (2) : 175 ~ 187

  5. [jounal] 장규진 / 2005 / 국민건강영양조사 자료를 통한 천식과 비만의 상관성 연구 / 천식 및 알레르기 25 (4) : 262 ~ 268

  6. [jounal] 지선하 / 2006 / 한국인 성인 남녀의 흡연관련 사망 수 추정, 1981-2003 / 한국역학회지 28 (1) : 92 ~ 99

  7. [report] 질병관리본부 / 2011 / 2010년 국민건강영양조사

  8. [report] 질병관리본부 / 2012 / 제7차(2011) 청소년 건강행태 온라인 조사 통계

  9. [report] 한국금연운동협의회 / 1991 / 청소년 흡연실태조사 보고서

  10. [report] 한국금연운동협의회 / 1995 / 청소년 흡연실태조사 보고서

  11. [report] 한국금연운동협의회 / 2000 / 청소년 흡연실태조사 보고서

  12. [jounal] 황규석 / 2012 / 어린이 천식과 주거환경적 위험요인에 대한 환자-대조군 연구 / 한국환경보건학회지 38 (03) : 223 ~ 232

  13. [jounal] 황수진 / 2010 / 흡연과 주거환경이 초등학생 천명 및 천식 발생에 미치는 영향 / Allergy Asthma & Respiratory Diseases 20 (4) : 238 ~ 246

  14. [jounal] Brim, S. N. / 2008 / Asthma prevalence among US children in underrepresented minority populations: American Indian/Alaska Native, Chinese, Filipino, and Asian Indian / Pediatrics 122 : 217 ~ 222

  15. [jounal] Carter, E. R. / 2006 / Chronic productive cough in school children: prevalence and associations with asthma and environmental tobacco smoke exposure / Cough 2 (11)

  16. [book] CDC / 2009 / Global tobacco surveillance system: the GTSS atlas / CDC foundation

  17. [jounal] Comhair, S. A. / 2011 / Detrimental effects of environmental tobacco smoke in relation to asthma severity / PLoS ONE 6 (5) : 18574

  18. [jounal] Frank, P. / 2006 / Smoking, respiratory symptoms and likely asthma in young people: evidence from postal questionnaire surveys in the Wythenshawe Community Asthma Project(WYCAP) / BMC Pulmonary Medicine 6 (10)

  19. [jounal] Gerald, L. B. / 2009 / Changes in environmental tobacco smoke exposure and asthmamorbidity among urban school children / Chest 135 (4) : 911 ~ 916

  20. [jounal] Eun Sil Ha / 2009 / Clinical Characteristics of Smoking Asthmatics / Tuberculosis and Respiratory Diseases 67 (6) : 506 ~ 511

  21. [jounal] Halterman, J. S. / 2010 / Motivation to quit smoking among parents of urban children with asthma / Patient Educ Couns 79 (2) : 152 ~ 155

  22. [book] IARC / 2004 / Tobacco smoking and involuntary smoking, In IARC Monographs on the evaluation of carcinogenic risks to humans, In IARC Monographs / International Agency for Research on Cancer

  23. [book] IARC / 2012 / Second-hand tobacco smoke, In IARC Monographs / International Agency for Research on Cancer

  24. [jounal] An-SooJang / 2002 / High Body Mass Index is Associated with Wheezing Among Older Adults Living in High-Altitude Area in Korea / Journal of Korean Medical Science 17 (4) : 479 ~ 482

  25. [jounal] 박춘식 / 2010 / Effects of Smoking Cessation on Airflow Obstruction and Quality of Life in Asthmatic Smokers / Allergy, Asthma & Immunology Research 2 (4) : 254 ~ 259

  26. [jounal] Jiang, Y. / 2009 / Using item response theory to analyze the relations hip between health-Related quality of life and health risk factors / Prev Chr onic Dis 6 (1) : 30

  27. [jounal] Lee, S. I. / 2010 / Prevalence of childhood asthma in Korea: international study of asthma and allergies in childhood / Allergy Asthma Immunol Res 2 (2) : 61 ~ 64

  28. [jounal] Melén, E. / 2010 / Analyses of shared genetic factors between asthma and obesity in children / J Allergy Clin Immunol 126 (3) : 631 ~ 637

  29. [jounal] Meng, Y. Y. / 2012 / Asthma-related school absenteeism and school concentration of low-income students in California / Prev Chronic Dis 9 : 110312

  30. [jounal] Moonie, S. A. / 2006 / Asthma status and severity affects missed school days / J Sch Health 76 (1) : 18 ~ 24

  31. [jounal] Parasuramalu, B. G. / 2010 / Prevalence of bronchial asthma and its association with smoking habits among Adult Population in Rural Area / Indian J Public Health 54 (3) : 165 ~ 168

  32. [jounal] Rachiotis, G. / 2010 / Determinants of exposure to environmental tobacco smoke(ETS) among non smoking adolescents / Int J Environ Res Public Health 7 : 284 ~ 290

  33. [jounal] 류연주 / 2010 / Prevalence of Depression and Anxiety in Outpatients with Chronic Airway Lung Disease / The Korean Journal of Internal Medicine 25 (1) : 51 ~ 57

  34. [jounal] Sturm, J. J. / 2004 / Effects of tobacco smoke exposure on asthma prevalence and medical care use in north carolina middle school children / Am J Public Health 94 : 308 ~ 313

  35. [jounal] 서민아 / 2011 / Association Between Body Mass Index and Asthma Symptoms Among Korean Children: A Nation-Wide Study / Journal of Korean Medical Science 26 (12) : 1541 ~ 1547

  36. [jounal] 서미나 / 2011 / Prevalence of Allergic Diseases among Korean School-age Children: A Nationwide Cross-Sectional Questionnaire Study / Journal of Korean Medical Science 26 (3) : 332 ~ 338

  37. [jounal] To, T. / 2012 / Results from a community-based program evaluating the effect of changing smoking status on asthma symptom control / BMC Public Health 12 : 293

  38. [jounal] Tsai, C. H. / 2010 / Household environmental tobacco smoke and risks of asthma, wheeze and bronchitic symptoms among children in Taiwan / Respiratory Research 11 : 11

  39. [report] USDHHS / 1986 / The health consequences of using smokeless tobacco: a report of the surgeon general

  40. [report] USDHHS / 1999 / Health effects of exposure to environmental tobacco smoke

  41. [report] USDHHS / 2004 / The health consequences of smoking: a report of the surgeon general

  42. [report] USDHHS / 2006 / The health consequences of involuntary exposure to tobacco smoke: a report of the surgeon general

  43. [report] USDHHS / 2010 / How tobacco smoke causes disease: the biology and behavioral basis for smoking-attributable disease: a report of the Surgeon General

  44. [report] USDHHS / 2011 / Report on carcinogens, twelfth, Atlanta: United States Department of Health and Human Services

  45. [report] USDHHS / 2011 / Asthma prevalence, health care use, and mortality: United States, 2005–2009

  46. [jounal] Vork, K. L. / 2007 / Developing asthma in childhood from exposure to secondhand tobacco smoke: insights from a meta-regression / Environ Health Perspect 115 : 1394 ~ 1400

  47. [report] WHO / 1999 / International consultation on environmental tobacco smoke(ETS) and child health

  48. [book] WHO / 2007 / Protection from exposure to second-hand tobacco smoke, policy recommendations / World Health Organization

  49. [book] WHO / 2009 / Implementing smoke-free environments: report on the global tobacco epidemic / World Health Organization

  50. [book] WHO / 2011 / Third WHO Report on the Global Tobacco Epidemic / World Health Organization

  51. [book] WHO / 2011 / Making cities smoke-free / World Health Organization

  52. [jounal] Wu. F. / 2007 / Childhood asthma and environmental interventions / Environ Health Perspect 115 : 971 ~ 975