Urinary cotinine levels and environmental tobacco smoke in mothers and children of Romania, Portugal and Poland within the European human biomonitoring pilot study

Detalhes bibliográficos
Autor(a) principal: Lupsa, Ioana-Rodica
Data de Publicação: 2015
Outros Autores: Nunes, Baltazar, Ligocka, Danuta, Elena Gurzau, Anca, Jakubowski, Marek, Casteleyn, Ludwine, Aerts, Dominique, Biot, Pierre, Den Hond, Elly, Castaño, Argelia, Esteban, Marta, Kolossa-Gehring, Marike, Fiddicke, Ulrike, Knudsen, Lisbeth E., Schoeters, Greet, Fátima Reis, M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.18/3556
Resumo: The aim of this study was to explore data from the DEMOCOPHES study population for Romania, Portugal and Poland, in order to assess smoking patterns and the extent of ETS exposure and compare the national study samples with reference to the respective anti-smoking laws. The subset of the DEMOCOPHES study sample consisted of 360 children and their mothers (120 in each of the three countries - Romania (RO), Portugal (PT) and Poland (PL). Smoking was assessed using a detailed questionnaire for the participants, which addresses both active and passive smoking. This assessment uses exposure-relevant questionnaire data, in particular on the home environment and residence, socio-demographic characteristics, lifestyle such as nutrition, smoking behavior, other exposure-relevant behavior and occupational history, as well as urinary cotinine and creatinine measurements. We performed general statistical analysis and innovative receiver operating characteristic (ROC) curve analyses. Smoking prevalence as evaluated by the questionnaire was generally high, and higher than official statistics, which suggests some under-reporting in the countries, particularly in Romania. Urinary cotinine levels provided biochemical confirmation of the high and similar smoking prevalence for the three countries. Concerning ETS exposure, Romania presented significantly higher levels, for children as well as for non-smoking mothers, with Portugal showing significantly lower levels. Compared to non-smoking mothers, the children showed relatively higher ETS exposure levels in all three countries. The established country-specific optimal cut-off values in urinary cotinine to distinguish smokers from non-smokers vary more than those to discriminate ETS exposure extent in non-smoking mothers and children. Although different between countries, these values are a valuable output to monitor effectiveness of both national antismoking laws and educational programs in the three countries. The findings of this study point to the urgent need for stronger, more effective and well enforced smoke-free legislation in the three countries.
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spelling Urinary cotinine levels and environmental tobacco smoke in mothers and children of Romania, Portugal and Poland within the European human biomonitoring pilot studyAntismoking LegislationCut-off valueEnvironmental Tobacco SmokeHuman BiomonitoringUrinary CotinineDeterminantes da Saúde e da DoençaObservação em Saúde e VigilânciaThe aim of this study was to explore data from the DEMOCOPHES study population for Romania, Portugal and Poland, in order to assess smoking patterns and the extent of ETS exposure and compare the national study samples with reference to the respective anti-smoking laws. The subset of the DEMOCOPHES study sample consisted of 360 children and their mothers (120 in each of the three countries - Romania (RO), Portugal (PT) and Poland (PL). Smoking was assessed using a detailed questionnaire for the participants, which addresses both active and passive smoking. This assessment uses exposure-relevant questionnaire data, in particular on the home environment and residence, socio-demographic characteristics, lifestyle such as nutrition, smoking behavior, other exposure-relevant behavior and occupational history, as well as urinary cotinine and creatinine measurements. We performed general statistical analysis and innovative receiver operating characteristic (ROC) curve analyses. Smoking prevalence as evaluated by the questionnaire was generally high, and higher than official statistics, which suggests some under-reporting in the countries, particularly in Romania. Urinary cotinine levels provided biochemical confirmation of the high and similar smoking prevalence for the three countries. Concerning ETS exposure, Romania presented significantly higher levels, for children as well as for non-smoking mothers, with Portugal showing significantly lower levels. Compared to non-smoking mothers, the children showed relatively higher ETS exposure levels in all three countries. The established country-specific optimal cut-off values in urinary cotinine to distinguish smokers from non-smokers vary more than those to discriminate ETS exposure extent in non-smoking mothers and children. Although different between countries, these values are a valuable output to monitor effectiveness of both national antismoking laws and educational programs in the three countries. The findings of this study point to the urgent need for stronger, more effective and well enforced smoke-free legislation in the three countries.DEMOCOPHES received funding through the LIFE þ financial instrument of the European Commision (DGENV), as well as through funding received from different national institutions of the DEMOCOPHES countries (http://www.eu-hbm.info/demo- cophes/project-partners).ElsevierRepositório Científico do Instituto Nacional de SaúdeLupsa, Ioana-RodicaNunes, BaltazarLigocka, DanutaElena Gurzau, AncaJakubowski, MarekCasteleyn, LudwineAerts, DominiqueBiot, PierreDen Hond, EllyCastaño, ArgeliaEsteban, MartaKolossa-Gehring, MarikeFiddicke, UlrikeKnudsen, Lisbeth E.Schoeters, GreetFátima Reis, M.2019-01-01T01:30:10Z2015-082015-08-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/3556engEnviron Res. 2015 Aug;141:106-17. doi: 10.1016/j.envres.2015.03.018. Epub 2015 Apr 10013-935110.1016/j.envres.2015.03.018info:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:39:52Zoai:repositorio.insa.pt:10400.18/3556Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:38:26.036680Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Urinary cotinine levels and environmental tobacco smoke in mothers and children of Romania, Portugal and Poland within the European human biomonitoring pilot study
title Urinary cotinine levels and environmental tobacco smoke in mothers and children of Romania, Portugal and Poland within the European human biomonitoring pilot study
spellingShingle Urinary cotinine levels and environmental tobacco smoke in mothers and children of Romania, Portugal and Poland within the European human biomonitoring pilot study
Lupsa, Ioana-Rodica
Antismoking Legislation
Cut-off value
Environmental Tobacco Smoke
Human Biomonitoring
Urinary Cotinine
Determinantes da Saúde e da Doença
Observação em Saúde e Vigilância
title_short Urinary cotinine levels and environmental tobacco smoke in mothers and children of Romania, Portugal and Poland within the European human biomonitoring pilot study
title_full Urinary cotinine levels and environmental tobacco smoke in mothers and children of Romania, Portugal and Poland within the European human biomonitoring pilot study
title_fullStr Urinary cotinine levels and environmental tobacco smoke in mothers and children of Romania, Portugal and Poland within the European human biomonitoring pilot study
title_full_unstemmed Urinary cotinine levels and environmental tobacco smoke in mothers and children of Romania, Portugal and Poland within the European human biomonitoring pilot study
title_sort Urinary cotinine levels and environmental tobacco smoke in mothers and children of Romania, Portugal and Poland within the European human biomonitoring pilot study
author Lupsa, Ioana-Rodica
author_facet Lupsa, Ioana-Rodica
Nunes, Baltazar
Ligocka, Danuta
Elena Gurzau, Anca
Jakubowski, Marek
Casteleyn, Ludwine
Aerts, Dominique
Biot, Pierre
Den Hond, Elly
Castaño, Argelia
Esteban, Marta
Kolossa-Gehring, Marike
Fiddicke, Ulrike
Knudsen, Lisbeth E.
Schoeters, Greet
Fátima Reis, M.
author_role author
author2 Nunes, Baltazar
Ligocka, Danuta
Elena Gurzau, Anca
Jakubowski, Marek
Casteleyn, Ludwine
Aerts, Dominique
Biot, Pierre
Den Hond, Elly
Castaño, Argelia
Esteban, Marta
Kolossa-Gehring, Marike
Fiddicke, Ulrike
Knudsen, Lisbeth E.
Schoeters, Greet
Fátima Reis, M.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Lupsa, Ioana-Rodica
Nunes, Baltazar
Ligocka, Danuta
Elena Gurzau, Anca
Jakubowski, Marek
Casteleyn, Ludwine
Aerts, Dominique
Biot, Pierre
Den Hond, Elly
Castaño, Argelia
Esteban, Marta
Kolossa-Gehring, Marike
Fiddicke, Ulrike
Knudsen, Lisbeth E.
Schoeters, Greet
Fátima Reis, M.
dc.subject.por.fl_str_mv Antismoking Legislation
Cut-off value
Environmental Tobacco Smoke
Human Biomonitoring
Urinary Cotinine
Determinantes da Saúde e da Doença
Observação em Saúde e Vigilância
topic Antismoking Legislation
Cut-off value
Environmental Tobacco Smoke
Human Biomonitoring
Urinary Cotinine
Determinantes da Saúde e da Doença
Observação em Saúde e Vigilância
description The aim of this study was to explore data from the DEMOCOPHES study population for Romania, Portugal and Poland, in order to assess smoking patterns and the extent of ETS exposure and compare the national study samples with reference to the respective anti-smoking laws. The subset of the DEMOCOPHES study sample consisted of 360 children and their mothers (120 in each of the three countries - Romania (RO), Portugal (PT) and Poland (PL). Smoking was assessed using a detailed questionnaire for the participants, which addresses both active and passive smoking. This assessment uses exposure-relevant questionnaire data, in particular on the home environment and residence, socio-demographic characteristics, lifestyle such as nutrition, smoking behavior, other exposure-relevant behavior and occupational history, as well as urinary cotinine and creatinine measurements. We performed general statistical analysis and innovative receiver operating characteristic (ROC) curve analyses. Smoking prevalence as evaluated by the questionnaire was generally high, and higher than official statistics, which suggests some under-reporting in the countries, particularly in Romania. Urinary cotinine levels provided biochemical confirmation of the high and similar smoking prevalence for the three countries. Concerning ETS exposure, Romania presented significantly higher levels, for children as well as for non-smoking mothers, with Portugal showing significantly lower levels. Compared to non-smoking mothers, the children showed relatively higher ETS exposure levels in all three countries. The established country-specific optimal cut-off values in urinary cotinine to distinguish smokers from non-smokers vary more than those to discriminate ETS exposure extent in non-smoking mothers and children. Although different between countries, these values are a valuable output to monitor effectiveness of both national antismoking laws and educational programs in the three countries. The findings of this study point to the urgent need for stronger, more effective and well enforced smoke-free legislation in the three countries.
publishDate 2015
dc.date.none.fl_str_mv 2015-08
2015-08-01T00:00:00Z
2019-01-01T01:30:10Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/3556
url http://hdl.handle.net/10400.18/3556
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Environ Res. 2015 Aug;141:106-17. doi: 10.1016/j.envres.2015.03.018. Epub 2015 Apr 1
0013-9351
10.1016/j.envres.2015.03.018
dc.rights.driver.fl_str_mv info:eu-repo/semantics/embargoedAccess
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
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