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논문 기본 정보

자료유형
학술저널
저자정보
Kim Hana (Department of Public Health Science, Graduate School of Public Health, Seoul National University) Kang Heewon (Institute of Health and Environment, Graduate School of Public Health, Seoul National University, Seoul, Korea.) 조성일 (서울대학교)
저널정보
한국역학회 Epidemiology and Health Epidemiology and Health Vol.46
발행연도
2024.1
수록면
1 - 8 (8page)
DOI
10.4178/epih.e2024009

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초록· 키워드

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OBJECTIVES: Smoke-free areas have expanded and related campaigns have been implemented since 1995 in Korea. As a re- sult, household secondhand smoke (SHS) exposure has decreased over the past 15 years. We assessed the cohort effect, the ef- fect of a 2008 campaign on household SHS exposure, and the impact of a complete smoking ban in public places along with in- creased penalties, as implemented in December 2011. METHODS: Nationally representative cross-sectional 15-wave survey data of Korean adolescents were used. The 810,516 par- ticipants were classified into 6 grade groups, 15 period groups, and 20 middle school admission cohorts. An age-period-cohort analysis, conducted with the intrinsic estimator method, was used to assess the cohort effect of household SHS exposure, and interrupted-time series analyses were conducted to evaluate the effects of the smoke-free policy and the campaign. RESULTS: For cohorts who entered middle school from 2002 to 2008, the risk of household SHS exposure decreased among both boys and girls. Immediately after implementation of the smoke-free policy, the prevalence of household SHS exposure by period decreased significantly for boys (coefficient, -8.96; p < 0.05) and non-significantly for girls (coefficient, -6.99; p = 0.07). After the campaign, there was a significant decrease in household SHS exposure by cohort among boys, both immediately and post-intervention (coefficient, -4.84; p = 0.03; coefficient, -1.22; p = 0.02, respectively). CONCLUSIONS: A school-admission-cohort effect was found on household SHS exposure among adolescents, which was as- sociated with the smoke-free policy and the campaign. Anti-smoking interventions should be implemented consistently and si- multaneously.

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