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Increased self-efficacy to quit and perceived control over withdrawal symptoms predict smoking cessation following nicotine dependence treatment 2011 Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA. schnoll@mail.med.upenn.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addictive Behaviors
Periodical, Abbrev.
Addict.Behav.
Pub Date Free Form
Jan-Feb
Volume
36
Issue
2-Jan
Start Page
144
Other Pages
147
Notes
LR: 20150224; CI: Copyright (c) 2010; GR: P50 CA143187/CA/NCI NIH HHS/United States; GR: P50 CA143187/CA/NCI NIH HHS/United States; GR: P50 CA143187-01/CA/NCI NIH HHS/United States; GR: R01 CA126969/CA/NCI NIH HHS/United States; GR: R01 CA126969/CA/NCI NI
Place of Publication
England
ISSN/ISBN
1873-6327; 0306-4603
Accession Number
PMID: 20869812
Language
eng
SubFile
Clinical Trial, Phase IV; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.addbeh.2010.08.024 [doi]
Output Language
Unknown(0)
PMID
20869812
Abstract
AIM: To examine changes in nicotine withdrawal, nicotine craving, self-efficacy to quit smoking, and perceived control over withdrawal symptoms as predictors of smoking cessation following behavioral counseling and nicotine replacement therapy in a sample of smokers. DESIGN AND SETTING: The data were ascertained from a randomized effectiveness trial comparing nicotine patch to nicotine lozenge. Predictors of smoking cessation were assessed at baseline and 5 weeks post-baseline, and 24-hour point prevalence abstinence, biochemically confirmed, was assessed at the end-of-treatment (week 15) and 6 months after a target quit date (week 27). PARTICIPANTS: 642 treatment-seeking smokers randomized to 12 weeks of nicotine patch or nicotine lozenge. FINDINGS: Participants who showed a greater increase in self-efficacy to quit smoking (OR=1.09, 95% CI: 1.02-1.16, p=.01) and perceived control over withdrawal symptoms (OR=1.02, 95% CI: 1.00-1.04, p=.05) were significantly more likely to have quit smoking at week 15. Participants who showed a greater increase in self-efficacy to quit smoking (OR=1.04, 95% CI: 1.01-1.06, p=.01) were significantly more likely to have quit smoking at week 27. Changes in withdrawal symptoms and craving were not related to week 15 or week 27 abstinence rates. CONCLUSIONS: The results highlight two relatively under-studied potential psychological predictors of abstinence following treatment for nicotine dependence. Behavioral counseling interventions to promote smoking cessation should help smokers develop confidence in their ability to quit smoking and increase their sense of control over withdrawal symptoms to increase their chances for cessation.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ltd
Data Source
Authors
Schnoll,R.A., Martinez,E., Tatum,K.L., Glass,M., Bernath,A., Ferris,D., Reynolds,P.
Original/Translated Title
URL
Date of Electronic
20100924
PMCID
PMC2981675
Editors
Impact of self-initiated pre-quit smoking reduction on cessation rates: results of a clinical trial of smoking cessation among female prisoners 2011 University of Alabama at Birmingham, Birmingham, AL 35209, United States. kcropsey@be.apsyl.his.uab.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addictive Behaviors
Periodical, Abbrev.
Addict.Behav.
Pub Date Free Form
Jan-Feb
Volume
36
Issue
2-Jan
Start Page
73
Other Pages
78
Notes
LR: 20141202; CI: Copyright (c) 2010; GR: K23 DA015774/DA/NIDA NIH HHS/United States; GR: K23 DA015774-01/DA/NIDA NIH HHS/United States; GR: K23DA15774/DA/NIDA NIH HHS/United States; JID: 7603486; 0 (Nicotinic Agonists); 7U1EE4V452 (Carbon Monoxide); NIHM
Place of Publication
England
ISSN/ISBN
1873-6327; 0306-4603
Accession Number
PMID: 20888129
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1016/j.addbeh.2010.08.026 [doi]
Output Language
Unknown(0)
PMID
20888129
Abstract
OBJECTIVES: This study examined differences in cessation success based on smokers' self-initiated pre-quit reductions in cigarettes per day (cpd). METHODS: The study utilized data from a nicotine replacement+behavioral therapy smoking cessation intervention conducted in a female prison facility with 179 participants who were wait-listed for 6 months prior to intervention. We compared two groups of smokers based on whether they self-selected to reduce smoking prior to their cessation attempt (n=77) or whether they increased smoking or did not reduce (n=102). General Estimating Equations (GEE) were used to model smoking cessation through 12-month follow-up. RESULTS: Examination of pre-cessation cpd showed that those who reduced were heavier smokers at baseline, relative to those who did not reduce (p
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ltd
Data Source
Authors
Cropsey,K.L., Jackson,D.O., Hale,G.J., Carpenter,M.J., Stitzer,M.L.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC3005277
Editors
The global epidemic of waterpipe smoking 2011 School of Public Health, University of Memphis, Syrian Center for Tobacco Studies, Browning Hall 112, 3820 DeSoto Avenue, Memphis, TN 38152-3340, United States. wmaziak@memphis.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addictive Behaviors
Periodical, Abbrev.
Addict.Behav.
Pub Date Free Form
Jan-Feb
Volume
36
Issue
2-Jan
Start Page
1
Other Pages
5
Notes
LR: 20141202; CI: Copyright (c) 2010; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876/DA/NIDA NIH HHS/United States; JID: 7603486; 7U1EE4V452 (Carbon Monoxide); NIHMS234502; OID: NLM: NIHMS234502; OID: NLM: PMC4135081; 2010/07/15 [receive
Place of Publication
England
ISSN/ISBN
1873-6327; 0306-4603
Accession Number
PMID: 20888700
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Review; IM
DOI
10.1016/j.addbeh.2010.08.030 [doi]
Output Language
Unknown(0)
PMID
20888700
Abstract
In the past decade waterpipe (WP) smoking (a.k.a. hookah, shisha, and narghile) has been steadily spreading among the youth around the world. The allure of this tobacco use method for the youth can stem from its pleasant smooth smoke, social ambience and the perception of reduced harm. The material in this review is based on detailed Medline search for articles appearing especially in the past two years that are of relevance to WP epidemiology, health and addictive effects, and WP-related tobacco control policies. It shows that WP smoking is continuing to spread among the youth worldwide, and perhaps represents the second global tobacco epidemic since the cigarette. Available evidence suggests that the prevalence of current (past month) WP smoking range from 6 to 34% among Middle Eastern adolescents, 5%-17% among American adolescents, and that WP use is increasing globally. Studies on the health effects of WP smoking are limited by methodological quality, as well as by the novelty of WP epidemic relative to the long latency of important smoking-related health outcomes. Still, research indicates substantial WP harmful effects similar to those of cigarettes, as well as to the potential of providing a bridge to cigarette smoking or relapse. Developing effective interventions to curb WP use among the youth requires a detailed understanding of how dependence develops in WP users, and how it is shaped by WP's unique features such as the following; the predominantly intermittent use with prolonged sessions, preparation time, accessibility, potent sensory cues, and convivial experience of group use. It also requires assessing effective policy options such as factual and visible health warnings on all its parts, as well as youth access and indoor smoking restrictions. WP smoking is currently showing all signs of a burgeoning global epidemic with serious implications for public health and tobacco control worldwide. Investment in research and policy initiatives to understand and curb WP use needs to become a public health priority.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ltd
Data Source
Authors
Maziak,W.
Original/Translated Title
URL
Date of Electronic
20101008
PMCID
PMC4135081
Editors
Socioeconomic disparities in quit intentions, quit attempts, and smoking abstinence among smokers in four western countries: findings from the International Tobacco Control Four Country Survey 2010 Department of Health Studies and Gerontology, University of Waterloo, Waterloo, Ontario, Canada. jl3reid@uwaterloo.ca
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Oct
Volume
12 Suppl
Issue
Start Page
S20
Other Pages
33
Notes
LR: 20141202; GR: 57897/Canadian Institutes of Health Research/Canada; GR: 79551/Canadian Institutes of Health Research/Canada; GR: C312/A3726/Cancer Research UK/United Kingdom; GR: P50 CA111236/CA/NCI NIH HHS/United States; GR: R01 CA 100362/CA/NCI NIH H
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 20889477
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntq051 [doi]
Output Language
Unknown(0)
PMID
20889477
Abstract
INTRODUCTION: Lower socioeconomic status (SES) groups have higher rates of tobacco use, are less likely to successfully quit, and may also be less likely to intend or attempt to quit. However, results are inconsistent for some outcomes, and little is known about how socioeconomic disparities vary across countries and over time. METHODS: This study examined the associations between SES and quitting-related behaviors among representative samples of smokers in Canada, the United States, the United Kingdom, and Australia, using data from the first five waves (2002-2006/2007) of the International Tobacco Control Four Country Survey (35,532 observations from 16,458 respondents). Generalized estimating equations modeling was used to examine whether education and income were related to intentions to quit, incidence of quit attempts, and smoking abstinence. Potential differences in the associations over time and across countries were also considered. RESULTS: Smokers with higher education were more likely to intend to quit, to make a quit attempt, and to be abstinent for at least 1 and 6 months; smokers with higher income were more likely to intend to quit and to be abstinent for at least 1 month. Some between-country differences were observed: U.K. and U.S. smokers were less likely to intend to quit than Australians and Canadians; and, although U.K. respondents were least likely to attempt to quit, those that did were more likely to be abstinent. DISCUSSION: The results suggest that socioeconomic disparities exist at multiple stages in the path to smoking cessation. Potential effects on socioeconomic disparities should be considered when implementing cessation interventions.
Descriptors
Adult, Attitude to Health, Australia/epidemiology, Canada/epidemiology, Female, Great Britain/epidemiology, Humans, International Cooperation, Male, Middle Aged, Motivation, Multivariate Analysis, Population Surveillance, Poverty/statistics & numerical data, Secondary Prevention, Self Efficacy, Smoking/economics/epidemiology/psychology, Smoking Cessation/economics/psychology/statistics & numerical data, Socioeconomic Factors, Tobacco Use Disorder/economics/epidemiology/psychology, United States/epidemiology, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Reid,J. L., Hammond,D., Boudreau,C., Fong,G. T., Siahpush,M., ITC Collaboration
Original/Translated Title
URL
Date of Electronic
PMCID
PMC2948137
Editors
The impact of the United Kingdom's national smoking cessation strategy on quit attempts and use of cessation services: findings from the International Tobacco Control Four Country Survey 2010 United Kingdom Centre for Tobacco Control Studies, University of Nottingham, Nottingham, UK. jack.gibson@nottingham.ac.uk
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Oct
Volume
12 Suppl
Issue
Start Page
S64
Other Pages
71
Notes
LR: 20141202; GR: 312/A3726/Cancer Research UK/United Kingdom; GR: 57897/Canadian Institutes of Health Research/Canada; GR: P50 CA111236/CA/NCI NIH HHS/United States; GR: R01 CA 100362/CA/NCI NIH HHS/United States; GR: R01 CA100362/CA/NCI NIH HHS/United S
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 20889483
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntq119 [doi]
Output Language
Unknown(0)
PMID
20889483
Abstract
INTRODUCTION: The World Health Organization Framework Convention on Tobacco Control recommends that provision of cessation support should be included in national tobacco control strategies. This study examines the impact of the United Kingdom's national smoking cessation strategy on quit attempts, use of treatment and short-term abstinence, relative to the United States, Canada, and Australia where less support is provided. METHODS: Data on quitting behavior and use of support were obtained for all smokers enrolled in the International Tobacco Control 4 Country Survey between 2002 and 2005. Generalized estimating equations were used to calculate the relative odds (adjusted by age, sex, and Heaviness of Smoking Index) that smokers in each country made quit attempts, used behavioral or pharmacological support, and to compare rates of short-term (28 days) abstinence between countries and users of different forms of support. RESULTS: U.K. smokers were less likely to have attempted to quit smoking than those in Australia (odds ratio [OR] = 1.25, 95% CI: 1.12-1.40), Canada (OR = 1.50, 95% CI: 1.34-1.67), and the United States (OR = 1.25, 95% CI: 1.11-1.40) but were more likely to use pharmacotherapy and/or support from a clinic, helpline, or health professional when attempting to quit than smokers in the other countries. U.K. smokers making quit attempts were significantly more likely to achieve 28-day abstinence than those in Australia (OR = 0.59, 95% CI: 0.49-0.71), Canada (OR = 0.72, 95% CI: 0.61-0.87), and the United States (OR = 0.51, 95% CI: 0.42-0.62). CONCLUSIONS: U.K. smokers report fewer quit attempts but are more likely to use support when quitting and to achieve short-term abstinence.
Descriptors
Attitude to Health, Australia/epidemiology, Canada/epidemiology, Female, Great Britain/epidemiology, Health Services Accessibility/organization & administration/statistics & numerical data, Humans, International Cooperation, Male, Middle Aged, Multivariate Analysis, Reproducibility of Results, Risk Reduction Behavior, Secondary Prevention, Self Efficacy, Smoking/epidemiology/prevention & control/psychology, Smoking Cessation/psychology/statistics & numerical data, Social Support, Socioeconomic Factors, State Medicine/organization & administration, Tobacco Use Disorder/epidemiology/prevention & control/psychology, United States/epidemiology, World Health Organization, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Gibson,J. E., Murray,R. L., Borland,R., Cummings,K. M., Fong,G. T., Hammond,D., McNeill,A.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC2948139
Editors
Maternal exposure to ambient levels of benzene and neural tube defects among offspring: Texas, 1999-2004 2011 Division of Epidemiology, Human Genetics and Environmental Sciences, University of Texas School of Public Health, Houston 77030, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Environmental health perspectives
Periodical, Abbrev.
Environ.Health Perspect.
Pub Date Free Form
Mar
Volume
119
Issue
3
Start Page
397
Other Pages
402
Notes
LR: 20141202; GR: T42OH008421/OH/NIOSH CDC HHS/United States; GR: U50/CCU613232/PHS HHS/United States; JID: 0330411; 0 (Air Pollutants); 0 (Benzene Derivatives); 0 (Xylenes); 3FPU23BG52 (Toluene); J64922108F (Benzene); L5I45M5G0O (ethylbenzene); CIN: Envi
Place of Publication
United States
ISSN/ISBN
1552-9924; 0091-6765
Accession Number
PMID: 20923742
Language
eng
SubFile
Journal Article; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.1289/ehp.1002212 [doi]
Output Language
Unknown(0)
PMID
20923742
Abstract
BACKGROUND: Previous studies have reported positive associations between maternal exposure to air pollutants and several adverse birth outcomes. However, there have been no studies assessing the association between environmental levels of hazardous air pollutants, such as benzene, and neural tube defects (NTDs), a common and serious group of congenital malformations. OBJECTIVE: Our goal was to conduct a case-control study assessing the association between ambient air levels of benzene, toluene, ethylbenzene, and xylene (BTEX) and the prevalence of NTDs among offspring. METHODS: The Texas Birth Defects Registry provided data on NTD cases (spina bifida and anencephaly) delivered between 1999 and 2004. The control group was a random sample of unaffected live births, frequency matched to cases on year of birth. Census tract-level estimates of annual BTEX levels were obtained from the U.S. Environmental Protection Agency 1999 Assessment System for Population Exposure Nationwide. Restricted cubic splines were used in mixed-effects logistic regression models to determine associations between each pollutant and NTD phenotype. RESULTS: Mothers living in census tracts with the highest benzene levels were more likely to have offspring with spina bifida than were women living in census tracts with the lowest levels (odds ratio = 2.30; 95% confidence interval, 1.22-4.33). No significant associations were observed between anencephaly and benzene or between any of the NTD phenotypes and toluene, ethylbenzene, or xylene. CONCLUSION: In the first study to assess the relationship between environmental levels of BTEX and NTDs, we found an association between benzene and spina bifida. Our results contribute to the growing body of evidence regarding air pollutant exposure and adverse birth outcomes.
Descriptors
Adult, Air Pollutants/analysis/toxicity, Air Pollution/statistics & numerical data, Benzene/analysis/toxicity, Benzene Derivatives/analysis/toxicity, Female, Humans, Infant, Newborn, Male, Maternal Exposure/adverse effects/statistics & numerical data, Neural Tube Defects/epidemiology, Spinal Dysraphism/epidemiology, Texas, Toluene/analysis/toxicity, Xylenes/analysis/toxicity, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Lupo,P. J., Symanski,E., Waller,D. K., Chan,W., Langlois,P. H., Canfield,M. A., Mitchell,L. E.
Original/Translated Title
URL
Date of Electronic
20101005
PMCID
PMC3060005
Editors
Secondhand tobacco smoke exposure in selected public places (PM2.5 and air nicotine) and non-smoking employees (hair nicotine) in Ghana 2011 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Mar
Volume
20
Issue
2
Start Page
107
Other Pages
111
Notes
LR: 20151119; JID: 9209612; 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); OID: NLM: PMC3045526; 2010/10/07 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 20930057
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1136/tc.2010.036012 [doi]
Output Language
Unknown(0)
PMID
20930057
Abstract
BACKGROUND: Secondhand tobacco smoke (SHS) exposure is a global public health problem. Ghana currently has no legislation to prevent smoking in public places. To provide data on SHS levels in hospitality venues in Ghana the authors measured (1) airborne particulate matter
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Agbenyikey,W., Wellington,E., Gyapong,J., Travers,M.J., Breysse,P.N., McCarty,K.M., Navas-Acien,A.
Original/Translated Title
URL
Date of Electronic
20101007
PMCID
PMC3045526
Editors
Trends in smoking and quitting in China from 1993 to 2003: National Health Service Survey data 2010 Center for Health Statistics and Information, Ministry of Health, Beijing, China.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Bulletin of the World Health Organization
Periodical, Abbrev.
Bull.World Health Organ.
Pub Date Free Form
1-Oct
Volume
88
Issue
10
Start Page
769
Other Pages
776
Notes
LR: 20141202; JID: 7507052; OID: NLM: PMC2947036; 2009/03/27 [received]; 2010/03/09 [revised]; 2010/03/10 [accepted]; 2010/04/16 [epublish]; ppublish
Place of Publication
Switzerland
ISSN/ISBN
1564-0604; 0042-9686
Accession Number
PMID: 20931062
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.2471/BLT.09.064709 [doi]
Output Language
Unknown(0)
PMID
20931062
Abstract
OBJECTIVE: China has about 350 million smokers, more commonly men. Using data from National Health Service Surveys conducted in 1993, 1998 and 2003, we (i) estimated trends in smoking prevalence and cessation according to sociodemographic variables and (ii) analysed cessation rates, quitting intentions, reasons for quitting and reasons for relapsing. METHODS: Data were collected from approximately 57 000 households and 200 000 individuals in each survey year. Household members > 15 years of age were interviewed about their smoking habits, quitting intentions and attitudes towards smoking. We present descriptive data stratified by age, sex, income level and rural versus urban residence. FINDINGS: In China, current smoking in those > 15 years old declined 60-49% in men and 5-3.2% in women over 1993-2003. The decline was more marked in urban areas. However, heavy smoking (>/= 20 cigarettes daily) increased substantially overall and doubled in men. The average age of uptake also dropped by about 3 years. In 2003, 7.9% of smokers reported intending to quit, and 6% of people who had ever smoked reported having quit. Of former smokers, 40.6% quit because of illness, 26.9% to prevent disease and 10.9% for financial reasons. CONCLUSION: Smoking prevalence declined in China over the study period, perhaps due to the combined effect of smoking cessation, reduced uptake in women and selective mortality among men over 40 years of age. However, heavy smoking increased. People in China rarely quit or intend to quit smoking, except at older ages. Further tobacco control efforts are urgently needed, especially in rural areas.
Descriptors
Adolescent, Adult, Aged, China/epidemiology, Female, Health Policy, Health Surveys, Humans, Male, Middle Aged, Prevalence, Risk Assessment, Smoking/epidemiology, Smoking Cessation/statistics & numerical data, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Qian,J., Cai,M., Gao,J., Tang,S., Xu,L., Critchley,J. A.
Original/Translated Title
URL
Date of Electronic
20100416
PMCID
PMC2947036
Editors
Second-hand smoke in hospitals in Catalonia (2009): a cross-sectional study measuring PM2.5 and vapor-phase nicotine 2010 Institut Catala d'Oncologia-IDIBELL, L'Hospitalet, Barcelona, Spain.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Environmental research
Periodical, Abbrev.
Environ.Res.
Pub Date Free Form
Nov
Volume
110
Issue
8
Start Page
750
Other Pages
755
Notes
LR: 20151119; CI: Copyright (c) 2010; JID: 0147621; 0 (Air Pollutants); 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); 2010/02/18 [received]; 2010/09/15 [revised]; 2010/09/17 [accepted]; 2010/10/08 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1096-0953; 0013-9351
Accession Number
PMID: 20933229
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.envres.2010.09.008 [doi]
Output Language
Unknown(0)
PMID
20933229
Abstract
OBJECTIVES: To describe second-hand smoke in the hospitals of the Catalan Network for Smoke-free Hospitals using Particulate Matter (PM(2.5)) and to assess the association between second-hand smoke exposure in main entrances (outdoors) and halls and between PM(2.5) and airborne nicotine concentrations. METHODS: Cross-sectional study carried out in 2009 in the 53 hospitals affiliated with the network. We measured PM(2.5) (mug/m(3)) in all hospitals and measured airborne nicotine concentrations (mug/m(3)) in a subsample of 11 hospitals. For each assessment, we measured nine locations within the hospitals, computing medians, means, geometric means, interquartile ranges (IQRs), and 95% confidence intervals (CI) of the means and the geometric means. Further, we used Spearman's linear correlation coefficient r(sp)) to explore the association between PM(2.5) concentrations in halls and main entrances and between PM(2.5) and nicotine concentrations. RESULTS: The overall median of the 429 PM(2.5) measurements was 12.48 mug/m(3) (IQR: 8.84-19.76 mug/m(3)). The most exposed locations were outdoor smoking points (16.64 mug/m(3)), cafeterias (14.82 mug/m(3)), and main entrances (14.04 mug/m(3)); dressing rooms were the least exposed (6.76 mug/m(3)). PM(2.5) concentrations in halls were positively correlated with those in main entrances (r(sp)=0.591, 95% CI: 0.377-0.745), as were PM(2.5) values and nicotine concentrations (r(sp)=0.644, 95% CI: 0.357-0.820). CONCLUSIONS: Second-hand smoke levels in hospitals were low in most locations, with the highest levels observed in outdoor locations where smoking is allowed (smoking points and entrances). Smoking in main entrances was associated with increased second-hand smoke levels in halls. Use of PM(2.5) to evaluate second-hand smoke is feasible and shows a good correlation with airborne nicotine values.
Descriptors
Air Pollutants/analysis, Air Pollution, Indoor/analysis/statistics & numerical data, Cross-Sectional Studies, Environmental Monitoring, Epidemiological Monitoring, Hospitals/statistics & numerical data, Humans, Inhalation Exposure/analysis/statistics & numerical data, Nicotine/analysis, Spain/epidemiology, Tobacco Smoke Pollution/analysis/statistics & numerical data
Links
Book Title
Database
Publisher
Elsevier Inc
Data Source
Authors
Sureda,X., Fu,M., Lopez,M. J., Martinez-Sanchez,J. M., Carabasa,E., Salto,E., Martinez,C., Nebot,M., Fernandez,E.
Original/Translated Title
URL
Date of Electronic
20101008
PMCID
Editors
Utilization of a benzyl functionalized polymeric ionic liquid for the sensitive determination of polycyclic aromatic hydrocarbons; parabens and alkylphenols in waters using solid-phase microextraction coupled to gas chromatography-flame ionization detecti 2010 Departamento de Quimica Analitica, Nutricion y Bromatologia, Universidad de La Laguna, La Laguna (Tenerife) 38206, Spain.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of chromatography.A
Periodical, Abbrev.
J.Chromatogr.A
Pub Date Free Form
12-Nov
Volume
1217
Issue
46
Start Page
7189
Other Pages
7197
Notes
CI: Copyright (c) 2010; JID: 9318488; 0 (Endocrine Disruptors); 0 (Imidazoles); 0 (Imides); 0 (Ionic Liquids); 0 (Parabens); 0 (Phenols); 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Water Pollutants, Chemical); 2010/08/03 [received]; 2010/09/06 [revised]; 2
Place of Publication
Netherlands
ISSN/ISBN
1873-3778; 0021-9673
Accession Number
PMID: 20933234
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; IM
DOI
10.1016/j.chroma.2010.09.016 [doi]
Output Language
Unknown(0)
PMID
20933234
Abstract
The functionalized polymeric ionic liquid poly(1-(4-vinylbenzyl)-3-hexadecylimidazolium bis[(trifluoromethyl)sulfonyl]imide (poly(VBHDIm(+)NTf(2)(-))) has been used as successful coating in solid-phase microextraction (SPME) to determine a group of fourteen endocrine disrupting chemicals (ECDs), including polycyclic aromatic hydrocarbons (PAHs), alkylphenols, and parabens, in several water samples. The performance of the PIL fiber in direct immersion mode SPME followed by gas chromatography (GC) with flame-ionization detection (FID) is characterized with average relative recoveries higher than 96.1% from deionized waters and higher than 76.7% from drinking bottled waters, with precision values (RSD) lower than 13% for deionized waters and lower than 14% for drinking bottled waters (spiked level of 1 ng mL(-1)), when using an extraction time of 60 min with 20 mL of aqueous sample. Detection limits varied between 9 ng L(-1) and 7 ng mL(-1). A group of real water samples, including drinking waters, well waters, and swimming pool waters, have been analyzed under the optimized conditions. A comparison has also been carried out with the commercial SPME coatings: polydimethylsyloxane (PDMS) 30 mum, and polyacrylate (PA) 85 mum. The functionalized PIL fiber ( approximately 12 mum) demonstrated to be superior to both commercial fibers for the overall group of analytes studied, in spite of its lower coating thickness. A normalized sensitivity parameter is proposed as a qualitative tool to compare among fiber materials, being higher for the poly(VBHDIm(+)NTf(2)(-)) coating. Furthermore, the partition coefficients of the studied analytes to the coating materials have been determined. A quantitative comparison among the partition coefficients also demonstrates the superior extraction capability of the functionalized PIL sorbent coating.
Descriptors
Endocrine Disruptors/analysis/isolation & purification, Gas Chromatography-Mass Spectrometry/methods, Imidazoles/chemistry, Imides/chemistry, Ionic Liquids/chemistry, Parabens/analysis/isolation & purification, Phenols/analysis/isolation & purification, Polycyclic Hydrocarbons, Aromatic/analysis/isolation & purification, Reproducibility of Results, Sensitivity and Specificity, Solid Phase Microextraction/methods, Water Pollutants, Chemical/analysis/isolation & purification
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Book Title
Database
Publisher
Elsevier B.V
Data Source
Authors
Lopez-Darias,J., Pino,V., Meng,Y., Anderson,J. L., Afonso,A. M.
Original/Translated Title
URL
Date of Electronic
20100921
PMCID
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