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[墨西哥城家庭中的环境烟草烟雾暴露:环境样本以及儿童和女性头发分析]

[Environmental tobacco smoke exposure in homes of Mexico City: analysis of environmental samples and children and women hair].

作者信息

Barrientos-Gutiérrez Tonatiuh, Reynales-Shigematsu Luz Myriam, Avila-Tang Erika, Wipfli Heather, Lazcano-Ponce Eduardo

机构信息

School of Public Health, University of Texas, Texas 77030, USA.

出版信息

Salud Publica Mex. 2007;49 Suppl 2:S224-32. doi: 10.1590/s0036-36342007000800012.

Abstract

OBJECTIVE

In Mexico no evaluation of environmental tobacco smoke exposure in homes or habitants has been conducted. The objective of this study is to quantify environmental nicotine in Mexico City homes, simultaneously evaluating nicotine levels in children and women.

MATERIAL AND METHODS

In July 2005 a convenience sample of 41 homes was selected, 20% without smokers, 80% with smokers. Nicotine passive monitors were allocated in homes for one week, obtaining samples of hair from inhabitant non-smoking women and children. Samples were taken to the Johns Hopkins University where nicotine was extracted and analyzed using gas chromatography. A survey of opinions and behaviors related to environmental tobacco smoke was conducted.

RESULTS

Environmental nicotine concentrations had a median of 0.08 microg/m3 (IQR 0.01-0.64), in children's hair 0.05 ng/mg (IQR 0.05-0.29), and in women's hair 0.05 ng/mg (IQR 0.05-0.19). Environmental nicotine concentrations and in children's hair were highly correlated (rS=0.49), and increased with the number of smokers at home. The majority of adults surveyed showed support towards measures of environmental tobacco smoke control.

CONCLUSIONS

Homes are important spaces of exposure to environmental tobacco smoke. Particularly high levels of exposure were observed in children's hair, attributable to the presence of environmental nicotine at home. Integral preventive activities to eliminate active smoking and to avoid tobacco consumption at home are required.

摘要

目的

在墨西哥,尚未对家庭或居民的环境烟草烟雾暴露情况进行评估。本研究的目的是对墨西哥城家庭中的环境尼古丁进行量化,同时评估儿童和女性体内的尼古丁水平。

材料与方法

2005年7月,选取了41个家庭作为便利样本,其中20%的家庭无吸烟者,80%的家庭有吸烟者。在这些家庭中放置尼古丁被动监测器一周,采集非吸烟女性和儿童居民的头发样本。样本被送往约翰·霍普金斯大学,在那里提取尼古丁并使用气相色谱法进行分析。开展了一项关于与环境烟草烟雾相关的意见和行为的调查。

结果

环境尼古丁浓度中位数为0.08微克/立方米(四分位间距0.01 - 0.64),儿童头发中的尼古丁含量为0.05纳克/毫克(四分位间距0.05 - 0.29),女性头发中的尼古丁含量为0.05纳克/毫克(四分位间距0.05 - 0.19)。环境尼古丁浓度与儿童头发中的尼古丁含量高度相关(斯皮尔曼相关系数rS = 0.49),且随着家中吸烟者数量的增加而升高。大多数接受调查的成年人表示支持环境烟草烟雾控制措施。

结论

家庭是环境烟草烟雾暴露的重要场所。在儿童头发中观察到的暴露水平特别高,这归因于家中存在环境尼古丁。需要开展综合预防活动,以消除主动吸烟并避免在家中吸烟。

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