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中国成年吸烟者吸烟行为调查和烟气有害成分暴露评估

Self-reported smoking behaviors and toxicant exposure assessment in adult Chinese smokers

  • 摘要: 采用调查问卷的方式调查中国成年吸烟者的吸烟行为,招募了435名18~65岁的志愿者,基于调查问卷,采用面对面访谈的方式获取志愿者的人口学特征、吸烟行为和每天吸烟量,同时收集其24 h内的尿液。根据志愿者抽吸卷烟的盒标焦油量,将志愿者分为高(9~11 mg/支)、中(7~8 mg/支)和低(1~6 mg/支)焦油组,同时设置非吸烟者为对照组。采用HPLC-MS/MS法分析志愿者尿样中烟碱、烟草特有亚硝胺(TSNAs)、多环芳烃(PAHs)、1, 3-丁二烯、丙烯腈、丙烯醛、巴豆醛和苯等有害成分暴露的生物标志物。结果表明:①不同焦油组吸烟者的年龄、性别、文化程度、职业及月收入等均存在显著性差异(P < 0.05),婚姻状况和体质指数(Body mass index,BMI)无显著性差异(P > 0.05),不同焦油组间吸烟者的吸烟行为无显著性差异(P > 0.05),但烟气暴露生物标志物水平存在显著性差异(P < 0.05)。②卷烟焦油量并不影响吸烟者的抽吸行为,抽吸低焦油卷烟吸烟者的有害成分暴露量较低。

     

    Abstract: In this study, the first large-scale survey on Chinese adult smokers was reported by using behavioral questionnaires. Meanwhile, the biomarkers of exposure were also investigated based on volunteers' urine analysis. A total of 435 adults, all between the ages of 18 and 65, were recruited. Face-to-face interviews were conducted using questionnaires covering demographic characteristics, smoking behaviors and number of cigarettes smoked per day. In addition, 24 h urine samples were collected. Base on tar yield marked on cigarette package, the subjects were categorized into high (9-11 mg/cig), medium (7-8 mg/cig), and low (1-6 mg/cig) tar groups, and a control group of nonsmoker. Biomarkers of nicotine, tobacco-specific nitrosamines (TSNAs), polycyclic aromatic hydrocarbons (PAHs), 1, 3-butadiene, acrylonitrile, acrolein, crotonaldehyde, and benzene in the urine samples were analyzed by HPLC-MS/MS. The results showed that: 1) Age, sex, education, occupation, income showed statistical significance among different tar-level cigarette smokers (P < 0.05). But no statistical significance in marriage status and body mass index were obtained (P > 0.05). There was no significant difference in smoking behaviors among the different smoker groups (P > 0.05), although differences in the biomarkers from the groups were found (P < 0.05). 2) Machine-generated tar yield was not a main predictor affecting the smoking behaviors, and smokers of the low machine-generated tar group appeared to have a lower exposure to some hazardous compounds.

     

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