Association Between Passive Smoking and Health Among Chinese Nurses: A Cross-Sectional Study

Xia, Chun-Ling; Xiao, Shiqi; Wu, Qi‐Jun; Yu, Xinying; Xing, Linlin; Gai, Li; Xia, Tian-hui; Feng, H. Amy; Zhang, Xinying; Guo, Ying; Xu, Yi-wei; Fu, Tong-tong; Sun, Xianghong; Fan, Ling

doi:10.3389/fpubh.2021.741083

Cited by 6 publications

(3 citation statements)

References 35 publications

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“…Passive smoking was defined as self-reported exposure to environmental tobacco smoke in the workplace or homes for

. 45 …”

Section: Methodsmentioning

confidence: 99%

Association between Urinary Haloacetic Acid Concentrations and Liver Injury among Women: Results from the Tongji Reproductive and Environmental (TREE) Study

Deng,

Lu,

Hao

et al. 2024

Environ Health Perspect

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Background: Experimental studies have shown that disinfection byproducts (DBPs) including haloacetic acids (HAAs) can cause liver toxicity, but evidence linking this association in humans is sparse. Objectives: We aimed to explore the associations between HAA exposures and liver injury. Methods: We included 922 women between December 2018 and January 2020 from the Tongji Reproductive and Environmental (TREE) cohort study in Wuhan, China. Urinary HAA concentrations including trichloroacetic acid (TCAA) and dichloroacetic acid (DCAA) and serum indicators of liver function, including alanine aminotransferase (ALT), aspartate aminotransferase (AST), and gamma-glutamyltransferase (GGT) were measured. Liver injury was defined as if any of serum indicator levels were above the 90th percentile. Multivariate logistic and linear regression models were fitted to assess the associations of urinary HAA concentrations with the risk of liver injury and liver function indicators. Stratified analyses by age, body mass index (BMI), alcohol use, and passive smoking were also applied to evaluate the potential effect modifiers. Results: There is little evidence of associations of urinary TCAA concentrations with liver injury risk and liver function indicators. However, urinary DCAA concentrations were associated with a higher risk of liver injury [odds ratios (OR) for 1-interquartile range (IQR) increase in natural log (ln) transformed DCAA concentrations: 1.45; 95% confidence interval (CI): 1.07, 1.98]. This association was observed only among nondrinkers ( ). We also found that a 1-IQR increase in ln-transformed DCAA concentrations was positively associated with ALT levels (percentage ; 95% CI: 0.48%, 11.95%) and negatively associated with AST/ALT (percentage ; 95% CI: , ). In addition, urinary DCAA concentrations in relation to higher GGT levels was observed only among passive smokers ( ). Conclusion: Our findings suggest that exposure to DCAA but not TCAA is associated with liver injury among women undergoing assisted reproductive technology. https://doi.org/10.1289/EHP13386

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“…Passive smoking was defined as self-reported exposure to environmental tobacco smoke in the workplace or homes for

. 45 …”

Section: Methodsmentioning

confidence: 99%

Association between Urinary Haloacetic Acid Concentrations and Liver Injury among Women: Results from the Tongji Reproductive and Environmental (TREE) Study

Deng,

Lu,

Hao

et al. 2024

Environ Health Perspect

View full text Add to dashboard Cite

show abstract

“…Passive smoking was defined as self-reported exposure to environmental tobacco smoke for more than 15 min per day at workplace or/and home. 45 Alcohol use refers to drinking alcohol at least once a week for a period of 6 months or longer. BMI was calculated as weight (in kilograms) divided by the square of height (in meters) and divided into four categories: underweight (

), normal weight (

), overweight (

), and obesity (

) according to World Health Organization classifications.…”

Section: Methodsmentioning

confidence: 99%

Associations between Urinary Concentrations of Disinfection Byproducts and in Vitro Fertilization Outcomes: A Prospective Cohort Study in China

Deng,

Liu,

Yuan

et al. 2023

Environ Health Perspect

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Background: Experimental studies show that disinfection byproducts (DBPs) can inhibit oocyte maturation, decrease fertilization capacity, and impair embryo development, but human evidence is lacking. Objectives: We aimed to evaluate the associations between exposure to drinking water DBPs and in vitro fertilization (IVF) outcomes. Methods: The study included 1,048 women undergoing assisted reproductive technology (ART) treatment between December 2018 and January 2020 from a prospective cohort study, the Tongji Reproductive and Environmental study in Wuhan, China. Exposure to DBPs was assessed by dichloroacetic acid (DCAA) and trichloroacetic acid (TCAA) in up to four urine samples, which were collected on the day of both enrollment and oocyte retrieval. Multivariable generalized linear mixed models, accounting for multiple IVF cycles per woman, were applied to evaluate the associations between urinary biomarkers of DBP exposures and IVF outcomes. Stratified analyses were used to explore the potential effect modifiers. Results: The included 1,048 women underwent 1,136 IVF cycles, with 960 (91.6%), 84 (8.0%), and 4 (0.4%) women contributing one cycle, two cycles, and three cycles, respectively. We found that elevated quartiles of urinary DCAA and TCAA concentrations were associated with reduced numbers of total oocytes and metaphase II oocytes and that urinary DCAA concentrations with a lower proportion of best-quality embryos (all p for ). Moreover, elevated quartiles of urinary DCAA concentrations were associated with decreased proportions of successful implantation, clinical pregnancy, and live birth (14%, 15%, and 15% decreases in adjusted means comparing the extreme quartiles, respectively; all p for ). Stratification analyses showed that the inverse associations of urinary TCAA concentrations with multiple IVF outcomes were stronger among women y of age ( p for ). Discussion: Exposure to drinking water DBPs was inversely associated with some IVF outcomes among women undergoing ART treatment. Further study is necessary to confirm our findings. https://doi.org/10.1289/EHP12447

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“…Approximately 65.1% of non-smoking healthy persons are exposed to SHS, Moreover, 600,000 people die annually from diseases caused by SHS exposure accounting for average of 1.0% of global mortality (5). Ill effects of passive smoking are discussed in this article.…”

Section: Introductionmentioning

confidence: 98%

Review on Effects of Passive Smoking

Suthamancharri.S,

Vaishnavi.S,

Kumara Raja

et al. 2023

IJCD

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Smoking is injurious to health. Mainstream and Side stream smoking both are actively and passively injurious to health. Ill effects of Secondhand smoking are more commonly underrated in the society. Side stream smoking also causes hazardous health effects. Smoking not only affects the smoker, but also affects non-smokers and children. Passive smokers are people exposed to cigarette smoke in two ways : by direct exposure to the smoke of passively burning cigarette and exposure to the smoke breathed out by the smoker. Second-hand smoke is the mixture of direct smoke from burning a cigarette along with the smoke breathed out from the smoker’s lungs. As a result, side stream smoke has higher concentration of some toxic and carcinogenic substances than the mainstream smoke. When exposed to second hand smoke, non-smokers inhale 60-80% of airborne nicotine similar to that absorbed by smokers So this review paper will elaborate about the effects of passive smoking.

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Association Between Passive Smoking and Health Among Chinese Nurses: A Cross-Sectional Study

Cited by 6 publications

References 35 publications

Association between Urinary Haloacetic Acid Concentrations and Liver Injury among Women: Results from the Tongji Reproductive and Environmental (TREE) Study

Association between Urinary Haloacetic Acid Concentrations and Liver Injury among Women: Results from the Tongji Reproductive and Environmental (TREE) Study

Associations between Urinary Concentrations of Disinfection Byproducts and in Vitro Fertilization Outcomes: A Prospective Cohort Study in China

Review on Effects of Passive Smoking

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