{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T10:18:24Z","timestamp":1771064304525,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T00:00:00Z","timestamp":1436832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ministry of Health, Labor, andWelfare","award":["H21-thirdregular-005"],"award-info":[{"award-number":["H21-thirdregular-005"]}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"crossref","award":["23591514"],"award-info":[{"award-number":["23591514"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2015,10]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>There is no systematic screening for secondhand smoke exposure in children.<\/jats:p><\/jats:sec>Methods<\/jats:title>In 2002, we began a secondhand smoke screening (SSS) program for grade 4 elementary schoolchildren with the cooperation of public administration. The SSS program consisted of urinary cotinine measurement in children and a questionnaire survey of their parents.<\/jats:p><\/jats:sec>Results<\/jats:title>More than 1200 schoolchildren were enrolled in this program annually. The level of urinary cotinine in 30% of the children was >5\u2009ng\/mL, whereas in half of them it was undetectable. The major risk factor affecting cotinine level was mother's smoking. Average cotinine was significantly high in children who had a history of \u201cshort stature\u201d, \u201cdecayed tooth and\/or periodontal disease,\u201d and \u201cfrequent stridor\u201d. In addition, the highest level of cotinine was detected in children whose father and\/or mother smoked in the living room and the lowest level of cotinine was detected in children whose father and\/or mother smoked on the veranda or outside the door. These levels, however, were two\u2013fivefold higher than in children whose parents did not smoke. On follow\u2010up questionnaire survey 4\u2009years after initial SSS, significant elevated motivation for smoking cessation was noted.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The SSS program is a very simple mass screen that can be done using only a urine test and is very effective for motivating parents to stop smoking with regard to cost benefit.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.12630","type":"journal-article","created":{"date-parts":[[2015,3,24]],"date-time":"2015-03-24T19:04:33Z","timestamp":1427223873000},"page":"961-967","source":"Crossref","is-referenced-by-count":2,"title":["Screening for secondhand smoke in schoolchildren in Japan"],"prefix":"10.1111","volume":"57","author":[{"given":"Toshihiro","family":"Ino","sequence":"first","affiliation":[{"name":"Gunma Paz College Faculty of Health Science Takasaki Gunma"},{"name":"Ino Clinic Kumagaya Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuo","family":"Kurosawa","sequence":"additional","affiliation":[{"name":"Gunma Paz College Faculty of Health Science Takasaki Gunma"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,14]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Ministry of Health Labor and Welfare.Tobacco or Health. 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