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. Author manuscript; available in PMC: 2024 Feb 7.
Published in final edited form as: Environ Sci Technol. 2023 Jan 27;57(5):2042–2053. doi: 10.1021/acs.est.2c08121

Table 3.

Biomarker and Biomarker Ratio Levels Overall and based on Child TSE Group Membership, NHANES 2013-2016

Biomarker Variable n (%)a Overall TSE Group Membership
NEG TEG MEG

GeoM (95%CI) GeoM (95%CI) GeoM (95%CI) GeoM (95%CI)
Serum Nicotine Metabolites
  Serum Cotinine (ng/mL) 4,485 (100) 0.05 (0.04, 0.05) 0.03 (0.02, 0.03) 0.11 (0.10, 0.13) 0.93 (0.78, 1.11)
  Serum Hydroxycotinine (ng/mL) 4,485 (100) 0.02 (0.02, 0.03) 0.02 (0.01, 0.02) 0.04 (0.04, 0.05) 0.29 (0.25, 0.34)
Urinary Nicotine Metabolites
  Urinary TNE2 (nmol/mL) 3,048 (68) 0.01 (0.01, 0.02) 0.01 (0.01, 0.02) 0.02 (0.02, 0.03) 0.15 (0.11, 0.20)
Urinary TSNAs
  NNAL (pg/mL) 2,636 (59) 1.45 (1.35, 1.55) 1.01 (0.95, 1.07) 2.17 (1.78, 2.65) 11.36 (9.18, 14.04)
  NNAL/TNE2 3,910 (87) 164.87 (160.90, 168.93) 210.29 (203.66, 217.14) 107.14 (85.63, 134.06) 69.82 (64.77, 75.26)
Urinary PAHs
  2-Hydroxyfluorene (ng/L) 2,996 (67) 131.25 (126.28, 138.51) 129.59 (122.99, 136.54) 121.05 (106.70, 137.33) 177.60 (153.23, 205.83)
  3-Hydroxyfluorene (ng/L) 2,996 (67) 62.87 (59.95, 65.93) 61.41 (58.19, 64.80) 56.58 (49.79, 64.29) 88.87 (76.23, 103.61)
  2-Hydroxyfluorene/TNE2 3,048 (68) 16,034.02 (15,748.03, 16,235.20) 27,654.98 (27,198.56, 28,119.06) 5,619.66 (5,077.46, 6,219.76) 1,020.68 (878.98, 1185.23)
  3-Hydroxyfluorene/TNE2 3,048 (68) 7,547.62 (7,413.08, 7,684.61) 13,048.17 (12,833.79, 13,266.14) 2,583.34 (2,347.40, 2,842.98) 490.87 (417.23, 577.51)
Urinary VOCs
  2CyEMA (ng/mL) 3,018 (67) 1.28 (1.22, 1.36) 1.10 (1.04, 1.17) 1.35 (1.17, 1.57) 3.69 (3.02, 4.51)
  2CyEMA/TNE2 3,060 (68) 154.47 (152.06, 156.92) 240.61 (236.68, 244.62) 60.15 (55.05, 65.73) 20.13 (17.49, 23.16)

Abbreviations: TSE, tobacco smoke exposure; NEG, no/minimal TSE group; TEG, predominant thirdhand smoke exposure group; MEG, mixed secondhand and thirdhand smoke exposure group; GeoM, geometric mean; CI, confidence interval; TNE2, total nicotine equivalents 2; TSNAs, tobacco-specific nitrosamines; NNAL, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol; PAHs, polycyclic aromatic hydrocarbons; VOCs, volatile organic compounds; 2CyEMA, N-acetyl-S-(2-cyanoethyl)-L-cysteine.

a

n (%) refers to the unweighted count and weighted row percent of the imputed value.