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Original article Poultry consumption, preparation methods for animal-based foods, and urinary bisphenol concentrations in Korean adults
Seong-Ho Moon1orcid , Soonsu Shin1orcid , Jung Eun Kim2orcid , Hee Yong Kang2orcid , Taesoo An3orcid , Myoung hun Kim3orcid , Jae-Hong Ryoo4orcid
Epidemiol Health 2026;e2026038
DOI: https://doi.org/10.4178/epih.e2026038 [Accepted]
Published online: August 6, 2026
1Department of Occupational and Environmental Medicine, Kyung Hee University Hospital, Seoul, Korea, Seoul, Korea
2Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, College of Medicine, Kyung Hee University, Seoul, Korea, Seoul, Korea
3Department of Anesthesia and Pain Medicine, Inje University Busan Paik Hospital, Busan, Korea, Busan, Korea
4Department of Occupational and Environmental Medicine, School of Medicine, Kyung Hee University, Seoul, Korea
Corresponding author:  Jae-Hong Ryoo,
Email: armani131@naver.com
Received: 20 April 2026   • Revised: 8 July 2026   • Accepted: 13 July 2026
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OBJECTIVES
The aim of this study was to examine associations between preparation methods for animal-based foods and urinary concentrations of bisphenol A (BPA), bisphenol F (BPF), and bisphenol S (BPS) in Korean adults.
METHODS
We analysed data from 4,201 adults who participated in the Korean National Environmental Health Survey (2018–2020). Urinary BPA, BPF, and BPS concentrations were measured and standardised for urinary dilution using the covariate-adjusted standardisation method. Preparation methods were categorised as rarely consumed, raw, grilled/roasted, boiled/steamed, or fried/stir-fried. Survey-weighted logistic regression was used to estimate odds ratios (ORs) for high exposure, defined as concentrations at or above the 75th percentile, stratified by sex.
RESULTS
Among men, poultry consumption was associated with higher odds of elevated BPA across grilled/roasted (OR, 2.51; 95% CI: 1.28–4.92), boiled/steamed (OR, 2.62; 95% CI: 1.58–4.36), and fried/stir-fried preparations (OR, 2.22; 95% CI: 1.32–3.75). Pork consumption showed inverse associations with BPA. Among women, fried/stir-fried poultry was associated with higher BPF concentrations (OR, 1.85; 95% CI: 1.09–3.12). Sensitivity analyses supported the main findings, particularly the poultry-related associations with BPA among men and BPF among women.
CONCLUSIONS
Preparation patterns for animal-based foods were associated with urinary bisphenol concentrations in Korean adults. Poultry-related associations were observed for BPA among men and BPF among women; however, the cross-sectional design and the lack of direct information on food sources, processing, and packaging preclude causal or packaging-specific interpretations.


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