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Factors Associated with Cigarette, E-Cigarette, and Dual Use among South Korean Adolescents

Dual use of e-cigarettes and cigarettes has become common among Korean adolescents but has decreased among adults. Dual use refers to using two tobacco products; however, in this study, it is defined as using both e-cigarettes and cigarettes. We assessed the prevalence of dual use among Korean adole...

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Autor principal: Cho, Myong Sun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535660/
https://www.ncbi.nlm.nih.gov/pubmed/34682932
http://dx.doi.org/10.3390/healthcare9101252
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author Cho, Myong Sun
author_facet Cho, Myong Sun
author_sort Cho, Myong Sun
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description Dual use of e-cigarettes and cigarettes has become common among Korean adolescents but has decreased among adults. Dual use refers to using two tobacco products; however, in this study, it is defined as using both e-cigarettes and cigarettes. We assessed the prevalence of dual use among Korean adolescents and its relationship with socio-demographic, smoking-related characteristics, and other risk behaviors. The 2019 Korea Youth Risk Behavior Survey’s data on 57,303 adolescents were analyzed using logistic regression. Overall, 13.8% had recently (in the past 30 days), used some type of cigarette, 3.3% were dual users, 3.4% exclusively smoked conventional cigarettes, and 0.6% exclusively vaped e-cigarettes. After adjusting for socio-demographic and psychological factors, substance use, smoking initiation by 13 years, secondhand smoke in school and public, and amount of cigarette consumption proved significant for all cigarette user types. Dual use was strongly associated with younger age (≤15 years), cigarette smoking initiation before 13 years, secondhand smoke exposure at school, and heavy cigarette smoking. Limited smoking cessation attempts, secondhand smoke exposure in public, and ease of cigarette purchases decrease the odds of adolescents becoming dual users. Thus, surveillance and enforcement of the juvenile protection measures need updating to prevent a shift into dual use.
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spelling pubmed-85356602021-10-23 Factors Associated with Cigarette, E-Cigarette, and Dual Use among South Korean Adolescents Cho, Myong Sun Healthcare (Basel) Article Dual use of e-cigarettes and cigarettes has become common among Korean adolescents but has decreased among adults. Dual use refers to using two tobacco products; however, in this study, it is defined as using both e-cigarettes and cigarettes. We assessed the prevalence of dual use among Korean adolescents and its relationship with socio-demographic, smoking-related characteristics, and other risk behaviors. The 2019 Korea Youth Risk Behavior Survey’s data on 57,303 adolescents were analyzed using logistic regression. Overall, 13.8% had recently (in the past 30 days), used some type of cigarette, 3.3% were dual users, 3.4% exclusively smoked conventional cigarettes, and 0.6% exclusively vaped e-cigarettes. After adjusting for socio-demographic and psychological factors, substance use, smoking initiation by 13 years, secondhand smoke in school and public, and amount of cigarette consumption proved significant for all cigarette user types. Dual use was strongly associated with younger age (≤15 years), cigarette smoking initiation before 13 years, secondhand smoke exposure at school, and heavy cigarette smoking. Limited smoking cessation attempts, secondhand smoke exposure in public, and ease of cigarette purchases decrease the odds of adolescents becoming dual users. Thus, surveillance and enforcement of the juvenile protection measures need updating to prevent a shift into dual use. MDPI 2021-09-23 /pmc/articles/PMC8535660/ /pubmed/34682932 http://dx.doi.org/10.3390/healthcare9101252 Text en © 2021 by the author. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cho, Myong Sun
Factors Associated with Cigarette, E-Cigarette, and Dual Use among South Korean Adolescents
title Factors Associated with Cigarette, E-Cigarette, and Dual Use among South Korean Adolescents
title_full Factors Associated with Cigarette, E-Cigarette, and Dual Use among South Korean Adolescents
title_fullStr Factors Associated with Cigarette, E-Cigarette, and Dual Use among South Korean Adolescents
title_full_unstemmed Factors Associated with Cigarette, E-Cigarette, and Dual Use among South Korean Adolescents
title_short Factors Associated with Cigarette, E-Cigarette, and Dual Use among South Korean Adolescents
title_sort factors associated with cigarette, e-cigarette, and dual use among south korean adolescents
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535660/
https://www.ncbi.nlm.nih.gov/pubmed/34682932
http://dx.doi.org/10.3390/healthcare9101252
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