Factors Influencing Electronic Cigarette Use for Smoking Cessation among Adolescents in South Korea: The 13th Korea Youth Risk Behavior Web-Based Survey

Jae Yong Paik; Chang Bin Hong; Ji Won Lee; Ji Hoon Lee; Tae-Jin Park; Jinseung Kim; Kayoung Lee

doi:10.15384/kjhp.2019.19.2.69

Korean J Health Promot > Volume 19(2); 2019 > Article

Paik, Hong, Lee, Lee, Park, Kim, and Lee: Factors Influencing Electronic Cigarette Use for Smoking Cessation among Adolescents in South Korea: The 13th Korea Youth Risk Behavior Web-Based Survey

Original Article

Korean Journal of Health Promotion 2019;19(2):69-76.

Published online: June 30, 2019

DOI: https://doi.org/10.15384/kjhp.2019.19.2.69

Factors Influencing Electronic Cigarette Use for Smoking Cessation among Adolescents in South Korea: The 13th Korea Youth Risk Behavior Web-Based Survey

Jae Yong Paik, Chang Bin Hong, Ji Won Lee, Ji Hoon Lee, Tae-Jin Park, Jinseung Kim, Kayoung Lee

Department of Family Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.

Corresponding author: Kayoung Lee, MD, MPH, PhD. Department of Family Medicine, Busan Paik Hospital, Inje University College of Medicine, 75 Bokji-ro, Busanjin-gu, Busan 47392, Korea.
Tel: +82-51-890-6229, Fax: +82-51-894-7554, kayoung.fmlky@gmail.com

Received January 25, 2019 Revised June 03, 2019 Accepted June 12, 2019

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

ABSTRACT

Background

This study used the data of Korea Youth Risk Behavior Web-based Survey (KYRBS) to confirm the relationship between electronic cigarette use for smoking cessation among Korean adolescents and demographic, health behavior, and school-life factors.

Methods

Data were taken from the 13th KYRBS in 2017. In this study on 62,276 adolescents, characteristics of 1,244 electronic cigarette users were compared with those of non-electronic cigarette users. The 1,244 adolescent electronic cigarette users were evaluated for characteristics related to smoking cessation. Among the related characteristics, demographic factors comprised sex, grade, economic status, weekly allowance, and residence type. Health status-related factors comprised physical activity, lifetime drinking experience, smoking amount, subjective health perception, and stress perception. School characteristics included school type, academic performance, and smoking cessation education. Chi-square test and logistic regression analysis were performed using complex sample analysis.

Results

The proportion of current electronic cigarette users was 2.2% (boys, 3.3%; girls, 0.9%). Of the 41.5% of cigarette users willing to quit smoking, 11% used electronic cigarettes for this purpose. Among the electronic cigarette users, characteristics related to smoking cessation were grade, weekly allowance, and residence type, but logistic regression analysis revealed that increases in grade (odds ratio [OR], 2.01; 95% confidence interval [CI], 1.21–3.35) and living with family (OR, 4.17; 95% CI, 1.89–9.18) were associated with smoking cessation.

Conclusions

According to the 13th KYRBS in 2017, adolescents were likely to use electronic cigarette for smoking cessation when they are older and live with their families.

Keywords: Korea, Adolescent, Electronic nicotine delivery systems, Smoking cessation

REFERENCES

1. Etter JF. Electronic cigarettes: a survey of users. BMC Public Health 2010;10:231.

2. Goniewicz ML, Zielinska-Danch W. Electronic cigarette use among teenagers and young adults in Poland. Pediatrics 2012;130(4):E879-E885.

3. Pearson JL, Richardson A, Niaura RS, Vallone DM, Abrams DB. e-Cigarette awareness, use, and harm perceptions in US adults. Am J Public Health 2012;102(9):1758-1766.

4. Cameron JM, Howell DN, White JR, Andrenyak DM, Layton ME, Roll JM. Variable and potentially fatal amounts of nicotine in e-cigarette nicotine solutions. Tob Control 2014;23(1):77-78.

5. Choi K, Forster J. Characteristics associated with awareness, perceptions, and use of electronic nicotine delivery systems among young US Midwestern adults. Am J Public Health 2013;103(3):556-561.

6. Grana R, Benowitz N, Glantz SA. Background Paper on E-cigarettes (Electronic Nicotine Delivery Systems). Geneva: World Health Organization Tobacco Free Initiative; 2013.

7. World Health Organization (WHO). Electronic nicotine delivery systems. Geneva: WHO; 2014.

8. Cho JH, Shin E, Moon SS. Electronic-cigarette smoking experience among adolescents. J Adolesc Health 2011;49(5):542-546.

9. Lee S, Grana RA, Glantz SA. Electronic cigarette use among Korean adolescents: a cross-sectional study of market penetration, dual use, and relationship to quit attempts and former smoking. J Adolesc Health 2014;54(6):684-690.

10. Korea Centers for Disease Control and Prevention. The Korea Youth Risk Behavior Web-based Survey. Sejong: Ministry of Health & Welfare of Korea; 2016.

11. Oh JW, Lee EY, Lim JJ, Lee SH, Jin YS, Song BK, et al. Results from South Korea's 2018 Report Card on physical activity for children and youth. J Exerc Sci Fit 2019;17(1):26-33.

12. Chen M, Wang EK, Jeng YJ. Adequate sleep among adolescents is positively associated with health status and health-related behaviors. BMC Public Health 2006;6:59.

13. Yeh JS, Bullen C, Glantz SA. Clinical decisions: e-cigarettes and smoking cessation. N Engl J Med 2016;374:2172-2174.

14. Kim JY, Seo SW, Choi JE, Lee S. Awareness of electronic cigarettes among the general population and medical experts. JKSRNT 2015;6(2):102-117.

15. Yamin CK, Bitton A, Bates DW. E-cigarettes: a rapidly growing Internet phenomenon. Ann Intern Med 2010;153(9):607-609.

16. Hughes JR, Pillitteri JL, Callas PW, Callahan R, Kenny M. Misuse of and dependence on over-the-counter nicotine gum in a volunteer sample. Nicotine Tob Res 2004;6(1):79-84.

17. Hughes JR. Dependence potential and abuse liability of nicotine replacement therapies. Biomed Pharmacother 1989;43(1):11-17.

18. Wang X, Zhang X, Xu X, Gao Y. Electronic cigarette use and smoking cessation behavior among adolescents in China. Addict Behav 2018;82:129-134.

19. Park S, Lee H, Min S. Factors associated with electronic cigarette use among current cigarette-smoking adolescents in the Republic of Korea. Addict Behav 2017;69:22-26.

20. Malas M, van der Tempel J, Schwartz R, Minichiello A, Lightfoot C, Noormohamed A, et al. Electronic cigarettes for smoking cessation: a systematic review. Nicotine Tob Res 2016;18(10):1926-1936.

21. Yi YJ, Lee KJ, Kim YS. Influences of demographic, smoking, and smoking cessation factors on smoking cessation success in adolescent smokers. J Korea Contents Assoc 2011;11(4):303-311.

22. Woo SH, No GY, Park YS. Relationship between family function and hope in adolescents. J Korean Soc Sch Health 2005;18(1):47-58.

23. Emery EM, McDermott RJ, Holcomb DR, Marty PJ. The relationship youth substance use and area-specific self-esteem. J Sch Health 1993;63(5):224-228.

Table 1

Characteristics related to electronic cigarettes use in adolescents

Abbreviation: KRW, Korean won.

Values are presented as number (%).

^aUsing chi-square test of complex sample design analysis.

Table 2

Characteristics related to use of electronic cigarettes for smoking cessation in adolescents using electronic cigarettes

Abbreviation: KRW, Korean won.

Values are presented as number (%).

^aUsing chi-square test of complex sample design analysis.

Table 3

Factors associated with electronic cigarettes use for smoking cessation in adolescents (n=1,244)

^aBy multivariate logistic regression analysis using complex sampling design including grade, weekly allowance, and residence type for independent factors.