Korean Journal of Health Promotion

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: 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; Copyright © 2019 Korean Society for Health Promotion and Disease Prevention

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.

Key words: Korea; Adolescent; Electronic nicotine delivery systems; Smoking cessation

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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.