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Electronic Cigarette and Conventional Cigarette Use among Korean Adults: The 6th Korean National Health and Nutrition Examination Survey, 2013-2015
Journal of the Korean Society for Research on Nicotine and Tobacco 2017; 8(2): 80-87
Published online December 15, 2017
© 2017 The Korean Society for Research on Nicotine and Tobacco.

Jae Young Bang, Jung Im Gwak*, Kyung Hwan Youn, Won Seob Yoo

Department of Family Medicine, Anyang SAM General Hospital, Anyang, Korea
Correspondence to: 怨쎌젙엫
븞뼇깦蹂묒썝 媛젙쓽븰怨 寃쎄린룄 븞뼇떆 留뚯븞援 궪뜒濡 9 (슦) 14030
Tel: 031-467-9161 Fax: 031-449-0151 E-mail:
Received July 24, 2017; Revised September 1, 2017; Accepted September 10, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: So far, although there is limited information about safety of electronic cigarettes and effectiveness on smoking cessation of E-C has not been proven, the prevalence of E-C use has evidently increased in Korea as well as many other countries. We investigated the characteristics of E-C only users, conventional cigarette only users and dual users in Korean adults.
Methods: Data from the 6th (2013-2015) Korean National Health and Nutrition Examination Survey (n=13,232) was obtained. We analyzed factors related to smoking behavior including socio-demographic factors, economic status, health behavior and psychological distress.
Results: The prevalence over 3 years of E-C only use, conventional cigarette only use, and dual use were 0.6%, 37.2%, 3.7% in men and 0.1%, 5.5%, 0.5% in women. E-C only use was associated with daily binge drinking (OR 11.62, 95% CI 1.83-73.67). The probability of dual use was high in almost daily drinkers (OR 2.48, 95% CI 1.17-5.25), daily binge drinkers (OR 11.88, 95% CI 3.66-38.54), and who had many psychological distress (OR 4.98, 95% CI 2.34-10.61).
Conclusion: E-C only use and dual use were strongly associated with frequency of binge drinking. Moreover, dual use was associated with psychological distress. Further large-scale studies, including intensity of E-C use and nicotine intake, are needed.
Keywords : Electronic cigarettes; E-cigarettes; Cigarette smoking; Dual users