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Factors Related to E-Cigarette ever Use in Korean Adults with No History of Combustible Cigarette Use
J Korean Soc Res Nicotine Tob 2019; 10(2): 72-79
Published online December 15, 2019
© 2019 The Korean Society for Research on Nicotine and Tobacco.

In-Sun Kang, Ju-Ok Son, Seo-Young Kang, Hong-Jun Cho*

Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Correspondence to: *조홍준
울산대학교 의과대학 서울아산병원 가정의학과
E-mail: hjcho@amc.seoul.kr
ORDID: https://orcid.org/0000-0002-5358-6549
Received July 15, 2019; Revised September 16, 2019; Accepted October 5, 2019.
This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, dis-tribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Background: Few studies have been performed on electronic cigarette (e-cigarette) use among Korean adults with no history of combustible cigarette (CC) use.
Methods: We used data from the Korea Community Health Survey (2014–2017) to analyze factors associated with e-cigarette ever use among adults with no history of CC use. Multivariate logistic regression analysis was performed to evaluate the relationship between ever use of e-cigarettes and never use of CCs after adjusting for sociodemographic and health behavior factors.
Results: Among 579,815 participants with never use of CCs, 971 (0.2%) had ever used e-cigarettes. The odds ratios (ORs) for ever use of e-cigarettes were higher in individuals at a younger age [OR for age 19–34 years was 9.53 than that for age ≥ 65 years, 95% confidence interval (CI) 4.11–22.12], heavy alcohol consumers (OR 1.94, 95% CI 1.54–2.46), those with depressive symptoms (OR 2.36, 95% CI 1.62–3.44), those with poor general health (OR 1.39, 95% CI 1.10–1.75), and those with diabetes (OR 2.27, 95% CI 1.36–3.80). However, the ORs for ever use of e-cigarettes were lower in females (OR 0.11, 95% CI 0.08–0.14), those with low physical activity (OR 0.73, 95% CI 0.56–0.95), and those with hypertension (OR 0.59, 95% CI 0.39–0.89).
Conclusions: Ever use of e-cigarette was not common among never users of CCs. However, it was more prevalent in younger individuals, males, and those with poor health and health habits. These factors must be considered while establishing tobacco control policies.
Keywords : E-cigarette; Associated factors; Korea; Adults
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