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Use of tobacco products where their use is prohibited: Using Community Health Survey, 2019
J Korean Soc Res Nicotine Tob
Published online October 22, 2022
© 2022 The Korean Society for Research on Nicotine and Tobacco.

Doowon Baek 1, Seo Young Kang 2, Hong-Jun Cho 1, *

1Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
2International Healthcare Center, Asan Medical Center, Seoul, Republic of Korea
Correspondence to: Hong-Jun Cho, 꽌슱듅蹂꾩떆 넚뙆援 삱由쇳뵿濡 43湲 88 꽌슱븘궛蹂묒썝 媛젙쓽븰怨, 슦렪踰덊샇: 05505, 쟾솕: 02-3010-3812, 뙥뒪: 02-3010-3815, 씠硫붿씪: E-mail:
Background: As the risks of second-hand smoke have been proven, smoke-free policies have been strengthened. In Korea, all kinds of tobacco products including combustible cigarettes, heated tobacco products, and e-cigarettes are subject to smoke-free policies. Because use of tobacco products in smoke-free areas can cause health problems, examining stealth use of tobacco products and its associated factors is needed.
Methods: The study participants comprised 25,266 adults aged 19 years and older who were current tobacco product users and clearly aware of smoke-free areas from Community Health Survey, 2019. The chi-squared test and multivariate logistic regression analysis were performed to estimate associated factors with stealth use of tobacco products including socioeconomic status, tobacco products, and awareness of smoke-free policies.
Results: Out of 25,266 participants, 5,623 (23.3%) had used tobacco products in smoke-free areas in the past year. Stealth use was more prevalent in the younger age group than the older one (OR 1.24, 95% CI 1.08-1.42), male than female (OR 1.43, 95% CI 1.24-1.65), manual workers than non-manual workers (OR 1.15, 95% CI 1.05-1.26), and never married group than married one (OR 1.22, 95% CI 1.11-1.35). Users of triple or double tobacco products including combustible cigarettes tended to violate smoke-free policies more often than those who smoke combustible cigarettes only (In triple users, OR 1.49, 95% CI 1.20-1.83).
Conclusion: To reduce stealth use, it is needed to strengthen and promote smoke-free policies.
Keywords : Tobacco products, Second-hand exposure, Stealth use, Smoke-free area