search for



KCI

Crossref

Cross mark

Cited-by

Fundref

TDM

View (180) Download (1093) CrossRef (4)
Prevalence and Correlates of the Dual Use of Conventional and Electronic Cigarettes among Korean Adolescents: 2016-2018 Korean Youth Risk Behavior Survey
J Korean Soc Res Nicotine Tob 2020; 11(2): 64-74
Published online December 15, 2020
© 2020 The Korean Society for Research on Nicotine and Tobacco.

Eon Sook Lee1, Yu Jin Paek2*

1Department of Family Medicine, Inje University, Ilsan-Paik Hospital, Goyang, 2Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea
Correspondence to: 백유진
한림대학교 의과대학 가정의학교실
E-mail: samsumok@gmail.com
ORCID: https://orcid.org/0000-0001-9573-8849
Received July 31, 2020; Revised October 20, 2020; Accepted October 30, 2020.
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: The dual use of combustible and electronic cigarettes is gaining popularity among adolescents, but little is known about their dual use. This study aimed to evaluate the trend of changes in the prevalence of dual users and to investigate associated factors with the dual use.
Methods: Using data from the 2016-2018 Korean Youth Risk Behavior Survey, the frequency of smoking, electronic cigarette use, and dual use was assessed among students aged between 13 and 18 years old. Using the date between 2016 and 2017, multivariate logistic regression analysis was conducted to evaluate associated factors related to the dual use among 7,781 current smokers.
Results: The dual use of both combustible and e-cigarettes was increased from 2.94% in 2016 to 3.32% in 2018 although smoking prevalence was at a steady state in male students. The dual user proportion of male current smokers was changed from 30.4% in 2016 to 35.4% in 2018. Those who had experienced illegal drug use are more likely to be dual user of conventional tobacco and electronic cigarette than those who did not experienced illegal drug use (aOR 2.05, 95% CI 1.50-2.80 in male; aOR 5.03, 95% CI 1.50-2.80 in female). Smoking amount was an important associated factor of dual use among adolescents, while alcohol drinking and depressive mood were important factors of dual use in male adolescent only.
Conclusion: The dual use of both conventional and electronic cigarettes has been an increasing prevalence among adolescents after 2016, with several important factors such as illegal drug use and smoking amount.
Keywords : Electronic cigarette; Dual use; Adolescent; Nicotine dependence
References
  1. U.S. Department of Health and Human Services . E-Cigarette Use among Youth and Young Adults: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2016. https://e-cigarettes.surgeongeneral.gov/documents/2016_sgr_full_report_non-508.pdf. 2016.
  2. Cullen KA, Gentzke AS, Sawdey MD, Chang JT, Anic GM, Wang TW, et al. e-Cigarette Use Among Youth in the United States, 2019. Jama. 2019; 322(21): 2095-103.
    Pubmed KoreaMed CrossRef
  3. Hrywna M, Bover Manderski MT, Delnevo CD. Prevalence of Electronic Cigarette Use Among Adolescents in New Jersey and Association With Social Factors. JAMA Netw Open. 2020; 3(2): e1920961.
    Pubmed KoreaMed CrossRef
  4. McKenzie M, Olsson CA, Jorm AF, Romaniuk H, Patton GC. Association of adolescent symptoms of depression and anxiety with daily smoking and nicotine dependence in young adulthood: findings from a 10-year longitudinal study. Addiction. 2010; 105(9): 1652-9.
    Pubmed CrossRef
  5. Holliday E, Gould TJ. Nicotine, adolescence, and stress: A review of how stress can modulate the negative consequences of adolescent nicotine abuse. Neurosci Biobehav Rev. 2016; 65: 173-84.
    Pubmed KoreaMed CrossRef
  6. Ministry of Education, Ministry of Health and Welfare, Centers for Disease Control and Prevention. The statistics on the 15th Korea youth risk behavior survey in 2019 [Internet]. Cheongju: Centers for Disease Control and Prevention; 2019 [cited 2020 July 22].
  7. Miller CR, Smith DM, Goniewicz ML. Changes in Nicotine Product Use among Dual Users of Tobacco and Electronic Cigarettes: Findings from the Population Assessment of Tobacco and Health (PATH) Study, 2013-2015. Subst Use Misuse. 2020; 55(6): 909-13.
    Pubmed CrossRef
  8. Coleman B, Rostron B, Johnson SE, Persoskie A, Pearson J, Stanton C, et al. Transitions in electronic cigarette use among adults in the Population Assessment of Tobacco and Health (PATH) Study, Waves 1 and 2 (2013-2015). Tob Control. 2019; 28(1): 50-9.
    Pubmed KoreaMed CrossRef
  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): 684-90.
    Pubmed KoreaMed CrossRef
  10. Vogel EA, Prochaska JJ, Ramo DE, Andres J, Rubinstein ML. Adolescents' E-Cigarette Use: Increases in Frequency, Dependence, and Nicotine Exposure Over 12 Months. J Adolesc Health. 2019; 64(6):770-5.
    Pubmed KoreaMed CrossRef
  11. Wang JW LC, Kim EY. The Characteristics of Dual Users of Both Conventional Cigarettes and E-Cigarettes among Korean Adolescents. Journal of the Korean Society for Research on Nicotine and Tobacco 2014; 5(1): 10-8.
    CrossRef
  12. Lee JA, Lee S, Cho HJ. The Relation between Frequency of E-Cigarette Use and Frequency and Intensity of Cigarette Smoking among South Korean Adolescents. Int J Environ Res Public Health. 2017; 14(3).
    Pubmed KoreaMed CrossRef
  13. Wang JW LC, Kim EY. . The characteristics of dual users of both conventional cigarettes and E-cigarettes among Korean adolescents. Journal of the Korean Society for Research on Nicotine and Tobacco. 2014; 5(1): 10-8.
    CrossRef
  14. Hahm SK LE. Comparison of the Smoking Cessation Behaviors of Dual Users and Cigarette-Only Smokers. Journal of the Korean Society for Research on Nicotine and Tobacco 2019; 10(2): 80-8.
    CrossRef
  15. Piper ME, Baker TB, Benowitz NL, Jorenby DE. Changes in Use Patterns Over 1 Year Among Smokers and Dual Users of Combustible and Electronic Cigarettes. Nicotine Tob Res. 2020; 22(5): 672-80.
    Pubmed KoreaMed CrossRef
  16. Oh KH, Lee CM, Oh B, Oh SW, Joh HK, Choi HC, et al. The Relationship between Electronic Cigarette Use with or without Cigarette Smoking and Alcohol Use among Adolescents: Finding from the 11th Korea Youth Risk Behavior Web-based Survey. Korean J Fam Med. 2019; 40(4):241-7.
    Pubmed KoreaMed CrossRef
  17. Kang H, Cho SI. Heated tobacco product use among Korean adolescents. Tob Control. 2020; 29(4): 466-8.
  18. Farsalinos K, Tomaselli V, Polosa R. Frequency of Use and Smoking Status of U.S. Adolescent E-Cigarette Users in 2015. Am J Prev Med. 2018; 54(6): 814-20.
    Pubmed CrossRef
  19. Azagba S, Shan L, Latham K. Adolescent Dual Use Classification and Its Association With Nicotine Dependence and Quit Intentions. J Adolesc Health. 2019; 65(2): 195-201.
    Pubmed CrossRef
  20. Vickerman KA, Schauer GL, Malarcher AM, Zhang L, Mowery P, Nash CM. Reasons for Electronic Nicotine Delivery System use and smoking abstinence at 6 months: a descriptive study of callers to employer and health plan-sponsored quitlines. Tob Control. 2017; 26(2): 126-34.
    Pubmed CrossRef
  21. Sweet L, Brasky TM, Cooper S, Doogan N, Hinton A, Klein EG, et al. Quitting Behaviors Among Dual Cigarette and E-Cigarette Users and Cigarette Smokers Enrolled in the Tobacco User Adult Cohort. Nicotine Tob Res. 2019; 21(3): 278-84.
    Pubmed KoreaMed CrossRef
  22. Kalkhoran S, Glantz SA. E-cigarettes and smoking cessation in real-world and clinical settings: a systematic review and meta-analysis. Lancet Respir Med. 2016; 4(2): 116-28.
    CrossRef
  23. Soneji S, Barrington-Trimis JL, Wills TA, Leventhal AM, Unger JB, Gibson LA, et al. Association Between Initial Use of e-Cigarettes and Subsequent Cigarette Smoking Among Adolescents and Young Adults:A Systematic Review and Meta-analysis. JAMA Pediatr. 2017; 171(8):788-97.
    Pubmed KoreaMed CrossRef
  24. Littlefield AK, Gottlieb JC, Cohen LM, Trotter DR. Electronic Cigarette Use Among College Students: Links to Gender, Race/Ethnicity, Smoking, and Heavy Drinking. J Am Coll Health. 2015; 63(8): 523-9.
    Pubmed CrossRef
  25. Dai H, Catley D, Richter KP, Goggin K, Ellerbeck EF. Electronic Cigarettes and Future Marijuana Use: A Longitudinal Study. Pediatrics. 2018;141(5).
    Pubmed CrossRef