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Use of Tobacco Products Where Their Use Is Prohibited: Using Community Health Survey, 2019
J Korean Soc Res Nicotine Tob 2022; 13(4): 130-139
Published online December 30, 2022
© 2022 The Korean Society for Research on Nicotine and Tobacco.

Doowon Baek1, Seo Young Kang2, Hong-Jun Cho1*

1Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul,
2International Healthcare Center, Asan Medical Center, Seoul, Korea
Correspondence to: 조홍준
울산대학교 의과대학 서울아산병원 가정의학과
E-mail: hjcho@amc.seoul.kr
ORCID: https://orcid.org/0000-0002-5358-6549
Received September 14, 2022; Revised October 20, 2022; Accepted October 22, 2022.
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: 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 the use of tobacco products in smoke-free areas can cause health problems, the stealth use of tobacco products and its associated factors need to be examined.
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 the factors associated with the 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 than in the older age group (odds ratio [OR] 1.24, 95% confidence interval [CI] 1.08-1.42), males than females (OR 1.43, 95% CI 1.24-1.65), manual workers than nonmanual workers (OR 1.15, 95% CI 1.05-1.26), and never married group than married group (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 (triple users, OR 1.49, 95% CI 1.20-1.83).
Conclusion: Smoke-free policies need to be strengthened and promoted to reduce stealth use.
Keywords : Tobacco products; Second-hand exposure; Smoke-free area; Stealth use; Community Health Survey, 2019
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