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Electronic Cigarette and Smoking Cessation among Korean Adults: The Seventh Korea National Health and Nutrition Examination Survey (2016-2018)
J Korean Soc Res Nicotine Tob 2021; 12(2): 43-52
Published online December 15, 2021
© 2021 The Korean Society for Research on Nicotine and Tobacco.

Yoo Bin Seo, Eon Sook Lee*, Jun Hyung Lee

Department of Family Medicine, Inje University College of Medicine, Goyang, Korea
Correspondence to: 이언숙
인제대학교 의과대학 가정의학교실
E-mail: leejeny@paik.ac.kr
ORCID: https://orcid.org/0000-0002-6148-2512
Received October 26, 2021; Revised November 30, 2021
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: Numerous smokers use electronic cigarettes (e-cigarettes) to stop or reduce smoking. However, the role of e-cigarette use in smoking cessation remains uncertain. Thus, this study aimed to investigate the relationship between e-cigarette use and smoking cessation in Korean adults.
Methods: The data of 6,915 ever smokers from the seventh Korea National Health and Nutrition Examination Survey (KNHANES, 2016–2018) were analyzed. The ever smokers were categorized as “never,” “former,” and “current” e-cigarette users. Multivariable logistic regression adjusted for sociodemographic factors, alcohol consumption, and stress perception was used to examine the relationship between e-cigarette use and smoking cessation.
Results: Ever e-cigarette smokers were negatively associated with quitting smoking for 1 month or more (odds ratio [OR]=0.30, 95% confidence interval [CI]: 0.24-0.36, P<0.001) and smoking cessation for 1 year or more (OR=0.20, 95% CI: 0.16-0.25, P<0.001). For current e-cigarette users, the ORs for smoking cessation for 1 month or more and 1 year or more were 0.14 (95% CI: 0.10-0.22, P<0.001) and 0.07 (95% CI: 0.04-0.12, P<0.001), respectively, compared with those who never used e-cigarettes. Regarding that e-cigarette was launched in 2007, we also analyzed for ever cigarette smokers excluding former smokers who stopped smoking since 2007. The negative correlation between e-cigarette use and cigarette cessation sustained.
Conclusion: The usage of e-cigarettes is common among smokers. Furthermore, current e-cigarette users displayed more attempts to quit smoking than cigarette-only smokers. However, e-cigarette use is negatively associated with smoking cessation. Further prospective studies are required to evaluate nicotine dependence and biochemical markers linked to e-cigarette use.
Keywords : Electronic cigarette; Smoking cessation; Quitting; Cessation
References
  1. Lee C, Kim S, Cheong YS. Issues of new types of tobacco (e-cigarette and heat-not-burn tobacco): from the perspective of ‘tobacco harm reduction’. J Korean Med Assoc. 2018; 61(3): 181-90.
    CrossRef
  2. MOHW. The 7th Korea National Health and Nutrition Examination Survey. Korean Ministry of Health and Welfare. Republic of Korea 2018.
  3. Abrams DB, Glasser AM, Pearson JL, Villanti AC, Collins LK, Niaura RS. Harm minimization and tobacco control: reframing societal views of nicotine use to rapidly save lives. Annu. Rev. Public Health. 2018; 39: 193-213.
    Pubmed KoreaMed CrossRef
  4. Farsalinos K. Electronic cigarettes: an aid in smoking cessation, or a new health hazard? Ther Adv Respir Dis. 2018; 12: 1753465817744960.
    Pubmed KoreaMed CrossRef
  5. Layden JE, Ghinai I, Pray I, Kimball A, Layer M, Tenforde MW, et al. Pulmonary illness related to e-cigarette use in Illinois and Wisconsin. NEJM. 2020; 382(10): 903-16.
    Pubmed CrossRef
  6. Rutten LJF, Blake KD, Agunwamba AA, Grana RA, Wilson PM, Ebbert JO, et al. Use of e-cigarettes among current smokers: associations among reasons for use, quit intentions, and current tobacco use. Nicotine Tob Res. 2015; 17(10): 1228-34.
    Pubmed KoreaMed CrossRef
  7. Lim J, Lee JA, Fong GT, Yan M, Driezen P, Seo HG, et al. Awareness and use of e-cigarettes and Vaping behaviors among Korean adult smokers: ITC 2016 Korean study. JKSRNT. 2018; 9: 11-21.
    CrossRef
  8. Kim JY, Seo SW, Choi JE, Lee S. Awareness of electronic cigarettes among the general population and medical experts. JKSRNT. 2015; 6(2): 102-17.
    CrossRef
  9. House of Commons. Science and technology committee [Internet]. E-cigarettes. Seventh report of session 2017-19.;2018. [cited 2021 October 12]
    Available from: https://publications.parliament.uk
  10. Hajek P, Phillips-Waller A, Przulj D, Pesola F, Myers Smith K, Bisal N, et al. A randomized trial of e-cigarettes versus nicotine-replacement therapy. NEJM. 2019; 380(7): 629-37.
    Pubmed CrossRef
  11. Wang RJ, Bhadriraju S, Glantz SA. E-cigarette use and adult cigarette smoking cessation: a meta-analysis. AJPH. 2021; 111(2): 230-46.
    Pubmed KoreaMed CrossRef
  12. Hahm SK, Lee ES. Comparison of the smoking cessation behaviors of dual users and cigarette-only smokers. JKSRNT. 2019; 10(2): 80-8.
    CrossRef
  13. 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
  14. El Dib R, Suzumura EA, Akl EA, Gomaa H, Agarwal A, Chang Y, et al. Electronic nicotine delivery systems and/or electronic non-nicotine delivery systems for tobacco smoking cessation or reduction: a systematic review and meta-analysis. BMJ open. 2017; 7(2): e012680.
    Pubmed KoreaMed CrossRef
  15. Hartmann-Boyce J, McRobbie H, Butler AR, Lindson N, Bullen C, Begh R, et al. Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev. 2021(9).
    Pubmed CrossRef
  16. Pierce JP, Gilpin EA. Impact of over-the-counter sales on effectiveness of pharmaceutical aids for smoking cessation. JAMA. 2002; 288(10): 1260-4.
    Pubmed CrossRef
  17. Kotz D, Brown J, West R, editors. Prospective cohort study of the effectiveness of smoking cessation treatments used in the “real world”. Mayo Clin Proc; Elsevier 2014. 1360-7.
    Pubmed KoreaMed CrossRef
  18. Kotz D, Brown J, West R. ‘Real‐world’effectiveness of smoking cessation treatments: a population study. Addiction. 2014; 109(3): 491-9.
    Pubmed CrossRef
  19. Benmarhnia T, Pierce JP, Leas E, White MM, Strong DR, Noble ML, et al. Can e-cigarettes and pharmaceutical aids increase smoking cessation and reduce cigarette consumption? Findings from a nationally representative cohort of American smokers. Am. J. Epidemiol. 2018; 187(11): 2397-404.
    Pubmed KoreaMed CrossRef
  20. Al-Delaimy WK, Myers MG, Leas EC, Strong DR, Hofstetter CR. E-cigarette use in the past and quitting behavior in the future: a population-based study. AJPH. 2015; 105(6): 1213-9.
    Pubmed KoreaMed CrossRef
  21. Christensen T, Welsh E, Faseru B. Profile of e-cigarette use and its relationship with cigarette quit attempts and abstinence in Kansas adults. Prev Med. 2014; 69: 90-4.
    Pubmed CrossRef
  22. Little MA, Klesges RC, Bursac Z, Halbert JP, Ebbert J, Talcott GW, et al. Correlates of smoking status in cancer survivors. J Cancer Surviv. 2018; 12(6): 828-34.
    Pubmed KoreaMed CrossRef
  23. Weaver SR, Huang J, Pechacek TF, Heath JW, Ashley DL, Eriksen MP. Are electronic nicotine delivery systems helping cigarette smokers quit? Evidence from a prospective cohort study of US adult smokers, 2015-2016. PLoS one. 2018; 13(7): e0198047.
    Pubmed KoreaMed CrossRef
  24. Jackson SE, Shahab L, West R, Brown J. Associations between dual use of e-cigarettes and smoking cessation: a prospective study of smokers in England. Addict Behav. 2020; 103: 106230.
    Pubmed KoreaMed CrossRef
  25. Osibogun O, Bursac Z, Mckee M, Li T, Maziak W. Cessation outcomes in adult dual users of e-cigarettes and cigarettes: the Population Assessment of Tobacco and Health cohort study, USA, 2013-2016. Int J Public Health. 2020; 65(6): 923-36.
    Pubmed KoreaMed CrossRef
  26. Rostron BL, Schroeder MJ, Ambrose BK. Dependence symptoms and cessation intentions among US adult daily cigarette, cigar, and e-cigarette users, 2012-2013. BMC public health. 2016; 16(1): 1-10.
    Pubmed KoreaMed CrossRef
  27. Jankowski M, Krzystanek M, Zejda JE, Majek P, Lubanski J, Lawson JA, et al. E-cigarettes are more addictive than traditional cigarettes—a study in highly educated young people. Int J Environ Res Public Health. 2019; 16(13): 2279.
    Pubmed KoreaMed CrossRef
  28. Adkison SE, O’Connor RJ, Bansal-Travers M, Hyland A, Borland R, Yong H-H, et al. Electronic nicotine delivery systems: international tobacco control four-country survey. Am J Prev Med. 2013; 44(3): 207-15.
    Pubmed KoreaMed CrossRef
  29. Pearson JL, Richardson A, Niaura RS, Vallone DM, Abrams DB. e-Cigarette awareness, use, and harm perceptions in US adults. Am J Public Health. 2012; 102(9): 1758-66.
    Pubmed KoreaMed CrossRef
  30. Kim YA, Lee J, Kim J, Kim J, Ko Y-J, Kim S. The characteristics of electronic cigarette user among Korean smokers: The sixth Korean national health and nutrition examination Survey, 2013-2015. KJFP. 2019; 9(4): 324-30.
    CrossRef
  31. Lee JA, Kim SH, Cho H-J. Electronic cigarette use among Korean adults. Int J Public Health. 2016; 61(2): 151-7.
    Pubmed CrossRef
  32. Park SH, Lee L, Shearston JA, Weitzman M. Patterns of electronic cigarette use and level of psychological distress. PloS one. 2017; 12(3): e0173625.
    Pubmed KoreaMed CrossRef