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Using Multiple Tobacco Products and Binge Drinking among Adolescents during the COVID-19 Pandemic: A Cross-Sectional Study Using the Korea Youth Risk Behavior Survey for 2017–2021
J Korean Soc Res Nicotine Tob 2022; 13(2): 53-63
Published online June 30, 2022
© 2022 The Korean Society for Research on Nicotine and Tobacco.

Jinsol Jung1,2, Heejin Kimm2,3*

1Seoul Sungrye Elementary School, 2Graduate School of Public Health, Yonsei University, 3Institute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Korea
Correspondence to: 源씗吏
뿰꽭 蹂닿굔븰썝 援誘쇨굔媛뺤쬆吏꾩뿰援ъ냼
E-mail: HEEJINK@yuhs.ac
ORCID: https://orcid.org/0000-0003-4526-0570
Received May 30, 2022; Revised June 26, 2022; Accepted June 26, 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: Previous studies have reported that adolescent dual users of tobacco products are at a high risk of binge drinking. However, changes in drinking and smoking behaviors during the COVID-19 pandemic, including the use of heated tobacco product (HTP), have remained unknown.
Methods: This study is cross-sectional in nature and uses self-reported survey data from 2017-2021 for individuals aged 13-18 years derived from the Korean Youth Risk Behavior Survey. For analysis, the study included 7,201 binge drinkers and 7,067 nonbinge drinkers. Single, dual, and triple use of tobacco products was defined as the number of products used such as cigarettes, e-cigarettes, and HTP. The study employed logistic regression with a complex sample design to compute for the adjusted odds ratios for binge drinking in 2019 and 2020.
Results: Among the current drinking youth, the total number of uses of tobacco product did not change significantly between 2017 and 2021, and the number of users of single products decreased, whereas multiple usage decreased in 2020 but returned to the level as 2019 or before. The number of dual users of tobacco products increased from 18.6% in 2017 to 23.2% in 2021. Being an exsmoker and a single/dual/triple user was associated with binge drinking in 2019 (Exsmoker aOR: 1.58, 95% CI: 1.30-1.91; Single user aOR: 2.98, 95% CI: 2.36-3.75; Dual user aOR: 2.53, 95% CI: 1.87-3.41; Triple user aOR: 2.66, 95% CI: 1.91-3.71), and the association was also significant in 2020 (Exsmoker aOR: 2.03, 95% CI: 1.64-2.51; Single user aOR: 2.78, 95% CI: 2.15-3.60; Dual user aOR: 3.13, 95% CI: 2.17-4.51; Triple user aOR: 4.02, 95% CI: 2.37-6.81).
Conclusion: Despite the decrease in smoking and drinking among adolescents during the COVID-19 pandemic, the number of dual, triple users of tobacco products among adolescents who engage in drinking has recently increased. Moreover, dual and triple users have displayed high risks of binge drinking. Thus, the study suggests that an integrated preventive approach and research are required to prevent the widening of the health risk behavior gap and multiple substance use among adolescents.
Keywords : Tobacco; Smoking; Alcohol; Binge drinking; Adolescents
References
  1. Ministry of Education [Internet]. EDUCATIONAL RESPONSE TO COVID-19 IN REPUBLIC OF KOREA 2022. [updated 2021 May 10; cited 2022 May 23].
    Available from: https://www.moe.go.kr/
  2. Kim CB. Characteristics of COVID-19 and future direction of health policy from the human security perspective. Korean Society for Public Health and Medicine. 2021; 5: 1-12.
    CrossRef
  3. Ministry of Education, Ministry of Health and Welfare, Centers for Disease Control and Prevention. The statistics on the 17th Korea youth risk behavior survey in 2021 [Internet]. Cheongju: Centers for Disease Control and Prevention; 2022 [cited 2022 May 23].
  4. Health Plan 2030 (2021~2030) [Internet], Ministry of Health and Welfare,Korea Health Promotion Institute. 2021. [cited 2022 May 23]
  5. Lee BI. The Influencing Factors of Binge Drinking among Drinking Adolescents. The Korean Society of School Health. 2019; 32(2): 88-95.
  6. Chung T, Creswell KG, Bachrach R, Clark DB, Martin CS. Adolescent Binge Drinking. Alcohol Res. 2018; 39(1): 5-15.
  7. Kim SH. A Study on the sequential process of adolescent substance abuse. Korean Criminological Review. 1991; 2(3): 37-74.
  8. Seo SI, Oh JK, Lim MK. Smoking, physical inactivity, inappropriate weight control, sexual activity and binge drinking among adolescents: Using Korea Youth Risk Behavior web-based Survey in 2015. Korean Society for Health Education and Promotion. 2017; 34(1): 1-12.
    CrossRef
  9. Hoffman JH, Welte JW, Barnes GM. Co-occurrence of alcohol and cigarette use among adolescents. Addict Behav. 2001; 26(1): 63-78.
    CrossRef
  10. Kim YM. A Study on Concurrent Use of Alcohol and Cigarette among Adolescents. Korea Academy Of Mental Health Social Work. 2005; 20: 40-68.
  11. Room R. Smoking and drinking as complementary behaviours. Biomed Pharmacother. 2004; 58(2): 111-5.
    Pubmed CrossRef
  12. P챕rez A, Kuk AE, Bluestein MA, Sia HMS, Chen B. Age of Initiation of Dual Tobacco Use and Binge Drinking among Youth (12-17 Years Old): Findings from the Population Assessment of Tobacco and Health (PATH) Study. Int J Environ Res Public Health. 2021; 18(24): 12985.
    Pubmed KoreaMed CrossRef
  13. Kristjansson AL, Mann MJ, Sigfusdottir ID. Licit and Illicit Substance Use by Adolescent E-Cigarette Users Compared with Conventional Cigarette Smokers, Dual Users, and Nonusers. J Adolesc Health. 2015; 57(5): 562-4.
    Pubmed CrossRef
  14. Kang SY, Lee S, Cho HJ. Prevalence and predictors of heated tobacco product use and its relationship with attempts to quit cigarette smoking among Korean adolescents. Tob Control. 2021; 30(2): 192-8.
    Pubmed CrossRef
  15. Cohn A, Villanti A, Richardson A, Rath JM, Williams V, Stanton C, et al. The association between alcohol, marijuana use, and new and emerging tobacco products in a young adult population. Addict Behav. 2015; 48: 79-88.
    Pubmed CrossRef
  16. McCabe SE, West BT, Veliz P, Boyd CJ. E-cigarette Use, Cigarette Smoking, Dual Use, and Problem Behaviors Among U.S. Adolescents: Results From a National Survey. J Adolesc Health. 2017; 61(2): 155-62.
    Pubmed KoreaMed CrossRef
  17. Creamer MR, Portillo GV, Clendennen SL, Perry CL. Is Adolescent Poly-tobacco Use Associated with Alcohol and Other Drug Use?. Am J Health Behav. 2016; 40(1): 117-22.
    Pubmed KoreaMed CrossRef
  18. Layman HM, Thorisdottir IE, Halldorsdottir T, Sigfusdottir ID, Allegrante JP, Kristjansson AL. Substance Use Among Youth During the COVID-19 Pandemic: a Systematic Review. Curr Psychiatry Rep. 2022; 1-18.
    Pubmed KoreaMed CrossRef
  19. NIDA [Internet]. Percentage of adolescents reporting drug use decreased significantly in 2021 as the COVID-19 pandemic endured. [updated 2021 Dec 15; cited 2022 May 18] Available form: https://www.drugabuse.gov/news-events/news-releases/2021/12/p ercentage-of-adolescents-reporting-drug-use-decreased-significantly-i n-2021-as-the-covid-19-pandemic-endured.
  20. Ministry of Education, Ministry of Health and Welfare, Centers for Disease Control and Prevention. The statistics on the 16th Korea youth risk behavior survey in 2020 [Internet]. Centers for Disease Control and Prevention; 2021 [cited 2022 May 23].
  21. Wang JW, Lee CM, 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
  22. Lee YK, Ryu SY. Factors Associated with Smoking Differences of Korean Adolescents with Smoking Experience: 11th(2015) Korean Youth Risk Behavior Web-based Survey. Journal of the Korea Academia-Industrial cooperation Society. 2018; 19(2): 155-63.
  23. Lee ES, Paek YJ. Prevalence and Correlates of the Dual Use of Conventional and Electronic Cigarettes among Korean Adolescents: 2016-2018 Korean Youth Risk Behavior Survey. Journal of the Korean Society for Research on Nicotine and Tobacco. 2020; 11(2): 64-74.
    CrossRef
  24. Room R. Smoking and drinking as complementary behaviours. Biomed Pharmacother. 2004; 58(2): 111-5.
    Pubmed CrossRef
  25. P챕rez A, Kuk AE, Bluestein MA, Sia HMS, Chen B. Age of Initiation of Dual Tobacco Use and Binge Drinking among Youth (12-17 Years Old): Findings from the Population Assessment of Tobacco and Health (PATH) Study. Int J Environ Res Public Health. 2021; 18(24): 12985.
    Pubmed KoreaMed CrossRef
  26. Gutierrez A, Sher L. Alcohol and drug use among adolescents: an educational overview. Int J Adolesc Med Health. 2015; 27(2): 207-12.
    Pubmed CrossRef
  27. Lee CM. International regulatory overview of electronic cigarettes and heated tobacco products. J Korean Med Assoc. 2020; 63(2): 112-8.
    CrossRef
  28. The 4th Health Plan 2020 Trend report 2020 [Internet]. Korea Health Promotion Institute. 2020. [cited 2022 May 23]
  29. Choi YK, Kim NY, Lee HM. 2018~2022 Childrearing Policy Analysis and Outcome Evaluation(II). Korea Institute of Child Care & Education. 2019.