search for



KCI

Crossref

Cross mark

Cited-by

Fundref

TDM

View (50) Download (49) CrossRef (1)
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: 議고솉以
슱궛븰援 쓽怨쇰븰 꽌슱븘궛蹂묒썝 媛젙쓽븰怨
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
References
  1. U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. 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, 2014.
  2. Briss PA, Zaza S, Pappaioanou M, Fielding J, Wright-De Ag체ero L, Truman BI, et al. Developing an evidence-based Guide to Community Preventive Services--methods. The Task Force on Community Preventive Services. Am J Prev Med. 2000; 18(1 Suppl): 35-43.
    Pubmed CrossRef
  3. Lim MK, Cho HJ. Current status of tobacco control policies in Korea compared with international treaty and its implementation. J Korean Med Assoc. 2018; 61(3): 148-56.
    CrossRef
  4. Flouris AD, Chorti MS, Poulianiti KP, Jamurtas AZ, Kostikas K, Tzatzarakis MN, et al. Acute impact of active and passive electronic cigarette smoking on serum cotinine and lung function. Inhal Toxicol. 2013; 25(2): 91-101.
    Pubmed CrossRef
  5. Goniewicz ML, Knysak J, Gawron M, Kosmider L, Sobczak A, Kurek J, et al. Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tob Control. 2014; 23(2): 133-9.
    Pubmed KoreaMed CrossRef
  6. Williams M, Villarreal A, Bozhilov K, Lin S, Talbot P. Metal and silicate particles including nanoparticles are present in electronic cigarette cartomizer fluid and aerosol. PLoS One. 2013; 8(3): e57987.
    Pubmed KoreaMed CrossRef
  7. Nga JDL, Hakim SL, Bilal S. Comparison of End Tidal Carbon Monoxide Levels between Conventional Cigarette, Electronic Cigarette and Heated Tobacco Product among Asiatic Smokers. Subst Use Misuse. 2020; 55(12): 1943-8.
    Pubmed CrossRef
  8. Cancelada L, Sleiman M, Tang X, Russell ML, Montesinos VN, Litter MI, et al. Heated tobacco products: volatile emissions and their predicted impact on indoor air quality. Environ Sci Technol. 2019; 53(13): 7866-76.
    Pubmed CrossRef
  9. Simonavicius E, McNeill A, Shahab L, Brose LS. Heat-not-burn tobacco products: a systematic literature review. Tob Control. 2019; 28(5): 582-94.
    Pubmed KoreaMed CrossRef
  10. Hopkins DP, Razi S, Leeks KD, Priya Kalra G, Chattopadhyay SK, Soler RE; task force on community preventive services. Smokefree policies to reduce tobacco use. A systematic review. Am J Prev Med. 2010; 38(2 Suppl): S275-89.
    Pubmed CrossRef
  11. Phan TM, Bianco CA, Nikitin D, Timberlake DS. Arguments for amending smoke-free legislation in U.S. states to restrict use of electronic nicotine delivery systems. Prev Med Rep. 2018; 9: 102-6.
    Pubmed KoreaMed CrossRef
  12. Lazuras L, Eiser JR, Rodafinos A. Predicting smokers’ non-compliance with smoking restrictions in public places. Tob Control. 2009; 18(2): 127-31.
    Pubmed CrossRef
  13. Zasimova L. Analysis of non-compliance with smoke-free legislation in Russia. Int J Public Health. 2019; 64(3): 413-22.
    Pubmed CrossRef
  14. Yingst JM, Lester C, Veldheer S, Allen SI, Du P, Foulds J. E-cigarette users commonly stealth vape in places where e-cigarette use is prohibited. Tob Control. 2019; 28(5): 493-7.
    Pubmed KoreaMed CrossRef
  15. Braverman MT, Geldhof GJ, Hoogesteger LA, Johnson JA. Predicting students’ noncompliance with a smoke-free university campus policy. Prev Med. 2018; 114: 209-16.
    Pubmed CrossRef
  16. Russell AM, Yang M, Barry AE, Merianos AL, Lin HC. Stealth vaping among college students on four geographically distinct obacco-free college campuses: prevalence and practices. Nicotine Tob. Res. 2022; 24(3): 342-8.
    Pubmed CrossRef
  17. Lee HJ, Cho HJ. Stealth use of electronic cigarettes in smoke-free areas in South Korea. J Korean Soc Res Nicotine Tob. 2020; 11(2): 75-83.
    CrossRef
  18. Lee JA, Lee C, Cho HJ. Use of heated tobacco products where their use is prohibited. Tob Control. 2021: tobaccocontrol-2020-056398.
    Pubmed CrossRef
  19. Community Health Survey, 2019. Korea Centers for Disease Control and Prevention.
  20. Zhou L, Niu L, Jiang H, Jiang C, Xiao S. Facilitators and barriers of smokers’ compliance with smoking bans in public places: a systematic review of quantitative and Qualitative Literature. Int J Environ Res Public Health. 2016; 13(12): 1228.
    Pubmed KoreaMed CrossRef
  21. Kim EY, Seo HG, Kim Y, Choi Y, Fong GT, Yan M, et al. Change of Support for Smoke-Free Area and Perception of Effectiveness of Smoking Ban Policy among Korean Smokers: Findings from the 2010, 2016 International Tobacco Control Policy Evaluation Survey in Korea. JKSRNT 2018; 9: 39-50.
    CrossRef
  22. Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G. Indicators of socioeconomic position (part 1). J Epidemiol Community Health. 2006; 60(1): 7-12.
    Pubmed KoreaMed CrossRef
  23. Sung HY, Wang Y, Yao T, Lightwood J, Max W. Polytobacco Use and Nicotine Dependence Symptoms Among US Adults, 2012-2014. Nicotine Tob Res. 2018; 20(suppl_1): S88-98.
    Pubmed KoreaMed CrossRef
  24. Kim CY, Lee K, Lee CM, Kim S, Cho HJ. Perceived relative harm of heated tobacco products and electronic cigarettes and its association with use in smoke-free places: a cross-sectional analysis of Korean adults. Tob Induc Dis. 2022; 20: 20.
    Pubmed KoreaMed CrossRef
  25. Biener L, Hargraves JL. A longitudinal study of electronic cigarette use among a population-based sample of adult smokers: association with smoking cessation and motivation to quit. Nicotine Tob Res. 2015; 17(2): 127-33.
    Pubmed KoreaMed CrossRef