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Poly-Use of Tobacco Products among Korean Adolescents and Its Relationship with Depressive Mood, Loneliness and Anxiety
J Korean Soc Res Nicotine Tob 2023; 14(4): 166-175
Published online December 30, 2023
© 2023 The Korean Society for Research on Nicotine and Tobacco.

Jeung Ok*, Jeong Sun Lim

Department of Professional Psychotherapy, Seoul Cyber University, Seoul, Korea
Correspondence to: *삦 젙
꽌슱궗씠踰꾨븰援 듅닔떖由ъ튂猷뚰븰怨
E-mail: oj256@iscu.ac.kr
ORCID: https://orcid.org/0000-0001-9636-7867
Received December 19, 2023; Revised December 25, 2023; Accepted December 26, 2023.
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 associations between multiple tobacco products, such as combustible cigarettes (CCs), heated tobacco products (HTPs), and electronic cigarettes (ECs), and mental health status among Korean adolescents have not been extensively studied. Therefore, this study aimed to evaluate the relationship between single or multiple uses of tobacco products and mental health indices among Korean adolescents.
Methods: Data from the 2022 Korea Youth Risk Behavior Web-Based Survey were analyzed, and participants included 51,850 individuals aged 13-18 years. Multivariate logistic regression analysis was performed.
Results: Of the total participants, 28.8%, 12.7%, and 17.6% reported depressive mood, anxiety, and loneliness, respectively. After adjusting for confounding variables, the CC or EC single users showed a greater likelihood of having depressive mood (odds ratio [OR], 1.65 [95% confidence interval {CI}, 1.41-1.93] or 1.86 [95% CI, 1.44-2.41]), anxiety (OR, 1.38 [95% CI, 1.12-1.69] or 1.40 [95% CI, 1.01-1.93]), and loneliness (OR, 1.75 [95% CI, 1.47-2.08] or 1.78 [95% CI, 1.35-2.35]) than never users. The dual (i.e., CC and EC) and triple (i.e., CC, EC, and HTP) users were also significantly associated with mental health status, whereas HTP-only users were not. Depressive mood, anxiety, and loneliness were associated with former users. Triple use was associated with a poor mental health status.
Conclusion: Considering the poor mental health status and increasing trend of using multiple tobacco products among Korean adolescents, tobacco control policies should monitor the effects of different products.
Keywords : Tobacco products; Electronic cigarette; Depressive mood; Loneliness; Anxiety
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