DOI QR코드

DOI QR Code

Factors Related to Smoking Status Among Young Adults: An Analysis of Younger and Older Young Adults in Korea

  • Lee, Yeji (Graduate School of Public Health, The Catholic University of Korea) ;
  • Lee, Kang-Sook (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea)
  • Received : 2018.08.24
  • Accepted : 2019.01.14
  • Published : 2019.03.31

Abstract

Objectives: Young adulthood represents a critical developmental period during which the use of tobacco may begin or cease. Furthermore, differences in smoking behaviors between younger (aged 18-24 years) and older (aged 25-34 years) young adults may exist. This study aimed to characterize patterns related to current smoking in younger and older young adults. Methods: This study used data acquired from the Sixth Korea National Health and Nutrition Examination Survey conducted from 2013 to 2014. A total of 2069 subjects were categorized as younger (712 subjects) and older (1357 subjects) young adults. The chi-square test was used to assess the relationships between smoking status and socio-demographic, health-related, and smoking-related factors. Multivariable logistic regression models were constructed to assess the factors affecting current smoking in these age groups. Results: The current smoking prevalence was 18.3% among the younger young adults and 26.0% among the older young adults. Sex, education level, occupation, perceived health status, alcohol consumption, and electronic cigarette use were related to current smoking in both age groups. Secondhand smoke exposure at home and stress levels showed significant relationships with smoking in younger and older young adults, respectively. Conclusions: Strong correlations were found between the observed variables and smoking behaviors among young adults. Determining the factors affecting smoking and designing interventions based on these factors are essential for smoking cessation in young adults.

Keywords

References

  1. Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years' observations on male British doctors. BMJ 2004;328(7455):1519. https://doi.org/10.1136/bmj.38142.554479.AE
  2. Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN, et al. 21st-century hazards of smoking and benefits of cessation in the United States. N Engl J Med 2013;368(4): 341-350. https://doi.org/10.1056/NEJMsa1211128
  3. Orlando M, Tucker JS, Ellickson PL, Klein DJ. Developmental trajectories of cigarette smoking and their correlates from early adolescence to young adulthood. J Consult Clin Psychol 2004;72(3):400-410. https://doi.org/10.1037/0022-006X.72.3.400
  4. Hammond D. Smoking behaviour among young adults: beyond youth prevention. Tob Control 2005;14(3):181-185. https://doi.org/10.1136/tc.2004.009621
  5. Ling PM, Glantz SA. Why and how the tobacco industry sells cigarettes to young adults: evidence from industry documents. Am J Public Health 2002;92(6):908-916. https://doi.org/10.2105/AJPH.92.6.908
  6. Chassin L, Presson CC, Rose JS, Sherman SJ. The natural history of cigarette smoking from adolescence to adulthood: demographic predictors of continuity and change. Health Psychol 1996;15(6):478-484. https://doi.org/10.1037/0278-6133.15.6.478
  7. Richardson A, Williams V, Rath J, Villanti AC, Vallone D. The next generation of users: prevalence and longitudinal patterns of tobacco use among US young adults. Am J Public Health 2014; 104(8):1429-1436. https://doi.org/10.2105/AJPH.2013.301802
  8. Cantrell J, Pearson JL, Anesetti-Rothermel A, Xiao H, Kirchner TR, Vallone D. Tobacco retail outlet density and young adult tobacco initiation. Nicotine Tob Res 2016;18(2):130-137. https://doi.org/10.1093/ntr/ntv036
  9. Lisha NE, Delucchi KL, Ling PM, Ramo DE. Prevalence and correlates of social smoking in young adults: comparisons of behavioral and self-identified definitions. Nicotine Tob Res 2015; 17(9):1076-1084. https://doi.org/10.1093/ntr/ntu242
  10. Jensen TM, Harris KM. A longitudinal analysis of stepfamily relationship quality and adolescent physical health. J Adolesc Health 2017;61(4):486-492. https://doi.org/10.1016/j.jadohealth.2017.04.015
  11. Ling PM, Neilands TB, Glantz SA. Young adult smoking behavior: a national survey. Am J Prev Med 2009;36(5):389-394. https://doi.org/10.1016/j.amepre.2009.01.028
  12. Rath JM, Villanti AC, Abrams DB, Vallone DM. Patterns of tobacco use and dual use in US young adults: the missing link between youth prevention and adult cessation. J Environ Public Health 2012;2012:679134.
  13. Dietz NA, Sly DF, Lee DJ, Arheart KL, McClure LA. Correlates of smoking among young adults: the role of lifestyle, attitudes/beliefs, demographics, and exposure to anti-tobacco media messaging. Drug Alcohol Depend 2013;130(1-3):115-121. https://doi.org/10.1016/j.drugalcdep.2012.10.019
  14. Organization for Economic Cooperation and Development. Population with tertiary education [cited 2016 Nov 11]. Available from: https://data.oecd.org/eduatt/population-with-tertiary-education.htm.
  15. Organization for Economic Cooperation and Development. Youth unemployment rate [cited 2016 Nov 11]. Available from: https://data.oecd.org/unemp/youth-unemployment-rate.htm#indicator-chart.
  16. Oh JH, Lee YM. How to make employment services useful for creating youth employment: bridging the gap between policy and practice. IJUNESST 2016;9(3):269-282.
  17. Newman BM, Newman PR. Development through life: a psychosocial approach. Boston: Cengage Learning; 2012, p. 386-481.
  18. Villanti AC, Richardson A, Vallone DM, Rath JM. Flavored tobacco product use among U.S. young adults. Am J Prev Med 2013;44(4):388-391. https://doi.org/10.1016/j.amepre.2012.11.031
  19. Cantrell J, Ilakkuvan V, Graham AL, Richardson A, Xiao H, Mermelstein RJ, et al. Young adult utilization of a smoking cessation website: an observational study comparing young and older adult patterns of use. JMIR Res Protoc 2016;5(3):e142. https://doi.org/10.2196/resprot.4881
  20. Ryan H, Trosclair A, Gfroerer J. Adult current smoking: differences in definitions and prevalence estimates--NHIS and NSDUH, 2008. J Environ Public Health 2012;2012:918368.
  21. Choi S, Kim Y, Park S, Lee J, Oh K. Trends in cigarette smoking among adolescents and adults in South Korea. Epidemiol Health 2014;36:e2014023. https://doi.org/10.4178/epih/e2014023
  22. Kim BG, Pang DD, Park YJ, Lee JI, Kim HR, Myong JP, et al. Heavy smoking rate trends and related factors in Korean occupational groups: analysis of KNHANES 2007-2012 data. BMJ Open 2015; 5(11):e008229. https://doi.org/10.1136/bmjopen-2015-008229
  23. Khang YH, Cho HJ. Socioeconomic inequality in cigarette smoking: trends by gender, age, and socioeconomic position in South Korea, 1989-2003. Prev Med 2006;42(6):415-422. https://doi.org/10.1016/j.ypmed.2006.02.010
  24. Green MP, McCausland KL, Xiao H, Duke JC, Vallone DM, Healton CG. A closer look at smoking among young adults: where tobacco control should focus its attention. Am J Public Health 2007;97(8):1427-1433. https://doi.org/10.2105/AJPH.2006.103945
  25. Noguchi Y, Ueda K, Fukumoto K, Harada K, Ueda A, Wei CN. Relationship between perceived health status and health practices in the general adult population in Japan. Open J Prev Med 2015;5(6):280-290. https://doi.org/10.4236/ojpm.2015.56031
  26. Lim WY, Ma S, Heng D, Bhalla V, Chew SK. Gender, ethnicity, health behaviour & self-rated health in Singapore. BMC Public Health 2007;7:184. https://doi.org/10.1186/1471-2458-7-184
  27. Hoeppner BB, Bidwell LC, Colby SM, Barnett NP. Smoking patterns and their relationship to drinking among first-year college students. Nicotine Tob Res 2014;16(6):743-752. https://doi.org/10.1093/ntr/ntt205
  28. Berg CJ, Parelkar PP, Lessard L, Escoffery C, Kegler MC, Sterling KL, et al. Defining "smoker": college student attitudes and related smoking characteristics. Nicotine Tob Res 2010;12(9): 963-969. https://doi.org/10.1093/ntr/ntq123
  29. Park SS. E-cigarette sales rise after tobacco price hike. Korea Times: 2015 Jan 13 [cited 2016 Nov 17]. Available from: http://www.koreatimes.co.kr/www/news/biz/2015/01/123_171673. html.
  30. Lee S, Grana RA, Glantz SA. Electronic cigarette use among Korean adolescents: a cross-sectional study of market penetration, dual use, and relationship to quit attempts and former smoking. J Adolesc Health 2014;54(6):684-690. https://doi.org/10.1016/j.jadohealth.2013.11.003
  31. Sutfin EL, McCoy TP, Morrell HE, Hoeppner BB, Wolfson M. Electronic cigarette use by college students. Drug Alcohol Depend 2013;131(3):214-221. https://doi.org/10.1016/j.drugalcdep.2013.05.001
  32. Coleman BN, Apelberg BJ, Ambrose BK, Green KM, Choiniere CJ, Bunnell R, et al. Association between electronic cigarette use and openness to cigarette smoking among US young adults. Nicotine Tob Res 2015;17(2):212-218. https://doi.org/10.1093/ntr/ntu211
  33. Choi K, Forster JL. Beliefs and experimentation with electronic cigarettes: a prospective analysis among young adults. Am J Prev Med 2014;46(2):175-178. https://doi.org/10.1016/j.amepre.2013.10.007
  34. Lee BE, Ha EH. Exposure to environmental tobacco smoke among South Korean adults: a cross-sectional study of the 2005 Korea National Health and Nutrition Examination Survey. Environ Health 2011;10:29. https://doi.org/10.1186/1476-069X-10-29
  35. Agaku IT, Singh T, Rolle I, Olalekan AY, King BA. Prevalence and determinants of secondhand smoke exposure among middle and high school students. Pediatrics 2016;137(2):e20151985. https://doi.org/10.1542/peds.2015-1985
  36. Oh DL, Heck JE, Dresler C, Allwright S, Haglund M, Del Mazo SS, et al. Determinants of smoking initiation among women in five European countries: a cross-sectional survey. BMC Public Health 2010;10:74. https://doi.org/10.1186/1471-2458-10-74
  37. Lloyd DA, Taylor J. Lifetime cumulative adversity, mental health and the risk of becoming a smoker. Health (London) 2006;10 (1):95-112. https://doi.org/10.1177/1363459306058990
  38. Schepis TS, Tapscott BE, Krishnan-Sarin S. Stress-related increases in risk taking and attentional failures predict earlier relapse to smoking in young adults: a pilot investigation. Exp Clin Psychopharmacol 2016;24(2):110-119. https://doi.org/10.1037/pha0000066

Cited by

  1. Experience and Current Use of Heated Tobacco Products in Korean Military Personnel vol.19, pp.4, 2019, https://doi.org/10.15384/kjhp.2019.19.4.221
  2. Predictors of Abstinence from Smoking: A Retrospective Study of Male College Students Enrolled in a Smoking Cessation Service vol.16, pp.18, 2019, https://doi.org/10.3390/ijerph16183363
  3. Symptom clusters in childhood cancer survivors in Korea: A latent class analysis vol.29, pp.6, 2020, https://doi.org/10.1111/ecc.13322
  4. A Cross-Sectional Evaluation of Cigarette Smoking in the Brazilian Youth Population vol.9, 2019, https://doi.org/10.3389/fpubh.2021.614592