Park Sunhee, Lee Haein, Min Soyoon
College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University, 26 Kyunghee-daero, Dongdaemun-gu, Seoul 02447, Republic of Korea.
Department of Nursing, Graduate School, Kyung Hee University, 26 Kyunghee-daero, Dongdaemun-gu, Seoul 02447, Republic of Korea.
Addict Behav. 2017 Jun;69:22-26. doi: 10.1016/j.addbeh.2017.01.002. Epub 2017 Jan 4.
Despite a rapid increase in electronic cigarette (e-cigarette) use and substantial dual use of cigarettes and e-cigarettes among adolescents, little is currently known about adolescent e-cigarette use. Thus, this study aimed to investigate (a) rates of e-cigarette use and (b) significant factors associated with e-cigarette use among current cigarette users in adolescence.
We analyzed secondary data collected from a nationally representative sample of Korean adolescents. Our study sample included 6307 current smokers. Our dependent variable was e-cigarette use and consisted of three categories (nonuse, former use, and current use); independent variables included demographics, perceived stress, parental and friends' smoking, three characteristics of cigarette smoking, and other health risk behaviors. Descriptive statistics was used for the first aim; multinomial logistic regression analysis was performed for the second aim.
Of current cigarette users, 20% smoked e-cigarettes in their lifetime but not within the past 30days (former users), and 42% smoked e-cigarettes in their lifetime and within the past 30days (current users). Both former and current e-cigarette use were significantly associated with male gender, higher grades, higher weekly allowance, residence in urban areas, friends' smoking, daily smoking, a higher number of cigarettes smoked, and quit attempts. In addition, current e-cigarette use was significantly associated with at-risk drinking, lifetime drug use, and lifetime sexual intercourse.
E-cigarette use should be included in intervention strategies for smoking prevention and cessation. Strict regulations should be implemented in order to prohibit easy access to e-cigarettes and forbid advertising of e-cigarettes as well.
尽管青少年中电子烟的使用迅速增加，且大量青少年同时使用香烟和电子烟，但目前对于青少年使用电子烟的情况知之甚少。因此，本研究旨在调查（a）电子烟的使用比例，以及（b）与青少年当前吸烟者使用电子烟相关的显著因素。
我们分析了从具有全国代表性的韩国青少年样本中收集的二手数据。我们的研究样本包括6307名当前吸烟者。我们的因变量是电子烟使用情况，分为三类（未使用、曾经使用和当前使用）；自变量包括人口统计学特征、感知压力、父母和朋友吸烟情况、吸烟的三个特征以及其他健康风险行为。描述性统计用于第一个目标；多项逻辑回归分析用于第二个目标。
在当前吸烟者中，20%在其一生中吸过电子烟但在过去30天内未吸（曾经使用者），42%在其一生中且在过去30天内吸过电子烟（当前使用者）。曾经和当前使用电子烟均与男性性别、较高年级、较高每周零花钱、居住在城市地区、朋友吸烟、每日吸烟、吸烟数量较多以及戒烟尝试显著相关。此外，当前使用电子烟与危险饮酒、终生药物使用以及终生性行为显著相关。
电子烟使用应纳入吸烟预防和戒烟的干预策略中。应实施严格规定，以禁止轻易获取电子烟，并禁止电子烟广告。
