Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea.
Int J Environ Res Public Health. 2021 Jan 6;18(2):367. doi: 10.3390/ijerph18020367.
The relationships between multiple tobacco products, such as heated tobacco products (HTPs), electronic cigarettes (ECs), and combustible cigarettes (CCs), and suicide-related behaviors among adolescents have not been extensively researched. This study examined the associations between the type of tobacco products used and suicidal thoughts, plans, and attempts among Korean adolescents. Data from the 2019 Korea Youth Risk Behavior Web-Based Survey were analyzed, and participants included 57,069 individuals aged 13-18 years. A multivariable logistic regression analysis was performed. Of the total participants, 13.0%, 4.0%, and 2.9% reported suicidal thoughts, suicidal plans, and suicidal attempts, respectively. After adjusting for confounding variables, all tobacco product users showed a greater likelihood of having suicidal behavior. However, compared with never users, dual users of CCs and HTPs were not significantly associated with having suicidal thoughts and attempts. Among tobacco product users, dual users of ECs and HTPs and triple users of CCs, ECs, and HTPs showed a greater likelihood of having suicidal behavior. Considering the prevalence of suicide and the increasing trend of using multiple tobacco products among Korean adolescents, tobacco control policies should monitor the effects of different products.
多种烟草制品（如加热烟草制品[HTP]、电子烟[EC]和可燃香烟[CC]）与青少年自杀相关行为之间的关系尚未得到广泛研究。本研究调查了韩国青少年使用不同类型烟草制品与自杀念头、自杀计划和自杀尝试之间的关联。对 2019 年韩国青少年风险行为网络调查的数据进行了分析，参与者包括 13-18 岁的 57069 人。采用多变量逻辑回归分析。在总参与者中，分别有 13.0%、4.0%和 2.9%报告有自杀念头、自杀计划和自杀尝试。在调整了混杂变量后，所有烟草制品使用者出现自杀行为的可能性均增加。然而，与从未使用者相比，同时使用可燃香烟和 HTP 的双重使用者与自杀念头和自杀尝试之间没有显著关联。在烟草制品使用者中，同时使用 EC 和 HTP 的双重使用者以及同时使用可燃香烟、EC 和 HTP 的三重使用者出现自杀行为的可能性更大。考虑到韩国青少年自杀的流行率和使用多种烟草制品的趋势不断增加，烟草控制政策应监测不同产品的影响。
