Department of Health Information, Dongguk University, Wise Campus, 123, Dongdae-ro, Gyeongju-si, Gyeongsangbuk-do 38066, Korea.
College of Nursing, Korea University, Anam-Dong, Seongbuk-Gu, Seoul 02841, Korea.
Int J Environ Res Public Health. 2022 Aug 5;19(15):9633. doi: 10.3390/ijerph19159633.
Few studies have examined the use of multiple tobacco products among adolescents with asthma. The purpose of this study was to examine multiple tobacco product use and smoking behaviors. In this study, data from the Korea Youth Risk Behavior Web-based Survey (KYRBWS) were used, and 57,303 samples from 400 middle schools and 400 high schools in Korea were classified as study participants. Statistical analysis was performed with a complex sample design, using frequency analysis, chi-square test, and multiple logistic regression analysis. Adolescents with asthma had a higher current smoking rate for combustible cigarettes (CC), e-cigarettes (EC), and heated tobacco products (HTPs) than those without asthma (p < 0.001). The rates of dual use (using two types of tobacco; CC + EC or CC + HTPs or EC + HTPs; OR = 2.62, 95% CI: 1.626−4.240, R2 = 26.8%) and triple use (using three types of tobacco; CC + EC + HTPs; OR = 2.61, 95% CI: 1.678−4.065, R2 = 34.9%) were higher in adolescents with asthma than those without asthma, after adjusting for confounders. The smoking rate of new types of tobacco among adolescents with asthma is on the rise. Therefore, the calculation of basic data related to new tobacco smoking among adolescents is essential for establishing a continuous monitoring system to alleviate the burden of disease on national health.
很少有研究调查过哮喘青少年同时使用多种烟草制品的情况。本研究旨在调查青少年同时使用多种烟草制品和吸烟行为。本研究使用了韩国青少年风险行为网络调查（KYRBWS）的数据，将来自韩国 400 所中学和 400 所高中的 57,303 个样本归类为研究参与者。采用复杂样本设计，运用频率分析、卡方检验和多因素逻辑回归分析进行统计分析。患有哮喘的青少年比没有哮喘的青少年更有可能当前吸食可燃香烟（CC）、电子烟（EC）和加热烟草制品（HTP）（p<0.001）。同时使用两种烟草制品（CC+EC 或 CC+HTPs 或 EC+HTPs；OR=2.62，95%CI：1.626-4.240，R2=26.8%）和同时使用三种烟草制品（CC+EC+HTPs；OR=2.61，95%CI：1.678-4.065，R2=34.9%）的双重和三重使用率在哮喘青少年中更高，在调整了混杂因素后。患有哮喘的青少年使用新型烟草制品的吸烟率呈上升趋势。因此，计算与青少年新型烟草吸烟相关的基本数据对于建立一个持续的监测系统以减轻国家卫生负担至关重要。
