Kwon Min, Nam Eunjeong, Lee Jinhwa
Department of Nursing, The University of Suwon, Hwaseong-si, Republic of Korea.
Department of Nursing, Seoul Women's College of Nursing, Seoul, Republic of Korea.
Tob Induc Dis. 2024 May 22;22. doi: 10.18332/tid/187077. eCollection 2024.
With the advent of new tobacco products, poly-tobacco use among adolescents is increasing. Smoking among adolescents negatively impacts both their physical and mental health. This study aimed to determine poly-tobacco use among adolescents in South Korea and to identify the mental health problems caused by single-, dual-, and poly-tobacco use.
Data from 54948 adolescents in the 2020 Korea Youth Behavior Web-based Survey were included. Mental health variables of our primary outcome were loneliness, anxiety, and depression. Descriptive statistics, Rao-Scott χ test and complex sample multivariable logistic regression analysis were conducted to determine the association between the type of tobacco product use and mental health.
Among the subjects, 95.2% were non-tobacco users, followed by single (3.0%), dual (1.1%), and poly users (0.7%). The subjects with poly-tobacco use had significantly higher rates of loneliness (33.2%, p<0.001), anxiety (22.3%, p<0.001), and depression (49.9%, p<0.001) than those who used fewer tobacco products. Subjects who used poly-tobacco products were 2.13 (95% CI: 1.61-2.83) times more likely to report loneliness, 1.52 (95% CI: 1.12-2.07) times more likely to report anxiety, and 2.18 (95% CI: 1.68-2.82) times more likely to report depression than non-tobacco users.
Among adolescents, poly-tobacco use is associated with symptoms of loneliness, depression, and anxiety, which are internalized mental health problems. Poly-tobacco use warrants early assessment of high-risk groups, education on the need for tobacco-use cessation, and active intervention for the psychological difficulties that these high-risk groups experience.
随着新型烟草产品的出现，青少年中多种烟草制品的使用情况正在增加。青少年吸烟对其身心健康均有负面影响。本研究旨在确定韩国青少年中多种烟草制品的使用情况，并识别由单一、双重和多种烟草制品使用所导致的心理健康问题。
纳入了2020年韩国青少年行为网络调查中54948名青少年的数据。我们主要结局的心理健康变量为孤独感、焦虑和抑郁。进行描述性统计、Rao-Scott卡方检验和复杂样本多变量逻辑回归分析，以确定烟草制品使用类型与心理健康之间的关联。
在研究对象中，95.2%为非烟草使用者，其次是单一烟草使用者（3.0%）、双重烟草使用者（1.1%）和多种烟草使用者（0.7%）。与使用较少烟草制品的人群相比，多种烟草使用者出现孤独感（33.2%，p<0.001）、焦虑（22.3%，p<0.001）和抑郁（49.9%，p<0.001）的比例显著更高。与非烟草使用者相比，使用多种烟草制品的人群报告孤独感的可能性高2.13倍（95%置信区间：1.61-2.83），报告焦虑的可能性高1.52倍（95%置信区间：1.12-2.07），报告抑郁的可能性高2.18倍（95%置信区间：1.68-2.82）。
在青少年中，多种烟草制品的使用与孤独感、抑郁和焦虑症状相关，这些均为内化的心理健康问题。多种烟草制品的使用需要对高危人群进行早期评估，开展戒烟必要性教育，并对这些高危人群所经历的心理困难进行积极干预。
