Jung Sunju, Kang Heewon, Cho Sung-Il
Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
Institute of Health and Environment, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
Tob Induc Dis. 2024 Dec 7;22. doi: 10.18332/tid/196477. eCollection 2024.
This study evaluated smoking trends among career military personnel in South Korea. After a tobacco tax increase in 2015, the tobacco control program for career military personnel expanded significantly. This study explores long-term smoking trends among career military personnel through age-period-cohort (APC) analysis within the context of targeted tobacco control policies.
This secondary data analysis utilized data from 12052 individuals aged 19--54 years, identified as career military personnel in the Korea Community Health Survey (KCHS) from 2008 to 2022. APC analysis with the intrinsic estimator (IE) method was conducted to address multicollinearity and accurately assess the contributions of age, period, and birth cohort to smoking prevalence.
Smoking prevalence significantly decreased among career military personnel, from 46.2% in 2008 to 34.1% in 2022. The highest prevalence of smoking was initially observed in the age group of 22-24 years. Although overall prevalence declined, a slight increase was observed in the age group of mid-30s to early 40s, suggesting that smoking behavior varied across age groups. A significant decrease occurred between 2014 and 2016, with individuals born in the 1970s exhibiting the highest smoking prevalence, and those born after 1980 demonstrating a notably lower smoking prevalence.
Although smoking prevalence has declined, the distinct age, period, and cohort characteristics of career military personnel necessitate tailored tobacco control policies that consider the various aspects of military life.
本研究评估了韩国职业军人的吸烟趋势。2015年提高烟草税后，针对职业军人的烟草控制计划大幅扩大。本研究在有针对性的烟草控制政策背景下，通过年龄-时期-队列（APC）分析探索职业军人的长期吸烟趋势。
这项二次数据分析使用了2008年至2022年韩国社区健康调查（KCHS）中确定为职业军人的12052名19至54岁个体的数据。采用内在估计器（IE）方法进行APC分析，以解决多重共线性问题，并准确评估年龄、时期和出生队列对吸烟流行率的影响。
职业军人的吸烟流行率显著下降，从2008年的46.2%降至2022年的34.1%。最初在22至24岁年龄组观察到最高吸烟率。尽管总体流行率下降，但在35岁中期至40岁初期年龄组观察到略有上升，这表明吸烟行为因年龄组而异。2014年至2016年出现显著下降，出生于20世纪70年代的人吸烟率最高，而80年代后出生的人吸烟率明显较低。
尽管吸烟流行率有所下降，但职业军人独特的年龄、时期和队列特征需要制定考虑军事生活各个方面的针对性烟草控制政策。
