Journal of the Korean society of biological therapies in psychiatry (생물치료정신의학)

The Korean Society of Biological Therapies in Psychiatry (대한생물치료정신의학회)
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Factors Associated with Smoking Frequency and Suicidal Attempt in Korean Adolescent Smokers

흡연 청소년의 흡연 빈도와 자살 시도에 영향을 미치는 요인

  • Kang, Dae Hun (Department of Psychiatry, Catholic University of Daegu School of Medicine) ;
  • Kim, Jun Won (Department of Psychiatry, Catholic University of Daegu School of Medicine) ;
  • Lee, Jong Hun (Department of Psychiatry, Catholic University of Daegu School of Medicine) ;
  • Yoon, Seo Young (Department of Psychiatry, Catholic University of Daegu School of Medicine) ;
  • Choi, Tae Young (Department of Psychiatry, Catholic University of Daegu School of Medicine)
  • 강대훈 (대구가톨릭대학교 의과대학 정신건강의학교실) ;
  • 김준원 (대구가톨릭대학교 의과대학 정신건강의학교실) ;
  • 이종훈 (대구가톨릭대학교 의과대학 정신건강의학교실) ;
  • 윤서영 (대구가톨릭대학교 의과대학 정신건강의학교실) ;
  • 최태영 (대구가톨릭대학교 의과대학 정신건강의학교실)
  • Received : 2018.09.18
  • Accepted : 2018.09.29
  • Published : 2018.10.31

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Abstract

Objectives : Among adolescents, the proportion of daily smoking tends to increase with age, and does not return to the previous level. Therefore, we examined the factors associated with smoking frequency in a nationwide sample of Korean adolescents to help prevent the progression of smoking. Methods : Among 127,804 adolescents who participated in the 2016 and 2017 Korean Youth Risk Behavior Web-Based Survey, data from 7,781 adolescents who replied that they currently smoked were analyzed. According to the frequency of cigarette smoking, participants were classified into daily and non-daily smokers. Participants' socio-demographic characteristics, smoking behavior, and psychological problems including perceived stress, depressive mood, and suicidality were assessed. Results : There were 3,627(47.4%) daily smokers and 4,154(52.6%) non-daily smokers. Low parental educational level, and early smoking experience were positively associated with daily smoking. High academic achievement, and high socio-economic status were negatively associated with daily smoking. Daily smoking was positively associated with lower happiness, lower sleep satisfaction, and severe stress during the past 12 months. Factors affecting suicide attempts of smokers were sex, residential type, socioeconomic status, and early smoking experience. Conclusion : The results indicated that socially disadvantaged families, and smoking experience with young age influenced daily smoking among Korean adolescents. Daily smoking was associated with psychological problems including lower happiness, lower sleep satisfaction, and severe stress. Early smoking experience influenced suicidal attempts among Korean adolescent smokers. Early intervention for smoking cessation in this high-risk group may contribute to prevention of these psychiatric complications of smoking.

Keywords

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