The Association between Adolescents Risk Behavior and Smoking

청소년 위험행동과 흡연과의 상관성

  • Lee, Jun Beom (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Hahm, Myung-Il (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Kim, Dong Jun (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Cho, Ha-Hyeon (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Min, In Soon (Department of Health Administration and Management, Soonchunhyang University Graduate School)
  • 이준범 (순천향대학교 일반대학원 보건행정경영학과) ;
  • 함명일 (순천향대학교 일반대학원 보건행정경영학과) ;
  • 김동준 (순천향대학교 일반대학원 보건행정경영학과) ;
  • 조하현 (순천향대학교 일반대학원 보건행정경영학과) ;
  • 민인순 (순천향대학교 일반대학원 보건행정경영학과)
  • Received : 2019.03.07
  • Accepted : 2019.04.19
  • Published : 2019.06.30

Abstract

Purposes: The purpose of this study was to examine the association between risk behaviors and smoking in Korean adolescents. Methods: This study used data from online survey of youth health behavior in 2017. Data from a total of 54,411 people (27,139 male, 27,272 female) were included in the analysis. chi-square test, simple logistic regression, multiple logistic regression were performed using SAS 9.4. Findings: Multiple logistic regression analysis showed that risk behaviors such as drinking alcohol experience, sexual experience, drug use experience and high caffeine energy drinks intake experience had a significant effect on smoking. Adolescents with drinking experience were more likely to smoking than those who had no experience(OR=8.58, 95% CI: 7.67~9.60). Adolescents with sexual experience were more likely to smoking than those who had no experience(OR=4.47, 95% CI: 3.91~5.11). Adolescents with drug use experience were more likely to smoking than those who had no experience(OR=2.32, 95% CI: 1.63~3.32). Also, adolescents with high-caffeine energy drinks intake experience were more likely to smoking than those who had no experience(OR=1.37, 95% CI: 1.23~1.53). Practical Implications: All the risk behaviors were significantly associated with smoking rates. Results of this study suggest that physicians and health workers in medical institutions and health centers should simultaneously serve education and consultation for the smoking cessation as well as for the prevention of risk behaviors.

Keywords

References

  1. WHO. Media centre. Accessed Aug 29 2017.
  2. Lubin JH, Albanes D, Hoppin JA, Chen H, Lerro CC, Weinstein SJ, et al. Greater Coronary Heart Disease Risk With Lower Intensity and Longer Duration Smoking Compared With Higher Intensity and Shorter Duration Smoking: Congruent Results Across Diverse Cohorts. Nicotine & Tobacco Research, 2016; 19(7): 817-825.
  3. Lessov-Schlaggar CN, Hops H, Brigham J, Hudmon KS, Andrews JA, Tildesley E, et al. Adolescent smoking trajectories and nicotine dependence. Nicotine Tob Res 2008; 10(2): 341-351. https://doi.org/10.1080/14622200701838257
  4. Lessov-Schlaggar CN, Hops H, Brigham J, Hudmon KS, Andrews JA, Tildesley E, et al. Adolescent smoking trajectories and nicotine dependence. Nicotine Tob Res 2008; 10(2): 341-351. https://doi.org/10.1080/14622200701838257
  5. Jung KJ, Yun YD, Baek SJ, Jee Sh, Kim IS. Smoking-Attributable Mortality among Korean Adults. The Korean Society of Health Informatics and Statistics 2012; 38(2): 36-48.
  6. Ministry of health & welfare. The 4th National Health Promotion Comprehensive Plan; 2015.
  7. Korea Centers for Disease Control and Prevention. Korea National Health and Nutrition Examination Survey; 2016.
  8. The Korean Society for Preventive Medicine. Preventive Medicine and Public Health. Gyechuk; 2011. pp. 1-953.
  9. U.S. Department of Health and Human Services. Preventing tobacco use among youth and young adults: A report of the surgeon general[Internet]. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012[cited 2015 October 1]. Available from: http://www.surgeongeneral.gov/library/reports/preventing-youthtobacco-use/full-report.pdf.
  10. Shin SR, Jeong GC, Lee BG. The Influence of Cigarette Advertising and Susceptibility to Smoking on Adulthood Smoking Intention. Korean Journal of Youth Studies 2012; 19(10): 1-22.
  11. Riala K, Hakko H, Isohanni M, Jrvelin MR, Rsnen P. Teenage smoking and substance use as predictors of severe alcohol problems in late adolescence and in young adulthood. J Adolesc Health 2004; 35(3): 245-254. https://doi.org/10.1016/S1054-139X(03)00350-1
  12. Han SC. Analysis of a prediction factors of risk behavior with adolescents at a small cities. The Korean Journal of Educational Psychology 2004; 18(3): 193-210.
  13. Min S, Kong ID, Cha SK, Shin J. The effect of alcohol in the nicotinic acetylcholine receptor. Korean J Psychopharmacol 2006; 17(1): 81-90.
  14. Gwon SH, Lee CY. Factors that influence sexual intercourse among middle school students: using data from the 8th (2012) Korea Youth Risk Behavior Web-based Survey. Journal of Korean Academy of Nursing 2015; 45(1): 76-83. https://doi.org/10.4040/jkan.2015.45.1.76
  15. Son AR. Smoking, Drinking and Sexual Behavior of Seoul Youth. J, of Korean Alcohol Science, 2010; 11(1): 77-87.
  16. Ministry of Education, Ministry of Health & Welfare, Korea Centers for Disease Control and Prevention. The 9th Korea youth risk behavior web-based survey 2013. Chungwon; 2013. pp. 1-421.
  17. US Dept of Health and Human Services - US Public Health Service, Office of Analysis and Inspections. The Health Consequences of Smoking. Nicotine addiction-a Report of the Surgeon General. 1988.
  18. Cohen M, Llein DF. Age of oneself of drug abuse in psychiatric inpatients. Arch Gen Psychiatry 1972; 26: 266-269. https://doi.org/10.1001/archpsyc.1972.01750210074014
  19. Marshall WR, Epstein LH, Green SB. Coffee drinking and cigarette smoking: I. Coffee, caffeine and cigarette smoking behavior. Addict Behaviors 1980; 5(4): 389-394. https://doi.org/10.1016/0306-4603(80)90012-X
  20. Kaprio J, Koskenvuo M. A prospective study of psychological and socioeconomic characteristics, health behavior and morbidity in cigarette smokers prior to quitting compared to persistent smokers and non-smokers. J Clin Epidemiol 1988; 41(2): 139-150. https://doi.org/10.1016/0895-4356(88)90088-1
  21. Henningfield JE, Radzius A, Cooper TM, Clayton RR. Drinking coffee and carbonated beverages blocks absorption of nicotine from nicotine polacrilex gum. JAMA 1990; 264(12): 1560-1564. https://doi.org/10.1001/jama.1990.03450120072032
  22. Noh DH, Han DH, Na C, Min KJ, Park DB. Effects of Smoking on Drinking Behavior. J Korean Neuropsychiatr Assoc 2011; 50: 222-227.
  23. Choi SH, Kim YJ, Park SY, Lee JH, Oh KY. Trends in cigarette smoking among adolescents and adults in South Korea. Epidemiology and Health. 2014; 36
  24. Kim SS. The Study on the Influential Factors of Adolescent's Drinking Behavior and Intention. Journal of Korean Alcohol Science 2006; 7(2): 73-96.
  25. Lee JH. Effects of Social Environment on Adolescent Alcohol Use. Journal of Korean Alcohol Science 2010; 11(2): 61-72.
  26. Kim DS, Kim YS, Kim SH, Jang YH, Jang MS, Park J. Relationship between smoking experience and internet addiction in adolescence. The Korean Institute of Communications and Information Sciences 2012; 7(4): 937-944.
  27. Rotheram-Borus, Jane M, Gwadz M. Sexuality among youths at high risk. Child and Adolescent Psychiatric Clinics of North America 1993; 2(3): 415-430. https://doi.org/10.1016/S1056-4993(18)30549-2
  28. Shrier LA, Emans SJ, Woods ER, Durant RH. The association of sexual risk behaviors and problem drug behaviors in high school students. Journal of Adolescent Health 1997; 20(5): 377-383. https://doi.org/10.1016/S1054-139X(96)00180-2
  29. Yang SO, Jeong GH, Paik SS. Sexual Attitudes and Experiences of Middle School Students in Gangwon Province. Journal of Korean Academy of Community Health Nursing 1998; 9(2): 482-501.
  30. Newcomb MD, Maddahian E, Bentler PM. Risk factors for drug use among adolescents: concurrent and longitudinal analyses. American journal of public health 1986; 76(5): 525-531. https://doi.org/10.2105/AJPH.76.5.525
  31. Hynes MM. A school-based smoking prevention program for adolescent girls in New York City. Public Health Reports 1989; 104(1): 83-87.
  32. Park JS, Lee EJ, Lee CH, Chung HS. Consumption status, risk awareness and experience of adverse effects of high-caffeine energy drink among university students. Korea Society of public Health Nursing 2015; 29(1): 102-114. https://doi.org/10.5932/JKPHN.2015.29.1.102
  33. Lee SS. Survey of intake of beverages containing caffeine (coffee) among elementary and middle school students. Consumer safety. Korea Consumer Agency, 2002 November.
  34. Puccio EM, McPhillips JB, Barrett-Connor E, Ganiats TG. Clustering of atherogenic behaviors in coffee drinkers. Am J Public Health 1990; 80(11): 1310-1313. https://doi.org/10.2105/AJPH.80.11.1310
  35. Ahn HJ, Gwak JI, Yun SJ, Choi HJ, Nam JW, Shin JS. The Influence of Coffee Consumption for Smoking Behavior. Korean Journal of Family Practice 2017; 7(2): 218-222. https://doi.org/10.21215/kjfp.2017.7.2.218
  36. Gwon SH, Jeong SY. Factors Influencing Adolescent Lifetime Smoking and Current Smoking in South Korea: Using data from the 10th (2014) Korea Youth Risk Behavior Web-Based Survey. J Korean Acad Nurs 2016; 46(4): 552-561. https://doi.org/10.4040/jkan.2016.46.4.552
  37. Moon JS, Kim NC, Yang S, Park HR, Song GA, Jeong SG. The Actual Conditions of Elementary School Students in Seoul. J Korea Community Health Nursing Academic Society 2000; 14(2): 281-292.
  38. Cho SH, Eom AY, Jeon GS. The effects of Socio-Economic Status on Drinking and Smoking in Korean Adolescents. The Korean Jurnal of Health Service Management 2012; 6(4): 13-25.
  39. Kim DJ, Kim SJ. Impact of increased Tobacco Price on Adult Smoking Rate in South Korea. Health Policy and Management 2017; 27(3) 219-228. https://doi.org/10.4332/KJHPA.2017.27.3.219
  40. Kim DJ, Kim SJ. Impact of nearby smoking on adolescent smoking behavior in Korea. Medicine 2018; 97(45).