Tuberculosis and Respiratory Diseases

  • 제84권2호
  • /
  • Pages.159-166
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  • 2021
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  • 1738-3536(pISSN)
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  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
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Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013-2017

  • Kim, Jae Yeol (Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Kang, Hye Seon (Department of Internal Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jung, Jae-Woo (Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Jung, Sun Young (College of Pharmacy, ChungAng University) ;
  • Park, Hye Jung (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Jong Sook (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Park, Joo Hun (Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine) ;
  • Lee, Sang Haak (Department of Internal Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Chun, Eun Mi (Department of Internal Medicine, Ewha Womans University College of Medicine) ;
  • Park, Dong Il (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Park, Jisook (Department of Software Convergence, Seoul Women's University College of Interdisciplinary Studies for Emerging Industries) ;
  • Choi, Hye Sook (Department of Internal Medicine, Kyung Hee University Hospital) ;
  • Korean Smoking Cessation Study Group (Korean Smoking Cessation Study Group)
  • 투고 : 2020.12.24
  • 심사 : 2021.01.02
  • 발행 : 2021.04.30
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초록

Background: E-cigarettes are steadily gaining popularity in Korea. However, the characteristics of e-cigarette smokers, especially nicotine dependence and stress susceptibility, have not been evaluated in comparison to those of nonsmokers or combustible cigarette smokers in Korea. Methods: In this study, 28,059 participants from the Korea National Health and Nutrition Examination Survey (2013-2017) were classified into the following three groups: non-smokers, smokers (current smokers and ex-smokers of combustible cigarettes only), and e-smokers (current smokers and ex-smokers of e-cigarettes regardless of combustible cigarette use). Results: Among the participants, 16,980 (60.5%), 9,247 (33.0%), and 1,832 (6.4%) subjects were non-smokers, smokers, and e-smokers, respectively. E-smokers were younger, more educated, and had a higher household income than non-smokers or smokers. The number of e-smokers who smoked within 5 minutes of waking up (31.5% vs. 19.8%, p<0.001) and who planned to quit smoking within 6 months (39.1% vs. 35.7%, p<0.05) was greater than that of smokers. E-smokers perceived stress as "very much" (7.0% vs. 4.4%, p<0.001) and "a lot" (29.1% vs. 20.5%, p<0.001) compared to non-smokers. Suicidal ideation (6.5% vs. 4.7%, p<0.001), plans (2.4% vs. 1.3%, p<0.001), and attempts (1.1% vs. 0.5%, p<0.001) were higher in e-smokers than in non-smokers. Depressive episodes in 1 year (14.2% vs. 11.4%, p<0.05) and suicidal plans (2.4% vs. 1.8%, p<0.05) were more frequent among e-smokers than among smokers. Conclusion: E-smokers were younger, more educated, and had a higher income, but they were more dependent on nicotine and susceptible to stress than non-smokers and smokers. Smoking cessation counseling should be tailored according to the characteristics of e-smokers.

키워드

과제정보

This study was supported by the Ministry of Health & Welfare, Republic of Korea.

참고문헌

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