Journal of the Korean Society of School Health (한국학교보건학회지)

The Korean Society of School Health (한국학교보건학회)
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Factors Associated with Smoking Behaviors and Amount of Tobacco Consumption among Korean Adolescents

청소년 흡연 행위 및 흡연량 관련 요인

  • Kim, Eun-Mi (College of Nursing, Research Institute of Nursing Science, Pusan National University)
  • 김은미 (부산대학교 간호대학.간호과학연구소)
  • Received : 2021.03.11
  • Accepted : 2021.04.16
  • Published : 2021.04.30
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Abstract

Purpose: Smoking among adolescents is a critical healthcare concern that needs to be tackled with respect to not only intrapersonal and interpersonal factors but also socio-cultural factors. This study was to identify the smoking behaviors and amount of tobacco consumption among adolescents, and to investigate the factors associated with the behaviors and amount. Methods: A cross-sectional study was conducted based on the theory of triadic influence using a nationally representative secondary data set, the 2018 Korea Youth Risk Behavior Survey (N=60,040). The analysis was performed by dividing smoking behaviors into lifetime, current, and daily smoking, and smoking amount into light, moderate, and heavy smoking. Descriptive statistics and multinomial logistic regression analyses were conducted. Results: Overall, 8.2%, 3.2% and 3.4% of the adolescents were involved in lifetime, current, and daily smoking, respectively. In addition, 5.3%, 0.8%, and 0.6% of the adolescents were involved in light, moderate, and heavy smoking, respectively. The factor associated with smoking behaviors and the amount of tobacco consumed were gender, academic achievement, depression, living with family, close friend's smoking, violent victimization, household economic status, and school level (all ps<.05). Conclusion: A considerable number of adolescents are engaged in risky smoking behaviors and consume large amounts of tobacco. Adolescents who said yes to peer smoking, violent victimization, not living with their family, and depressive emotions were more likely to engage in risky smoking behaviors and consume large amounts of tobacco. Tailored interventions to decrease smoking should be planed and provided, while considering the school and home environment and individual needs of adolescents.

Keywords

Acknowledgement

본 연구는 2020학년도 부산대학교 교내학술연구비(신임교수연구정착금)에 의한 연구임.

References

  1. World Health Organization. Fact sheet tobacco 2018 [Internet]. Geneva: World Health Organization; 2018 [cited 2021 March 02]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/tobacco
  2. Arrazola RA, Ahluwalia IB, Pun E, Garcia de Quevedo I, Babb S, Armour BS. Current tobacco smoking and desire to quit smoking among students aged 13-15 years -global youth tobacco survey, 61 countries, 2012-2015. Morbidity and Mortality Weekly Report. 2017;66(20):533-537. https://doi.org/10.15585/mmwr.mm6620a3
  3. Korean Ministry of Education, Korean Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. The fourteenth Korea youth risk behavior survey statistics. Osong: Republic of Korea: Korean Center for Disease Control and Prevention; 2018.
  4. Kim EM, Park E, Kim H. Sex differences in multilevel factors of smoking experimentation and age of initiation in Korean adolescents. The Journal of School Nursing. 2020;36(5):348-359. https://doi.org/10.1177/1059840519840805
  5. Korean Ministry of Health and Welfare, Korean Center for National Non-smoking Support. Guidelines for smoking prevention projects of school 2020. Health Policy Report. Osong: Republic of Korea: Korean Center for Disease Control and Prevention; 2020 March. Report No.: 11-1352000-000251-10.
  6. Rhim YT. Review and suggestion on smoking related problems in adolescents. Korean Society for the Study of Physical Education. 2013;18(3):273-283.
  7. Kuhn C. Emergence of sex differences in the development of substance use and abuse during adolescence. Pharmacology &Ttherapeutics. 2015;153:55-78. https://doi.org/10.1016/j.pharmthera.2015.06.003
  8. McKenzie M, Olsson CA, Jorm AF, Romaniuk H, Patton GC. Association of adolescent symptoms of depression and anxiety with daily smoking and nicotine dependence in young adulthood: findings from a 10-year longitudinal study. Addiction. 2010;105(9):1652-1659. https://doi.org/10.1111/j.1360-0443.2010.03002.x
  9. Luk JW, Wang J, Simons-Morton BG. The co-occurrence of substance use and bullying behaviors among U.S. adolescents: understanding demographic characteristics and social influences. Journal of Adolescence. 2012;35(5):1351-1360. https://doi.org/10.1016/j.adolescence.2012.05.003
  10. Lydon DM, Wilson SJ, Child A, Geier CF. Adolescent brain maturation and smoking: what we know and where we're headed. Neuroscience & Biobehavioral Reviews. 2014;45:323-342. https://doi.org/10.1016/j.neubiorev.2014.07.003
  11. ConstanceWiener R, Trickett Shockey AK, Morgan SK. Adolescent light cigarette smoking patterns and adult cigarette smoking. Advances in Epidemiology. 2016;9587340:1-7. https://doi.org/10.1155/2016/9587340
  12. Flay BR, Petraitis J. The theory of triadic influence: a new theory of health behavior with implications for preventive interventions. Advances in Medical Sociology. 1994;4:19-44.
  13. Flay BR, Petraitis J, Hu FB. Psychosocial risk and protective factors for adolescent tobacco use. Nicotine & Tobacco Research. 1991;1suppl.l:S59-65. https://doi.org/10.1080/14622299050011611
  14. Gwon SH, Jeong S. Factors influencing adolescent lifetime smoking and current smoking in South Korea: using data from the 10th (2014) Korea youth risk behavior web-based survey. Journal of Korean Academy of Nursing. 2016;46(4):552-561. https://doi.org/10.4040/jkan.2016.46.4.552
  15. Hwang JH, Park SW. Age at smoking initiation and subsequent smoking among Korean adolescent smokers. Journal of Preventive Medicine and Public Health. 2014;47(5):266-272. https://doi.org/10.3961/jpmph.14.032
  16. Cambron C, Kosterman R, Catalano RF, Guttmannova K, Hawkins JD. Neighborhood, family, and peer factors associated with early adolescent smoking and alcohol use. Journal of Youth and Adolescence. 2018;47(2):369-382. https://doi.org/10.1007/s10964-017-0728-y
  17. Aho H, Koivisto AM, Paavilainen E, Joronen K. Parental involvement and adolescent smoking in vocational setting in Finland. Health Promotion International. 2018;33(5):846-857. https://doi.org/10.1093/heapro/dax027
  18. Wang C, Hipp JR, Butts CT, Jose R, Lakon CM. Coevolution of adolescent friendship networks and smoking and drinking behaviors with consideration of parental influence. Psychology of Addictive Behaviors. 2016;30(3):312. https://doi.org/10.1037/adb0000163
  19. Liao Y, Huang Z, Huh J, Pentz MA, Chou CP. Changes in friends' and parental influences on cigarette smoking from early through late adolescence. The Journal of Adolescent Health. 2013;53(1):132-138. https://doi.org/10.1016/j.jadohealth.2013.01.020
  20. Scalici F, Schulz PJ. Parents' and peers' normative influence on adolescents' smoking: results from a Swiss-Italian sample of middle schools students. Substance Abuse Treatment, Prevention, and Policy. 2017;12(5):1-9. https://doi.org/10.1186/s13011-017-0089-2
  21. Ragan DT. Peer beliefs and smoking in adolescence: a longitudinal social network analysis. The American Journal of Drug and Alcohol Abuse. 2016;42(2):222-230. https://doi.org/10.3109/00952990.2015.1119157
  22. Littlecott HJ, Hawkins J, Mann M, Melendez-Torres GJ, Dobbie F, Moore G. Associations between school-based peer networks and smoking according to socioeconomic status and tobacco control context: protocol for a mixed method systematic review. Systematic reviews. 2019;8(1):313. https://doi.org/10.1186/s13643-019-1225-z
  23. Niemela S, Brunstein-Klomek A, Sillanmaki L, Helenius H, Piha J, Kumpulainen K, et al. Childhood bullying behaviors at age eight and substance use at age 18 among males. A nationwide prospective study. Addictive Behaviors. 2011;36(3):256-260. https://doi.org/10.1016/j.addbeh.2010.10.012
  24. Chiolero A, Jacot-Sadowski I, Faeh D, Paccaud F, Cornuz J. Association of cigarettes smoked daily with obesity in a general adult population. Obesity. 2007;15(5):1311-1318. https://doi.org/10.1038/oby.2007.153
  25. Robalino JD, Macy M. Peer effects on adolescent smoking: are popular teens more influential? PLOS One. 2018;13(7):e0189360. https://doi.org/10.1371/journal.pone.0189360
  26. Langford R, Bonell C, Jones H, Pouliou T, Murphy S, Waters E, et al. The World Health Organization's health promoting schools framework: a cochrane systematic review and meta- analysis. BMC Public Health. 2015;15:130. https://doi.org/10.1186/s12889-015-1360-y
  27. Dobbie F, Purves R, McKell J, Dougall N, Campbell R, White J, et al. Implementation of a peer-led school based smoking prevention programme: a mixed methods process evaluation. BMC Public Health. 2019;19(1):742. https://doi.org/10.1186/s12889-019-7112-7
  28. Khantzian EJ. The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harvard Review of Psychiatry. 1997;4(5):231-244. https://doi.org/10.3109/10673229709030550
  29. Audrain-McGovern J, Leventhal AM, Strong DR. The role of depression in the uptake and maintenance of cigarette smoking. International Review of Neurobiology. 2015;124:209-243. https://doi.org/10.1016/bs.irn.2015.07.004
  30. Bickel WK, Johnson MW, Koffarnus MN, MacKillop J, Murphy JG. The behavioral economics of substance use disorders: reinforcement pathologies and their repair. Annual Review of Clinical Psychology. 2014;10:641-677. https://doi.org/10.1146/annurev-clinpsy-032813-153724