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담배가격 인상에 따른 흡연율 및 금연계획의 변화

A Study on the Cigarette price increases induced changes in Smoking rate and Smoking cessation plan

  • 이수복 (양산제일병원) ;
  • 서정안 (인천재능대학교 보건의료행정과)
  • Soo-Bok Lee (Yangsan Cheil Hospital) ;
  • Jeong-An Seo (Department of Health Administration, Incheon Jaeneung University)
  • 투고 : 2022.07.22
  • 심사 : 2022.09.23
  • 발행 : 2022.12.31

초록

본 연구는 2015년 담배가격 인상 정책 전후의 흡연율 및 금연 계획 변화에 대해 알아보고자 하였다. 이에 본 연구는 국민건강영양조사를 토대로 담배가격을 인상하기 전 2013년도와 인상을 시작한 2015년, 그 후 2017년도의 인구 사회학적 변인(성별, 연령, 소득 5분위, 직업분류, 교육 수준, 고혈압 유병, 당뇨병 유병)과 건강행태(음주, 스트레스 인지, 비만)에 따른 흡연율 변화와 금연 계획 변화를 분석하였다. 연구 결과 2013년의 흡연율은 23.3%, 2015년의 흡연율은 20.5%, 2017년의 흡연율은 21.0%로 나타나 담배가격을 인상하기 전보다는 흡연율이 감소한 것을 확인할 수 있었다. 담배가격 상승은 사회학적 변인 중 소득, 직업, 교육 수준은 흡연율의 차이를 보였고 건강행태는 흡연율에 큰 영향을 주지 않는 것으로 나타났다. 또한, 담배가격 인상이 금연 계획 증가에 일시적인 효과를 보였으나 금연계획의 상승이 반드시 흡연율 감소로 이어지는 것은 아닌 것으로 나타났다. 따라서 향후에는 성별, 연령별, 사회적 요인별로 맞춤형 금연 프로그램을 제공하여 금연계획이 흡연율 감소로 이어질 수 있도록 국가적인 차원에서 노력이 필요하겠다. 그리고 본 연구에서 크게 확인하지 못한 건강행태에 따른 연구도 진행되어야 하며 향후 가격인상 정책을 고려하거나, 새로운 정책을 시행할 경우 본 연구가 흡연율 영향을 예측하는데 도움이 되기를 바란다.

The purpose of this study is to investigate the changes in smoking rates and smoking cessation plans before and after the cigarette price increases in 2015. Therefore, based on the National Health and Nutrition Survey, this study analyzes the correlation of the change in smoking rate and cessation plans with sociological variables (gender, age, income quintile, occupation, education level, hypertension, diabetes) and health behaviors (drinking, stress perception, obesity) in 2013 before the cigarette price increases and in 2015 and then in 2017. Results indicated that the smoking rate in 2013 was 23.3%, the smoking rate in 2015 was 20.5%, and the smoking rate in 2017 was 21.0%, indicating that the smoking rate decreased compared to before the cigarette price was raised. Among the sociological variables, the cigarette price increases showed a difference in the smoking rate of income, occupation, and education level, and health behavior was found to have no significant effect on smoking rate. In addition, the cigarette price increases showed a temporary effect on the increase in the smoking cessation plan, but the increase in the smoking cessation plan did not necessarily lead to decrease the smoking rate. Therefore, in the future, efforts will be needed at the national level to provide customized smoking cessation programs by gender, age, and social factors so that the smoking cessation plan can lead to decrease the smoking rate. In addition, Research on health behaviors that were not identifited in this study should also be conducted. We hope that this study will help the prediction of the impact of smoking rate in case the price increases policies are considered or implemented.

키워드

참고문헌

  1. M-J. Gong, and Y-W. Shim, 'The Effects of Socio-Economic Status on Smoking Cessation Plans in Smokers', The Korean Journal of Health Service Management, vol.12, no.2, pp.135-147, 2018.  https://doi.org/10.12811/kshsm.2018.12.2.135
  2. World Health Organization, 'WHO Report on the Global Tobacco Epidemic', 2017. 
  3. www.index.go.kr 
  4. www.kdca.go.kr 
  5. Heather, E. W., Mitchell, T. H., and Bruce, M.B, 'Patterns and predictors of smoking cessation in an elderly cohort', American Geriatrics Society, 54, pp.466-471, 2006  https://doi.org/10.1111/j.1532-5415.2005.00641.x
  6. Burns, D. M, 'Cigarette smoking among the elderly: Disease consequences and the benefits of cessation', American Journal of Health Promotion, vol.14, no.6, pp.357-361, 2000.  https://doi.org/10.4278/0890-1171-14.6.357
  7. Wiencke JK, and Kelsey KT, 'Teen smoking, field cancerization, and a "criticalperiod" hypothesis for lung cancer susceptibility', Environ Health Perspect, vol.110, no.6, pp. 555-8, 2002.  https://doi.org/10.1289/ehp.02110555
  8. M-H, Jung, 'Halitosis and Bacteria Distribution in the oral cavity according to smoking status of university students', Journal of The Health Care and Life Science, vol. 10, no. 1, pp. 157-162, 2022.  https://doi.org/10.22961/JHCLS.2022.10.1.157
  9. Center for disease control and prevention, 'E-cigarette use among youth and young adults: A report of the surgeon general, Executive summary', 2016. 
  10. Korea Centers for Disease Centrol(2016), Korea Health Statistics 2015: Korea National Health and Nutrition Examination Survey, Ministry of Health & Welfare, pp.24-25, 2016. 
  11. S-O. Lee, 'A Predictive Model on the Smoking Behavior of the Fertile Unmarried Women', The Graduate School, Chung-Ang University, 2003. 
  12. Ministry of Health and Welfare, '2019 community integrated health promotion project information. Sejong', 2019. 
  13. Y-J. Kang, G-E. Go, and N-W. Cho, 'A Study on the Consequential Effects of Tobacco Price Increase by Income Class', The Korean Association of Public Finance, 2013. 
  14. Y-S. Kim, 'Current State of the National Antismoking Policy and Tasks for Improvement', National Assembly Research Service, 2012. 
  15. S-E. Choi, 'The Fiscal Effect of Tobacco Taxation', Korea Institute of Public Finance, 2014. 
  16. W-N. Kim, and H-S. Yang, 'The Effect of Tobacco Price upon the Tobacco and Health Demand', Journal of the Korean Data Analysis Societ, vol.12, no.5, pp.2785-2794, 2010. 
  17. S-J. Go, 'Changes in Perception and Behavior of Tobacco Prices', Korea Institute for Health and Social Affairs, vol.217, pp.1-8, 2013. 
  18. Y-J. Shin, 'Effects of The Increase of Cigarette Price on Smoking: Evidence from Foreign Countries', Health Welfare Policy Forum, 2005. 
  19. H-G. Youn, and S-J. Kim, 'The Impact of Tax Increases on Cigarette Smoking: New Evidence from Time Series Data', Journal of Regulation Studies, vol.16, no.2, pp.81-102, 2007. 
  20. H-R. Kim, 'Socioeconomic Inequality and Its Trends in Cigarette Smoking in South Korea, 1998-2005', Korea Institute for Health and Social Affairs, vol.27, no.2, pp.25-43, 2007. https://doi.org/10.15709/hswr.2007.27.2.25