Summary: | Introduction
Tobacco users are categorized as single, dual, and triple users based
on the number of tobacco products (cigarettes, e-cigarettes, and heated tobacco
products) used. This study addressed a literature gap by examining how adult
Korean tobacco users’ quit attempts/plans differed based on the user type, and
the associated psychosocial and subjective health-related factors.
Methods
We used a questionnaire to examine participants' self-reported health,
stress, health concerns, health behavior, tobacco addiction, intentions/plans to
quit, and demographic characteristics. Data were analyzed using chi-squared tests,
one-way analysis of variance, and multiple linear regression.
Results
Of the 1288 tobacco users, 55.4%, 28.3%, and 16.4% were single, dual, and
triple users, respectively. Self-rated health and stress were lowest among single
users and highest among triple users. Most user types had intentions/plans to
quit, especially triple users. Quit attempts and plans increased with increasing
health behaviors and time elapsed before first tobacco use in the morning, but
decreased with higher stress and self-rated addiction.
Conclusions
Intentions/plans to quit tobacco use varied based on the type of tobacco
user. Multiple users had higher self-rated health, plans to quit, and self-reported
addiction; they considered themselves healthy or engaged in healthy behaviors
to offset problems from tobacco use and used multiple tobacco products to quit
smoking. Highly stressed users had fewer plans to quit and used tobacco for stress
relief. Thus, the provision of accurate information about tobacco products and
stress management is important to promote successful quitting.
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