Association of alcohol and drug use with use of electronic cigarettes and heat-not-burn tobacco products among Korean adolescents.

<h4>Background</h4>The tobacco industry has aggressively introduced new and diverse products in the market, including electronic cigarettes (e-cigarettes) and heat-not-burn (HNB) tobacco products, to which adolescents are readily susceptible. Conventional cigarettes have a well-establish...

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Main Authors: Yeji Lee, Kang-Sook Lee
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0220241
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author Yeji Lee
Kang-Sook Lee
author_facet Yeji Lee
Kang-Sook Lee
author_sort Yeji Lee
collection DOAJ
description <h4>Background</h4>The tobacco industry has aggressively introduced new and diverse products in the market, including electronic cigarettes (e-cigarettes) and heat-not-burn (HNB) tobacco products, to which adolescents are readily susceptible. Conventional cigarettes have a well-established relationship with adolescent risky behaviors such as alcohol and drug use; however, no studies exist on the association between alcohol consumption and use of e-cigarettes or HNB tobacco products among Korean adolescents. This study evaluated alcohol-related behaviors and drug use in relation to whether a Korean nationally representative adolescent sample had ever used e-cigarettes and HNB tobacco products.<h4>Methods</h4>Data from the 2018 Korean Youth Risk Behavior Web-based Survey were analyzed. The final study sample comprised 60,040 adolescents. Chi-square and logistic regression were used to examine whether the ever having used e-cigarettes and HNB tobacco products was associated with alcohol-related behaviors and drug use. P-values for trends were calculated to examine the dose-response relationship for each variable.<h4>Results</h4>Respondents with higher drinking frequency, drinking quantity, alcohol intoxication, alcohol availability, and drug use were more likely to report having used e-cigarettes and HNB tobacco products, thus implying a significant relationship between substance use and novel tobacco product (P < .001).<h4>Conclusions</h4>Our findings suggest that at-risk adolescents who are engaged in other forms of risk-taking behaviors are prone to attract the experimentation with e-cigarettes or HNB tobacco products. Thus, smoking cessation programs related to substance use should be implemented, and there is an urgent need to monitor and regulate these products effectively.
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spelling doaj.art-209261677d134311a89a8dfa16eea8832022-12-21T22:50:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01147e022024110.1371/journal.pone.0220241Association of alcohol and drug use with use of electronic cigarettes and heat-not-burn tobacco products among Korean adolescents.Yeji LeeKang-Sook Lee<h4>Background</h4>The tobacco industry has aggressively introduced new and diverse products in the market, including electronic cigarettes (e-cigarettes) and heat-not-burn (HNB) tobacco products, to which adolescents are readily susceptible. Conventional cigarettes have a well-established relationship with adolescent risky behaviors such as alcohol and drug use; however, no studies exist on the association between alcohol consumption and use of e-cigarettes or HNB tobacco products among Korean adolescents. This study evaluated alcohol-related behaviors and drug use in relation to whether a Korean nationally representative adolescent sample had ever used e-cigarettes and HNB tobacco products.<h4>Methods</h4>Data from the 2018 Korean Youth Risk Behavior Web-based Survey were analyzed. The final study sample comprised 60,040 adolescents. Chi-square and logistic regression were used to examine whether the ever having used e-cigarettes and HNB tobacco products was associated with alcohol-related behaviors and drug use. P-values for trends were calculated to examine the dose-response relationship for each variable.<h4>Results</h4>Respondents with higher drinking frequency, drinking quantity, alcohol intoxication, alcohol availability, and drug use were more likely to report having used e-cigarettes and HNB tobacco products, thus implying a significant relationship between substance use and novel tobacco product (P < .001).<h4>Conclusions</h4>Our findings suggest that at-risk adolescents who are engaged in other forms of risk-taking behaviors are prone to attract the experimentation with e-cigarettes or HNB tobacco products. Thus, smoking cessation programs related to substance use should be implemented, and there is an urgent need to monitor and regulate these products effectively.https://doi.org/10.1371/journal.pone.0220241
spellingShingle Yeji Lee
Kang-Sook Lee
Association of alcohol and drug use with use of electronic cigarettes and heat-not-burn tobacco products among Korean adolescents.
PLoS ONE
title Association of alcohol and drug use with use of electronic cigarettes and heat-not-burn tobacco products among Korean adolescents.
title_full Association of alcohol and drug use with use of electronic cigarettes and heat-not-burn tobacco products among Korean adolescents.
title_fullStr Association of alcohol and drug use with use of electronic cigarettes and heat-not-burn tobacco products among Korean adolescents.
title_full_unstemmed Association of alcohol and drug use with use of electronic cigarettes and heat-not-burn tobacco products among Korean adolescents.
title_short Association of alcohol and drug use with use of electronic cigarettes and heat-not-burn tobacco products among Korean adolescents.
title_sort association of alcohol and drug use with use of electronic cigarettes and heat not burn tobacco products among korean adolescents
url https://doi.org/10.1371/journal.pone.0220241
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