Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013–2017
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 stu...
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| Format: | Article |
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The Korean Academy of Tuberculosis and Respiratory Diseases
2021-04-01
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| Series: | Tuberculosis and Respiratory Diseases |
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| Online Access: | http://www.e-trd.org/upload/pdf/trd-2020-0166.pdf |
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| author | Jae Yeol Kim Hye Seon Kang Jae-Woo Jung Sun Young Jung Hye Jung Park Jong Sook Park Joo Hun Park Sang Haak Lee Eun Mi Chun Dong Il Park Jisook Park Hye Sook Choi |
| author_facet | Jae Yeol Kim Hye Seon Kang Jae-Woo Jung Sun Young Jung Hye Jung Park Jong Sook Park Joo Hun Park Sang Haak Lee Eun Mi Chun Dong Il Park Jisook Park Hye Sook Choi |
| author_sort | Jae Yeol Kim |
| collection | DOAJ |
| description | 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 nonsmokers 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. |
| first_indexed | 2024-12-20T03:33:44Z |
| format | Article |
| id | doaj.art-63489ed2d5934cbda06324766cafad8e |
| institution | Directory Open Access Journal |
| issn | 1738-3536 2005-6184 |
| language | English |
| last_indexed | 2024-12-20T03:33:44Z |
| publishDate | 2021-04-01 |
| publisher | The Korean Academy of Tuberculosis and Respiratory Diseases |
| record_format | Article |
| series | Tuberculosis and Respiratory Diseases |
| spelling | doaj.art-63489ed2d5934cbda06324766cafad8e2022-12-21T19:54:56ZengThe Korean Academy of Tuberculosis and Respiratory DiseasesTuberculosis and Respiratory Diseases1738-35362005-61842021-04-0184215916610.4046/trd.2020.01663309Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013–2017Jae Yeol Kim0Hye Seon Kang1Jae-Woo Jung2Sun Young Jung3Hye Jung Park4Jong Sook Park5Joo Hun Park6Sang Haak Lee7Eun Mi Chun8Dong Il Park9Jisook Park10Hye Sook Choi11 Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Republic of Korea Department of Internal Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Republic of Korea College of Pharmacy, Chung-Ang University, Seoul, Republic of Korea Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, Republic of Korea Department of Internal Medicine, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Republic of Korea Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Republic of Korea Department of Software Convergence, Seoul Women’s University College of Interdisciplinary Studies for Emerging Industries, Seoul, Republic of Korea Department of Internal Medicine, Kyung Hee University Hospital, Seoul, Republic of KoreaBackground 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 nonsmokers 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.http://www.e-trd.org/upload/pdf/trd-2020-0166.pdfe-cigarettenicotine dependencestress susceptibility |
| spellingShingle | Jae Yeol Kim Hye Seon Kang Jae-Woo Jung Sun Young Jung Hye Jung Park Jong Sook Park Joo Hun Park Sang Haak Lee Eun Mi Chun Dong Il Park Jisook Park Hye Sook Choi Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013–2017 Tuberculosis and Respiratory Diseases e-cigarette nicotine dependence stress susceptibility |
| title | Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013–2017 |
| title_full | Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013–2017 |
| title_fullStr | Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013–2017 |
| title_full_unstemmed | Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013–2017 |
| title_short | Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013–2017 |
| title_sort | nicotine dependence and stress susceptibility in e cigarette smokers the korea national health and nutrition examination survey 2013 2017 |
| topic | e-cigarette nicotine dependence stress susceptibility |
| url | http://www.e-trd.org/upload/pdf/trd-2020-0166.pdf |
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