JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow- up survey four months post JUUL launch
Introduction This study examined the various factors in the selection of JUUL (and/ or), a pod-mod type electronic cigarette (EC), and the changes in EC patterns before and after the JUUL debut on 24 May 2019, using follow-up survey data of adult tobacco users in South Korea. Methods This study exa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2023-03-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.tobaccoinduceddiseases.org/JUUL-preference-among-Korean-adult-tobacco-users-and-its-effect-on-attempts-to-quit,160163,0,2.html |
| _version_ | 1797821798138511360 |
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| author | Ju Sam Hwang<sup>+<sup/> Kiheon Lee<sup>+<sup/> Choon-Young Kim Heejin Kim Sungroul Kim Cheol Min Lee |
| author_facet | Ju Sam Hwang<sup>+<sup/> Kiheon Lee<sup>+<sup/> Choon-Young Kim Heejin Kim Sungroul Kim Cheol Min Lee |
| author_sort | Ju Sam Hwang<sup>+<sup/> |
| collection | DOAJ |
| description | Introduction
This study examined the various factors in the selection of JUUL (and/
or), a pod-mod type electronic cigarette (EC), and the changes in EC patterns
before and after the JUUL debut on 24 May 2019, using follow-up survey data
of adult tobacco users in South Korea.
Methods
This study examined transition outcomes among tobacco users and factors
associated with future JUUL use. Convenience sample data were collected from
adult tobacco users in South Korea, from March–April 2019 (baseline, n=2173)
to September 2019 (follow-up, n=779). Results were obtained from the 779
respondents in the follow-up survey, and user data of one or more tobacco
products were analyzed. The changes in the proportion of EC and JUUL use
during this period were calculated, and multivariate logistic regression analysis
was conducted to investigate the selection factors of JUUL.
Results
Four months after the JUUL launch, the proportion of current EC
and JUUL users among the whole sample increased by 10.3% (42.6–52.9%,
p<0.001) and 17.7 % (4.0–21.7%, p<0.001), respectively, while the proportion
of triple users doubled (18.7% vs 37.5%, p<0.001). Among current EC users, the
percentage of quitting EC within one month decreased from 18.7% to 8.7%; this
change was more pronounced among concurrent JUUL users than non-JUUL
users (p<0.001). In the multivariate logistic analysis with adjustment for possible
confounders, JUUL use was significantly associated with male sex, young and
middle age, and metropolitan residency status at the baseline survey.
Conclusions
After the launch of JUUL in South Korea, EC users, including JUUL
and triple users, increased significantly, but the intention to stop EC decreased
significantly. Given the serious interests of the tobacco industry in these products,
additional regulation is warranted. |
| first_indexed | 2024-03-13T09:59:15Z |
| format | Article |
| id | doaj.art-e2eb0981da7948508015b946d88f365c |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-03-13T09:59:15Z |
| publishDate | 2023-03-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-e2eb0981da7948508015b946d88f365c2023-05-23T11:04:20ZengEuropean PublishingTobacco Induced Diseases1617-96252023-03-0121March11210.18332/tid/160163160163JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow- up survey four months post JUUL launchJu Sam Hwang<sup>+<sup/>0https://orcid.org/0000-0001-7341-0607Kiheon Lee<sup>+<sup/>1https://orcid.org/0000-0002-7139-2342Choon-Young Kim2https://orcid.org/0000-0002-1022-8530Heejin Kim3https://orcid.org/0000-0003-4526-0570Sungroul Kim4https://orcid.org/0000-0001-8726-9288Cheol Min Lee5https://orcid.org/0000-0001-8652-4355Department of Family Medicine, Seoul National University Hospital, Seoul, Republic of KoreaDepartment of Family Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of KoreaDepartment of Family Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Republic of KoreaDepartment of Epidemiology and Health Promotion, Institute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Republic of KoreaDepartment of Environmental Health Sciences, Soonchunhyang University, Asan, Republic of KoreaDepartment of Family Medicine, Seoul National University College of Medicine, Seoul, Republic of KoreaIntroduction This study examined the various factors in the selection of JUUL (and/ or), a pod-mod type electronic cigarette (EC), and the changes in EC patterns before and after the JUUL debut on 24 May 2019, using follow-up survey data of adult tobacco users in South Korea. Methods This study examined transition outcomes among tobacco users and factors associated with future JUUL use. Convenience sample data were collected from adult tobacco users in South Korea, from March–April 2019 (baseline, n=2173) to September 2019 (follow-up, n=779). Results were obtained from the 779 respondents in the follow-up survey, and user data of one or more tobacco products were analyzed. The changes in the proportion of EC and JUUL use during this period were calculated, and multivariate logistic regression analysis was conducted to investigate the selection factors of JUUL. Results Four months after the JUUL launch, the proportion of current EC and JUUL users among the whole sample increased by 10.3% (42.6–52.9%, p<0.001) and 17.7 % (4.0–21.7%, p<0.001), respectively, while the proportion of triple users doubled (18.7% vs 37.5%, p<0.001). Among current EC users, the percentage of quitting EC within one month decreased from 18.7% to 8.7%; this change was more pronounced among concurrent JUUL users than non-JUUL users (p<0.001). In the multivariate logistic analysis with adjustment for possible confounders, JUUL use was significantly associated with male sex, young and middle age, and metropolitan residency status at the baseline survey. Conclusions After the launch of JUUL in South Korea, EC users, including JUUL and triple users, increased significantly, but the intention to stop EC decreased significantly. Given the serious interests of the tobacco industry in these products, additional regulation is warranted.http://www.tobaccoinduceddiseases.org/JUUL-preference-among-Korean-adult-tobacco-users-and-its-effect-on-attempts-to-quit,160163,0,2.htmltobaccoelectronic nicotine delivery systemsjuulpopulation surveillancegovernment regulation |
| spellingShingle | Ju Sam Hwang<sup>+<sup/> Kiheon Lee<sup>+<sup/> Choon-Young Kim Heejin Kim Sungroul Kim Cheol Min Lee JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow- up survey four months post JUUL launch Tobacco Induced Diseases tobacco electronic nicotine delivery systems juul population surveillance government regulation |
| title | JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow- up survey four months post JUUL launch |
| title_full | JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow- up survey four months post JUUL launch |
| title_fullStr | JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow- up survey four months post JUUL launch |
| title_full_unstemmed | JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow- up survey four months post JUUL launch |
| title_short | JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow- up survey four months post JUUL launch |
| title_sort | juul preference among korean adult tobacco users and its effect on attempts to quit tobacco a follow up survey four months post juul launch |
| topic | tobacco electronic nicotine delivery systems juul population surveillance government regulation |
| url | http://www.tobaccoinduceddiseases.org/JUUL-preference-among-Korean-adult-tobacco-users-and-its-effect-on-attempts-to-quit,160163,0,2.html |
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