Journal of Korean Academy of Nursing

Research Papers

Associations between the Frequency and Quantity of Heated Tobacco Product Use and Smoking Characteristics among Korean Smoking Adolescents: Lee, Haein , Lee, Bo Gyeong; J Korean Acad Nurs 2023;53(2):155-166. Published online April 30, 2023; DOI: https://doi.org/10.4040/jkan.22125

Purpose
Although heated tobacco product (HTP) use among adolescents is an emerging public health problem, little is known about the frequency and quantity of HTP use. Thus, we investigated the associations between the frequency and quantity of HTP use and smoking characteristics (i.e., combustible cigarette [CC] and electronic cigarette [EC] use, and attempts to quit smoking) among CC-smoking adolescents.
Methods
We analyzed nationally representative data from 2,470 Korean adolescents who were current CC smokers. To investigate our aim, we conducted multinomial logistic and logistic regression analyses.
Results
We found that daily and heavier CC users had greater likelihoods of more frequent and heavier HTP use. In addition, dual users of CCs and ECs were more likely to use HTPs more frequently and heavily than CC users who did not use ECs. Moreover, daily EC users had the highest risk of frequent and heavy HTP use. The frequency and quantity of HTP use were not associated with attempts to quit smoking. Compared to CC-only use, dual use of CCs and HTPs was not associated with quitting attempts, and triple use of CCs, ECs, and HTPs was associated with a lower likelihood of quitting attempts.
Conclusion
HTP use was less likely to displace CC use and promote attempts to quit smoking. Thus, strict regulations are required to prevent the promotion of HTPs as a substitute for CCs or as a means of quitting smoking. Additionally, health professionals should consider preventive interventions for HTP, as well as CC and EC use among adolescents.

Citations

Citations to this article as recorded by

A Scoping Review of Behavioural Studies on Heated Tobacco Products
Ian M Fearon, Sarah F Cordery, Martin Fitzpatrick, Sarah Weaver, Matthew Stevenson, Erika Grandolfo, Layla Malt, Keith Thompson, Thomas Nahde
Cureus.2024;[Epub] CrossRef

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Interorganizational Networks for Smoking Prevention and Cessation: A Blockmodeling Approach: Park, Eun-Jun , Kim, Hyeongsu , Lee, Kun Sei , Cho, Junghee , Kim, Jin Hyeong , Jeong, Ho Jin , Lee, Ji An; J Korean Acad Nurs 2022;52(2):202-213. Published online April 30, 2022; DOI: https://doi.org/10.4040/jkan.21192

Abstract PDF: Purpose
This study examined characteristics and patterns of interorganizational networks for smoking prevention and cessation in Korea.
Methods
We surveyed two community health centers, ninety-five hospitals or clinics, ninety- two pharmacies, and sixty-five health welfare organizations in two districts of Seoul in 2020. Data on the organizations’ characteristics of smoking cessation and interorganizational activities for information sharing, client referral, and program collaboration were collected and analyzed using network statistics and blockmodeling.
Results
Network size was in the order of information sharing, client referral, and program collaboration networks. Network patterns for interorganizational activities on information sharing, client referral, and program collaboration among four organizations were similar between the two districts. Community health centers provided information and received clients from a majority of the organizations. Their interactions were not unidirectional but mutual with other organizations. Pharmacies were involved in information sharing with health welfare organizations and client referrals to hospitals or clinics. Health welfare organizations were primarily connected with the community health centers for client referrals and program collaboration.
Conclusion
A community health center is the lead agency in interorganizational activities for smoking prevention and cessation. However, hospitals or clinics, pharmacies, and health welfare organizations also participate in interorganizational networks for smoking prevention and cessation with diverse roles. This study would be evidence for developing future interorganizational networks for smoking prevention and cessation.

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Original Articles

Factors Influencing Adolescent Lifetime Smoking and Current Smoking in South Korea: Using data from the 10^th (2014) Korea Youth Risk Behavior Web-Based Survey: Seok Hyun Gwon, Suyong Jeong; J Korean Acad Nurs 2016;46(4):552-561. Published online August 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.4.552

Abstract PDF

Purpose

The purpose of this study was to investigate factors influencing lifetime smoking and current smoking among adolescents in South Korea.

Methods

Hierarchical logistic regression was conducted based on complex sample analysis using statistics from the 10th (2014) Korea Youth Risk Behavior Web-Based Survey. The study sample comprised 72,060 adolescents aged 12 to 18.

Results

The significant factors influencing adolescent lifetime smoking were female gender, older age, higher stress, higher weekly allowance, lower economic status, living apart from parents, parental smoking, sibling smoking, peer smoking, observation of school personnel smoking, and coed school compared to boys' school. The significant factors influencing adolescent current smoking were female gender, older age, higher stress, higher weekly allowance, both higher and lower economic status compared to middle economic status, living apart from parents, parental smoking, sibling smoking, peer smoking, observation of school personnel smoking, and coed school compared to boys' school.

Conclusion

Factors identified in this study need to be considered in programs directed at prevention of adolescent smoking and smoking cessation programs, as well as policies.

Citations

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A Study on Adolescent Smoking Prevention and Cessation Policies: Based on the Propensity Score Matching–Difference-in-Differences Method
Seokmin Ji, Byungchan Moon, Younggyu Kwon, Kyumin Kim
Healthcare.2024; 13(1): 30. CrossRef
Estimated prevalence and trends in smoking among adolescents in South Korea, 2005–2021: a nationwide serial study
Hyoin Shin, Sangil Park, Hyunju Yon, Chae Yeon Ban, Stephen Turner, Seong Ho Cho, Youn Ho Shin, Jung U. Shin, Ai Koyanagi, Louis Jacob, Lee Smith, Chanyang Min, Young Joo Lee, So Young Kim, Jinseok Lee, Rosie Kwon, Min Ji Koo, Guillaume Fond, Laurent Boye
World Journal of Pediatrics.2023; 19(4): 366. CrossRef
Health-Related Behavior and Psychosocial Characteristics of Adolescent Female Smokers in Korea, Compared with Adolescent Male Smokers
Yong-Sook Eo, Yeon-Hee Lee, Myo-Sung Kim
Healthcare.2023; 11(12): 1707. CrossRef
Disparity between Subjective Health Perception and Lifestyle Practices among Korean Adolescents: A National Representative Sample
Aniceto Echalico Braza, Jinsoo Jason Kim, Sun Hee Kim
Journal of Lifestyle Medicine.2022; 12(3): 153. CrossRef
Comparison of the Prediction Model of Adolescents' Suicide Attempt Using Logistic Regression and Decision Tree: Secondary Data Analysis of the 2019 Youth Health Risk Behavior Web-Based Survey
Yoonju Lee, Heejin Kim, Yesul Lee, Hyesun Jeong
Journal of Korean Academy of Nursing.2021; 51(1): 40. CrossRef
Factors Associated with Cigarette, E-Cigarette, and Dual Use among South Korean Adolescents
Myong Sun Cho
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You-Jung Choi, Gwang Suk Kim
Journal of Korean Academy of Nursing.2021; 51(1): 54. CrossRef
Sex Differences in Multilevel Factors of Smoking Experimentation and Age of Initiation in Korean Adolescents
Eun-Mi Kim, Eunhee Park, Heejung Kim
The Journal of School Nursing.2020; 36(5): 348. CrossRef
Multidisciplinary Approach to Smoking Cessation in Late Adolescence: A Pilot Study
Jae Suk Park, Sang Hyung Lee, Ga Hye Lee, Mi Ra Yang, Inhyuk Park, Bumjo Oh
Global Pediatric Health.2020;[Epub] CrossRef
Factors associated with maintenance of smoking cessation in adolescents after implementation of tobacco pricing policy in South Korea: Evidence from the 11th Youth Health Behavior Survey
Eun Gyeong Kim, Sook Kyoung Park, Young‐Me Lee, Mi Yeol Hyun, Laren (Riesche) Narapareddy
Research in Nursing & Health.2020; 43(1): 40. CrossRef
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Kyoungmi Ku, Keum Ji Jung, San Kang, Yoonjeong Choi, Su Hyun Lee, Jakyoung Lee, Heejin Kimm
Journal of the Korean Society for Research on Nicotine and Tobacco.2020; 11(2): 56. CrossRef
Adolescent Abuse and Smoking Behavior Among High School Students in the Republic of Korea
Junghee Kim, Sunhee Park
Journal of Child and Family Studies.2019; 28(1): 52. CrossRef
The influence and interaction of exposure to pro-smoking and anti-smoking messaging on youth smoking behaviour and susceptibility
Jingfen Zhu*, Jiahui Li*, Yaping He^#, Na Li, Gang Xu^#, Jinming Yu
Tobacco Induced Diseases.2019;[Epub] CrossRef
Association Between Socioeconomic Status and Early Initiation of Smoking, Alcohol Drinking, and Sexual Behavior Among Korean Adolescents
Mei Lin C. Valencia, Binh Thang Tran, Min Kyung Lim, Kui Son Choi, Jin-Kyoung Oh
Asia Pacific Journal of Public Health.2019; 31(5): 443. CrossRef
Parent educators for teenage smoking behavior
Lucky Herawati, Johan Arief Budiman, Choirul Hadi, Abdul Khair
International Journal of Adolescent Medicine and Health.2019;[Epub] CrossRef
A Meta-Analytic Study on Differences between Middle and High School Students in Cognitive, Emotional and Social Variables Related to Adolescent Smoking
김인용, 강정석
Locality and Globality: Korean Journal of Social Sciences.2018; 42(3): 83. CrossRef
Impact of nearby smoking on adolescent smoking behavior in Korea
Dong Jun Kim, Sun Jung Kim
Medicine.2018; 97(45): e13125. CrossRef
Trend Analysis for the Choice and Cost of Lung Cancer Treatment in South Korea, 2003-2013
Dohun Kim, So Young Kim, Beomseok Suh, Jong Hyock Park
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Concept analysis of impressionability among adolescents and young adults
Seok Hyun Gwon, Suyong Jeong
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Kim Eun Soo, 정민수
Health and Social Welfare Review.2017; 37(3): 568. CrossRef

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Smoking Behavior and Predictors of Smoking Initiation in Childhood and Early Adolescence: Sunhee Park; J Korean Acad Nurs 2009;39(3):376-385. Published online June 29, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.3.376

Abstract PDF

Purpose

The purposes of this study were (a) to identify smoking behavior by following a cohort representative of the population of 4th grade elementary schoolers in South Korea over a four-year period (2004-2007), and (b) to explore predictors of smoking initiation among non-smokers in Wave 1.

Methods

Secondary data, the Korea Youth Panel Study, was analyzed in this study. First, frequencies or percentages were calculated to identify smoking behavior (i.e., smoking initiation, smoking intensity, and smoking duration). Second, binary logistic regression analysis was performed to examine significant factors related to smoking initiation.

Results

Smoking initiation and daily smoking were more pronounced when the participants entered middle school. In bivariate analysis, statistically significant predictors of smoking initiation were loneliness at school, self-control, delinquent behavior, depressive symptoms, and stress. However, after controlling for other factors, only a high level of risk-taking tendency and a greater number of delinquent behaviors remained statistically significant.

Conclusion

Based on greater involvement in smoking among first-year middle schoolers, smoking prevention strategies should be provided to elementary schoolers rather than middle schoolers. A risk-taking tendency and delinquent behaviors should be considered as proxy measures to detect the high-risk group for smoking initiation.

Citations

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Health-Related Behavior and Psychosocial Characteristics of Adolescent Female Smokers in Korea, Compared with Adolescent Male Smokers
Yong-Sook Eo, Yeon-Hee Lee, Myo-Sung Kim
Healthcare.2023; 11(12): 1707. CrossRef
The Effect of Neighborhood Characteristics and Friends' Smoking Status on the Habitual Smoking Onset in Adolescents
You-Jung Choi, Gwang Suk Kim
Journal of Korean Academy of Nursing.2021; 51(1): 54. CrossRef
The Association of Smoking Exposure at Home with Attempts to Quit Smoking and Cessation Success: A Survey of South Korean Adolescents Who Smoke
Wonjeong Jeong, Yun Kyung Kim, Jae Hong Joo, Sung-In Jang, Eun-Cheol Park
International Journal of Environmental Research and Public Health.2020; 17(11): 4129. CrossRef
Sex Differences in Multilevel Factors of Smoking Experimentation and Age of Initiation in Korean Adolescents
Eun-Mi Kim, Eunhee Park, Heejung Kim
The Journal of School Nursing.2020; 36(5): 348. CrossRef
Cohort effects of tobacco control policy: evidence to support a tobacco-free norm through smoke-free policy
Heewon Kang, Sung-il Cho
Tobacco Control.2020; 29(1): 96. CrossRef
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Mei Lin C. Valencia, Binh Thang Tran, Min Kyung Lim, Kui Son Choi, Jin-Kyoung Oh
Asia Pacific Journal of Public Health.2019; 31(5): 443. CrossRef
Associations between optimism, tobacco smoking and substanceabuse among Iranian high school students
Soudabeh Marin, Esmaeil Heshmatian, Haidar Nadrian, Ali Fakhari, Asghar Mohammadpourasl
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Predictors of Tobacco-Control Activities of Community Health Practitioners: Report from a National Survey: Kim, Jin Sun , Song, Mee Suk , Oh, Hyun Ei; Journal of Korean Academy of Nursing 2004;34(8):1443-1450. Published online December 31, 2003; DOI: https://doi.org/10.4040/jkan.2004.34.8.1443

Abstract PDF: The involvement of health-care professionals in tobacco-control activities is essential to prevent smoking-related morbidity and mortality. The purposes of this predictive correlational study were to examine tobacco-control activities and to identify the predictors of such activities of community health practitioners (CHPs). Of the 1,813 members of the Korean Association of CHP, 1,247 participated in this study. A mailed survey was conducted to collect data. The majority of CHPs supported tobacco-control policies and recognized tobacco-control activities as an important role for them. Only 44.3% of CHPs were confident in their knowledge and skills regarding tobacco-control activities, and only 30.8% had received professional tobacco-control education. While the majority of the CHPs "asked, advised, and assessed"their clients, only a small number "assisted or arranged". The tobacco-control activities of CHPs were predicted by their attitude toward it, age, experience of tobacco-control education, educational level, and general perception of the risk of smoking; these variables accounted 13.5% of variance in the tobacco-control activities of CHPs. These findings provide the basis for developing a continuing education program for CHPs. CHPs should be encouraged to integrate tobacco-control activities into their routine practice, and CHP education programs should be adjusted to increase the time spent on the tobacco-control intervention techniques.

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