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Nicotine dependence and stress susceptibility in E-cigarette smokers: The Korea national health and nutrition examination survey 2013–2017
- Title
- Nicotine dependence and stress susceptibility in E-cigarette smokers: The Korea national health and nutrition examination survey 2013–2017
- Authors
- Kim J.Y.; Kang H.S.; Jung J.-W.; Jung S.Y.; Park H.J.; Park J.S.; Park J.H.; Lee S.H.; Chun E.M.; Park D.I.; Park J.; Choi H.S.; and on behalf of the Korean Smoking Cessation Study Group
- Ewha Authors
- 천은미
- SCOPUS Author ID
- 천은미
- Issue Date
- 2021
- Journal Title
- Tuberculosis and Respiratory Diseases
- ISSN
- 1738-3536
- Citation
- Tuberculosis and Respiratory Diseases vol. 84, no. 2, pp. 159 - 166
- Keywords
- E-cigarette; Nicotine dependence; Stress susceptibility
- Publisher
- Korean National Tuberculosis Association
- Indexed
- SCOPUS; KCI
- Document Type
- Article
- Abstract
- 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. Copyright © 2021 The Korean Academy of Tuberculosis and Respiratory Diseases.
- DOI
- 10.4046/trd.2020.0166
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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