Abstract

The study aims to explore how Korean male smokers living in Australia talk and feel about smoking and how they have understood and experienced tobacco control policies in Australia—including price increase, display ban, plain packaging, and graphic warning labels. A qualitative study was conducted based on in-depth face-to-face interviews with 8 Korean male smokers aged 23–40 years living in Canberra. Participants discussed social and cultural conditions in Korea under which smoking is practiced and maintained. Smoking as a means of socialising and relaxation were consistently discussed as the main reasons for continued smoking which was deeply embedded in their everyday lives as habit or part of routines. The health risks of smoking were not among the immediate or ultimate considerations influencing participants. Participants commented that price increases had affected them most but other measures had little impact on their smoking behaviours, although they acknowledged their potentials in deterring younger people. Future anti-smoking interventions in Korea should address the significant social and cultural determinants of smoking and acknowledge smokers’ own understanding of their smoking and anti-smoking measures. Appreciating smokers’ diverse representations of their own smoking and their attitudes towards health and anti-smoking measures would increase acceptance of policies and the probability that they will be successful, leading to positive outcomes.

Highlights

  • Tobacco smoking is one of the world’s biggest public health threats, killing roughly 6 million people worldwide yearly (World Health Organisation [WHO], 2016)

  • A qualitative study was conducted based on in-depth face-to-face interviews with 8 Korean male smokers aged 23–40 years living in Canberra

  • The socioeconomic costs of smoking have risen by 60% from 4.4 trillion won in 2005 to 7.1 trillion won (US$6.3 billion) in 2013 (Lee, Yoon, Baek, Hyun, & Kang, 2015). These findings demonstrate that smoking needs to be an important public health target in Korea

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Summary

Introduction

Tobacco smoking is one of the world’s biggest public health threats, killing roughly 6 million people worldwide yearly (World Health Organisation [WHO], 2016). The estimated total health costs related to smoking increased from US$324.9 million in 1999 to US$413.7 million in 2003 (Chung, Kim, Lim, Lee, & Cho, 2009). The socioeconomic costs of smoking have risen by 60% from 4.4 trillion won (approximately US$3.9 billion) in 2005 to 7.1 trillion won (US$6.3 billion) in 2013 (Lee, Yoon, Baek, Hyun, & Kang, 2015). These findings demonstrate that smoking needs to be an important public health target in Korea

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