Abstract

BackgroundThis study aims to understand the extent of adolescents’ attempts to quit using tobacco and the factors influencing such attempts in Korea, using a descriptive, cross-sectional design and secondary data analysis with the 2019 Youth Health Behavior Survey.MethodsThe participants were 4028 adolescent tobacco users who had used tobacco for 1 day or more in the past 30 days. The data analysis was performed using IBM SPSS/WIN 26.0 program, and multivariable logistic regression analysis was conducted using the complex sampling method module.ResultsA total of 68.2% of the participants attempted to quit using tobacco. We analyzed the factors for adolescents’ attempts to quit using tobacco by dividing them into psychological, physical, behavioral, and environmental dimensions. The factors influencing adolescents’ attempts to quit using tobacco, identified through multivariable logistic regression analysis, are as follows: participation in sports activities (OR = 1.20, 95% CI 1.01–1.41), vigorous physical activity (OR = 1.24, 95% CI 1.06–1.46), and type of tobacco product used (OR = 1.65, 95% CI 1.24–2.21) in the behavioral dimension; pictorial cigarette pack warnings (perceived smoking as unhealthy) (OR = 1.91, 95% CI 1.56–2.36), and the presence of secondhand smoking at home (OR = 1.18, 95% CI 1.01–1.38) in the environmental dimension.ConclusionsSchools and public healthcare providers must consider multidimensional factors when providing support for successful tobacco cessation in adolescents and focus particularly on elements relating to physical activity and environmental factors.

Highlights

  • This study aims to understand the extent of adolescents’ attempts to quit using tobacco and the factors influencing such attempts in Korea, using a descriptive, cross-sectional design and secondary data analysis with the 2019 Youth Health Behavior Survey

  • Sleep time was reported by 55.7% of the participants as being insufficient to recover from fatigue, and 67.8% responded that they were in good health

  • Body shape perception was described by 37.3% participants as being “Fat.” In terms of physical characteristics, 10.8% of the subjects were diagnosed with asthma, 35.0% were diagnosed with allergic rhinitis, and 22.3% were diagnosed with atopic dermatitis

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Summary

Introduction

This study aims to understand the extent of adolescents’ attempts to quit using tobacco and the factors influencing such attempts in Korea, using a descriptive, cross-sectional design and secondary data analysis with the 2019 Youth Health Behavior Survey. As it celebrates the 2020 World No Tobacco Day, the World Health Organization (WHO) is engaging in a campaign to “protect children and young people from tobacco and related industries” [1]. Korean adolescents who use e-cigarettes or HTPs have stated that they are used because they are perceived as less harmful to one’s health than cigarettes, do not smell, and can be smoked freely at school or home [13]

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