Analysis of multidimensional factors in attempts to quit using tobacco by Korean adolescents
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(2020) 25:71
Environmental Health and Preventive Medicine
RESEARCH ARTICLE
Open Access
Analysis of multidimensional factors in attempts to quit using tobacco by Korean adolescents Mi-Jung Kang, Hyunjin Lee*
and Mirae Jo
Abstract Background: 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. Methods: The 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. Results: A 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. Conclusions: Schools 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. Keywords: Quit attempt, Adolescent, Tobacco user, Multidimensional factors
Background 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]. Smoking is a risky behavior that blocks the oxygen supply to multiple organs, including the lungs, leading to functional damage [1]. About 90% of smokers begin smoking before the age * Correspondence: [email protected] College of Nursing, Department of Nursing, Eulji University, Daejeon 34824, Republic of Korea
of 18 [2, 3]. According to the Korea Ministry of Health and Welfare, adolescents in Korea smoke to relieve stress, escape boring situations, and find new stimuli [4]. Once this becomes a habit, they feel the craving for tobacco and continue to smoke [4]. However, as smoking in one’s adolescence continues into adulthood, it may contribute to the development of drug abuse, depression, and other problematic behaviors [5]. Some studies even report that the rate of premature death in smokers is more than six times higher than the average [6].
© The Author(s). 2020 Open Access This article is licensed under a Creativ
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