Dataset Information

Prevalence and correlates of current use of heated tobacco products among a nationally representative sample of Korean adults: Results from a cross-sectional study.

ABSTRACT: INTRODUCTION:Heated tobacco product (HTP) use has increased rapidly in Korea since its introduction in 2017. We investigated the prevalence and correlates of the current use of HTPs among a nationally representative sample of Korean adults. METHODS:A total of 6182 participants aged ?19 years took part in the 2018 Korea National Health and Nutrition Examination Survey conducted one year after the introduction of HTPs in Korea. Descriptive statistics, bivariate analysis and multivariable logistic regressions were used. RESULTS:The prevalence of current HTP use (defined as past 30-day use) among Korean adults was 4.4% (7.8% for males and 0.9% for females) in 2018. Among current HTP users, approximately 90% were dual users with combustible cigarettes (CCs) or electronic cigarettes (ECs), or triple users with CCs and ECs. In multivariable logistic regression analysis, males, younger participants, and current CC and/or EC users showed greater odds of being current users of HTPs compared with females, older participants, and non-users of CCs and ECs. Moreover, current EC-only users were more likely to use HTPs than current CC-only users. Compared with current CC-only use, using HTPs with CCs concurrently was not associated with attempts to quit smoking during the past year or with intentions to quit CC smoking. CONCLUSIONS:The popularity of HTP use and the pattern of its poly use with CCs and ECs is a new challenge for Korean tobacco control policy.

SUBMITTER: Kim SH

PROVIDER: S-EPMC7425751 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Prevalence and correlates of current use of heated tobacco products among a nationally representative sample of Korean adults: Results from a cross-sectional study.

Kim Seung Hee SH Cho Hong-Jun HJ

Tobacco induced diseases 20200805

<h4>Introduction</h4>Heated tobacco product (HTP) use has increased rapidly in Korea since its introduction in 2017. We investigated the prevalence and correlates of the current use of HTPs among a nationally representative sample of Korean adults.<h4>Methods</h4>A total of 6182 participants aged ≥19 years took part in the 2018 Korea National Health and Nutrition Examination Survey conducted one year after the introduction of HTPs in Korea. Descriptive statistics, bivariate analysis and multivar ...[more]

PMID: 32818029

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Project description:BackgroundWaterpipe tobacco (WT) smoking by young adults remains high and misperceptions are common. Product warnings can increase knowledge of harms and reduce use. The goal of this study was to test warning statements, including the FDA-required nicotine warning (prior to implementation), on young adults' thinking about harms of and discouragement from WT smoking.MethodsWe conducted a between-subjects experiment in a nationally representative telephone survey of 1152 young adults aged 18-29. Participants were randomly assigned to hear one of five warning statements and reported how much, on a 4-point scale, the warning made them think about the harms and discouraged them from WT smoking.ResultsThe sample was 36.8% female, 57.8% white, 20.2% Black, 24.1% Hispanic, with a mean age of 23.2 (SE = 0.25). Under half (43.5%) had ever smoked WT. There were significant differences among the statements on both thinking about harms (p < .0001) and discouragement (p < .0001). The FDA-required "nicotine" warning led to the lowest thinking about harms (M = 2.85, SE = 0.08) and was the least discouraging (M = 2.86, SE = 0.08), while the "100 cigarettes" warning resulted in the greatest thinking about harms (M = 3.62, SE = 0.05) and was the most discouraging (M = 3.56, SE = 0.06).ConclusionsThe nicotine warning resulted in the lowest levels of thinking about harms and discouragement from WT smoking, suggesting limited impact. However, a warning focused on comparing smoke inhalation from WT smoking to cigarettes seems promising. Warnings should cover a broad range of WT health effects, and possibly comparisons to cigarettes. Findings also have implications for the content of international waterpipe warnings.ImplicationsThis study indicates that the nicotine warning is the least effective at making young adults think about the harms of and discouraging WT smoking. The FDA and other countries should consider requiring warnings to cover a broader range of health harms, misperceptions, and possibly comparisons to cigarettes.

Dataset Information

Prevalence and correlates of current use of heated tobacco products among a nationally representative sample of Korean adults: Results from a cross-sectional study.

Publications

Prevalence and correlates of current use of heated tobacco products among a nationally representative sample of Korean adults: Results from a cross-sectional study.

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