Reasons for using e-cigarettes among adults who smoke: comparing the findings from the 2016 and 2020 ITC Korea Surveys.

IF 4.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Wonjeong Yoon, Hong Gwan Seo, Sungkyu Lee, Eon Sook Lee, Steve S Xu, Gang Meng, Anne C K Quah, Geoffrey T Fong, Sujin Lim, Gil-Yong Kim, Su Young Kim, Sung-Il Cho
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Abstract

Introduction: Dual use of e-cigarettes and cigarettes is a growing usage pattern in adults, but little is known about the motivations underlying this trend. We investigated the reasons for e-cigarette use among adults who smoke, considering variation in sociodemographic subgroups.

Methods: This repeated cross-sectional study analysed adults who smoked at least weekly and vaped at any frequency. Data were from the International Tobacco Control Korea Surveys conducted in 2016 (n=164) and 2020 (n=1088). Fourteen reasons for e-cigarette use were assessed in both waves. Subgroup analyses were performed by age, sex and educational level.

Results: The top reasons for e-cigarette use in 2020 were curiosity (62.8%), less harmful than smoking (45.4%) and taste (43.2%). Curiosity was the most cited across age, sex and education subgroups. Significant differences were observed in 2020 compared with 2016, with lower percentages in goal-oriented reasons: helping quit smoking (36.3% vs 48.9%; p=0.017), helping cut down smoking (35.3% vs 52.7%; p=0.001), less harmful to others (39.0% vs 54.6%; p=0.003) and more acceptable (31.6% vs 61.2%; p<0.001). By contrast, non-goal-oriented reasons showed higher percentages in 2020, such as curiosity (62.8% vs 27.9%; p<0.001), taste (43.2% vs 22.1%; p<0.001) and enjoyment (26.8% vs 8.6%; p<0.001). In 2020, a majority of adults who smoked and vaped (53.3%) reported no intention to quit or reduce smoking.

Conclusions: E-cigarette use for curiosity and pleasure predominated among adults who smoked. The reasons for dual use in adults have shifted from goal-oriented to non-goal-oriented.

吸烟成年人使用电子烟的原因:比较 2016 年和 2020 年韩国 ITC 调查的结果。
导言:电子烟和香烟的双重使用在成年人中是一种日益增长的使用模式,但人们对这一趋势背后的动机却知之甚少。我们调查了吸烟成年人使用电子烟的原因,并考虑了社会人口亚群的差异:这项重复性横断面研究分析了至少每周吸烟一次且吸烟频率不限的成年人。数据来自 2016 年(n=164)和 2020 年(n=1088)进行的韩国国际烟草控制调查。两次调查均评估了使用电子烟的 14 个原因。按年龄、性别和教育程度进行了分组分析:2020 年使用电子烟的首要原因是好奇(62.8%)、比吸烟危害小(45.4%)和口味(43.2%)。在不同年龄、性别和教育程度的亚群体中,好奇心是被提及最多的原因。与 2016 年相比,2020 年出现了显著差异,以目标为导向的原因比例较低:帮助戒烟(36.3% vs 48.9%;p=0.017)、帮助减少吸烟(35.3% vs 52.7%;p=0.001)、对他人危害较小(39.0% vs 54.6%;p=0.003)和更容易接受(31.6% vs 61.2%;p结论:在吸烟的成年人中,因好奇和愉悦而使用电子烟的人居多。成人双重使用电子烟的原因已从目标导向型转变为非目标导向型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tobacco Control
Tobacco Control 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
26.90%
发文量
223
审稿时长
6-12 weeks
期刊介绍: Tobacco Control is an international peer-reviewed journal covering the nature and consequences of tobacco use worldwide; tobacco''s effects on population health, the economy, the environment, and society; efforts to prevent and control the global tobacco epidemic through population-level education and policy changes; the ethical dimensions of tobacco control policies; and the activities of the tobacco industry and its allies.
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