Knowledge and Concerns About Smoking-Related Health Risks: A Cross-Sectional Analysis of the 2021 International Tobacco Control Japan and Korea Surveys.

IF 2.6 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review Pub Date : 2025-10-01 DOI:10.1111/dar.70043

Tianze Sun, Gary Chan, Shannon Gravely, Anne C K Quah, Gang Meng, Geoffrey T Fong, Steve S Xu, Kota Katanoda, Hong Gwan Seo, Takahiro Tabuchi, Itsuro Yoshimi, Chang Bum Kang, Giang Vu, Ara Cho, Carmen Lim, Kayo Togawa, Sujin Lim, Sungkyu Lee, Sung-Il Cho, Gil-Yong Kim, Janni Leung

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引用次数: 0

Abstract

Introduction: This cross-sectional study examined: (i) knowledge of smoking-related health risks among adults who currently and formerly smoke; (ii) concerns about personal health damage from smoking among adults who currently smoke; (iii) sociodemographic predictors of knowledge; and (iv) associations between knowledge and concerns in Japan and the Republic of Korea.

Methods: Data from the 2021 International Tobacco Control Surveys included adults (aged ≥ 20, ≥ 19 respectively) in Japan (n = 2956 currently smoke, n = 852 formerly smoke) and Korea (n = 3776 currently smoke, n = 194 formerly smoke). Primary outcomes included knowledge of smoking-related health risks (six consistently measured: stroke, heart disease, lung cancer, emphysema, impotence, early death), categorised as correct or incorrect, summed into a knowledge index score and concerns about smoking damaging their own health. Survey-weighted analyses examined country and smoking status differences and associations between knowledge, concerns and sociodemographic characteristics.

Results: Among adults who currently smoke, knowledge of lung cancer was highest (Japan: 82.8%, Korea: 92.2%); lowest were impotence in Japan (35.7%) and heart disease in Korea (69.6%). Adults who formerly smoked had higher knowledge than those who currently smoke in Japan (4.74 [4.50-4.97] vs. 4.00 [3.82-4.18]) but not in Korea (5.05 [4.39-5.72] vs. 4.69 [4.47-4.90]). Japanese adults who currently smoke had lower knowledge and fewer concerns than their Korean counterparts (p < 0.05). Greater knowledge predicted increased concerns in both countries (OR = 1.27 [1.20, 1.35]). Only in Japan were younger age (B = 0.59 [0.06, 1.13]) and moderate income (B = 0.41 [0.16, 0.66]) associated with greater knowledge.

Discussion and conclusions: The observed differences in knowledge and concerns about smoking-related health risks between Japan and Korea may reflect their contrasting tobacco control policies.

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对吸烟相关健康风险的认识和关注：2021年国际烟草控制日本和韩国调查的横断面分析。

本横断面研究考察了：(i)目前和以前吸烟的成年人对吸烟相关健康风险的了解；（二）目前吸烟的成年人对吸烟损害个人健康的关切；（iii）知识的社会人口预测因素；（iv）日本和韩国的知识和关注点之间的联系。方法：来自2021年国际烟草控制调查的数据包括日本（n = 2956名目前吸烟，n = 852名以前吸烟）和韩国（n = 3776名目前吸烟，n = 194名以前吸烟）的成年人（年龄分别≥20岁和≥19岁）。主要结果包括吸烟相关健康风险的知识（六种一致测量：中风、心脏病、肺癌、肺气肿、阳痿、过早死亡），分类为正确或错误，汇总为知识指数得分和吸烟损害自身健康的担忧。调查加权分析审查了国家和吸烟状况的差异以及知识、关注点和社会人口特征之间的联系。结果：在目前吸烟的成年人中，对肺癌的了解程度最高（日本：82.8%，韩国：92.2%）；最低的是日本的阳痿（35.7%）和韩国的心脏病（69.6%）。在日本（4.74[4.50-4.97]比4.00[3.82-4.18]），曾经吸烟的成年人比现在吸烟的成年人有更高的知识，但在韩国没有（5.05[4.39-5.72]比4.69[4.47-4.90]）。与韩国成年人相比，目前吸烟的日本成年人对吸烟相关健康风险的认识和关注程度较低(p讨论和结论：观察到的日本和韩国在吸烟相关健康风险的认识和关注方面的差异可能反映了两国不同的烟草控制政策。

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

Drug and alcohol review SUBSTANCE ABUSE-

CiteScore

4.80

自引率

10.50%

发文量

151

期刊介绍： Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.