可燃香烟和不可燃尼古丁或烟草制品的患病率和健康结果：韩国一项全国性的横断面研究

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports Pub Date : 2025-08-10 DOI:10.1016/j.pmedr.2025.103202

Tae Hyeon Kim , Yeona Jo , Jaewon Kim , Krishna Prasad Acharya , Hanseul Cho , Ho Geol Woo , Jiyoung Hwang , Dong Keon Yon

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引用次数: 0

摘要

目的引入不可燃尼古丁或烟草制品后，烟草使用类型的变化和不同健康结果的证据有限。因此，本研究旨在评估纯可燃性卷烟使用者和可燃性卷烟和NNTP双重使用者的特征、趋势和健康结果。方法本研究分析2013 - 2021年韩国国家健康与营养检查调查数据（n = 18,763）。年龄≥19岁的个体被纳入研究。烟草使用类型分为纯可燃卷烟使用者和双重使用者。评估的健康结果包括中风、心绞痛、高血压、血脂异常、2型糖尿病、类风湿关节炎、过敏性鼻炎、特应性皮炎和抑郁症。使用加权复杂调查分析估计患病率趋势，结果显示为加权患病率和95%置信区间（ci）。使用多变量logistic回归评估不同烟草使用类型的健康结果，提供95% ci的校正优势比（aor）。结果纯可燃卷烟使用者呈下降趋势，双可燃卷烟使用者呈上升趋势。这种从单一的可燃香烟使用者到双重使用者的转变在年轻、受过高等教育和高收入的人群中尤为明显。与完全使用可燃香烟的人相比，双重吸烟者与抑郁症（aOR, 1.50 [95% CI, 1.19-1.89]）、特应性皮炎（1.39[1.10-1.74]）和变应性鼻炎（1.30[1.14-1.49]）显著相关。结论双重使用的患病率正在增加，并与抑郁症、特应性皮炎和变应性鼻炎的高风险相关。

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Prevalence and health outcomes of combustible cigarettes and noncombustible nicotine or tobacco products: a nationwide cross-sectional study in South Korea

Objective

Limited evidence exists on type of tobacco use changes and differential health outcomes following the introduction of non-combustible nicotine or tobacco products (NNTPs). Therefore, this study aimed to evaluate the characteristics, trends, and health outcomes of exclusive combustible cigarette users and dual users of combustible cigarette and NNTP.

Methods

This study analyzed data from the Korea National Health and Nutrition Examination Survey from 2013 to 2021 (n = 18,763). Individuals aged ≥19 years were included in the study. Type of tobacco use were categorized into exclusive combustible cigarette users or dual users. Health outcomes assessed included stroke, angina pectoris, hypertension, dyslipidemia, type 2 diabetes, rheumatoid arthritis, allergic rhinitis, atopic dermatitis, and depression. Prevalence trends were estimated using weighted complex survey analysis, with results presented as weighted prevalence and 95 % confidence intervals (CIs). Health outcomes by type of tobacco use were evaluated using multivariable logistic regression, providing adjusted odds ratios (aORs) with 95 % CIs.

Results

Exclusive combustible cigarette user showed a decreasing trend, while dual exhibited a showed increase. This shift from exclusive combustible cigarette user to dual user was particularly evident among younger, highly educated, and higher-income individuals. Compared to exclusive combustible cigarette users, dual users exhibited significantly associations with depression (aOR, 1.50 [95 % CI, 1.19–1.89]), atopic dermatitis (1.39 [1.10–1.74]), and allergic rhinitis (1.30 [1.14–1.49]).