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Comparison of the Smoking Cessation Behaviors of Dual Users and Cigarette-Only Smokers

  • Journal of Korean society for research on nicotine and tobacco
  • Abbr : J Korean Soc Res Nicotine Tob, JKSRNT
  • 2019, 10(2), pp.80-88
  • DOI : 10.25055/JKSRNT.2019.10.2.80
  • Publisher : Korean Society for Research on Nicotine and Tobacco
  • Research Area : Medicine and Pharmacy > Preventive Medicine/Occupational and Environmental Medicine > Medical care > Health Behavior
  • Received : November 12, 2019
  • Accepted : November 30, 2019
  • Published : December 15, 2019

Sang Keun Hahm 1 Lee, eon sook 2

1의료법인한전의료재단한전병원
2인제대학교

Candidate

ABSTRACT

Background: Some previous studies have claimed that electronic cigarette (e-cigarette) use is helpful in quitting smoking. However, this role of e-cigarettes remains uncertain because several current smokers use e-cigarettes as an alternative to tobacco smoking. The present study aimed to compare the quitting behaviors of dual users and cigarette-only smokers. Methods: Data of 5,179 current smokers from the sixth and seventh Korea National Health and Nutrition Examination Surveys (2013–2017) were analyzed. Current smokers were divided into dual users and cigarette-only smokers based on e-cigarette use in the past month. Factors influencing e-cigarette use were investigated. Differences in the quitting behaviors between both groups were assessed using multivariate logistic regression analysis with STATA 11.0. Results: Young age (<40 years) and smoking amount (>20 cigarettes/day) were associated with e-cigarette use. Nicotine replacement therapy (NRT) use in the past 5 days was associated with e-cigarette use [odds ratio (OR), 5.328; 95% confidence interval (CI), 2.377-11.941]. Dual users demonstrated higher quit attempts in the past year (OR, 1.600; 95% CI, 1.113-2.301). There was no difference between dual users and cigarette-only smokers in choosing an evidence-based quit method such as using a quit line or visiting a smoking cessation clinic. However, dual use was associated with use of NRT over the counter NRT use. Conclusion: There are no differences in employing an evidence-based smoking cessation method between dual users and cigarette-only smokers, despite the higher quit attempts in dual users. Further evaluation of the effect of NRT use as a quitting method on dual users is warranted.

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