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Association of the Use of a Heated Tobacco Product with Perceived Stress, Physical Activity, and Internet Use in Korean Adolescents: A 2018 National Survey

Author

Listed:
  • Ahnna Lee

    (Department of Public Health, Graduate School, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea)

  • Kang-Sook Lee

    (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea)

  • Hanul Park

    (Department of Public Health, Graduate School, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea)

Abstract

The awareness and use of the recently introduced heated product in the global tobacco market is rapidly increasing. Few studies have investigated the association of this product’s use with health-related factors. To examine the association of the heated tobacco product (HTP)’s use with perceived stress, physical activity, and internet use, we analyzed data from the Korea Youth Risk Behavior Survey using multinomial logistic regression models. The participants included 60,040 students from middle school and high school. There were significant associations between high perceived stress and cigarette use only, dual use of cigarette and e-cigarette, triple use of cigarette, e-cigarette, and HTP; a negative association between HTP’s use and perceived stress; positive association between physical activity and tobacco use; and not using the internet significantly increased the odds of use of all types of tobacco products. A smoking prevention program, tailored to meet the needs of different types of tobacco product users, is recommended. A program aimed at not only increasing awareness of perceived risk but also decreasing perceived benefits of risky behaviors, should also be considered. Further research using a longitudinal design to test the causal relationship of tobacco product use with perceived stress, physical activity, and internet use is warranted.

Suggested Citation

  • Ahnna Lee & Kang-Sook Lee & Hanul Park, 2019. "Association of the Use of a Heated Tobacco Product with Perceived Stress, Physical Activity, and Internet Use in Korean Adolescents: A 2018 National Survey," IJERPH, MDPI, vol. 16(6), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:6:p:965-:d:214841
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    References listed on IDEAS

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    1. Elders, M.J. & Perry, C.L. & Eriksen, M.P. & Giovino, G.A., 1994. "The report of the surgeon general: Preventing tobacco use among young people," American Journal of Public Health, American Public Health Association, vol. 84(4), pages 543-547.
    2. Song, A.V. & Morrell, H.E.R. & Cornell, J.L. & Ramos, M.E. & Biehl, M. & Kropp, R.Y. & Halpern-Felsher, B.L., 2009. "Perceptions of smoking-related risks and benefits as predictors of adolescent smoking initiation," American Journal of Public Health, American Public Health Association, vol. 99(3), pages 487-492.
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