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KMID : 1231220220130040130
Journal of the Korean Society for Research on Nicotine and Tobacco
2022 Volume.13 No. 4 p.130 ~ p.139
Use of Tobacco Products Where Their Use Is Prohibited: Using Community Health Survey, 2019
Baek Doo-Won

Kang Seo-Young
Cho Hong-Jun
Abstract
Background: Astherisksofsecond-handsmokehavebeenproven,smoke-freepolicieshave been strengthened. In Korea, all kinds of tobacco products, including combustible cigarettes, heated tobacco products, and e-cigarettes, are subject to smoke-free policies. Because the use of tobacco products in smoke-free areas can cause health problems, the stealth use of tobacco products and its associated factors need to be examined.

Methods: The study participants comprised 25,266 adults aged 19 years and older who were current tobacco product users and clearly aware of smoke-free areas from Community Health Survey, 2019. The chi-squared test and multivariate logistic regression analysis were perfor- med to estimate the factors associated with the stealth use of tobacco products, including socioeconomic status, tobacco products, and awareness of smoke-free policies.

Results: Out of 25,266 participants, 5,623 (23.3%) had used tobacco products in smoke-free areas in the past year. Stealth use was more prevalent in the younger than in the older age group (odds ratio [OR] 1.24, 95% confidence interval [CI] 1.08-1.42), males than females (OR 1.43, 95% CI 1.24-1.65), manual workers than nonmanual workers (OR 1.15, 95% CI 1.05-1.26), and never married group than married group (OR 1.22, 95% CI 1.11-1.35). Users of triple or double tobacco products, including combustible cigarettes, tended to violate smoke-free policies more often than those who smoke combustible cigarettes only (triple users, OR 1.49, 95% CI 1.20-1.83).

Conclusion: Smoke-free policies need to be strengthened and promoted to reduce stealth use.
KEYWORD
Tobacco products, Second-hand exposure, Smoke-free area, Stealth use, Community Health Survey, 2019
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