Korean J Fam Med.  2019 Jul;40(4):241-247. 10.4082/kjfm.17.0094.

The Relationship between Electronic Cigarette Use with or without Cigarette Smoking and Alcohol Use among Adolescents: Finding from the 11th Korea Youth Risk Behavior Web-based Survey

Affiliations
  • 1Department of Family Medicine, Seoul National University Hospital, Seoul, Korea.
  • 2Department of Family Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. bigbangx@snuh.org
  • 3Department of Family Medicine, SNU-SMG Boramae Medical Center, Seoul, Korea.
  • 4Department of Family Medicine, Seoul National University Health Service Center, Seoul, Korea.

Abstract

BACKGROUND
Electronic cigarette (EC) consumption ("˜vaping') is rapidly increasing, not only in adults but also in adolescents. Little is known about the association between vaping and problem behaviors such as drinking.
METHODS
We used data from the 11th Korea Youth Risk Behavior Web-based Survey, which was conducted in 2015 and included 68,043 participants who were Korean middle and high school students. The survey assessed EC, cigarette, and alcohol use. Multiple regression analysis was used to examine risk of current drinking and problem drinking across the following categories of users: never user (never used either product), former user (use of EC or cigarettes in the past, but not currently), vaping only, smoking only, and dual user (current use of both products).
RESULTS
EC only users were 1.2% in males, and 0.3% in females. Dual user of both conventional cigarettes and ECs were 5.1% in males, and 1.2% in females. Drinking frequency, drinking quantity per once, and problem drinking were higher among vapers than non-vapers and former-vapers, moreover, were higher among daily vapers than intermittent vapers. Compared to never users, EC only users were higher on risk of current drink and problem drink. The dual users were highest on risk of current drink.
CONCLUSION
Vaping is independently associated with alcohol use problems in Korean students, even those not currently smoking. Moreover, dual use of cigarettes and ECs is strongly associated with alcohol use problems. Therefore, vaping students should be concerned about their hidden alcohol use problems.

Keyword

Adolescent Behavior; Alcohol Drinking; Electronic Nicotine Delivery Systems; Smoking

MeSH Terms

Adolescent Behavior
Adolescent*
Adult
Alcohol Drinking
Drinking
Electronic Cigarettes*
Female
Humans
Korea*
Male
Problem Behavior
Risk-Taking*
Smoke
Smoking*
Tobacco Products*
Smoke
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