Korean J Health Promot.  2019 Dec;19(4):221-228. 10.15384/kjhp.2019.19.4.221.

Experience and Current Use of Heated Tobacco Products in Korean Military Personnel

• Kwon E
• Nah EH
• Cho S
• Chu J
• Kim S

• KMID: 2469169
• DOI: http://doi.org/10.15384/kjhp.2019.19.4.221

Abstract

BACKGROUND
Heat tobacco products (HTPs) are emerging in Korea. There are few studies that investigated the rates of HTPs use among military personnel in Korea. This study was performed to identify the prevalence of HTPs experience and use. Also this study aimed to evaluate the related factors of HTPs experience and use among military personnel in Korea.
METHODS
The study subjects were 3,878 military personnel participated health survey for Korean soldiers from November to December in 2018. Binominal logistic regression analysis was performed to confirm the related factors of HTPs experience and use among military personnel in Korea.
RESULTS
The HTPs experience and current use rates of study subjects were 17.4% and 8.7%, respectively. And the HTPs experience and current use among military personnel was associated with college/university degree (adjusted odds ratio [aOR] 1.441, 1.377), lance-corporal (aOR 2.049, 5.636), superiors' smoking in military camp (aOR 1.516, 1.567), interest in health (aOR 1.637, 1.571), ever used smoking (aOR 2.817, 3.575), and ever used electronic cigarette (E-cigarette) (aOR 3.129, 1.587).
CONCLUSIONS
The HTPs experience and current use among military personnel are closely related to educational level, military level, smoking status of the superiors, interests in health, conventional cigarette smoking, and E-cigarette use.

Keyword

Heated tobacco products; Electronic nicotine delivery systems; Smoking; Military personnel

MeSH Terms

Electronic Cigarettes
Health Surveys
Hot Temperature*
Humans
Korea
Logistic Models
Military Personnel*
Odds Ratio
Prevalence
Smoke
Smoking
Tobacco Products*
Tobacco*
Smoke

Reference

1. Lee S, Jee SH. World Health Organization's recommendation on heat-not-burn tobacco products and its' application to Korea. J Korean Soc Res Nicotine Tob. 2017; 8(2):55–57.

2. Ministry of Economy and Finance. The first half tobacco market trends in 2019 [Internet]. Sejong: Ministry of Economy and Finance;2019. Accessed Oct 25, 2019. Available from: http://www.moef.go.kr/nw/nes/detailNesDtaView.do?menuNo=4010100&searchNttId1=MOSF_000000000029264&searchBbsId1=MOSFBBS_000000000028.

3. Korea Health Promotion Institute. Tobacco control issue report: a monthly revfiew and analysis of global tobacco control trends [Internet]. Seoul: Korea Health Promotion Institute;2019. Accessed Oct 25, 2019. Available from: https://www.khealth.or.kr/kps/publish/view?menuId=MENU00889&page_no=B2017002&pageNum=1&siteId=&srch_text=+&srch_cate=&srch_type=&str_clft_cd_list=&str_clft_cd_type_list=&board_idx=10278.

4. World Health Organization Framework Convention on Tobacco Control. Framework Convention Alliance. Heated tobacco products [Internet]. Geneva: WHO FCTC;2018. Accessed Oct 25, 2019. Available from: https://www.fctc.org/wp-content/uploads/2018/09/FCACOP8Brief_HTPs_EN.pdf.

5. Simonavicius E, McNeill A, Shahab L, Brose LS. Heat-not-burn tobacco products: a systematic literature review. Tob Control. 2019; 28(5):582–594.

6. Auer R, Concha-Lozano N, Jacot-Sadowski I, Cornuz J, Berthet A. Heat-not-burn tobacco cigarettes: smoke by any other name. JAMA Intern Med. 2017; 177(7):1050–1052.

7. Sutanto E, Miller C, Smith DM, O'Connor RJ, Quah ACK, Cummings KM, et al. Prevalence, use behaviors, and preferences among users of heated tobacco products: findings from the 2018 ITC Japan Survey. Int J Environ Res Public Health. 2019; 16(23):4630.

8. Czoli CD, White CM, Reid JL, OConnor RJ, Hammond D. Awareness and interest in IQOS heated tobacco products among youth in Canada, England and the USA. Tob Control. 2020; 29(1):89–95.

9. Tabuchi T, Kiyohara K, Hoshino T, Bekki K, Inaba Y, Kunugita N. Awareness and use of electronic cigarettes and heat-not-burn tobacco products in Japan. Addiction. 2016; 111(4):706–713.

10. Kang H, Cho SI. Heated tobacco product use among Korean adolescents. Tob Control. 2019; 1. 1. [Epub ahead of print].

11. Kim J, Yu H, Lee S, Paek YJ. Awareness, experience and prevalence of heated tobacco product, IQOS, among young Korean adults. Tob Control. 2018; 27:Suppl 1. S74–S77.

12. Korea Centers for Disease Control and Prevention (KCDC). Korea Health Statistics 2017: Korea National Health Nutrition Examination Survey (KNHANES VII-2) [Internet]. Cheongju: KCDC;2018. Accessed Oct 28, 2019. Available from: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?class-Type=7.

13. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. OECD health statistics 2018 [Internet]. Sejong: Ministry of Health and Welfare;2018. Accessed Oct 28, 2019. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=350906.

14. Lee C, Kim S, Cheong YS. Issues of new types of tobacco(e-cigarette and heat-not-burn tobacco): from the perspective of ‘tobacco harm reduction’. J Korean Med Assoc. 2018; 61(3):181–190.

15. Ahn HK, Lee HJ, Jung DS, Lee SY, Kim SW, Kang JH. The reliability and validity of Korean version of questionnaire for nicotine dependence. J Korean Acad Fam Med. 2002; 23(8):999–1008.

16. Wu YS, Wang MP, Ho SY, Li HCW, Cheung YTD, Tabuchi T, et al. Heated tobacco products use in Chinese adults in Hong Kong: a population-based cross-sectional study. Tob Control. 2019; 04. 20. [Epub ahead of print].

17. Khang YH, Cho HJ. Socioeconomic inequality in cigarette smoking: trends by gender, age, and socioeconomic position in South Korea, 1989-2003. Prev Med. 2006; 42(6):415–422.

18. Lee Y, Lee KS. Factors related to smoking status among young adults: an analysis of younger and older young adults in Korea. J Prev Med Public Health. 2019; 52(2):92–100.

19. Wang Q, Shen JJ, Sotero M, Li CA, Hou Z. Income, occupation and education: are they related to smoking behaviors in China? PLoS One. 2018; 13(2):e0192571.

20. Hair EC, Bennett M, Sheen E, Cantrell J, Briggs J, Fenn Z, et al. Examining perceptions about IQOS heated tobacco product: consumer studies in Japan and Switzerland. Tob Control. 2018; 27:Suppl 1. s70–s73.

21. McKelvey K, Popova L, Kim M, Chaffee BW, Vijayaraghavan M, Ling P, et al. Heated tobacco products likely appeal to adolescents and young adults. Tob Control. 2018; 27:Suppl 1. s41–s47.

22. Okechukwu CA, Nguyen K, Hickman NJ. Partner smoking characteristics: associations with smoking and quitting among blue-collar apprentices. Am J Ind Med. 2010; 53(11):1102–1108.

23. Joung MJ, Han MA, Park J, Ryu SY. Association between family and friend smoking status and adolescent smoking behavior and E-cigarette use in Korea. Int J Environ Res Public Health. 2016; 13(12):1183.

24. Gilchrist M. Heat-not-Burn Products: scientific assessment of risk reduction [Internet]. Bologna: Tobacco Merchants Association;2015. Accessed Oct 29, 2019. Available from: https://www.pmiscience.com/resources/docs/default-source/library-documents/presentation_moira_gilchrist_gtnf_2015a.pdf?sfvrsn=47c9f606_2.

25. Hackshaw A, Morris JK, Boniface S, Tang JL, Milenković D. Low cigarette consumption and risk of coronary heart disease and stroke: meta-analysis of 141 cohort studies in 55 study reports. BMJ. 2018; 360:j5855.

26. Zhou X, Nonnemaker J, Sherrill B, Gilsenan AW, Coste F, West R. Attempts to quit smoking and relapse: factors associated with success or failure from the ATTEMPT cohort study. Addict Behav. 2009; 34(4):365–373.

27. Lee JS, Kang SM, Kim HJ, Lee KY, Cho B, Goh E. Long-term maintenance of smoking cessation and related factors of relapse. Korean J Fam Med. 2009; 30(3):203–209.

28. Bold KW, Rasheed AS, McCarthy DE, Jackson TC, Fiore MC, Baker TB. Rates and predictors of renewed quitting after relapse during a one-year follow-up among primary care patients. Ann Behav Med. 2015; 49(1):128–140.

29. Cho HJ. Issues related to e-cigarettes use. J Korean Soc Res Nicotine Tob. 2016; 7(2):61–65.