담배가격 인상 시 흡연 청소년의 흡연 지속 의향에 영향을 미치는 요인
Factors Associated with Intentions of Korean Youth Smokers to Smoke Consistently after Tobacco Price Increase in the Future
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배경: 본 연구의 목적은 담배가격 인상에도 불구하고 흡연을 지속하고자 하는 청소년 흡연자들의 특성을 살펴보고, 흡연 지속 의향에 어떤 요인들이 영향을 미치는지를파악하기 위함이다. 방법: 본 연구는 2011년 청소년 건강행태 온라인 조사원시자료의 현재 흡연자 8,988명을 대상으로 하였다. 교차분석을 통하여 사회경제적 특성, 흡연 관련 특성, 삶의 질특성과 담배가격 인상 시 흡연 행태 변화간의 관련성을 파악하였고, 담배가격 인상 시 흡연 지속 의향 여부를 종속변수로 하여 각 독립변수들이 어떠한 영향을 미치는지를로지스틱 회귀분석을 통해 살펴보았다. 결과: 향후 담배가격이 인상된다면, 청소년 흡연자 중73.4%가 금연 및 흡연량 감소 의향을 보였고, 26.6%가 흡연 지속 의향을 나타냈다. 이러한 흡연 지속 의향에 어떠한 요인들이 영향을 미치는지를 알아보기 위하여 다중 로지스틱 회귀 분석을 실시한 결과, 흡연량(2~9개비/일 vs. 1개비 이하/일 odds ratio [OR], 2.58; 10개비 이상/일 vs. 1개비 이하/일 OR, 4.84), 매일 흡연 여부(OR, 2.73), 금연시도 여부(무 vs. 유 OR, 2.32), 흡연 시도 시기(초등학교및 그 이전 vs. 고등학교 OR, 1.31), 전자 담배 사용 경험(OR, 1.17), 금연교육(무 vs. 유 OR, 1.21), 금연캠페인 노출(무 vs. 유 OR, 1.20) 등의 흡연 관련 특성과 연령(OR,0.93), 행복감(하 vs. 상 OR, 1.31), 우울감(OR, 1.13), 자살생각(OR, 1.30)과 같은 요인들이 통계적으로 유의하였다. 결론: 담배가격 인상에도 불구하고 흡연을 지속하고자하는 청소년 흡연자들은 금연에 대한 의지도 없을 뿐 아니라 담배에 대한 의존도도 높은 집단이다. 따라서 향후 담배가격 인상 정책과 더불어 흡연자들의 금연동기를 유발시키고 금연을 적극적으로 지원하는 비가격 정책을 병행하여 추진한다면 담배가격 인상의 효과를 더욱 극대화시킬 수 있을 것이다.
Abstract
Background: The intention among Korean youth smokers to smoke consistently even after tobacco prices may rise in the future may be associated with tobacco dependence. Methods: Data for 8,988 Korean youth smokers from the 2011 Korea Youth Risk Behavior Web-based Survey were used in this study. A chi-square test was used to analyze smoking behavior changes after increase in tobacco price by socioeconomic characteristics, tobacco-related characteristics, and quality of life-related characteristics. Logistic regression was used to assess the factors related to existing smokers' intention to smoke consistently should tobacco price increase in the future. Results: Of all smoking adolescents, 26.6% had no intention to quit smoking even if the tobacco price were to rise in the future. Logistic regression analysis showed the following significant factors related to intention to continue smoking after an increase in price: age (odds ratio [OR], 0.93), amount of smoking (2-9 vs. ≤1 cigarettes per day OR, 2.58, ≥10 vs. ≤1 cigarettes per day OR, 4.84), daily smoker (OR, 2.73), experience with electronic cigarette (OR, 1.17), attempt to quit smoking (no vs. yes OR, 2.32), age at trying to smoke (before or at elementary vs. high school OR, 1.31), exposure to anti-smoking campaign (no vs. yes OR, 1.20), anti-smoking education (no vs. yes OR, 1.21), happiness (low vs. high OR, 1.31), depression (OR, 1.13), and suicidal ideations (OR, 1.30). Conclusions: Those with the intention to continue to smoke even after an increase in tobacco price have high tobacco dependence. Therefore, policy makers need to enforce not only price policies but also those unrelated to price, such as smoking cessation programs to help youth smokers quit smoking.
참고문헌 (25)
- IARC, "Second-hand tobacco smoke, In IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Vol. 100E", pp.213~264 (2012), International Agency for Research on Cancer
- The health consequences of smoking: a report of the surgeon general, "USDHHS", United States Department of Health and Human Services, Centers for Disease Control and Prevention, ~ (2004)
- WHO report on the global tobacco epidemic, 2011: warning about the dangers of tobacco, "World Health organization", WHO, ~ (2011)
- "WHO global report: mortality attributable to tobacco" (2012)[URL]
- Warren CW, "Global tobacco surveillance system: the GTSS atlas" (2009), CDC foundation
- 2011 Korean youth health risk behavior web-based survey, "Korea Centers for Disease Control and Prevention", KCDC, ~ (2012)
- Preventing tobacco use among young people: a report of the surgeon general, "USDHHS", United States Department of Health and Human Services, Centers for Disease Control and Prevention, ~ (1994)
- Hymowitz N, "Predictors of smoking cessation in a cohort of adult smokers followed for five years", Tob Control, 6(Suppl 2), pp.S57~S62 (1997)
- Hyland A, "Individual-level predictors of cessation behaviours among participants in the International Tobacco Control (ITC) Four Country Survey", Tob Control, 15(Suppl 3), pp.iii83~iii94 (2006)
- "Curbing the epidemic: governments and the economics of tobacco control" (1999)[URL]
- 김현철, "The Effect of the Increase in Tobacco Price on Adolescent Smoking in Korea: Smoking Reduction and Brand Switching", 보건사회연구, 32(3), pp.429~460 (2012), 한국보건사회연구원[DOI]
- A study of the effectiveness of tobacco control policy, "Kim WN", Korea University, ~ (2005)
- Chaloupka FJ, "Tax, price and cigarette smoking: evidence from the tobacco documents and implications for tobacco company marketing strategies", Tob Control, 11(Suppl 1), pp.I62~I72 (2002)
- Bader P, "Effects of tobacco taxation and pricing on smoking behavior in high risk populations: a knowledge synthesis", Int J Environ Res Public Health, 8(11), pp.4118~4139 (2011)
- 2010 Korean national health and nutrition examination survey, "Korea Centers for Disease Control and Prevention", KCDC, ~ (2011)
- 서홍관, "한국 성인 흡연자들의 흡연관련 특성 -2005년 국제담배규제정책평가조사 (International Tobacco Control Policy Evaluation Survey-Korea) 결과", Korean Journal of Family Medicine, 29(11), pp.844~853 (2008), 대한가정의학회
- Chassin L, "Implicit and explicit attitudes predict smoking cessation: moderating effects of experienced failure to control smoking and plans to quit", Psychol Addict Behav, 24(4), pp.670~679 (2010)
- Saenz-de-Miera B, "Self-reported price of cigarettes, consumption and compensatory behaviours in a cohort of Mexican smokers before and after a cigarette tax increase", Tob Control, 19(6), pp.481~487 (2010)
- Marques-Vidal P, "Prevalence and factors associated with difficulty and intention to quit smoking in Switzerland", BMC Public Health, 11, pp.227~ (2011)
- Emery S, "Characterizing and identifying "hard-core" smokers: implications for further reducing smoking prevalence", Am J Public Health, 90(3), pp.387~394 (2000)
- Jarvis MJ, "Prevalence of hardcore smoking in England, and associated attitudes and beliefs: cross sectional study", BMJ, 326(7398), pp.1061~ (2003)
- Cho KS, "Evaluation of smoking cessation program at public health center in 2004: analysis on key factors and rates in smoking cessation", J Korea Soc Health Inform Stat, 31(1), pp.35~48 (2006)
- Dalton WT 3rd, "Gender, smoking status, and risk behavior attitudes explain adolescents' patterns of nicotine replacement therapy use", Addict Behav, 35(2), pp.147~151 (2010)
- Bailey SR, "Efficacy and tolerability of pharmacotherapies to aid smoking cessation in adolescents", Paediatr Drugs, 14(2), pp.91~108 (2012)
- Backinger CL, "Adolescent and young adult tobacco prevention and cessation: current status and future directions", Tob Control, 12(Suppl 4), pp.IV46~IV53 (2003)