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청소년의 궐련형 전자담배 사용과 자살관련행동과의 관계

Association between Heated Tobacco Products Use and Suicidal Behaviors among Adolescents

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Objectives: The aim of this study was to assess the association between the use of heated tobacco products (HTP) and suicidal behaviors such as suicidal ideation, suicide planning, and suicide attempts among adolescents in South Korea. Methods: The study used a cross-sectional design. Data was from the 15th Korea Youth Risk Behavior Web-based Survey (KYRBS) performed in 2019 by the Ministry of Education, Ministry of Health and Welfare, and Korean Center for Disease Control and Prevention. Heated tobacco product use was used as a main independent variable and suicide-related behaviors such as suicidal ideation, planning, and attempts were applied as dependent variables. Out of 60,100 students, 57,303 responded. Results: HTP use significantly increased the odds of a suicide attempt and suicide planning among adolescents. After controlling for confounders, when comparing ‘current HTP users’ with ‘never HTP users’, the adjusted odds ratio (OR) was 1.78 (95% confidence interval (CI): 1.38-2.30) for suicide attempts among adolescents. After controlling the confounders, comparing ‘current HTP users’ with ‘never HTP users’, the adjusted OR was 1.36 (95% CI: 1.06-1.73) for suicide planning among adolescents. For sadness/despair among adolescents, when comparing ‘current HTP users’ with ‘never HTP users’, the adjusted OR was 1.29 (95% CI: 1.11-1.50). However, HTP use had no significant association with suicidal ideation among adolescents. Conclusions: Current HTP users were more likely to attempt to commit suicide, and more likely to plan to commit suicide than never HTP users among adolescents. These results may be useful in developing a scientific basis for designing suicide prevention programs targeting adolescents.

Abstract

Objectives: The aim of this study was to assess the association between the use of heated tobacco products (HTP) and suicidal behaviors such as suicidal ideation, suicide planning, and suicide attempts among adolescents in South Korea. Methods: The study used a cross-sectional design. Data was from the 15th Korea Youth Risk Behavior Web-based Survey (KYRBS) performed in 2019 by the Ministry of Education, Ministry of Health and Welfare, and Korean Center for Disease Control and Prevention. Heated tobacco product use was used as a main independent variable and suicide-related behaviors such as suicidal ideation, planning, and attempts were applied as dependent variables. Out of 60,100 students, 57,303 responded. Results: HTP use significantly increased the odds of a suicide attempt and suicide planning among adolescents. After controlling for confounders, when comparing ‘current HTP users’ with ‘never HTP users’, the adjusted odds ratio (OR) was 1.78 (95% confidence interval (CI): 1.38-2.30) for suicide attempts among adolescents. After controlling the confounders, comparing ‘current HTP users’ with ‘never HTP users’, the adjusted OR was 1.36 (95% CI: 1.06-1.73) for suicide planning among adolescents. For sadness/despair among adolescents, when comparing ‘current HTP users’ with ‘never HTP users’, the adjusted OR was 1.29 (95% CI: 1.11-1.50). However, HTP use had no significant association with suicidal ideation among adolescents. Conclusions: Current HTP users were more likely to attempt to commit suicide, and more likely to plan to commit suicide than never HTP users among adolescents. These results may be useful in developing a scientific basis for designing suicide prevention programs targeting adolescents.

참고문헌 (35)

  1. Amy L Nyman, "Awareness and use of heated tobacco products among US adults, 2016–2017", Tobacco Control, 27(Suppl 1), pp.s55~s61 (2018), BMJ[DOI]
  2. Yongda Socrates Wu, "Heated tobacco products use in Chinese adults in Hong Kong: a population-based cross-sectional study", Tobacco Control (2019), BMJ[DOI]
  3. Christine D Czoli, "Awareness and interest in IQOS heated tobacco products among youth in Canada, England and the USA", Tobacco Control, 29(1), pp.89~95 (2019), BMJ[DOI]
  4. Heewon Kang, "Heated tobacco product use among Korean adolescents", Tobacco Control (2019), BMJ[DOI]
  5. Seo Young Kang, "Prevalence and predictors of heated tobacco product use and its relationship with attempts to quit cigarette smoking among Korean adolescents", Tobacco Control, 30(2), pp.192~198 (2020), BMJ[DOI]
  6. WHO, "Preventing Suicide : A Global Imperative" (2014), World Health Organization
  7. "2020 Whitebook"[URL]
  8. "CO4.4: Teenage suicides (15-19 years old)" (2017)[URL]
  9. Oren Miron, "Suicide Rates Among Adolescents and Young Adults in the United States, 2000-2017", JAMA, 321(23), pp.2362~2364 (2019), American Medical Association (AMA)[DOI]
  10. Alexandra Pitman, "Suicide in young men", The Lancet, 379(9834), pp.2383~2392 (2012), Elsevier BV[DOI]
  11. Keith Hawton, "Self-harm and suicide in adolescents", The Lancet, 379(9834), pp.2373~2382 (2012), Elsevier BV[DOI]
  12. A. E. Evins, "Prospective association between tobacco smoking and death by suicide: a competing risks hazard analysis in a large twin cohort with 35-year follow-up", Psychological Medicine, 47(12), pp.2143~2154 (2017), Cambridge University Press (CUP)[DOI]
  13. Jalal Poorolajal, "Smoking and Suicide: A Meta-Analysis", PLOS ONE, 11(7), pp.e0156348~ (2016), Public Library of Science (PLoS)[DOI]
  14. "The statistics on adolescent health-related behavior in South Korea"[URL]
  15. 이진헌, "한국 어린이와 청소년의 요중 크레아티닌 농도와 영향요인에 대한 연구", 한국환경보건학회지, 38(4), pp.291~299 (2012), 한국환경보건학회[DOI]
  16. 김혜원, "한국 청소년의 흡연과 자살관련행동과의 관계: 제12차(2016년) 청소년건강행태온라인조사", Korean Journal of Health Promotion, 17(4), pp.219~233 (2017), 대한임상건강증진학회[DOI]
  17. Moriya F, "Nicotine and cotinine levels in body fluids of habitual smokers who committed suicide", Nihon Arukoru Yakubutsu Igakkai Zasshi, 41, pp.504~512 (2006)
  18. Timothy C. Durazzo, "Chronic Cigarette Smoking in Healthy Middle-Aged Individuals Is Associated With Decreased Regional Brain N-acetylaspartate and Glutamate Levels", Biological Psychiatry, 79(6), pp.481~488 (2016), Elsevier BV[DOI]
  19. Maria A. Oquendo, "Toward a Biosignature for Suicide", American Journal of Psychiatry, 171(12), pp.1259~1277 (2014), American Psychiatric Association Publishing[DOI]
  20. Mann JJ, "Can biological tests assist prediction of suicide in mood disorders?", Int J Neuropsychopharmacol, 9, pp.465~474 (2006)
  21. Kees van Heeringen, "Decreased resting state metabolic activity in frontopolar and parietal brain regions is associated with suicide plans in depressed individuals", Journal of Psychiatric Research, 84, pp.243~248 (2017), Elsevier BV[DOI]
  22. Malone KM, "Cigarette smoking, suicidal behavior, and serotonin function in major psychiatric disorders", Am J Psychiatry, 160, pp.773~779 (2003)
  23. Vincent Chin-Hung Chen, "Suicide and Other-Cause Mortality after Early Exposure to Smoking and Second Hand Smoking: A 12-Year Population-Based Follow-Up Study", PLOS ONE, 10(7), pp.e0130044~ (2015), Public Library of Science (PLoS)[DOI]
  24. Erikas Simonavicius, "Heat-not-burn tobacco products: a systematic literature review", Tobacco Control, 28(5), pp.582~594 (2019), BMJ[DOI]
  25. Noel J Leigh, "Cytotoxic effects of heated tobacco products (HTP) on human bronchial epithelial cells", Tobacco Control, 27(Suppl 1), pp.s26~s29 (2018), BMJ[DOI]
  26. Li X, "Chemical Analysis and Simulated Pyrolysis of Tobacco Heating System 2.2Compared to Conventional Cigarettes", Nicotine Tob Res, 21, pp.111~118 (2019)[DOI]
  27. Ahnna Lee, "The Use of Heated Tobacco Products is Associated with Asthma, Allergic Rhinitis, and Atopic Dermatitis in Korean Adolescents", Scientific Reports, 9(1) (2019), Springer Science and Business Media LLC[DOI]
  28. Goodwin RD, "Asthma and suicide behaviors : results from the Third National Health and Nutrition Examination Survey(NHANES III)", J Psychiatr Res, 46, pp.1002~1007 (2012)
  29. Namkug Kim, "Altitude, Gun Ownership, Rural Areas, and Suicide", American Journal of Psychiatry, 168(1), pp.49~54 (2011), American Psychiatric Association Publishing[DOI]
  30. Chung JH, "Suicidal ideation and suicide attempts in chronic obstructive pulmonary disease : The Korea National Health and Nutrition Examination Survey(KNHANES IV, V)from 2007-2012", NPJ Prim Care Respir Med, 24, pp.14094~ (2014)[DOI]
  31. Simon Young, "Elevated incidence of suicide in people living at altitude, smokers and patients with chronic obstructive pulmonary disease and asthma: possible role of hypoxia causing decreased serotonin synthesis", Journal of Psychiatry & Neuroscience, 38(6), pp.423~426 (2013), CMA Joule Inc[DOI]
  32. Tyler C. Smith, "Longitudinal Assessment of Mental Disorders, Smoking, and Hazardous Drinking Among a Population-Based Cohort of US Service Members", Journal of Addiction Medicine, 8(4), pp.271~281 (2014), Ovid Technologies (Wolters Kluwer Health)[DOI]
  33. Conner KR, "Substance-induced depression and independent depression in proximal risk for suicidal behavior", J Stud Alcohol Drugs, 75, pp.567~772 (2014)
  34. 조준호, "청소년의 금지 약물 사용에 따른 관련 요인 분석", 한국환경보건학회지, 44(6), pp.608~617 (2018), 한국환경보건학회
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