Trends in socioeconomic inequality in e-cigarette use among adolescents in South Korea.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Tobacco Induced Diseases Pub Date : 2024-10-17 eCollection Date: 2024-01-01 DOI:10.18332/tid/194099

Gaoran Chen, Hong Lu, Wenqi Chen, Shaojie Qi, Wenbin Du

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Abstract

Introduction: The global rise in e-cigarette use among adolescents is alarming, with associated socioeconomic inequalities posing potential public health risks. This study examined trends in the socioeconomic inequality in e-cigarette use among South Korean adolescents to inform future regulatory directions.

Methods: Socioeconomic inequalities in e-cigarette use among Korean adolescents were assessed using data from the Korea Youth Risk Behavior Web-based Survey (KYRBS) from 2011 to 2023. The Concentration Index, a well-established method for measuring health inequalities, was employed. Additionally, this study investigated how the smoking behaviors of family members and friends influence socioeconomic inequality in e-cigarette use among Korean adolescents, using a decomposition analysis.

Results: The Concentration Index values showed a clear, fluctuating downward trend over 13 years, from -0.12 (95% CI: -0.13 - -0.10) in 2011 to -0.24 (95% CI: -0.26 - -0.21) in 2023. Decomposition analysis revealed that smoking among peer groups, including friends and siblings, was the primary contributor to socioeconomic inequality in e-cigarette use, followed by maternal smoking.

Conclusions: Socioeconomic inequalities in adolescent e-cigarette use in South Korea are widening, particularly among low socioeconomic status groups. The impact of peer groups on socioeconomic inequalities in e-cigarette use among adolescents is concerning.

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韩国青少年使用电子烟的社会经济不平等趋势。

导言：全球青少年使用电子烟的人数增加令人担忧，与此相关的社会经济不平等现象带来了潜在的公共卫生风险。本研究探讨了韩国青少年使用电子烟的社会经济不平等趋势，为未来的监管方向提供参考：方法：利用韩国青少年风险行为网络调查（KYRBS）2011 年至 2023 年的数据，对韩国青少年使用电子烟的社会经济不平等现象进行了评估。研究采用了浓度指数，这是衡量健康不平等的一种行之有效的方法。此外，本研究还采用分解分析法调查了家庭成员和朋友的吸烟行为如何影响韩国青少年使用电子烟的社会经济不平等现象：浓度指数值在13年间呈现出明显的波动下降趋势，从2011年的-0.12（95% CI：-0.13 -0.10）下降到2023年的-0.24（95% CI：-0.26 -0.21）。分解分析表明，包括朋友和兄弟姐妹在内的同伴群体吸烟是造成电子烟使用方面社会经济不平等的主要因素，其次是母亲吸烟：结论：韩国青少年使用电子烟的社会经济不平等现象正在扩大，尤其是在社会经济地位较低的群体中。同龄群体对青少年使用电子烟的社会经济不平等的影响令人担忧。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.