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Epidemiol Health > Accepted Articles
Epidemiology and Health 2021;e2021066.
DOI: https://doi.org/10.4178/epih.e2021066    [Accepted] Published online Sep 9, 2021.
Social competence, leisure time activities, and smoking trajectories among adolescent boys: Data from The Korean Children & Youth Panel Survey
Eunjung Park1*  , Min Kyung Lim2  , Jinju Park3  , Tran Thi Phuong Thao4  , Sukyung Jeong2  , Eun Young Park1  , Jin-Kyoung Oh1,4 
1Division of Cancer Prevention & Early Detection, National Cancer Control Institute, National Cancer Center, Goyang, Korea
2Department of Social and Preventive Medicine, Inha University College of Medicine, Incheon, Korea
3Central Division of Cardio-Cerebrovascular Disease Management, Seoul National University Hospital
4Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea

*Current affiliation: Hanyang University Institute for Rheumatology Research, Seoul, Korea
Correspondence  Min Kyung Lim ,Tel: 0328609847, Email: mklim0526@gmail.com
Received: May 31, 2021  Accepted after revision: Sep 7, 2021
Abstract
Objectives:
To identify trajectories and potential predictors of tobacco use patterns among adolescents in Korea and to develop appropriate strategies for the implementation of primary prevention of tobacco use.
Method:
Tobacco trajectory and associated predictors were analyzed for 1,169 children from sixth (age 11) to tenth (age 15) grades in The Korean Children & Youth Panel Survey from 2012 to 2016.
Results:
The three trajectory of smoking experience was identified: non-smokers (T1; 82.3%), temporary users (T2; 3.4%), and continuous users (T3; 14.3%). Compared with non-smokers, “ever-users” (i.e., T2 and T3) were significantly associated with a higher likelihood of having a girlfriend, committing delinquent behaviors, having delinquent friends, having a lesser reading time, dissatisfaction with grades, and being in lower household income. Having delinquent friends, having a lesser reading time, and being in the lowest household income were the significant factors for being continuous users (T3).
Conclusions:
Experiencing delinquent behaviors and lower socioeconomic status might initiate and continue the smoking among adolescents, while smoking experimentation could be shifted by concern about grades and engaging in positive leisure activities. These information can contribute to development of tailored prevention and early cessation programs for adolescents.
Keywords: Adolescents; Smoking; Trajectory; Reading ; Delinquent behaviors; Korea
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