DOI QR코드

DOI QR Code

청소년의 궐련형 전자담배 사용과 자살관련행동과의 관계

Association between Heated Tobacco Products Use and Suicidal Behaviors among Adolescents

  • Cho, Jun Ho (Department of Public Health Administration, Hanyang Women's University)
  • 투고 : 2020.07.31
  • 심사 : 2020.08.10
  • 발행 : 2020.08.31

초록

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.

키워드

참고문헌

  1. Nyman AL, Weaver SR, Popova L, et al. Awareness and use of heated tobacco products among US adults, 2016-2017. Tob Control. 2018 Nov; 27: s55-s61. doi: 10.1136/tobaccocontrol-2018-054323. [Epub 2018 Aug 29].
  2. Wu YS, Wang MP, Ho SY, et al. Heated tobacco products use in Chinese adults in Hong Kong: a population-based cross-sectional study. Tob Control. 2019 Apr 20. pii: tobaccocontrol-2018-054719. doi: 10.1136/tobaccocontrol-2018-054719. [Epub ahead of print].
  3. Czoli CD, White CM, Reid JL, et al. Awareness and interest in IQOS heated tobacco products among youth in Canada, England and the USA. Tob Control. 2020 Jan; 29: 89-95. doi: 10.1136/tobaccocontrol-2018-054654. [Epub 2019 Jan 29].
  4. Kang H, Cho SI. Heated tobacco product use among Korean adolescents. Tob Control. 2019 Jun 4. pii: tobaccocontrol-2019-054949. doi: 10.1136/tobaccocontrol-2019-054949. [Epub ahead of print].
  5. Kang SY, Lee S, Cho HJ. Prevalence and predictors of heated tobacco product use and its relationship with attempts to quit cigarette smoking among Korean adolescents. Tob Control. 2020 Feb 27. pii: tobaccocontrol-2019-055114. doi: 10.1136/tobaccocontrol-2019-055114. [Epub ahead of print].
  6. WHO. Preventing Suicide: A Global Imperative. Luxembourg: World Health Organization; 2014.
  7. 2020 Whitebook, Ministry of Health & Welfare, Korea Suicide Prevention Center. http://www.spckorea.or.kr/sub.php?id=issue&mode=view&menukey=10&idx=33&page=1&menukey=10.
  8. OECD [dataset], 2017. CO4.4: Teenage suicides (15-19 years old). Available at: https://www.oecd.org/social/family/CO_4_4_Teenage-Suicide.pdf. (Accessed on March 02, 2020).
  9. Miron O, Yu KH, Wilf-Miron R, Kohane IS. Suicide Rates Among Adolescents and Young Adults in the United States, 2000-2017. JAMA. 2019 Jun 18; 321: 2362-2364. doi: 10.1001/jama.2019.5054.
  10. Pitman A, Krysinska K, Osborn D, King M. Suicide in young men. Lancet. 2012 Jun 23; 379: 2383-2392. doi: 10.1016/S0140-6736(12)60731-4.
  11. Hawton K, Saunders KE, O'Connor RC. Self-harm and suicide in adolescents. Lancet. 2012 Jun 23; 379: 2373-2382. doi: 10.1016/S0140-6736(12)60322-5.
  12. Evins AE, Korhonen T, Kinnunen TH, Kaprio J. Prospective association between tobacco smoking and death by suicide: a competing risks hazard analysis in a large twin cohort with 35-year followup. Psychol Med. 2017 Sep; 47: 2143-2154. doi: 10.1017/S0033291717000587. [Epub 2017 Apr 12].
  13. Poorolajal J, Darvishi N. Smoking and Suicide: A Meta-Analysis. PLoS One. 2016 Jul 8; 11: e0156348. doi: 10.1371/journal.pone.0156348. [eCollection 2016].
  14. Korean Center for disease Control and Prevention. The statistics on adolescent health-related behavior in South Korea. Available at: http://yhs.cdc.go.kr/. (Accessed June 7, 2016).
  15. Lee JH, Ahn RM, Kang HS, Choi SN, Hong CP, and Kim JG. Factors Associated with the Concentrations of Urinary Creatinine in Korean Children and Adolescents. J Environ Health Sci. 2012: 38(4): 291-299.
  16. Kim HW, Kim YK, Paik JY, et al. The Relationship between Smoking and Suicidal Behavior in Korean Adolescents: 12th Korea Youth Risk Behavior Web-based Survey. Korean J Health Promot. 2017; 17: 219-233. https://doi.org/10.15384/kjhp.2017.17.4.219
  17. Moriya F, Furumiya J, Hashimoto Y. Nicotine and cotinine levels in body fluids of habitual smokers who committed suicide. Nihon Arukoru Yakubutsu Igakkai Zasshi. 2006 Dec; 41: 504-512.
  18. Durazzo TC, Meyerhoff DJ, Mon A, Abe C, et al. Chronic cigarette smoking in healthy middle-aged individuals is associated with decreased regional brain N-acetylaspartate and glutamate levels. Biol-Psychiatry. 2016 Mar 15; 79: 481-488. doi: 10.1016/j.biopsych.2015.03.029.
  19. Oquendo MA, Sullivan GM, Sudol K, et al. Toward a biosignature for suicide. Am J Psychiatry. 2014 Dec 1; 171: 1259-1277. doi: 10.1176/appi.ajp.2014.14020194. [Epub 2014 Oct 31].
  20. Mann JJ, Currier D, Stanley B, et al. Can biological tests assist prediction of suicide in mood disorders? Int J Neuropsychopharmacol. 2006 Aug; 9: 465-474. [Epub 2005 Jun 21]. https://doi.org/10.1017/S1461145705005687
  21. vanHeeringen K, Wu GR, Vervaet M, et al. Decreased resting state metabolic activity in frontopolar and parietal brain regions is associated with suicide plans in depressed individuals. J Psychiatr Res. 2017 Jan; 84: 243-248. doi: 10.1016/j.jpsychires.2016.10.011. [Epub 2016 Oct 19].
  22. Malone KM, Waternaux C, Haas GL, et al. Cigarette smoking, suicidal behavior, and serotonin function in major psychiatric disorders. Am J Psychiatry. 2003 Apr; 160: 773-779. https://doi.org/10.1176/appi.ajp.160.4.773
  23. Chen VC, Kuo CJ, Wang TN, et al. Suicide and Other-Cause Mortality after Early Exposure to Smoking and Second Hand Smoking: A 12-Year Population-Based Follow-Up Study. PLoS One. 2015 Jul 29; 10: e0130044. doi: 10.1371/journal.pone.0130044. [eCollection 2015].
  24. Simonavicius E, McNeill A, Shahab L, Brose LS. Heat-not-burn tobacco products: a systematic literature review. Tob Control. 2019 Sep; 28: 582-594. doi: 10.1136/tobaccocontrol-2018-054419. [Epub 2018 Sep 4].
  25. Leigh NJ, Tran PL, O'Connor RJ, Goniewicz ML. Cytotoxic effects of heated tobacco products (HTP) on human bronchial epithelial cells. Tob Control. 2018 Nov; 27: s26-s29. doi: 10.1136/tobaccocontrol-2018-054317. [Epub 2018 Sep 5].
  26. Li X, Luo Y, Jiang X, et al. Chemical Analysis and Simulated Pyrolysis of Tobacco Heating System 2.2 Compared to Conventional Cigarettes. Nicotine Tob Res. 2019 Jan 1; 21: 111-118. doi: 10.1093/ntr/nty005.
  27. Lee A, Lee SY, Lee KS. The Use of Heated Tobacco Products is Associated with Asthma, Allergic Rhinitis, and Atopic Dermatitis in Korean Adolescents. Sci Rep. 2019 Nov 27; 9: 17699. doi: 10.1038/s41598-019-54102-4.
  28. Goodwin RD, Demmer RT, Galea S, et al. Asthma and suicide behaviors: results from the Third National Health and Nutrition Examination Survey (NHANES III). J Psychiatr Res. 2012; 46: 1002-1007. https://doi.org/10.1016/j.jpsychires.2012.04.024
  29. Kim N, Mickelson JB, Brenner BE, et al. Altitude, gun ownership, rural areas, and suicide. Am J Psychiatry. 2011; 168: 49-54. doi: 10.1176/appi.ajp.2010. 10020289 PMID: 20843869.
  30. Chung JH, Han CH, Park SC, Kim CJ. 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. 2014 Oct 30; 24: 14094. doi: 10.1038/npjpcrm.2014. 94 PMID: 25356541.
  31. Young SN. Elevated incidence of suicide in people living at altitude, smokers and patients with chronic obstructive pulmonary disease and asthma: possible role of hypoxia causing decreasedserotonin synthesis. J Psychiatry Neurosci. 2013 Nov; 38: 423-426. doi: 10.1503/jpn.130002.
  32. Smith TC, LeardMann CA, Smith B, et al. Longitudinal assessment of mental disorders, smoking, and hazardous drinking among a population-based cohort of US service members. J Addict Med. 2014 Jul-Aug; 8: 271-281. doi: 10.1097/ADM.0000000000000050.
  33. Conner KR, Gamble SA, Bagge CL, et al. Substance-induced depression and independent depression in proximal risk for suicidal behavior. J Stud Alcohol Drugs. 2014 Jul; 75: 567-772. https://doi.org/10.15288/jsad.2014.75.567
  34. Cho JH. Analysis of Related Factors According to Using Illicit Substances Among Adolescents. J Environ Health Sci. 2018; 44(6): 608-617.
  35. Kang SY, Lee S, Cho HJ. Prevalence and predictors of heated tobacco product use and its relationship with attempts to quit cigarette smoking among Korean adolescents. Tob Control. 2020 Feb 27. pii: tobaccocontrol-2019-055114. doi: 10.1136/tobaccocontrol-2019-055114. [Epub ahead of print].