ArticleTobacco induced diseases2024
Poly-tobacco use and mental health in South Korean adolescents.
Article in Tobacco induced diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Stage-specific effects of early-life tobacco exposure on mental health, inflammation, and brain structure-function coupling.Translational psychiatry · 2026Article
- Differential predictors of smoking quit attempts between single- and poly-tobacco-using adolescents: a Korean national survey analysis.Frontiers in public health · 2026Article
- Multiple Tobacco Product Use and Perceived Cognitive Function Among Young Adults in Kuwait: A Cross-Sectional Study.Tobacco use insights · 2026Article
- Polytobacco usage and mental health among Malaysian secondary school-going adolescents: Findings from the national school-based study.Tobacco induced diseases · 2025Article
- Association between smoking behavior and sleep health among South Korean adolescents: A cross-sectional study 2020-2023.Tobacco induced diseases · 2025Article
- Reasons for cigarette and tobacco product use, dual use, and poly use among university students.Tobacco induced diseases · 2024Article
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3 authors.
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Abstract
introductionWith the advent of new tobacco products, poly-tobacco use among adolescents is increasing. Smoking among adolescents negatively impacts both their physical and mental health. This study aimed to determine poly-tobacco use among adolescents in South Korea and to identify the mental health problems caused by single-, dual-, and poly-tobacco use.
methodsData from 54948 adolescents in the 2020 Korea Youth Behavior Web-based Survey were included. Mental health variables of our primary outcome were loneliness, anxiety, and depression. Descriptive statistics, Rao-Scott χ
resultsAmong the subjects, 95.2% were non-tobacco users, followed by single (3.0%), dual (1.1%), and poly users (0.7%). The subjects with poly-tobacco use had significantly higher rates of loneliness (33.2%, p<0.001), anxiety (22.3%, p<0.001), and depression (49.9%, p<0.001) than those who used fewer tobacco products. Subjects who used poly-tobacco products were 2.13 (95% CI: 1.61-2.83) times more likely to report loneliness, 1.52 (95% CI: 1.12-2.07) times more likely to report anxiety, and 2.18 (95% CI: 1.68-2.82) times more likely to report depression than non-tobacco users.
conclusionsAmong adolescents, poly-tobacco use is associated with symptoms of loneliness, depression, and anxiety, which are internalized mental health problems. Poly-tobacco use warrants early assessment of high-risk groups, education on the need for tobacco-use cessation, and active intervention for the psychological difficulties that these high-risk groups experience.
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