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<p>This study estimated the proportion of nicotine dependence among current smokers in Korea and investigated its association with health behaviors. This cross-sectional study used data from the 2016, 2019, and 2022 Korea National Health and Nutrition Examination Surveys (<i>n</i> = 3,003 adult current smokers). The proportion of nicotine dependence among adult Korean current smokers, defined as Heavy Smoking Index ≥ 4, was 18.0%. In comparison with smokers showing low nicotine dependence, those with high nicotine dependence were more likely to engage in high-risk alcohol consumption (aOR = 1.51, 95% CI = 1.22–1.88) and less likely to undergo general health screening (aOR = 0.72, 95% CI = 0.56–0.91). Similarly, higher nicotine dependence scores were associated with more risky alcohol consumption (<i>p</i>-trend &lt; 0.001), general health screenings (<i>p</i>-trend = 0.002), and cancer screenings (<i>p</i>-trend = 0.017). Since smoking is a well-known major risk factor for diseases, a tailored health programs to encourage smoking cessation and improve health behaviors among smokers, especially those with high nicotine dependence, is essential.</p>

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The Association Between Nicotine Dependence and Health Behaviors Among Adult Smokers in Korea

  • 期刊论文

  • 发表日期：

    2025年9月12日

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  • Minje Jo,
  • Jaeyoung Hong,
  • Yujin Im,
  • Hyoyoung Choi,
  • Chaeeun Lee,
  • Sunwoo Lee,
  • Jingyeong Park,
  • Seoeun Choi,
  • Mi Ah Han

摘要

This study estimated the proportion of nicotine dependence among current smokers in Korea and investigated its association with health behaviors. This cross-sectional study used data from the 2016, 2019, and 2022 Korea National Health and Nutrition Examination Surveys (n = 3,003 adult current smokers). The proportion of nicotine dependence among adult Korean current smokers, defined as Heavy Smoking Index ≥ 4, was 18.0%. In comparison with smokers showing low nicotine dependence, those with high nicotine dependence were more likely to engage in high-risk alcohol consumption (aOR = 1.51, 95% CI = 1.22–1.88) and less likely to undergo general health screening (aOR = 0.72, 95% CI = 0.56–0.91). Similarly, higher nicotine dependence scores were associated with more risky alcohol consumption (p-trend < 0.001), general health screenings (p-trend = 0.002), and cancer screenings (p-trend = 0.017). Since smoking is a well-known major risk factor for diseases, a tailored health programs to encourage smoking cessation and improve health behaviors among smokers, especially those with high nicotine dependence, is essential.