Journal of Korean Academy of Nursing

Haein Lee

4 Articles

Associations between the Frequency and Quantity of Heated Tobacco Product Use and Smoking Characteristics among Korean Smoking Adolescents: Haein Lee, Bo Gyeong Lee; J Korean Acad Nurs 2023;53(2):155-166. Published online April 30, 2023; DOI: https://doi.org/10.4040/jkan.22125

Purpose
Although heated tobacco product (HTP) use among adolescents is an emerging public health problem, little is known about the frequency and quantity of HTP use. Thus, we investigated the associations between the frequency and quantity of HTP use and smoking characteristics (i.e., combustible cigarette [CC] and electronic cigarette [EC] use, and attempts to quit smoking) among CC-smoking adolescents.
Methods
We analyzed nationally representative data from 2,470 Korean adolescents who were current CC smokers. To investigate our aim, we conducted multinomial logistic and logistic regression analyses.
Results
We found that daily and heavier CC users had greater likelihoods of more frequent and heavier HTP use. In addition, dual users of CCs and ECs were more likely to use HTPs more frequently and heavily than CC users who did not use ECs. Moreover, daily EC users had the highest risk of frequent and heavy HTP use. The frequency and quantity of HTP use were not associated with attempts to quit smoking. Compared to CC-only use, dual use of CCs and HTPs was not associated with quitting attempts, and triple use of CCs, ECs, and HTPs was associated with a lower likelihood of quitting attempts.
Conclusion
HTP use was less likely to displace CC use and promote attempts to quit smoking. Thus, strict regulations are required to prevent the promotion of HTPs as a substitute for CCs or as a means of quitting smoking. Additionally, health professionals should consider preventive interventions for HTP, as well as CC and EC use among adolescents.

Citations

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The Health Effects of Heated Tobacco Product Use—A Narrative Review
Małgorzata Znyk, Dorota Kaleta
Healthcare.2025; 13(16): 2042. CrossRef
A Scoping Review of Behavioural Studies on Heated Tobacco Products
Ian M Fearon, Sarah F Cordery, Martin Fitzpatrick, Sarah Weaver, Matthew Stevenson, Erika Grandolfo, Layla Malt, Keith Thompson, Thomas Nahde
Cureus.2024;[Epub] CrossRef

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30 Download
2 Web of Science
2 Crossref

Associations between Cigarette and Electronic Cigarette Use and Sleep Health in Korean Adolescents: An Analysis of the 14th (2018) Korea Youth Risk Behavior Surveys: Bo Gyeong Lee, Haein Lee; J Korean Acad Nurs 2021;51(3):380-389. Published online June 30, 2021; DOI: https://doi.org/10.4040/jkan.21034

Abstract PDF

Purpose
This study aimed to understand the relationship between cigarette and electronic cigarette (e-cigarette) use and sleep health among Korean adolescents.
Methods
Using the 14th Korea Youth Risk Behavior Survey, we included 52,928 adolescents who responded to sleep satisfaction and sleep duration. Participants were classified into four groups: non-users, cigarette-only users, e-cigarette-only users, and dual users of both products. To examine the associations between cigarette and e-cigarette use and sleep health, data were analyzed using complex samples cross tabulation and complex samples logistic regression.
Results
Of the four groups, dual users reported the lowest level of sleep satisfaction and sleep duration; 57.0% and 86.9% of dual users were not satisfied with their sleep and have insufficient sleep duration, respectively. The proportion of students who were not satisfied with their sleep was higher among cigarette-only users compared to e-cigarette-only users (52.7% vs. 45.8%), but the two groups reported similar rates of insufficient sleep duration (84.2% vs. 84.3%). Compared to non-users, cigarette-only users, e-cigarette-only users, and dual users were more likely to not be satisfied with sleep (odds ratios [ORs] were 1.49, 1.36, and 1.75, respectively) and had significantly higher odds of experiencing insufficient sleep duration (ORs were 1.85, 2.06, and 2.34, respectively).
Conclusion
E-cigarette-only use and dual use as well as cigarette-only use were associated with poor sleep health. Therefore, to improve adolescent sleep health, health professionals should provide sleep intervention strategies considering the association between smoking and sleep health.

Citations

Citations to this article as recorded by

Association between exclusive or dual use of combustible cigarettes and heated tobacco products and depressive symptoms
Bo Gyeong Lee, Haein Lee, Namhee Kim, Ghobad Moradi
PLOS ONE.2025; 20(1): e0314558. CrossRef
Impact of electronic cigarette use and sleep duration, sleep issues and insomnia: a systematic review and meta-analysis
Huma Sulthana, Asif Jan, Amogh Verma, Ranjana Sah, Rachana Mehta, Aftab Ullah, Abdur Rahim, Mohammad R. Alqudimat, Asmat Ullah
Frontiers in Public Health.2025;[Epub] CrossRef
A Systematic Review on Health Impact of Electronic Cigarettes in South Korea
Eunsil Cheon, Hana Kim, Naeun Kang, Susan Park, Sung-il Cho, Jieun Hwang
Journal of the Korean Society for Research on Nicotine and Tobacco.2024; 15(2): 29. CrossRef
A Study on the Factors Influencing Smoking in Multicultural Youths in Korea
Jin-Hee Park, Mi-Jin Kim, Hee-Joo Lee
Healthcare.2023; 11(10): 1437. CrossRef
Association of dual electronic cigarettes and marijuana use with sleep duration among adults from the United States, NHANES 2015–2018
Zhenzhen Pan, Qian Wang, Yun Guo, Shidi Xu, Shanshan Pan, Shiyao Xu, Qin Zhou, Ling Li
Preventive Medicine Reports.2023; 33: 102190. CrossRef

1,348 View
26 Download
4 Web of Science
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Patterns of Drinking Behaviors and Predictors of Class Membership among Adolescents in the Republic of Korea: A Latent Class Analysis: Haein Lee, Sunhee Park; J Korean Acad Nurs 2019;49(6):701-712. Published online January 17, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.6.701

Abstract PDF

Abstract Purpose:

Despite the high drinking rates and the complexity of drinking behaviors in adolescents, insufficient attention has been paid to their drinking patterns. Therefore, we aimed to identify patterns of adolescent drinking behaviors and factors predicting the distinct subgroups of adolescent drinking behaviors.

Methods:

We analyzed nationally representative secondary data obtained in 2017. Our final sample included 24,417 Korean adolescents who had consumed at least one glass of alcohol in their lifetime. To investigate patterns of drinking behaviors, we conducted a latent class analysis using nine alcohol-related characteristics, including alcohol consumption levels, solitary drinking, timing of drinking initiation, and negative consequences of drinking. Furthermore, we investigated differences in demographics, mental health status, and characteristics of substance use across the latent classes identified in our study. To do so, we used the PROC LCA with COVARIATES statement in the SAS software.

Results:

We identified three latent classes of drinking behaviors: current non-drinkers (CND), binge drinkers (BD), and problem drinkers (PD). Compared to the CND class, both BD and PD classes were strongly associated with higher academic year, lower academic performance, higher levels of stress, suicidal ideation, lifetime conventional or electronic cigarette use, and lifetime use of other drugs.

Conclusion:

Health professionals should develop and implement intervention strategies targeting individual subgroups of drinking behaviors to obtain better outcomes. In particular, health professionals should consider different characteristics across subgroups of adolescent drinking behaviors when developing the interventions, such as poor mental health status and other substance use among binge and problem drinkers.

Citations

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Examining suicidality and substance use among Korean adolescents: a latent class analysis study
Serim Lee, Jinyung Kim
Asia Pacific Journal of Social Work and Development.2025; : 1. CrossRef
Associations between binge drinking experience, depressive mood, and suicidality in adolescents: Based on the 2021 Korea Youth Risk Behavior Web-based Survey
Mi-Sun Lee, Hooyeon Lee
Journal of Affective Disorders.2023; 323: 386. CrossRef

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2 Web of Science
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