J Korean Med Sci.  2008 Apr;23(2):207-212. 10.3346/jkms.2008.23.2.207.

Prevalence, Correlates, and Comorbidity of 12-Month Tobacco Dependence among Ever-smokers in South Korea, During 1984-2001

Affiliations
  • 1Department of Psychiatry and Behavioral Science, Institute of Human Behavioral Medicine, Seoul National University College of Medicine, Seoul, Korea. mjcho@plaza.snu.ac.kr
  • 2Department of Psychiatry, Office of Medical Education, Institute of Human Behavioral Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 3Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 4Department of Psychiatry, Inha University College of Medicine, Incheon, Korea.
  • 5Department of Psychiatry, Kangwon National University College of Medicine, Chunchon, Korea.
  • 6Department of Psychiatry, Naju National Hospital, Naju, Korea.
  • 7Department of Psychiatry, Catholic University of Daegu School of Medicine, Daegu, Korea.
  • 8Department of Psychiatry, Seoul National Mental Hospital Seoul, Seoul, Korea.
  • 9Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 10Department of Psychiatry, St. Andrew's Neuropsychiatric Hospital, Icheon, Korea.
  • 11Department of Neuropsychiatry, DongGuk International Hospital, DongGuk University College of Medicine, Goyang, Korea.

Abstract

The rate of dependence among ever-users of a drug indicates the risk of developing dependence once an individual has been exposed to the drug. This is the first study to investigate 12-month tobacco dependence (TD) among ever-smokers in a community-based population. Analyses were based on two national studies of representative samples aged 18-64 in 1984 (n=5,025) and in 2001 (n=6,275), conducted with household visits and face-to-face interviews. The rates of 12-month TD among ever-smokers in men showed no significant difference between 51.6% in 1984 and 50.6% in 2001. On the contrary, the rates in women significantly increased from 33.3% in 1984 to 52.8% in 2001. After adjusting for the sociodemographic variables, 'male gender' was significantly associated with 12-month TD among eversmokers in 1984, but not in 2001. 'Unmarried' was significantly associated in 2001 but not in 1984. 'Alcohol dependence' was the only psychiatric disorder associated with 12-month TD in both study years. In conclusion, 12-month TD was found in about 50% of ever-smokers, and gender differences between the rates of 12-month TD which was observed in 1984 disappeared in 2001. Individuals with 12-month TD showed higher comorbidity with alcohol dependence than ever-smokers without TD.

Keyword

Tobacco Use Disorder; Prevalence; Comorbidity

MeSH Terms

Adolescent
Adult
Alcoholism/complications
Comorbidity
Female
Health Surveys
Humans
Korea
Male
Middle Aged
Prevalence
Risk Factors
Sex Factors
*Smoking
Tobacco Use Disorder/complications/*diagnosis/*epidemiology

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