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KCI등재 학술저널

일반 궐련담배 흡연 및 전자담배 이중 사용자의 심근경색과 협심증 관련성: 일반인 대상 단면연구

The Association with Dual Use of Electronic and Conventional Cigarettes for Myocardial Infarction and Angina in General Population: A Cross-Sectional Study

DOI : 10.37152/kmhs.2023.16.2.115
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This a cross-sectional study aimed to investigate associations with dual use of electronic and conventional cigarettes for myocardial infarction and angina among Korean general population. The data of this study is from Korean National Health and Nutrition Examination Survey (2016-2021) pertaining to 26,143 participants aged 19 years or older. Of 26,143 participants, 3,075 (11.8%) was current conventional cigarettes smoker and 1,707 (6.5%) ever tried both e-cigarettes and conventional cigarettes (dual user). Among those dual user, 73.5% was current conventional cigarettes smoker, and they had 2-fold higher association for myocardial infarction and angina compared with non-smoker based on multivariable logistic regression model adjusted for covariates (OR=2.02, 95% CI: 2.01-2.03). The significant interaction effect was observed between smoking status and metabolic syndrome (MetS) prevalence (p<0.0001). Most e-cigarette users are dual users, and dual users have a higher association with myocardial infarction and angina than conventional cigarette-only smokers and non-smokers, and interaction with metabolic syndrome has also been confirmed in this relationship, so more active measures should be taken to target dual users. Smoking cessation education and intensive lifestyle intervention should be prioritized.

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