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HOME > Osong Public Health Res Perspect > Volume 10(5); 2019 > Article
Smoking Gun: Days of Wine and Roses
Hae-Wol Choa,b
Osong Public Health and Research Perspectives 2019;10(5):263-264.
Published online: October 31, 2019

aOsong Public Health and Research Perspectives, Korea Centers for Disease Control and Prevention, Cheongju, Korea

bCollege of Medicine, Eulji University, Daejeon, Korea

*Corresponding author: Hae-Wol Cho, College of Medicine, Eulji University, Daejeon, Korea, E-mail:

Copyright ©2019, Korea Centers for Disease Control and Prevention

This is an open access article under the CC BY-NC-ND license (

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The health of adolescents is a major concern in many countries. They are at the transitional stage of physical and psychological development or changes from childhood to adulthood. They are vulnerable to many kinds of unhealthy behaviors to imperil their health, such as alcohol, tobacco use, unprotected sex, early pregnancy, exposure to violence and so on. As these undesirable behaviors are directly associated with health in adulthood, thereby affecting life expectancy, protecting them from health risks is critical for countries’ future health.
Smoking cigarettes often begins during adolescence, along with other health-related risky behaviors [1]. Studies have shown that smoking in adolescents is associated with risky behaviors including sexual intercourse and alcohol consumption [210]. These risky behaviors tend to co-exist [8], but previous studies have typically been concerned with smoking and alcohol consumption. In the current issue of Osong Public Health and Research Perspectives, a study by Kim and Cho [11] examined the relationship between sexual experience and smoking and alcohol consumption in high school students, using the national data extracted from the 11th Korean Youth Health Risk Behavior Web-Based Survey.
Analysis of data from 33,744 Korean high school students reported that 3.6% of girls and 9.9% of boys in high school had experienced sexual intercourse, and this was dose-dependent to the number of cigarettes smoked and amount of alcohol consumed. The authors reported that smoking up to 9 cigarettes and drinking up to 6 units of alcohol, lead to a higher risk ratio of 5.94 for students having sexual intercourse. However, the risk ratio increased to 22.25 when students smoked more than 10 cigarettes and drank more than 7 units of alcohol.
The authors concluded that smoking cigarettes and alcohol consumption increased the likelihood of Korean high school students having sexual intercourse. These observations indicate that there is a significant relationship between smoking, drinking alcohol, and sexual intercourse, and this information could be used to help the development of a combined adolescent health education program with mediating risk factors.

Conflicts of Interest

No conflicts of interest declared by the author.

  • 1. Charrier L, Berchialla P, Dalmasso P, et al. Cigarette smoking and multiple health risk behaviors: a latent class regression model to identify a profile of young adolescents. Risk Anal 2019;39(8). 1771−82. PMID: 10.1111/risa.13297. PMID: 30859607.ArticlePubMed
  • 2. Finer LB, Darroch JE, Singh S. Sexual partnership patterns as a behavioral risk factor for sexually transmitted diseases. Fam Plann Perspect 1999;31(5). 228−36. PMID: 10.2307/2991570.ArticlePubMed
  • 3. Busen N, Modeland V, Kouzekanani K. Adolescent cigarette smoking and health risk behavior. J Pediatr Nurs 2001;16(3). 187−93. PMID: 10.1053/jpdn.2001.24182. PMID: 11398129.ArticlePubMed
  • 4. Han SH, Kim JJ, Choi MJ. Effected Factors on the Initiation of Sexual Activity among Korean Young Adults. J Health Info Stat 2002;27(1). 21−36.
  • 5. Moh HS, Oh HE, Cho KW. A Study on the Relationship between Risk Behaviors, Sexual Knowledge, Sexual Attitudes, and Sexual Experience in Male High School Students. Korean J Women Health Nurs 2006;12(3). 210−20. PMID: 10.4069/kjwhn.2006.12.3.210.Article
  • 6. Yu JO, Kim HH, Kim JS. Factors Associated with Sexual Debut among Korean Middle School Students. Child Health Nurs Res 2014;20(3). 159−67. PMID: 10.4094/chnr.2014.20.3.159.ArticlePDF
  • 7. Gwon SH, Lee CY. Factors that Influence Sexual Intercourse among Middle School Students - Using Data from the 8th (2012) Korea Youth Risk Behavior Web-based Survey. J Korean Acad Nurs 2015;45(1). 76−83. PMID: 10.4040/jkan.2015.45.1.76. PMID: 25743736.ArticlePubMed
  • 8. Camenga DR, Klein JD, Roy J. The changing risk profile of the American adolescent smoker: implications for prevention program and tobacco interventions. J Adolesc Health 2006;39(1). 120.e1−10. PMID: 10.1016/j.jadohealth.2005.10.014.ArticlePubMed
  • 9. Le YCL, Behnken MP, Markham CM, et al. Alcohol use as a potential mediator of forced sexual intercourse and suicidality among African American, Caucasian, and Hispanic high school girls. J Adolesc Health 2011;49(4). 437−39. PMID: 10.1016/j.jadohealth.2011.01.003. PMID: 21939878. PMID: 3378245.ArticlePubMedPMC
  • 10. Kim KH, Kwon HJ, Jung HK, et al. A Study on the Variables Forecasting Male Adolescents” Sexual Intercourse. J Korean Acad Nurs 2004;34(6). 954−63. PMID: 10.4040/jkan.2004.34.6.954.Article
  • 11. Kim SJ, Cho KW. Interaction between smoking cigarettes, alcohol consumption, and sexual experience in high school students. Osong Public Health Res Perspect 2019;10(5). 274−80.ArticlePubMedPMCPDF

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