Journal of Child and Family Studies

, Volume 28, Issue 1, pp 52–63 | Cite as

Adolescent Abuse and Smoking Behavior Among High School Students in the Republic of Korea

  • Junghee Kim
  • Sunhee Park
Original Paper


Despite the existence of ample evidence on long-term effects of early abuse experiences on smoking in adulthood, not much is known about smoking risk among abused adolescents in the current literature. Thus, we aimed to investigate the relationship of adolescent abuse with experimental and daily smoking among Korean adolescents. For our study, we analyzed nationally representative secondary data obtained from eleventh-grade students in 2014 (N = 2052). In order to obtain more accurate findings, we conducted survey data analysis by incorporating a complex sampling design into the entire data analysis process. We used descriptive statistics to investigate smoking-related characteristics; we conducted multinomial logistic regression analysis after adjusting for 10 control factors in order to investigate the association between the two conditions. In our study, approximately 9% of the students self-reported cigarette use during the past year, and about 78% of past-year cigarette users smoked a cigarette almost every day. In addition, we found a significant relationship of adolescent abuse with greater risk of both experimental and daily smoking. Specifically, the predicted odds of experimental smoking and daily smoking increased by approximately 77–85% with a one-unit increase in a perceived level of adolescent abuse. In addition, we found that six control factors were statistically significant: gender, perceived academic achievement, friends who smoke, relationships with friends, relationships with teachers, and participation in a volunteering service. Given our finding, more attention should be paid to adolescent abuse in developing strategies to prevent or reduce cigarette use in adolescence.


Adolescent abuse Adolescent maltreatment Smoking Cigarette use Adolescence KCYPS 


Author Contributions

J.K. contributed to the development of research questions, reviewed the literature, and wrote the manuscript. S.P. developed the research question, designed the study, conducted data analysis, and wrote the manuscript. All authors approved the final manuscript.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Our study was certified as exempt from IRB full board review because we used de-identified secondary data.

Informed Consent

The obtainment of informed consent was not necessary for our study due to the analysis of de-identified secondary data.


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Authors and Affiliations

  1. 1.Department of Nursing, Graduate SchoolKyung Hee UniversitySeoulRepublic of Korea
  2. 2.College of Nursing Science, East-West Nursing Research InstituteKyung Hee UniversitySeoulRepublic of Korea

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