{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T09:20:33Z","timestamp":1784798433517,"version":"3.55.0"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite the rapid rise in adolescent poly-tobacco use, evidence on what drives quit attempts in this high-risk group remains limited compared to single-product users. This study identifies these differential predictors using a socio-ecological framework to inform tailored tobacco control strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study performed a cross-sectional analysis using complex sample logistic regression on pooled data from the 2023\u20132024 Korea Youth Risk Behavior Survey (KYRBS), a nationwide survey conducted in South Korea. Participants included a total of 5,127 current adolescent smokers, of whom 40.8% were single-product users and 59.2% were poly-tobacco users. The primary outcome was self-reported quit attempts within the past 12\u202fmonths. Predictors included user type and individual, interpersonal, organizational, and community\/policy factors based on the socio-ecological model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Poly-tobacco users exhibited a more vulnerable profile but reported significantly more quit attempts than single-product users. While school-based education and peer smoking were shared facilitators, the positive impact of education was significantly more pronounced in poly-tobacco users (\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.001). Notably, anti-smoking media campaigns were associated with quit attempts exclusively among poly-tobacco users (aOR\u202f=\u202f1.29, 95% CI [1.09\u20131.52]), showing no significant effect on single-product users.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Predictors of adolescent quit attempts differ significantly by tobacco use complexity. Although a higher-risk group, poly-tobacco users showed a stronger association between quit attempts and both school-based education and media campaigns. This highlights the need for tailored tobacco control strategies that account for varying levels of receptivity among different user groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1727685","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T05:35:14Z","timestamp":1775540114000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Differential predictors of smoking quit attempts between single- and poly-tobacco-using adolescents: a Korean national survey analysis"],"prefix":"10.3389","volume":"14","author":[{"given":"Eunkyo","family":"Kang","sequence":"first","affiliation":[{"name":"National Cancer Control Institute, National Cancer Center","place":["Goyang, Republic of Korea"]},{"name":"National Cancer Center Graduate School of Cancer Science and Policy, National Cancer Center","place":["Goyang, Republic of Korea"]},{"name":"Department of Family Medicine, National Cancer Center","place":["Goyang, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyewon","family":"Lee","sequence":"additional","affiliation":[{"name":"National Cancer Control Institute, National Cancer Center","place":["Goyang, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juyoung","family":"Choi","sequence":"additional","affiliation":[{"name":"National Cancer Control Institute, National Cancer Center","place":["Goyang, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyorim","family":"Ju","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Dankook University Hospital","place":["Cheonan, Chungcheongnam-do, Republic of Korea"]},{"name":"Department of Family Medicine, Seoul National University College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1051597","DOI":"10.3389\/fpubh.2023.1051597","article-title":"Cigarette smoking in childhood and risk of all-cause and cause-specific mortality in adulthood","volume":"11","author":"Liu","year":"2023","journal-title":"Front Public Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"187077","DOI":"10.18332\/tid\/187077","article-title":"Poly-tobacco use and mental health in south Korean adolescents","volume":"22","author":"Kwon","year":"2024","journal-title":"Tob Induc Dis"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"102207","DOI":"10.1016\/j.pmedr.2023.102207","article-title":"Patterns of tobacco product use and substance misuse among adolescents in the United States","volume":"33","author":"Erhabor","year":"2023","journal-title":"Prev Med 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