Tobacco use is the most important preventable risk factor for premature death. The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC), the first international public health treaty, came into force in 2005. This paper reviews the present status of tobacco control policies in Korea according to the WHO FCTC recommendations. In Korea, cigarette use is high among adult males (48.2% in 2010), and cigarette prices are the lowest among the Organization for Economic Cooperation and Development countries with no tax increases since 2004. Smoke-free policies have shown incremental progress since 1995, but smoking is still permitted in many indoor public places. More than 30% of non-smoking adults and adolescents are exposed to second-hand smoke. Public education on the harmful effects of tobacco is currently insufficient and the current policies have not been adequately evaluated. There is no comprehensive ban on tobacco advertising, promotion, or sponsorship in Korea. Cigarette packages have text health warnings on only 30% of the main packaging area, and misleading terms such as "mild" and "light" are permitted. There are nationwide smoking cessation clinics and a Quitline service, but cessation services are not covered by public insurance schemes and there are no national treatment guidelines. The sale of tobacco to minors is prohibited by law, but is poorly enforced. The socioeconomic inequality of smoking prevalence has widened, although the government considers inequality reduction to be a national goal. The tobacco control policies in Korea have faltered recently and priority should be given to the development of comprehensive tobacco control policies.

Citations

Citations to this article as recorded by  

• Changes in smoking patterns and characteristics of Koreans using the Korea National Health and Nutrition Examination Survey 2013–2021 data
  S.J. Kim, B.Y. Park
  Public Health.2024; 227: 259.     CrossRef
• Associations of dual use of tobacco cigarettes and e‐cigarettes, sleep duration, physical activity and depressive symptoms among middle‐aged and older Korean adults
  Mi‐Ae You, JiYeon Choi, Youn‐Jung Son
  Nursing Open.2023; 10(6): 4071.     CrossRef
• Methods of the 2020 (Wave 1) International Tobacco Control (ITC) Korea Survey
  Anne Quah, Sungkyu Lee, Hong Gwan Seo, Sung-il Cho, Sujin Lim, Yeol Kim, Steve Xu, Matthew Grey, Mi Yan, Christian Boudreau, Mary Thompson, Pete Driezen, Geoffrey Fong
  Tobacco Prevention & Cessation.2022; 8(March): 1.     CrossRef
• Gender and tobacco epidemic in South Korea: implications from age-period-cohort analysis and the DPSEEA framework
  Sera Kim, Garam Byun, Garam Jo, Dahyun Park, Sung-Il Cho, Hannah Oh, Rockli Kim, S V Subramanian, Sungha Yun, Kyungwon Oh, Jong-Tae Lee, Min-Jeong Shin
  BMJ Open.2022; 12(4): e058903.     CrossRef
• Optimum Urine Cotinine and NNAL Levels to Distinguish Smokers from Non-Smokers by the Changes in Tobacco Control Policy in Korea from 2008 to 2018
  Eun Young Park, Min Kyung Lim, Eunjung Park, Yoonjung Kim, Dohoon Lee, Kyungwon Oh
  Nicotine & Tobacco Research.2022; 24(11): 1821.     CrossRef
• Effect of usual source of care on receiving smoking cessation advice: Korean National Health Panel data analysis
  Sollip Kim, Hye Kyeong Park, Jae Ho Lee, Hong-Jun Cho, Nak Jin Sung
  Family Practice.2021; 38(3): 218.     CrossRef
• Effects of an 80% cigarette price increase on quit attempts, successful quitting and smoking intensity among Korean adult smokers: results from nationally representative longitudinal panel data
  Boram Lee, Dong-Chul Seo
  Tobacco Control.2021; 30(3): 336.     CrossRef
• Trends in the Socioeconomic Inequalities Related to Second-Hand Smoke Exposure as Verified by Urine Cotinine Levels Among Nonsmoking Adults: Korea National Health and Nutrition Examination Survey 2008–2018
  Seo Young Kang, Min Kyung Lim, Hong-Jun Cho
  Nicotine & Tobacco Research.2021; 23(9): 1518.     CrossRef
• Exposure to Secondhand Smoke: Inconsistency between Self-Response and Urine Cotinine Biomarker Based on Korean National Data during 2009–2018
  Boram Sim, Myung-Bae Park
  International Journal of Environmental Research and Public Health.2021; 18(17): 9284.     CrossRef
• Gender differences in the perceived effectiveness of female-focused graphic health warnings against smoking in South Korea
  Ji-eun Hwang, Youjin Choi, Yu-seon Yang, Yumi Oh
  Health Education Journal.2020; 79(1): 58.     CrossRef
• Factors associated with maintenance of smoking cessation in adolescents after implementation of tobacco pricing policy in South Korea: Evidence from the 11th Youth Health Behavior Survey
  Eun Gyeong Kim, Sook Kyoung Park, Young‐Me Lee, Mi Yeol Hyun, Laren (Riesche) Narapareddy
  Research in Nursing & Health.2020; 43(1): 40.     CrossRef
• The effect of outdoor smoking ban: Evidence from Korea
  Hansoo Ko
  Health Economics.2020; 29(3): 278.     CrossRef
• Setting the policy agenda for graphic health warning labels: An analysis of online news media coverage in South Korea, 2016
  Ji-eun Hwang, Sung-il Cho, Sun Goo Lee
  Tobacco Induced Diseases.2020;[Epub]     CrossRef
• The Contribution of Avoidable Mortality to the Life Expectancy Gains in Korea between 1998 and 2017
  Jinwook Bahk, Kyunghee Jung-Choi
  International Journal of Environmental Research and Public Health.2020; 17(18): 6499.     CrossRef
• Convenience store visitors recall cigarette advertisements even if they do not purchase cigarettes
  Ji-eun Hwang, Sung-il Cho, Yu-seon Yang, Joung-eun Lee, Seon-young Lee, Yu-mi Oh
  Journal of Public Health.2019; 41(4): 732.     CrossRef
• The price of tobacco and its effects on smoking behaviors in Korea: The 2015 Korea Community Health Survey
  Mi Ah Han
  Preventive Medicine.2019; 120: 71.     CrossRef
• Vapor Compounds Released from Nicotine-Free Inhalators as a Smoking-Cessation Aid
  Ho-Seok Kwak, Jung-Yeol Han, Gideon Koren, Sang-Hee Jo, Ki-Hyun Kim
  Applied Sciences.2019; 9(11): 2232.     CrossRef
• Situation, Impacts, and Future Challenges of Tobacco Control Policies for Youth: An Explorative Systematic Policy Review
  Chhabi Lal Ranabhat, Chun-Bae Kim, Myung Bae Park, Mihajlo (Michael) Jakovljevic
  Frontiers in Pharmacology.2019;[Epub]     CrossRef
• Gender differential secular trend in lifetime smoking prevalence among adolescents: an age-period-cohort analysis
  Jun Hyun Hwang, Soon-Woo Park
  BMC Public Health.2019;[Epub]     CrossRef
• Differences in Adolescent E-cigarette and Cigarette Prevalence in Two Policy Environments: South Korea and the United States
  Hong-Jun Cho, Lauren M Dutra, Stanton A Glantz
  Nicotine & Tobacco Research.2018; 20(8): 949.     CrossRef
• Tobacco Control Policies in the Republic of Korea and the Methods of the ITC Korea Surveys
  Hong Gwan Seo, Yeol Kim, Steve Shaowei Xu, Anne C. K. Quah, Christian Boudreau, Mi Yan, Mary E. Thompson, Geoffrey T Fong
  Journal of the Korean Society for Research on Nicotine and Tobacco.2018; 9(S1): S1.     CrossRef
• Smoking cessation services provided by the National Health Insurance Service
  Yu-Jin Paek, Jae-Kyung Choi, Eon-Sook Lee, Min-Woo Jo
  Journal of the Korean Medical Association.2018; 61(3): 157.     CrossRef
• Socioeconomic disparities in household secondhand smoke exposure among non-smoking adolescents in the Republic of Korea
  Sunhee Park, Sungwon Lim, Junghee Kim, Haein Lee, Kyung Ja June
  Global Public Health.2017; 12(9): 1104.     CrossRef
• Assessing impacts of the WHO FCTC on national legislations: A case study of the Republic of Korea
  Sun Goo Lee
  Health Policy.2017; 121(6): 604.     CrossRef
• Non‐smoker assertive behaviour against smoke exposure: Chinese and Korean American non‐smokers
  Anne Saw, Hao Tang, Janice Y. Tsoh, Moon S. Chen, Elisa K. Tong
  Drug and Alcohol Review.2017; 36(6): 779.     CrossRef
• Factors associated with stage of change in smoker in relation to smoking cessation based on the Korean National Health and Nutrition Examination Survey II-V
  Ah Young Leem, Chang Hoon Han, Chul Min Ahn, Sang Haak Lee, Jae Yeol Kim, Eun Mi Chun, Kwang Ha Yoo, Ji Ye Jung, Yvonne Böttcher
  PLOS ONE.2017; 12(5): e0176294.     CrossRef
• Effect of Viewing Smoking Scenes in Motion Pictures on Subsequent Smoking Desire in Audiences in South Korea
  Minsung Sohn, Minsoo Jung
  JMIR Public Health and Surveillance.2017; 3(3): e46.     CrossRef
• Effectiveness of government anti-smoking policy on non-smoking youth in Korea: a 4-year trend analysis of national survey data
  Jueun Kwak, Hyunsuk Jeong, Sungha Chun, Ji Hoon Bahk, Misun Park, Youngseol Byun, Jina Lee, Hyeon Woo Yim
  BMJ Open.2017; 7(7): e013984.     CrossRef
• Is a Price Increase Policy Enough for Adolescent Smokers?: Factors Affecting the Effectiveness of Increasing Cigarette Prices Among Korean Adolescent Smokers
  Yong Suk Lee, Hong-Suk Kim, Hyung-Do Kim, Ki-Bong Yoo, Sung-In Jang, Eun-Cheol Park
  Nicotine & Tobacco Research.2016; 18(10): 2013.     CrossRef
• The relationship between smoking and depressive symptoms among Korean adults
  Han Na Sung, Jong Sung Kim
  Korean Journal of Health Education and Promotion.2016; 33(2): 57.     CrossRef
• Health Performance and Challenges in Korea: a Review of the Global Burden of Disease Study 2013
  Yo Han Lee, Seok-Jun Yoon, Arim Kim, Hyeyoung Seo, Seulki Ko
  Journal of Korean Medical Science.2016; 31(Suppl 2): S114.     CrossRef
• Decreases in Smoking-Related Cancer Mortality Rates Are Associated with Birth Cohort Effects in Korean Men
  Yon Jee, Aesun Shin, Jong-Keun Lee, Chang-Mo Oh
  International Journal of Environmental Research and Public Health.2016; 13(12): 1208.     CrossRef
• The importance of the belief that “light” cigarettes are smoother in misperceptions of the harmfulness of “light” cigarettes in the Republic of Korea: a nationally representative cohort study
  Annika C. Green, Geoffrey T. Fong, Ron Borland, Anne C. K. Quah, Hong Gwan Seo, Yeol Kim, Tara Elton-Marshall
  BMC Public Health.2015;[Epub]     CrossRef
• Association between secondhand smoke exposure and blood lead and cadmium concentration in community dwelling women: the fifth Korea National Health and Nutrition Examination Survey (2010–2012)
  Se Young Jung, Suyeon Kim, Kiheon Lee, Ju Young Kim, Woo Kyung Bae, Keehyuck Lee, Jong-Soo Han, Sarah Kim
  BMJ Open.2015; 5(7): e008218.     CrossRef

Citations

Citations to this article as recorded by  

• Educational inequalities in adult mortality: a systematic review and meta-analysis of the Asia Pacific region
  Kathryn Christine Beck, Mirza Balaj, Lorena Donadello, Talal Mohammad, Hanne Dahl Vonen, Claire Degail, Kristoffer Eikemo, Anna Giouleka, Indrit Gradeci, Celine Westby, Kam Sripada, Magnus Rom Jensen, Solvor Solhaug, Emmanuela Gakidou, Terje Andreas Eikem
  BMJ Open.2022; 12(8): e059042.     CrossRef
• Socioeconomic Disparities in Cardiovascular Health in South Korea
  Chi-Young Lee, Eun-Ok Im
  Journal of Cardiovascular Nursing.2021; 36(1): 8.     CrossRef
• Mainstreaming of Health Equity in Infectious Disease Control Policy During the COVID-19 Pandemic Era
  Hongjo Choi, Seong-Yi Kim, Jung-Woo Kim, Yukyung Park, Myoung-Hee Kim
  Journal of Preventive Medicine and Public Health.2021; 54(1): 1.     CrossRef
• Cancer Incidence by Occupation in Korea: Longitudinal Analysis of a Nationwide Cohort
  Hye-Eun Lee, Masayoshi Zaitsu, Eun-A Kim, Ichiro Kawachi
  Safety and Health at Work.2020; 11(1): 41.     CrossRef
• Mortality inequalities by occupational class among men in Japan, South Korea and eight European countries: a national register-based study, 1990–2015
  Hirokazu Tanaka, Wilma J Nusselder, Matthias Bopp, Henrik Brønnum-Hansen, Ramune Kalediene, Jung Su Lee, Mall Leinsalu, Pekka Martikainen, Gwenn Menvielle, Yasuki Kobayashi, Johan P Mackenbach
  Journal of Epidemiology and Community Health.2019; 73(8): 750.     CrossRef
• Measurement of Socioeconomic Position in Research on Cardiovascular Health Disparities in Korea: A Systematic Review
  Chi-Young Lee, Yong-Hwan Lee
  Journal of Preventive Medicine and Public Health.2019; 52(5): 281.     CrossRef
• Forty years of economic growth and plummeting mortality: the mortality experience of the poorly educated in South Korea
  Jinwook Bahk, John W Lynch, Young-Ho Khang
  Journal of Epidemiology and Community Health.2017; 71(3): 282.     CrossRef
• Increased breast cancer mortality only in the lower education group: age-period-cohort effect in breast cancer mortality by educational level in South Korea, 1983-2012
  Jinwook Bahk, Sung-Mi Jang, Kyunghee Jung-Choi
  International Journal for Equity in Health.2017;[Epub]     CrossRef
• Effects of Periodontal Disease on Cardio-Cerebrovascular Disease: A Focus on Personal Income and Social Deprivation
  Min-Young Kim, Hosung Shin
  Journal of Dental Hygiene Science.2017; 17(4): 375.     CrossRef
• Joint Symposium of Korean Cancer Association & UICC-ARO—Cross-boundary cancer studies: cancer and Universal Health Coverage (UHC) in Asia
  Eun-Cheol Park, Norie Kawahara, Shinjiro Nozaki, Hasbullah Thabrany, Shunya Yoshimi, Sohee Park, Duk Hyoung Lee, Hideyuki Akaza, Jae Kyung Roh
  Japanese Journal of Clinical Oncology.2017; 47(9): 889.     CrossRef
• Impact of Childhood Socioeconomic Position on Self‐Rated Health Trajectories of South Korean Adults
  Joan P. Yoo, Min Sang Yoo
  Asian Social Work and Policy Review.2016; 10(1): 142.     CrossRef
• Mortality rates by occupation in Korea: a nationwide, 13-year follow-up study
  Hye-Eun Lee, Hyoung-Ryoul Kim, Yun Kyung Chung, Seong-Kyu Kang, Eun-A Kim
  Occupational and Environmental Medicine.2016; 73(5): 329.     CrossRef
• Educational Inequality in Female Cancer Mortality in Korea
  Mi-Hyun Kim, Kyunghee Jung-Choi, Hyoeun Kim, Yun-Mi Song
  Journal of Korean Medical Science.2015; 30(1): 1.     CrossRef
• The population attributable fraction of low education for mortality in South Korea with improvement in educational attainment and no improvement in mortality inequalities
  Dohee Lim, Kyoung Ae Kong, Hye Ah Lee, Won Kyung Lee, Su Hyun Park, Sun Jung Baik, Hyesook Park, Kyunghee Jung-Choi
  BMC Public Health.2015;[Epub]     CrossRef
• Sex Differences Associated With Hepatitis B Virus Surface Antigen Seropositivity Unwareness in Hepatitis B Virus Surface Antigen-positive Adults: 2007‐2012 Korea National Health and Nutrition Examination Survey
  Suk-Yong Jang, Sung-In Jang, Hong-Chul Bae, Jaeyong Shin, Eun-Cheol Park
  Journal of Preventive Medicine and Public Health.2015; 48(2): 74.     CrossRef
• Decomposition of educational differences in life expectancy by age and causes of death among South Korean adults
  Kyunghee Jung-Choi, Young-Ho Khang, Hong-Jun Cho, Sung-Cheol Yun
  BMC Public Health.2014;[Epub]     CrossRef
• Trends in income-related health inequalities in self-assessed health in Korea, 1998–2011
  Jong Won Min
  Global Public Health.2014; 9(9): 1053.     CrossRef
• Cancer Control and the Communication Innovation in South Korea: Implications for Cancer Disparities
  Minsoo Jung
  Asian Pacific Journal of Cancer Prevention.2013; 14(6): 3411.     CrossRef
• Socioeconomic inequalities in health status in Korea
  Kyunghee Jung-Choi, Yu-Mi Kim
  Journal of the Korean Medical Association.2013; 56(3): 167.     CrossRef
• Difference of Area-based deprivation and Education on Cerebrovascular Mortality in Korea
  Jeoung-Ha Sim, Dong-Choon Ahn, Mi-A Son
  Korean Journal of Health Policy and Administration.2012; 22(2): 163.     CrossRef