Analysis of Health Behavioral Factors affecting to the Interest in Smoking Cessation among Male Smokers using the Health Belief Model

건강믿음모형(Health Belief Model)을 이용한 남성 흡연자의 금연에 대한 관심도를 규정하는 건강행동요인 분석

  • Shin, Taek-Soo (Department of Public Health, Graduate School of Chungnam National University) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
  • 신택수 (충남대학교 대학원 보건학과) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실)
  • Received : 2017.02.15
  • Accepted : 2017.05.12
  • Published : 2017.05.31


This study examined the relationship between the interest in smoking cessation and factors that define the interest in smoking cessation. The study subjects were 593 male civil servants who worked at D metropolitan city, and were smokers at the time of the survey. The research method was a survey using a self-administered questionnaire in October 2015. As a result, the interest in smoking cessation showed a positive correlation with the cues to action for smoking cessation, recognition of susceptibility for lung cancer, recognition of the seriousness for lung cancer, and benefits to the practice of action on smoking cessation. With the analysis of the covariance structure, the benefits and barriers to the practice of action on smoking cessation were the largest factors increasing the interest of smoking cessation, followed by the order of recognition of susceptibility and seriousness for lung cancer, cues to action for smoking cessation, and social support network. These results suggest that the cancer prevention effect due to smoking and the awareness of the seriousness of the health problems caused by smoking were the factors increasing interest in smoking cessation. Therefore, it is very important that education on quitting smoking for male smokers be continued to better understand the factors leading to an increase in smoking.


Health Belief Model;Smoker;Smoking cessation;Lung cancer;Health behavioral factor


  1. Fiore M. C., Bailey WC, Cohen S. J., et al., Treating tobacco use and dependence. Clinical Practice Guideline. Rockville, MD: US Department of Health and Human Service. June, 2000.
  2. Korea National Statistical Office, Annual Report on the Cause of Death Statistics, 2013.
  3. IARC. World Cancer Report, 2013.
  4. Rosenstock I. M., Why people use health service? Milbank Memorial Fund Quarterly, 44, pp. 94-127, 1966. DOI:
  5. Becker M. H., et al., Scales for measuring health belief model dimensions: a test of predictive value, internal consistency, and relationship among beliefs. Health Educ Monogr, 5, pp. 215-230, 1977. DOI:
  6. Hanson J. A., Benedict J. A., Use of the health belief model to examine older adults' food-handling behaviors. J Nutr Educ Behav, 34 Suppl 1:S, pp. 25-30, 2002. DOI:
  7. Sitnik K., Trzcieniecka-Green A., Jakubowski D., Patients' opinioms about the reasons for their heart attacks in the context of their health belief models - a preliminary report. Wiad Lek., vol. 56, no. 9-10, pp. 442-448, 2003.
  8. Rhodes S. D., Hergenrather KC., Using an integrated approach to understand vaccination behavior among young man who have sex with men: stage of change, the health belief model, and self-efficacy. J Community Health, vol. 28, no. 5, pp. 347-362, 2003. DOI:
  9. Juniper K. C., Oman RF, Hamm R. M., et al., The relationships among constructs in the health belief model and the trans theoretical model among African-American college women for physical activity. Am J Health Promot, vol. 18, no. 5, pp. 354-357, 2004. DOI:
  10. Roden J., Revisiting the health belief model: nurses applying it to young families and their health promotion needs. Nurs Health Sci, vol. 6, no. 1, 1-10, 2004. DOI:
  11. DiClemente C. C., Prochaska J. O., Fairhurst S. K. et al., The process of smoking cession.: An analysis of pre-contemplation, contemplation, and preparation stages of change. J Consult Clin Psychol, vol. 59, no. 2, pp. 295-304, 1991. DOI:
  12. Munakata K., Health and Disease in Behavioral Science. Medical Friend Co, Japan, Tokyo, pp. 99-144. 1987.
  13. Lee K. J., Chang C. J., Kim M. S., Lee M. H., Cho Y. H., Factors associated with success of smoking cessation during 6 months, J. Korean Acad Nurs, vol. 36, no. 5, pp. 742-750, 2006.
  14. Lee E. S., Seo H. K., The factors associated with successful smoking cessation in Korea. J. Korea Acad Fam Med, 28, pp. 39-44, 2007
  15. Lee M. S., Hong G. M., Hwang H.J., Bae S. H., The factors associated with success of smoking after a 6 month cessation at smoking cessation clinic in public health center of one metropolitan city. Journal of the Korea Convergence Society, vol. 1, no. 1, pp. 31-39, 2010.
  16. Lee S. J., Park S. H., Kim C. H., Lee D. H., Kim K. H., Leem G. H., Jeon S. H., Heo Y. S., The relationship between job stress and the will cease tobacco smoking for small and medium scale industry male workers, Korea J. Occup Environ Med. vol. 24, no. 1, pp. 33-39, 2012.
  17. Lee K. H., Lee S. M., Chung W. J., Association of stress level with smoking, Korean Journal of Family Medicine, vol. 27, no. 1, pp. 42-48, 2006.
  18. Shin U. S., Cho Y. C., Relationship between job stress and smoking behaviors among small scale manufacturing male workers, Journal of the Korea Academia-Industrial cooperation Society, vol. 16, no. 12, pp. 8509-8515, 2015. DOI:
  19. Faul F., Erdfelder E., Lang A. G. et al., G*power 3: A flexible statistical power analysis program for the social, behavioral, and science, Behav Res Methods, vol. 39, no. 2, pp. 175-191, 2007. DOI:
  20. Park SA., Development and evaluation of a smoking cessation program based on the theory of planned behavior for female college student smokers, Graduate School of Nursing Keimyung University, Doctor's thesis, 2006.
  21. Jeon Y. O., Factors associated with success of smoking cessation at smoking-cessation clinic of a urban public health center. Graduate School of Preventive Medicine & Medical Science, Chung-Ang University, Doctor's thesis, 2006.
  22. Paek Y. J., The efficacy of providing health risk appraisal for smoking cessation in Koreans. Graduate School of Public Health Catholic University, Doctor's thesis, 2011.
  23. Lee P. H., Validation of trans-theoretical model on smoking cessation in Koreans adults. Graduate School of Nursing Chobuk National University, Doctor's thesis, 2014.
  24. Kim H. O., Effect of a smoking cessation program on the stop-smoking rate and nicotine dependency for the adult smoker, The J. of Korean Community Nursing, vol. 13, no. 1, pp. 5-16, 2002.
  25. Lee E. S., The factors associated with smoking cessation in Korea, Graduate School of Medicine Inje University, Doctor's thesis, 2003.
  26. Kim H. S., Bae S. S., Factors associated with relapse to smoking behavior using health belief model, J Agric Med Community Health, vol. 36, no. 2, pp. 87-100, 2011. DOI:
  27. Masumoto T, Ozasa K, Fukui K et al., Health behavioral factors related to the attitude toward quit-smoking among factory workers, Jpn J Public Health, vol. 52, no. 5, pp. 375-386, 2005.
  28. Suzuki J, Nakaide K, Nakamura Y, Kanetaka K, et al., Predictors of abstinence from smoking among participants in a smoking cessation program in a health center in Japan, Jpn J Public Health, vol. 53, no. 3, pp. 187-195, 2006.
  29. Jung J. S., A study on differences in impacts of generations and smoking characteristics on the intent to smoke: with a focus on the theory of planned behavior, Health Communication Research, 8, pp. 1-39, 2013.
  30. Orieans L. T., A survey of smoking and quitting pattern black American, AJPH, vol. 79, no. 2, pp. 176-181, 1989. DOI:
  31. Tohnai S, Hata E., Factors affecting health behavior of the people aged forties. -A test of the health belief model-, Jpn J Public Health, vol. 41, no. 4, pp. 362-369, 1994.
  32. Cohen S, Hoberman H. M., Positive events and social support as buffers of life change stress, J Appl Social Psychol, 13, pp. 99-125, 1983. DOI: