대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

Factors Associated with the Stage of Change of Smoking Cessation Behavior in Adolescents

  • Park, Nam-Hee (Department of Nursing Research Institute of Nursing Science, Busan National University) ;
  • Kim, Jung-Soon (Department of Nursing, College of Medicine, Busan National University) ;
  • Lee, Yun-Mi (Department of Nursing, College of Medicine, Inje University)
  • 발행 : 2003.12.01
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초록

Purpose. The purpose of this study was to identify the stage of change of smoking cessation behavior and investigate factors associated with the stage of smoking cessation behavior according to the transtheoretical model. Methods. The participants, 297 smokers & quitters were selected by a stratified random sampling from 127 high school sophomore students in B city. Data were collected from April 6th to 16th, in 2002 using the structured self-report questionnaire. Results. The subjects were distributed in each stage of change of smoking cessation behavior: there were 46 subjects (15.5%) in precontemplation, 73 subjects (24.6%) in contemplation, 67 subjects(22.3%) in preparation, 56 subjects (18.5%) in action, 55 subjects (18.5%) in maintenance. Compared to the precontemplation and contemplation, people in preparation tended to smoke daily more and smoked for a shorter time, and as precontemplation progressed to the maintenance, past 1 year smoking cessation frequency increased and friends smoking decreased. Smoking onset age was the earliest in preparation, and the latest in maintenance. Helping relationships and self relationships are used a lot in precontemplation and also in contemplation. In preparation, self liberation and helping relationships are used a lot, in action, self liberation and helping relationships, and in maintenance, self liberation and environmental reevaluation. At each stage, the score of negative affect situation was the highest, but the one of negative affect situation, positive social situation, habitual strength, weight control decreased as precontemplation progressed to the maintenance. While the score of social pros and coping pros decreased with increasing stage, the one of cons tended to increase. Through stepwise discriminant analysis, it was found that social pros, smoking onset age, delf-libration were the most influencing powers among factors associated with the stages of smoking cessation behavior. Conclusions. This study suggested that, in developing an effective smoking cessation intervention for adolescents, all the stage of a client's cessation had to be assessed prior to applying intervention programs. In addition, the results of this study will become a pillar of smoking cessation program planning and application.

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참고문헌

  1. Alexander, C., Piazza, M., Mekos, D., & Valente, T. (2001). Peers, Schools, and Adolescent Cigarette Smoking. J Adolesc Health, 29,22-30 https://doi.org/10.1016/S1054-139X(01)00210-5
  2. Chang, S. O., Park, C. S.(2001). Analysis of Smoking Temptation, Nicotine Dependency, Perceived Health Status corresponding to Stage of Change in Smoking Cessation in Middle Aged Men. J Korean Acad FundNurs, 8(1), 69-80
  3. Chang, S. O., Park, C. S., & Min, I. S.(2000). Decisional balance corresponding to the Stage of Change of Smoking Cessation in Middle Aged Men. J Korean Acad Fund Nurs, 7(2), 164-176
  4. Choi, J. S. (1999). The effects of a smoking cessation program applying the cognitive behavior therapy. Unpublished doctoral dissertation, Seoul National University, Korea
  5. Ding, L., Pallonen, U.E., & Velicer, E.F.(1995). Temptations to smoke and stages of change among adolescent smokers (Abstract).Ann Behav Med, 17, S087
  6. Jeong, T. H., Park, S. M., Bae, M. K., Lee, K. M., Jeong, S. P., & Baek, S. H.(1998). Smoking behavior and its related factors in male students of one senior high school in Taegu. J Korean Acad Fam Med,19(1), 58-67
  7. Kim, B. J.(2000). Factors association with the stages of change of smoking cessation behavior in military officers. Unpublished master's dissertation, Yonsei University, Korea
  8. Kim, S. J.(1998). The effect of Smoking Cessation Program using the transtheoretical model on the smoking behavior and psychosocialvariables in high school students. Unpublished doctoral dissertation, The Catholic University, Korea
  9. Korean association of smoking & health (2001). Middle & high school smoking survey. Korean association of smoking & health data book
  10. Ministry of health & welfare (2001). 2000 of health and welfare statistics
  11. Oh, H. S., Kim, Y. S.(1996a). Factor Analysis on Behavior Change Mechanisms in Self-help Smoking Cessation. J Korean Acad Nurs, 26(3), 678-832
  12. Oh, H. S., Kim, Y. S.(1996b). Changing mechanisms corresponding to the changing stages of smoking cessation. J Korean Acad Nurs, 26(4), 820-832
  13. Oh, H. S., Kim, Y. S.(1997). Exploratory study on developing model for smoking cessation process. J Korean Acad Nurs, 27(1), 71-82
  14. Pallonen, U. E.(1998). Transtheoretical measure for adolescent and adult smokers: similarities and differences. Prev Med, 27, A29A38
  15. Pallonen, U. E., Velicer, W. F., Prochaska, J. O., Rossi, J. S., Bellis, J. M., Tsoh, J. Y., Migneault, J. P., Smith, N. F. & Prokhorov, A. V.(1998). Computer-based smoking cessation interventions in adolescents: description, feasibility, and six-month follow-up findings. Subst Use Misuse, 33(4), 935-965
  16. Park, N. H.(2002). Predictors of stage of change for smoking cesstion among adolescents utilizing the transtheroretical model. Unpublished doctoral dissertation, The Pusan National University, Korea
  17. Pechacek, T. F., Murray, D. M., Luepker, R V., Mittelmark, M. B., Johnson, C. A. & Schutz, J. M.(1984). Measurement of Adolescent Smoking Behavior: Rationale and Methods. J Behav Med, 7(1). 123-141
  18. Plummer, B. A., Velicer, W. F., Redding, C. A., Prochaska, J. O., Rossi, J. S., Pall on en, U. E. & Meier, K. S.(2001). Stage of change, decisional balance, and temptations for smoking Measurement and validation in large, school-based population of adolescents. Addict Behav, 26, 551-571 https://doi.org/10.1016/S0306-4603(00)00144-1
  19. Prochaska, A. V., Emmons, K. M., Pallonen, U. E., & Tsoh, J. Y.(1996). Respiratory response to cigarette smoking among adolescent smokers; A pilot study. Prev Med, 25, 633-640 https://doi.org/10.1006/pmed.1996.0099
  20. Prochaska, J. O., DiClemente, C. C.(1983). Stages and process of self-change of smoking: toward and integrative model of change. J Consult Clin Psychol, 51, 390-395 https://doi.org/10.1037/0022-006X.51.3.390
  21. Prochaska, J. O., Velicer, W. F.(1997). The trans theoretical model of health behavior change. Am J Health Promot, 12(1), 38-48
  22. Prochaska, J. O., Velicer, W. F., DiClemente, C. C., & Fava, J. L.(1988). Measuring the processes of change: applications to the cessation of smoking. J Consult Clin Psychol, 56, 520-528 https://doi.org/10.1037/0022-006X.56.4.520
  23. Prochsaka, J. O., DiClemente, C. C., & Norcross, J. C.(1992). In search of how people change. Am Psychol, 9, 1102-1114
  24. Rose, J., Chassin, L., Presson, C., & Sherman, S. J.(1996). Prospective predictors of quit attempts and smoking cessation in young adults. Health Psychol, 15(4), 261-268
  25. Sargent, J. D., Mott, L. A. & Stevens, M.(1998). Predictors of smoking cessation in adolescents. Arch Pediatr Adolesc Med. 152(4). 388-393
  26. Shin, Y. K., Kang, Y. J., Moon S. I., Park, S. Y., Lee, H. R.(1998). The effects of the adolescent smoking cesssation program. J Korean Acad Fam Med,19(12), 1387-1399
  27. Stanton, W.R(1995). DSM-III-R tobacco dependence and quitting during late adolescence. Addict Behav, 20, 595-603 https://doi.org/10.1016/0306-4603(95)00019-9
  28. Vecchia., C. L., Decarli, A., & Pagano, R(1995). Pattern of smoking initiation in Italian males and females from 1955-1985. Prev Med, 24, 293-296
  29. Velicer, W. F., Diclemente C. C., Prochaska J. O., and Brandenburg N.(1985). Decisional balance measure for assessing and predicting smoking status. J Pers Soc Psychol 48, 1279-1289 https://doi.org/10.1037/0022-3514.48.5.1279
  30. Zhu, S ,H, Sun, J., Billings, S. c.,Choi, W. & Malarcher, A.(1999). Predictors of smoking cessation in U. S. adolescents. Am J Prev Med.16(3),202-207