Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

The Determinants of Adolescent Smoking by Gender and Type of School in Korea

우리나라 중고등학교 청소년의 성별 및 학교 종류별 흡연 결정요인

  • Kim, Hyun-Cheol (Graduate School of Public Health, Seoul National University) ;
  • Kim, Eun-Kyong (Graduate School of Public Health, Seoul National University) ;
  • Choi, Eun-Sil (Graduate School of Public Health, Seoul National University) ;
  • Kim, Yu-Jeong (Graduate School of Public Health, Seoul National University) ;
  • Lee, Hyun-Ju (Graduate School of Public Health, Seoul National University) ;
  • Kim, Jong-Ju (Graduate School of Public Health, Seoul National University) ;
  • Jang, Hyung-Suk (Graduate School of Public Health, Seoul National University) ;
  • Shim, Kyung-Seon (Graduate School of Public Health, Seoul National University) ;
  • Jeon, Sang-Nam (Graduate School of Public Health, Seoul National University) ;
  • Kang, Yo-Han (Graduate School of Public Health, Seoul National University) ;
  • Kang, Hyun-Seok (Graduate School of Public Health, Yonsei University) ;
  • Oh, Ju-Whan (Graduate School of Public Health, Seoul National University) ;
  • Cho, Kung-Sook (Health Policy Division, Ministry of Health and Welfare, Republic of Korea)
  • 김현철 (서울대학교 보건대학원) ;
  • 김은경 (서울대학교 보건대학원) ;
  • 최은실 (서울대학교 보건대학원) ;
  • 김유정 (서울대학교 보건대학원) ;
  • 이현주 (서울대학교 보건대학원) ;
  • 김정주 (서울대학교 보건대학원) ;
  • 장형숙 (서울대학교 보건대학원) ;
  • 심경선 (서울대학교 보건대학원) ;
  • 전상남 (서울대학교 보건대학원) ;
  • 강요한 (서울대학교 보건대학원) ;
  • 강현석 (연세대학교 보건대학원) ;
  • 오주환 (서울대학교 보건대학원) ;
  • 조경숙 (보건복지부 보건정책팀)
  • Published : 2006.09.30
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Abstract

Objectives: This study assessed the influences of various factors that are related to youth smoking such as gender, age and type of school, and we wanted to provide supporting data for tailored and effective policy initiatives to reduce adolescent smoking. Methods: A self-report survey was conducted on 14,910 teen-age students who were selected based on the nationwide distribution of students in large and small cities and counties, the gender ratio of the students and the ratio of students attending various type of school at 38 middle and high schools in six representative areas of each province. The survey was handled and managed by a health education teacher at each school. Binary and multinomial logistic regression was used in the analyses. Results: Smoking by adolescents was associated with gender, age and even height. Male high school students tended to smoke more than female high school students, but this differences was not significant for middle school students. The older the adolescents were, the more likely that they smoked, except for the female high school students. Height was meaningful for all adolescents, except for the boys at the vocational high schools. Monthly allowance was significant for all adolescents. School factors such as type of school and the students' school performance were also crucial factors. Attending a vocational high school was strongly related to smoking, especially for girls. Students' school performance and the perceived level of stress were strongly associated with smoking, especially for boys. Home factors such as the relationship with parents and conversation time with family members were closely related to smoking behavior. Knowledge about the health hazard of smoking was also found to be strongly related to adolescent smoking. Conclusions: In conclusion, demographic factors, school factors, home surroundings and the perception on the harmfulness of smoking are strongly related to adolescent smoking behavior, but these differ from gender and type of school.

Keywords

References

  1. WHO. The Millennium Development Goals and Tobacco Control. World Health Organization. Geneva, 2005
  2. Ezzati M, Lopez AD, Rodgers A, Vander HS, Murray CJL, and the Comparative Risk Assessment Collaborating Group. Selected major risk factors and global and regional burden of disease. Lancet 2002; 360(9343): 1347-1360 https://doi.org/10.1016/S0140-6736(02)11403-6
  3. CDC, Preventing Tobacco Use Among Young People? A Report of the Surgeon General, Atlanta, GA, 1994
  4. Ji SH, The annual survey for smoking status of middle and high school students in Korea [dissertation]. Korea: Yonnsei Univ; 2005 (Korean)
  5. Pierce JP, Distefan JM, Kaplan RM, Gilpin EA. The role of curiosity in smoking initiation. Addict Behav 2005; 30(4): 685-696 https://doi.org/10.1016/j.addbeh.2004.08.014
  6. Choi JM. Developement of predictive model of adolescent smoking [Dissertation]. Korea: Seoul National Univ; 1999 (Korean)
  7. Alexander C, Piazza M, Meko D, Valente T. Peers, Schools, and adolescent cigarette smoking. J Adolesc Health 2001; 29(1): 22-30 https://doi.org/10.1016/S1054-139X(01)00210-5
  8. Yang G, Ma J, Chen AP, Broun S, Taylor C, Samet J. Smoking among adolescents in china: 1998 survey findings. Int J Epidemiol 2004; 33(5): 1103-1110 https://doi.org/10.1093/ije/dyh225
  9. J Pinilla, B Gonzalez, P Barber, Y Santana. Smoking in young adolescents : An approach with multilevel discrete choice models. J Epidemiol Community Health 2002; 56(3): 227-232 https://doi.org/10.1136/jech.56.3.227
  10. Hong JY, Lee MS, Na BJ, Kim KY. Related factors for the initiation of smoking in high school students based on the transtheoretical model, J Prev Med Public Health, 2006; 39(1): 67-73 (Korean)
  11. Graduate School of Public Health, Korean Institute of Health and Social Affairs. The Status of Youth and The effect of Tobacco Price Increase for the Youth. 2005; 47-48 (Korean)
  12. Lee SY. A study of health risk behavior of adolescent smoking [Dissertation]. Korea: Seoul National Univ; 1999 (Korean)
  13. Droomers M, Schrijvers CT, Casswell S, Mackenbach JP. Father's occupational group and daily smoking during adolescence: patterns and predictors. Am J Public Health. 2005; 95(4): 681-688 https://doi.org/10.2105/AJPH.2002.002774
  14. Wong SS. Exploring the Protection and Risk Factors of Cigarette Smoking among Chinese or Chinese - American Adolescents in the State of California; 2000
  15. Lee YK. Relationship of stress, social support and smoking among high school students [Dissertation]. Korea: Seoul National Univ; 2005 (Korean)
  16. Ramussen M, Damsgaard MT, Holstein BE. School connectedness and daily smoking among boys and girls : the influence of parental smoking norms. Eur J Public Health 2005; 15(6): 607-612 https://doi.org/10.1093/eurpub/cki039
  17. Paavola M, Vartiainen E, Haukkala A. Smoking from adolescence to adulthood The effect of parental and own socioeconomics status. Eur J Public Health 2004; 14(4): 417-421 https://doi.org/10.1093/eurpub/14.4.417
  18. Oh VC, Related factors with the stage of change of smoking cessation in adolecent based on the trans theoretical model [dissertation]. Korea: Seoul National Univ; 2002 (Korean)
  19. Sargent JD, Beach ML, Dalton MA, Mott LA, Tickle JJ, Ahrens MB, Heatherton TF. Effect of seeing tobacco use in films on trying smoking among adolescents : Cross sectional study. BMJ 2001; 15; 323(7326): 1394-1397
  20. Barnea Z, Rahav G, Teichman M. The reliability and consistency of self-reports of substance use in a longitudinal study. Br J Addict 1987; 82(8): 891-898 https://doi.org/10.1111/j.1360-0443.1987.tb03909.x
  21. Needle R, McCubbin H, Lorence J, Hochhauser M. Reliability and validity of adolescent self-reported drug use in a family based study: A methodological report. Int J Addict 1983; 18(7): 901-912 https://doi.org/10.3109/10826088309033058
  22. O'Malley PM, Bachman JG, Johnston LD. Reliability and consistency in self-reports of drug use. Int J Addict 1983; 18(6): 805-824 https://doi.org/10.3109/10826088309033049
  23. Jeong IS, Park NR, Ham JK. Agreement between smoking self-report and urine cotinine among adolescent J Prev Med Public Health 2004; 37(2): 127-132 (Korean)
  24. Palmersheim KA. Trends in cigarette smoking among high school youth in Wisconsin and the United States, 1993-2004. WMJ 2005; 104(4): 23-27
  25. Warren CW, Jones NR, Eriksen MP, Asma S, for the Global Tobacco Surveillance System (GTSS) Collaborative group. Pattems of global tobacco use in young people and implications for future chronic disease burden in adults. Lancet 2006; 367(9512): 749-753 https://doi.org/10.1016/S0140-6736(06)68192-0
  26. Wen CP, Tsai SP, Cheng TY, Hsu CC, Chen T, Lin HS. Role of parents in influencing the smoking status of high school students in Taiwan. Tob Control 2005; 14(Supp 11): i10-15 https://doi.org/10.1136/tc.2003.005637
  27. Mohan S, Snakara SP, Thankappan KR. Access to pocket money and low education performance predict tobacco use among adolescent boys in Kerala, India. Prev Med 2005; 41(2): 685-692 https://doi.org/10.1016/j.ypmed.2005.01.013
  28. Cheong YS. Smoking status and related factors of Korean middle school students in 2002. J Korean Acad Fam Med 2003; 24: 894-903 (Korean)
  29. Cawley J, Markowitz S, Tauras J. Lighting up and slimming down: the effects of body weight and cigarette prices on adolescent smoking initiation. J Health Econ 2004; 23(2): 293-311 https://doi.org/10.1016/j.jhealeco.2003.12.003
  30. Stice E, Martinez EE. Cigarette smoking prospectively predicts retarded physical growth among female adolescents. J Adolesc Health. 2005; 37(5): 363-370 https://doi.org/10.1016/j.jadohealth.2004.10.017
  31. Soweid RAA, Khawaja M, Salem MT. Religious identity and smoking behavior among adolescents:evidence from entering students at the American University of Beimt. Health Commun 2004; 16(1): 47-62 https://doi.org/10.1207/S15327027HC1601_4
  32. Lee C, Koh BS, Lee MS, Lee MY. Effects of attitude of parents and school on smoking status in high school students in a small city. J Korean Acad Fam Med 2006; 27: 278-287 (Korean)
  33. Lee EH, Chun KH, Song MS, Lee SY, Kim JY. Relationships of smoking, stress and social support of high school students. Korean J Prev Med 2003; 36(2): 131-136 (Korean) https://doi.org/10.1016/S0091-7435(02)00024-5
  34. Buttross LS, Kastner JW. A brief review of adolescents and tobacco:what we know and don't know. Am J Med Sci 2003; 326(4): 235-237 https://doi.org/10.1097/00000441-200310000-00016