Abstract
Purpose: The aim of this study was to identify the factors related with the intention of smoking abstinence among elementary students in a metropolitan city in Korea. Methods: All the elementary schools in the city were stratified by region, and then schools as a primary sampling units (PSU) were selected by probability proportional to size (PPS) sampling. One class per grade was sampled randomly from 5th and 6th grade in the sampled schools from October to December in 2004. The students completed a standardized self-administered questionnaire anonymously. A total number of 1,712 respondents who did not smoke was included in the final analysis. The dependent variable was an intention of smoking in the future, and it was dichotomized into 'absolutely confident in smoking abstinence' and 'others'. The risk of non-absolute confidence in smoking abstinence was calculated with simple and multiple logistic regression, which were conducted with STATA 9.0 by a design-based analysis considering strata variable, PSU, and sampling weight. Results: In the final model of multiple logistic regression analysis, those who were more likely to have non-absolute confidence in smoking abstinence were male students (OR=2.66, p<0.001); barely attending religious services (OR=3.32, p=0.002) or having no religion (OR=1.95, p=0.027); exposure to environmental tobacco smoke outside home 1${\sim}$2 days per week (OR=1.60, p=0.013); having friends who smoked (OR=1.93, p=0.011); non-absolute confidence in refusing to smoke (OR=5.35, p<0.001); having relatively less negative attitude (OR=2.88, p<0.001), positive attitude (OR=2.35, p<0.001), and indifference (OR=4.05, p=0.034) toward peer smoking; not good relationship with mother (OR=1.52, p=0.016). Conclusion: The factors related with non-absolute confidence in smoking abstinence were coincided with those of smoking among children. The results of this study suggest the smoking prevention education should be applied to the children more actively, especially who are not confident in smoking abstinence in the future.