Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
권호 표지
DOI QR코드

DOI QR Code

The Relationship between Attitude and Coping Skills toward Secondhand E-cigarette Smoking among Nonsmoking College Students

비흡연 대학생의 전자담배 간접흡연에 대한 흡연태도와 흡연대처행동의 관계

  • Received : 2019.01.07
  • Accepted : 2019.03.28
  • Published : 2019.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of the study was to examine the relationship between smoking attitude and coping skills toward secondhand e-cigarette smoking among nonsmoking college students. Methods: This study was conducted with 148 students from a University in Seoul, Korea. Participants completed questionnaires and the data were analyzed using a T-test, ANOVA, and Pearson's correlation coefficients. Results: The mean score of smoking attitude is $51.35{\pm}4.73$. The mean score of coping skills is $13.89{\pm}2.53$ in verbal skills, $10.16{\pm}2.37$ in behavioral skills, and $8.32{\pm}2.30$ in assertive skills. Coping skills toward secondhand smoking are noted as being different by current cohabitation smoker. A significant relationship between smoking attitude and behavioral coping skills(r = .23, p= .004) was found, which means that a better smoking attitude was correlated with more active behavioral coping skills. Conclusion: The results showed that nonsmoking college students with better smoking attitude react to the E-cigarette smoking with more active behaviors. Therefore, interventions are needed to be developed to encourage better smoking attitude and coping skills toward secondhand E-cigarette smoking.

Keywords

References

  1. Lee CM, Kim SR, Cheong YS. Issues of new types of tobacco (e-cigarette and heat-not-burn tobacco): from the perspective of 'tobacco harm reduction'. Journal of Korean Medical Association. 2018;61(3):181-190. https://doi.org/10.5124/jkma.2018.61.3.181.
  2. Jo JS. Electronic cigarette designs and patent applications surge due to the increase of cigarette price. The proceedings of Korean Institute of Electrical Engineers. 2015;64(3):39-40
  3. Sun JM, Kim SK. E-cigarettes Safety Report. Safety Report. Eumseong: Korea Consumer Agency; 2012.12.
  4. Hwang CD, Park JW, Kim DJ, Chun SW, Kwon JE, Kwon KH. Study of the Discourse of E-cigarette. Korea Consumption Culture Association. 2016;19(3):1-29.https://doi.org/10.17053/jcc.2016.19.3.001
  5. Brown J, Beard E, Kotz D, Michie S, West R. Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross -sectional population study. Addiction. 2014; 109(9): 1531-1540. https://doi.org/10.1111/add.12623
  6. Bullen C, Howe C, Laugesen M, McRobbie H, Parag V, Williman J, et al. Electronic cigarettes for smoking cessation: a randomised controlled trial. Lancet. 2013; 382(9905): 1629-1637. https://doi.org/10.1016/S0140-6736(13)61842-5
  7. Hartmann-Boyce J, McRobbie H, Bullen C, Begh R, Stead LF, Hajek P. Electronic cigarettes for smoking cessation. Cochrane Database System Review, 2016;9:1-94. https://doi.org/10.1002/14651858.CD010216.pub3
  8. World Health Organization. Electronic nicotine delivery systems[Internet].Moscow:World Health Organization[cited 13-18 October 2014] Available from https://www.who.int/tobacco/communications/statements/eletronic_cigarettes/en/.
  9. Auer R, Concha-Lozano N, Jacot-Sadowski I, Cornuz J, Berthet A. Heat-not-burn tobacco cigarettes: smoke by any other name. Journal of the American Medical Association International Medicine. 2017; 177(7): 1050-1052. https://doi.org/10.1001/jamainternmed.2017.1419
  10. Bekki K, Inaba Y, Uchiyama S, Kunugita N. Comparison of chemicals in mainstream smoke in heat-not-burn tobacco and combustion cigarettes. Journal of University of Occupational and Environment Health. 2017; 39(3): 201-207. https://doi.org/10.7888/juoeh.39.201
  11. Farsalinos K, Yannovits N, Sarri T, Voudris V, Poulas K. Nicotine delivery to the aerosol of a heat-not-burn tobacco product: comparison with a tobacco cigarette and e-cigarettes. Nicotine and Tobacco Research. 2017;20(8):1004-1009. https://doi.org/10.1093/ntr/ntx138
  12. Faul F, Erdfelder E, Buchner A, Lang A.-G. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009; 41(4): 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  13. Li X, Luo Y, Jiang X, Zhang H, Zhu F, Hu S, et al. Chemical analysis and simulated pyrolysis of tobacco heating system 2.2 compared to conventional cigarettes. Nicotine and Tobacco Research. 2018;21(1):111-118. https://doi.org/10.1093/ntr/nty005
  14. Protano C, Manigrasso M, Avino P, Vitali M. Second-hand smoke generated by combustion and electronic smoking devices used in real scenarios: ultrafine particle pollution and age-related dose assessment. Environment International. 2017;107: 190-195. https://doi.org/10.1016/j.envint.2017.07.014
  15. Goniewicz ML, Lee L. Electronic cigarettes are a source of thirdhand exposure to nicotine. Nicotine & Tobacco Research. 2014;17(2):256-258. https://doi.org/10.1093/ntr/ntu152
  16. Schober W, Szendrei K, Matzen W, Osiander Fuchs H, Heitmann D, Schettgen T, et al. Use of electronic cigarettes (e-cigarettes) impairs indoor air quality and increases FeNO levels of e-cigarette consumers. International Journal of Hygiene and Environmental Health.2014;217(6): 628-637. https://doi.org/10.1016/j.ijheh.2013.11.003
  17. Jeon HR, Choi YS, Kim SM, Yoon SJ, Kim JW, Kim M, et al. Association between electronic cigarette smoking and allergic rhinitis - The Korea National Health and Nutrition Examination Survey (2015). Allergy Asthma & Respiratory Disease. 2017;5(6):344-350. https://doi.org/10.4168/aard.2017.5.6.344
  18. Kim EK, Choo JA. The health belief model and assertive behavior of asking smokers not to smoke among college students. Korean Journal of Health Promotion. 2011;11(3):160-168.
  19. Lee JY. .2016 Community Health Survey[internet]. Seoul: Seodaemungu community healtcenter: 2017[cited 2017 Dec 30] Available from : https://chs.cdc.go.kr/chs/sub03/sub03_03.do
  20. Kim YH, Seo NS, Kanh HY. Nicotine dependence, smoking-related attitude, and subjective norms across the stages of change for smoking cessation among adults smokers in a rural area. Journal of Korean Academy of Nursing. 2006; 36(6):1023-1032. https://doi.org/10.4040/jkan.2006.36.6.1023.
  21. Thurstone LL, Chave EJ. The measurement of attitude; a psycho-physical method and some experiments with a scale for measuring attitude toward the church. University of Chicago Press. 1929;12:1-97. https://doi.org/10.1037/11574-000.
  22. Paek KS, Min SY, Kwon YS. The effects of a smoking prevention program on knowledge and attitude toward smoking and smoking coping behavior among preschool children. Journal of Korean Academy of Community Health Nursing. 2008;19(3):358-367.
  23. Naidoo J, wills J. Health promotion foundations for practice. London:Bailliere Tindal;2000.
  24. McAlister A, Krosnick J, Milbum M. Cause of adolescent cigarette smoking: Tests of a structural equation model. Social Psychology Quarterly. 1984;26(4): 101-112.https://doi.org/10.2307/3033885
  25. Kalkhoran S, Glantz SA. E-cigarettes and smoking cessation in real-world and clinical settings: a systematic review and meta-analysis. The Lancet Respiratory Medicine. 2016;4(2):116-128. https://doi.org/10.1016/S2213-2600(15)00521-4.
  26. Hwang BD. Knowledge, attitude and factors for smoking behavior in high school students. Korean Journal of Health Education and Promotion. 2007; 24(2):45-61.
  27. Jeong MH, Shin MA. The Relationship between Knowledge and Attitude about Smoking of College Student Smokers. Journal of Korean Public Health Nursing. 2006;20(1):69-78.
  28. Lee SS. A Study on Factors Affecting the Smoking Knowledge and Attitude of College Students in Some Region. The Journal of The Korean Academy of Dental Hygiene. 2007;9(1):113-121.
  29. Lee KO, Choi HY. The Knowledge, Attitude and Behavior on Smoking in Elementary School Students. Journal of Korean Academy of Community Health Nursing. 2000;11(1):209-221.
  30. Oh HS. The Study on the Knowledge and Attitude of Smoking, and Smoking Cessation Recommendation Among Nursing Students. Journal of Digital Convergence. 2013;11(2):365-374. https://doi.org/10.14400/JDPM.2013.11.2.365
  31. Seo YS, Kim YL, Lee CH. Attitude, Knowlege, and Social Influence as Factors of Smoking Intention among Nonsmoking Middle School Students. The Journal of the korean society of school health.2016;29(2):81-89. https://doi.org/10.15434/kssh.2016.29.2.81
  32. Park WY. The actual condition of elementary school students smoking and the influence of their smoking attitude. [master's thesis], Chungbuk: Korea National University of Education; 2007. 58p.
  33. Choi R, Hwang BD. Elctronic cigarettes recognition and influence factors of electronic cigarettes of among smoking university. Korean Journal of Health Education and Promotion. 2016;33(2):67-76. https://doi.org/10.14367/kjhep.2016.33.2.67
  34. Coleman BN, Johnson SE, Tessman GK, Tworek C, Alexander J, Dickinson DM, et al. "It's not smoke. It's not tar. It's not 4000 chemicals. Case closed": Exploring attitudes, beliefs, and perceived social norms of e-cigarette use among adult users. Drug & Alcohol Dependence. 2016;159:80-85. https://doi.org/10.1016/j.drugalcdep.2015.11.028
  35. Eurobarometer S. Attitudes of Europeans towards tobacco and electronic cigarettes. Study Report. European Commission, directorate general for health and food safety and co-ordinated by directorate-general for communication: TNS Opinion Social; 2015 may EW-04-15-308-EN-N. https://doi.org/10.2875/670456
  36. Kim MS, Kim YH. A study on the assertive behavior among non-smoking college students under secondhand smoke exposure. Journal of the Korea Academia-Industrial cooperation Society. 2012;13(11):5187-5195. https://doi.org/10.5762/KAIS.2012.13.11.5187
  37. Kim EK, Choo JA. The health belief model and assertive behavior of asking smokers not to smoke among college students. Korean Journal of Health Promotion. 2011;11(3):160-168.
  38. Min HY, Gwon GN. Exposure of Preschoolers to Secondhand Smoke: Parents' Knowledge, Attitudes and Coping Behavior. Korean Journal of Child Studies. 2005;26(4):101-112.
  39. Willemsen MC, de Vries H. Saying "no" to environmental tobacco smoke: determinants of assertiveness among nonsmoking employees. Preventive medicine.1996;25(5):575-582. https://doi.org/10.1006/pmed.1996.0092
  40. Park MA, Kim MY, Ha YS. Effectiveness of a secondhand smoking prevention program on adolescents. Journal of Korean Academy of Community Health Nursing.2014;25(1): 44-53. https://doi.org/10.12799/jkachn.2014.25.1.44
  41. Ann JH. The relationship between the propensity of depression and smoking of high-school girls in Korea[master's thesis]. Seoul: Ewha Womans University; 2004. 89p.
  42. Kang RK, Lee SJ, Kim YH.Effects of secondhand smoking prevention education on elementary school students with smoking parents. Journal of the Korean Society of School Health. 2017;30(1):29-39.https://doi.org/10.15434/kssh.2017.30.1.29.
  43. Kim TI, Kim HS, Shin YH, Shim MK, Oh WO. Growth Development and Health. Seoul: Gyomoon; 2016.
  44. Yoo KH. Love and Intimacy in Adults. The Korean Association of Human Development.2008;4: 57-69.
  45. Cha SS, Cheol HK. The smoking related factors of Korean nursing students. Journal of the Korean Society for Research on Nicotine and Tobacco. 2010; 1:26-32. https://doi.org/10.25055/JKSRNT.2010.1.1.26
  46. Choi KW. The knowledge, attitude on smoking and experience of smoking cessation in male smokers. Journal of East-West Nursing Research, 2008;14(1):24-35.
  47. Park YK, Kang YJ. Behavior, knowledge and attitude on smoking of primary school children. Korean Journal of Family Medicine.1996;17(9):798-809.
  48. Choi SH, Oh HJ. Korean women's clothing behaviors observed by the Korean who has lived in the U.S.A. Journal of the Korea Home Economics Association, 2001;39(1):11-27.
  49. Im HS. The Korean social changes and value. Seoul: Nanam;1996.
  50. Kim JY, Seo SW, Choi JE, Lee SK. Awareness of electronic cigarettes among the general population and medical experts. Journal of the Korean Society for Research on Nicotine and Tobacco. 2015;6(2):102-117. https://doi.org/10.25055/JKSRNT.2015.6.2.102

Cited by

  1. 우리나라 성인 중 비흡연자에 대한 코티닌 노출수준 및 영향요인 분석 - 국민환경보건 기초조사(2009-2017) 결과 - vol.46, pp.2, 2019, https://doi.org/10.5668/jehs.2020.46.2.214