DOI QR코드

DOI QR Code

대전 지역 대학생의 6개월 금연 성공 관련 요인

Factors Associated with the Continuous Abstinence Rate from Smoking on Smoking Cessation Program over 6 Months in College Students of Daejeon, Korea

  • 서은선 (대전.세종금연지원센터) ;
  • 김철웅 (충남대학교 금연연구센터) ;
  • 이승은 (충남대학교 금연연구센터) ;
  • 임효빈 (대전.세종금연지원센터) ;
  • 이상이 (제주대학교 의학전문대학원 의료관리학교실) ;
  • 강정희 (유원대학교 간호학과)
  • Seo, Eun-Seon (Daejeon.Sejong Tobacco Control Center) ;
  • Kim, Chul-Woung (Center for Tobacco Control Research, Chungnam National University) ;
  • Lee, Seung Eun (Center for Tobacco Control Research, Chungnam National University) ;
  • Im, Hyo-Bin (Daejeon.Sejong Tobacco Control Center) ;
  • Lee, Sang-Yi (Department of Health Policy and Management, Medical College, Jeju National University) ;
  • Kang, Jung-Hee (Department of Nursing Science, U1 University)
  • 투고 : 2019.09.27
  • 심사 : 2020.01.03
  • 발행 : 2020.01.31

초록

대학생 흡연자가 중증고도 흡연자로 진입하는 것을 차단하고자 여러 가지 금연서비스를 지원하고 있지만 대학생의 금연시도율은 다른 연령대의 금연시도율보다 낮은 수준을 보인다. 본 연구는 대학생의 6개월 금연 성공과 관련된 변수를 도출하여 분석하는 데 그 목적이 있다. 연구 자료는 2015년 6월부터 2016년 12월까지 대전금연지원센터에서 제공하는 금연지원서비스를 이용한 대학생 781명에 대한 자료를 국가금연지원센터로부터 제공받아 분석에 활용하였다. 분석 결과, 4주, 12주, 24주 금연성공률에 모두 유의한 변수는 호기 중 일산화탄소 농도와 금연상담횟수였다. 호기 중 일산화탄소 농도가 10ppm 미만인 사람이 10ppm 이상인 사람보다 금연에 성공할 확률이 4주 2.53배, 12주 2.33배, 24주 2.13배 높은 것으로 나타났다. 상담횟수의 경우, 상담횟수 1회 증가 당 4주, 12주, 24주 각각의 OR은 12.39, 13.13, 12.21로 나타났다. 본 연구는 대학생을 대상으로 금연 중재의 효과성을 높이기 위해 금연 상담 횟수를 향상시키는 것이 필요함을 제안한다.

Despite the various smoking cessation programs that are available for college students, students have lower rates of quitting smoking than do other age groups. This study identifies the variables associated with continuous abstinence from smoking among college students. This study used the data from the National Tobacco Control Center and 781 college students who participated in the program conducted by the Daejeon Tobacco Control Center from June, 2015 to December, 2016. The results showed that the expiration CO level and the frequency of attending smoking cessation counseling were the significant variables related to the continuous abstinence rate at 4, 12, and 24 weeks. Students who had a low expiration CO level (?10 ppm) had a higher abstinence rate than did the students who had a high expiration CO level (≥10ppm), and the OR was 2.53 at 4-week, 2.33 at 12-week, and 2.13 at 24-week. The ORs for the 4-week, 12-week, and 24-week abstinence rates with one additional counseling session were 12.39, 13.13, and 12.21, respectively. This study suggests the need to increase the number of smoking cessation counseling sessions for effective smoking cessation intervention among college students.

키워드

참고문헌

  1. K. Waters, K. Harris, S. Hall, N. Nazir & A. Waigandt, Characteristics of social smoking among college students. Journal of American College Health, Vol.55, No.3, pp.133-139, Aug. 2006. DOI: https://doi.org/10.3200/JACH.55.3.133-139
  2. K. M. Yang, C. S. Park, J. H. Jang, "Smoking, Alcohol Consumption and Dietary Behavior of College Students in the Kyungsan Area", Journal of the Korean Home Economics Association, Vol.42, No.6, pp.55-72, Jun. 2004.
  3. S. J. Kwon, J. H. Kang, N. J. Kim, Rye-Jin Kim, Suhn-young Kim, Si-Il Kim and Gyeong-Soon Han, "Relationships between Dietary Behaviors with Smoking, Drinking Situations and Subjective Health Status of University Students", Journal of Dental Hygiene Science, vol.12, no.2, pp.145-153, Apr. 2012.
  4. M. O. Kim, M. Yu, S. J. Ju, K. S. Kim, J. H. Choi, H. J. Kim, "Depression Cognition and Health Promoting Behaviors of Smoking and Non-smoking College Students", Korean Journal of Health Education and Promotion, Vol.30, No.3, pp.35-46, Sep. 2013. DOI: http://dx.doi.org/10.14367/kjhep.2013.30.3.035
  5. S. W. Park, "A Review of Cigarette Smoking-related Behaviors and Health Problems among University Students", Korean Journal of Health Education and Promotion, Vol.28, No.5, pp.35-49, Dec. 2011.
  6. Ministry of Health and Welfare & Korea Health Promotion Institute. A guide to regional smoking cessation support centers in 2017, p.8, Sejong: Author, 2017.
  7. S. J. Go, Y. H. Jung, "Estimating Smoking-attributable Deaths on Adolescent in Korea", Health and Welfare Policy Forum, Korea Institute for Health and Social Affairs. pp.18-26, Apr. 2013.
  8. Korea Health Promotion Institute, Tobbaco control issue Report, Vol.62, p.12-13, Nov. 2018.
  9. K .S. Paek, Y. S. Kwon, "Factors Associated with Preparation Stage to Quit Smoking among Collge Smokers" Journal Korean Academy of Community Health Nursing, Vol.22, No.2, pp.173-183, Jun. 2011. DOI: https://doi.org/10.12799/jkachn.2011.22.2.173
  10. E. S. Lee, H. G. Seo, G. T. Fong, M. Yan, P. Driezen, "Awareness og Korean Adults Smokers about National Smoking Cessation Program in Korea: Finding from the 2016 International Tobacco Cotrol Policy Evaluation Survey_Korea", Journal of the Korean Society for Research on Nicotine and Tobacco, Vol.9, No.1, Jan. 2018. DOI: https://doi.org/10.25055/JKSPNT.2018.9.S1.S22
  11. J. H. Cho, S. H. Lee, J. W. Sohn, H. Y. Yang, "The Abstinence Rate of the Inpatient Smoking Cessation Program", Journal of the Korean Society for Research on Nicotine and Tobacco, Vol.8, No. 2, Dec. 2017. DOI: https://doi.org/10.25055/JKSRNT.2018.9.s1.s22
  12. J. S. Kim, S. J. Kang, D. J. Kim, I. Y. Choi, B.S. Choi, "Success factors of new enrollees at smoking cessation clinics in the nationwide public health centers in Korea based on gender differences", Korean Public Health Research, Vol.44, No.1, pp.17-30, Feb. 2018. https://doi.org/10.22900/KPHR.2018.44.1.002
  13. M. S. Lee, J. Y. Hong1, H. J. Hwang, S. H. Bae, "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, Dec. 2010. DOI: http://dx.doi.org/10.15207/JKCS.2010.1.1.031
  14. T. M. Song, J. Y. Lee, K. S. Cho, "The Factors Influencing on success of Quitting Smoking in new enrollees and re-enrollees in Smoking Cessation Clinics", Korean Journal of Health Education and Promotion, Vol.25, No.2, pp.19-30, Jun. 2008.
  15. Ministry of Health and Welfare & Korea Health Promotion Institute. A guide to regional smoking cessation support centers in 2018, p.31, Sejong: Author, 2018.
  16. S. M. Koo, J. H. Kang, "Factors Affecting Smoking Cessation Success during 4-week Smoking Cessation Program for University Students", Journal of Korean Academy of Community Health Nursing, Vol.28, No.2, pp.165-172, Jun. 2017. DOI: https://doi.org/10.12799/jkachn.2017.28.2.165
  17. S. H. Kim, S. H. Suh, I. Y. Cheong, E. Y. Ko, H. Y. Lee, J. Y. Lee, H. J. Joung, S. G. Cho, "Factors Associated with Success of Smoking Cessation at Smoking-cessation Clinic on the Public Health Center", The Korean Journal of Public Health, Vol.42, No.2, pp.139-148, Dec. 2005.
  18. Y. H. Kim, "Factors affecting the Success of Smoking Cessation for Six Months in the Smoking Cessation Clinic of a Public Health Center Based on the Trans? theoretical Model", Journal of Korean Academy of Community Health Nursing, Vol.20, No.4, pp.433-442, Dec. 2009. https://doi.org/10.4040/jkan.2009.39.3.433
  19. K. J. Lee, C. J. Chang, M. S. Kim, M. H. Lee, Y. H. Cho, "Factors Associated with Success of Smoking Cessation during 6 Months", Journal of Korean Academy of Community Health Nursing, Vol.36, No.5, pp.742-750, Aug. 2006. DOI: https://doi.org/10.4040/jkan.2006.36.5.742
  20. K. H. Suh, K. H. Kim, I. D. Jun, "The Effect of Cognitive Behavioral Therapy and Nicotine Replacement Therapy Centered Smoking Intervention and Abstention Factors", The Korean Journal of Health Psychology, Vol.13, No.3, pp.705-726, Sep. 2008. DOI: http://dx.doi.org/10.17315/kjhp.2008.13.3.009
  21. Y. W. Jun, N. J. Ji, W. Y. Lee, "Factors associated with success of smoking cessation for 6 months at smoking-cessation clinic of public health center in urban area", Journal of Korean Society for Health Education and Promotion, Vol.25, No.1, pp.25-38, Mar. 2008.