• Proceedings of The Korean Society of Health Promotion Conference
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• 2009.05a
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• pp.77-77
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• 2009

한국건강관리협회는 1998년부터 국민건강증진기금의 지원으로 금연사업을 수행하고 있다. 본 연구에서는 협회에서 실시한 '07년 민간단체 금연클리닉 사업을 대상으로 사업의 효과성을 분석하여 사업의 과학적 근거 확보 및 향후 효과적인 사업 수행방안 마련 등 사업의 발전방안을 모색하고자 실시되었다. 대상은 2007년 민간단체 금연클리닉에 참여한 군 경, 중소업체 종사자, 운송업체 종사자, 국방부지정부대 참여자, 학교/공공기관 종사자 중 설문조사에 성실하게 응답한 3,170명이다. 민간단체 금연클리닉 사업 효과성 평가 설계는 구조화된 평가도구를 활용하여 금연클리닉에 참여한 집단만을 대상으로 참여 전(사전조사)과 금연클리닉 종료 후(사후조사)의 조사결과를 비교하는 단일 전후조사 설계(one-group pretest posttest design)방법을 사용하였다. 연구결과 민간단체 금연클리닉 참여자의 하루 평균 흡연량은 15.96개비, 평균 흡연시작연령은 18.59세, 평균 총 흡연기간은 146.39개월로 나타났으며, 참여자의 니코틴 의존도는 평균 3.81점으로 조사되었다. 또한 참여자의 84.5%가 의지로 금연 시도하였으나 실패한 것으로 나타나 이에 대한 개입이 필요함을 알 수 있다. 참여자들의 상황별 흡연욕구는 높은 수준이었으며, 특히 술자리, 스트레스상황 등 특정 상황에서 흡연욕구가 높게 나타났다. 금연관련 경험요인은 5점 기준 2.84점으로 조사되었으며, 인지적 과정이 행동적 과정에 비해 높게 나타났다. 마지막으로 민간단체 금연클리닉의 전반적인 만족도는 높았으나 상담환경에 대한 만족도가 상대적으로 낮았음을 감안할 때, 환경적인 부분에 대한 개선이 필요할 것으로 보인다. 더불어 금연클리닉의 효과나 만족도 부분에서 대상자의 특성에 따른 차이가 발생하므로 참여 대상자의 특성을 감안한 맞춤형 프로그램 개발이 필요할 것이다.

• Journal of the Korean Society of School Health
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• v.16 no.1
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• pp.105-119
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• 2003

The purpose of this study was to surveyed the smoking status and pattern, nicotine dependence and factors associated with smoking and nicotine dependence for high school students in Daegu. In March. 2000, 1,593 students from 7 male and 6 female high schools located in Taegu were assessed with self-completing questionnaire. The major findings were as follows; Percentage of male smokers was 15.0% in general high school, 30.9% in business high school and that of female smokers was 5.0% in whole woman's high school. The median score of FTQ was 4.0 among male smokers and female smokers. the mean of FTQ score was $4.07{\pm}1.96$ in male and $3.94{\pm}1.63$ in female. Percentage of students with high FTQ score(FTQ$\geq$7) was 13.3% in male and 5.9% in female. In multiple logistic regression analysis, smoking had significant association with general characteristics such as personal-specifics factors, family environment factors and school environment factors. In multiple logistic regression analysis, nicotine dependence had significant association with school-age and duration of smoking On consideration of above findings, to prevent students from smoking and to reduce the smoking rate, we have to try together in house, school and society.

• Journal of Korean Public Health Nursing
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• v.21 no.1
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• pp.37-45
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• 2007

Purpose: A diverse range of measurement methods to evaluate the effect of smoking is more powerful than using a single measure. The objectives of this study were to examine the relationships among smoking pack year, self-reported smoking dependence, and urinary cotinine levels, and to investigate the psychological variables in working men. Method: In this cross-sectional study, we surveyed men working in an electronic company who participated in a smoking cessation program. Among 57 men who completed questionnaires, 25 participate in a test for cotinine levels. Results: Smoking pack year was significantly and positively correlated with the FTND-K (Korean version of Fagerstrom test for nicotine dependence) sum scores (r=0.631, p=0.000) and with the levels of urine cotinine (r=0.463, p=0.023). The relationship between FTND-K sum scores and urinary cotinine levels was also significantly positive (r=0.639, p=0.001). Those with higher social support, especially family support, tended to perceive a higher self-efficacy to smoking cessation. Conclusion: These findings suggest that self-reported smoking pack year and nicotine dependence in working men may be a valid way to evaluate the effect of smoking. A supportive family may influence smoking cessation in working men as it increases self-efficacy to avoid smoking.

• Journal of Korean Academy of Nursing
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• v.37 no.7
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• pp.1159-1165
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• 2007

Purpose: The purpose of this study was to investigate the stages of change in smoking cessation after a Coronary Artery Bypass Graft(CABG) and to identify the related factors. Methods: The subjects (n=157) were patients who underwent a CABG in a university hospital from March 1998 to October 2005 and were smokers before the CABG. Data was collected viachart review and a telephone interview, and analyzed with descriptive statistics, $X^2$ test, one-way ANOVA, and Kruskal-Wallis procedure by the SPSS/PC win 12.0 program. Results: The subjects smoked for an average of 34 years (21 cigarettes per day) before surgery. Eleven percent of the subjects were in pre-contemplation, 6.4% in contemplation, 13.5% in preparation, 4.5% in action, and 64.5% in the maintenance stage. Nicotine dependence and self-efficacy were different among the groups with different stages of change in smoking cessation. Nicotine dependence was the lowest (p=0.00) and self-efficacy was the highest (p=0.00) in the maintenance stage. The number of subjects in pre-contemplation and contemplation significantly increased 6 years after surgery(p=0.05). Conclusions: To implement effective smoking cessation interventions for CABG patients, the intervention should be developed to accommodate individual readiness for smoking cessation, especially so for those who had a CABG more than 6 years previously.

• Journal of Korean Academy of Nursing
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• v.35 no.7
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• pp.1285-1294
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• 2005

Purpose: This study was done to evaluate the predictive value of aspects of the Transtheoretical model (TTM) of behavior change as applied to smoking cessation in a rural population. Method: A convenience sample was recruited from a public health center in a community. A total of 484 participants were recruited, including 319 smokers, 116 ex-smokers and 49 non-smokers. A cross-sectional and descriptive design was used in this study. Data was analyzed using descriptive statistics, frequency statistics, ANOVA and Logistic regression. Result: The major findings were 1) The participants were assessed at baseline for their current Stage of Change resulting in a distribution with $42.1\%$ in Precontemplation, $24.1\%$ in Contemplation, $9.7\%$ in Preparation, $6.2\%$ in Active, and $17.9\%$ in the Maintenance stage. 2) There were statistically significant differences of processes of change, decisional balance and situational temptation across the stages of change. 3) The main factors that affect smoking cessation were age, number of years smoking, age when began smoking, self-liberation and negative/affective situations, which combined explained $33.2\%$ of the smoking cessation. Conclusion: TTM variables measured prior to a smoking cessation program added little predictive value for cessation outcome beyond that explained by demographic and smoking history variables.

• Journal of Digital Convergence
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• v.12 no.1
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• pp.445-455
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• 2014

This study has targeted to comparatively analyze smoking cessation success rates and success factors among new enrollees and re-enrollees in Smoking Cessation Clinics for its efficient operation. A total of 319,908 smokers who were enrolled in the Smoking Cessation Clinics in one of 253 public health centers across the nation for more than 6 months from July 16, 2009 to July 15, 2010 were examined. According to the comparative analysis, the following results have been obtained. According to the results, it has been confirmed that it is necessary to determine why smoking cessation success rates are low and take additional efforts to increase the rates for the effective operation of smoking cessation clinics. In addition, smoking cessation success rates were higher when only BT(Behavior Therapy) was given than when both BT and NRT(Nicotine Replacement Therapy) were provided to new enrollees while they were lower when only BT was provided than when both BT and NRT were given to re-enrollees. Therefore, it is necessary to provide differentiated service types depending on the type of enrollment. Hence, it is also required for the government to take various approaches in terms of a direction for a smoking cessation policy.

• Clinical and Experimental Pediatrics
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• v.49 no.10
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• pp.1042-1049
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• 2006

Purpose : This study was conducted to survey the preliminary data on risk behaviors and to identify the factors that prevent risk-behaviors in late adolescence. Methods : Freshmen(n=1,297) beginning the first semester in Korea University, Seoul, Korea completed self-administered risk behavior questionnaires, comprising 5 domains : demographics, smoking, drinking, drug abuse and sexual behavior. Results : The rate of smoking experience was higher in people having friends who smoke and the predictors of transition to current smoking were male gender, urban residence, friends' smoking, and nicotine dependence. The rate of high risk drinking was higher among students who are male and who had experience of heavy episodic drinking. The study group showed a low prevalence of narcotic users, but two-thirds of students could get medicine easily without prescriptions. The prevalence of sexual experience was 6.5 percent, and the sexual education was not a predictor of contraceptive behavior. The prevalence of homosexuality was 1.6 percent, and the rate of mostly heterosexuality was higher in female students. Conclusion : The main targets of youth health education should be campaigns aimed at atcessation of reinforcing risk behaviors and the development of a surveillance system for the prevention of chronic disease. These results can be used to find risk factors of health-risk behaviors among late adolescents.