• Tuberculosis and Respiratory Diseases
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• 제57권5호
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• pp.411-418
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• 2004

연구배경 : 우리나라의 성인 흡연율은 세계적으로 높고 청소년과 여성의 흡연율도 점차 증가하고 있다. 흡연이 이렇게 사회적으로 문제가 되고 있는 상황에서 효과적인 금연 프로그램이 필요한 상태이다. 이에 본 병원 금연 학교의 입원 금연 교육의 효과와 이에 영향을 미치는 요인을 알아보기 위해 본 연구를 시행하였다. 방 법 : 1998년 1월부터 2001년 1월까지 본원 금연학교를 수료한 640명을 대상으로 설문지를 이용하여 흡연자들의 특성을 조사하였다. 또한, 입원 대상 금연교육 대상자 235명중 응답 가능한 100명을 대상으로 이들의 특성 및 금연 성공 유무 등을 조사하였다. 결 과 : 금연 학교 등록자의 금연 동기로는 건강이 가장 많았고, 흡연 동기로는 스트레스가 가장 많았다. 입원 금연학교의 최소 1년 이상 금연율은 60%를 보였다. 입원 금연 교육 대상자에서 흡연 시작 연령과 직업이 금연 성공 유무와 의미 있는 연관을 보였다. 금연을 실패한 경우 일상 생활의 스트레스가 가장 흔한 원인이 였고, 1주에서 1개월 내에 흡연 재발이 많았다.

• 한국학교ㆍ지역보건교육학회지
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• 제6권
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• pp.35-48
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• 2005

The age of the very first smoking is a significant indicator of life-long health status. Smoking prevention intervention was actively conducted based in middle and high schools with the support of the Korean Act for Health Promotion since 1998. These governmental supports became large and various smoking prevention programs were developed and conducted in diverse standards and perspectives. This study made a comprehensive descriptive literature review on smoking prevention educational programs for youth in Korea to identify the intervention quality and effectiveness of them for future smoking prevention program development. A total of 28 peer-reviewed journal articles published between May, 1995 and May 2005 (for the last 10 years) were finally included in this review process. The study participants should be adolescences in middle or high schools in Korea and the intervention types of the review studies should be smoking prevention or cessation educational programs. The outcomes of the reviewed studies were reanalyzed by the participants' characteristics, theory basement, evaluation design, intervention period, evaluation outcomes, and program effectiveness Most smoking intervention programs were not specified by sex and smoking status. Largely most intervention programs focused on male students although female students' smoking percent is increasing including both smokers and nonsmokers. Based on the school grades, the large percents of smoking intervention were conducted to the first grade of middle school and the first grade of high school. Almost 70% of the reviewed studies did not apply any health behavior change theories and the Transtheoretical model and social cognitive theory were utilized in 7 studies among the last reviewed 30%. The theory-based intervention studies had greater effectiveness than the non-theory based studies. More than 90% had quasi-experimental evaluation design and the effectiveness of the non-experimental designed study seemed over estimated than the quasi-experimental or experimental designed studies. More than 60% of the reviewed studies made their education for less than j days, over a short period and the evaluation factors were knowledge and attitude in general which can be obtained in short intervention period. Therefore, smoking intervention programs for youth in Korea need to be modified in terms of research design such as the intervention period, intervention-evaluation design, theory-based approach, and population-focused intervention specification.

• Child Health Nursing Research
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• 제7권3호
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• pp.371-382
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• 2001

This study was conducted to investigate correlation theory of planned behavior, self efficacy and health locus of control about smoking cessation behavior for university student. We sampled 204 university student smokers using questionnaires and analyzed the data using Pearson correlation coefficient. The results of this study were as follows : 1. There were significant positive correlation between theory of planned behavior(intention : r=.215, p=.005, attitude : r=.160, p=.025, perceived behavior control : r=.298, p=.000) and self efficacy. 2. There were significant positive correlation between theory of planned behavior(attitude : r=.228, p=.002) and internal health locus of control. There were significant positive correlation between theory of planned behavior(attitude : r=.203, p=.004, subjective norm : r=.141, p=.047) and external health locus of control. There were significant negative correlation between theory of planned behavior(perceived behavior control : r=-.152, p=.034) and accidental health locus of control. This study has shown a correlation between theory of planned behavior and self efficacy and health locus of control. As a result of these findings, I suggest to develop the intervention program for smoking cessation.

• 농촌의학ㆍ지역보건
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• 제49권1호
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• pp.37-49
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• 2024

이 연구는 강원도 원주시와 춘천시에 거주하고 있는 만 19세 이상 성인 600명을 대상으로 두 지역 간 흡연 상태에 차이가 있는지를 탐색하고, 지역 내 금연프로그램 경험이 금연 시도에 영향을 미치는지를 평가하였다. 연구결과 원주시는 춘천시보다 현재흡연율이 더 높고, 흡연기간은 더 길었으며, 흡연 시작 연령은 춘천시보다 더 낮았다. 원주시의 현재흡연율이 춘천시보다 더 높았음에도 불구하고 관할지역 내 보건소 등에서 운영하는 금연 교육프로그램의 이수 경험률이 원주지역에서 더 낮았고(OR=0.52, 95% CI=0.33~0.81), 금연클리닉의 이용률도 더 낮았지만 유의하지는 않았다. 지역 내 금연프로그램 경험이 금연 시도에 미치는 영향을 분석한 결과, 원주시는 금연교육 이수자와 금연클리닉 이용자가 그렇지 않은 대상자에 비해 각각 OR=2.31, OR=2.29로서 금연 시도 경험이 더 높았고, 춘천시의 경우도 금연지원서비스를 인지하고 있는 대상자의 금연 시도 경험이 그렇지 않은 대상자에 비해 OR=2.26배 더 높았다. 하지만 두 지역 모두 적은 표본수로 인하여 통계적 유의수준에 도달하지는 못하였다. 이 연구결과를 바탕으로 해당보건의료기관은 지역주민의 금연지원서비스에 대한 인식 제고와 흡연자의 금연 시도를 높이기 위한 지역 내 보다 실용성 있는 금연 교육프로그램을 개발하고 지역-밀착형 홍보로 접근성을 제고하여 현재흡연율의 지역 격차를 해소할 수 있는 중재전략을 마련할 필요가 있다.

• 생물치료정신의학
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• 제24권3호
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• pp.230-238
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• 2018

Objectives : Among adolescents, the proportion of daily smoking tends to increase with age, and does not return to the previous level. Therefore, we examined the factors associated with smoking frequency in a nationwide sample of Korean adolescents to help prevent the progression of smoking. Methods : Among 127,804 adolescents who participated in the 2016 and 2017 Korean Youth Risk Behavior Web-Based Survey, data from 7,781 adolescents who replied that they currently smoked were analyzed. According to the frequency of cigarette smoking, participants were classified into daily and non-daily smokers. Participants' socio-demographic characteristics, smoking behavior, and psychological problems including perceived stress, depressive mood, and suicidality were assessed. Results : There were 3,627(47.4%) daily smokers and 4,154(52.6%) non-daily smokers. Low parental educational level, and early smoking experience were positively associated with daily smoking. High academic achievement, and high socio-economic status were negatively associated with daily smoking. Daily smoking was positively associated with lower happiness, lower sleep satisfaction, and severe stress during the past 12 months. Factors affecting suicide attempts of smokers were sex, residential type, socioeconomic status, and early smoking experience. Conclusion : The results indicated that socially disadvantaged families, and smoking experience with young age influenced daily smoking among Korean adolescents. Daily smoking was associated with psychological problems including lower happiness, lower sleep satisfaction, and severe stress. Early smoking experience influenced suicidal attempts among Korean adolescent smokers. Early intervention for smoking cessation in this high-risk group may contribute to prevention of these psychiatric complications of smoking.

• 한국학교보건학회지
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• 제21권2호
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• pp.119-134
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• 2008

Purpose: The purpose of this study is to understand a variety of intervention studies to prevent smoking by adolescents in U.S. and find out implications for Korea. Methods: This study reviewed articles found in the internet and analysed the data of US DHHS and CDC. Results: The School Health Policies and Programs Study (SHPPS) is a national survey periodically conducted to assess school health policies and programs of U.S. The main components of SHPPS are health education and physical education, health services, mental health and social services, school policies, and school environments. The CDC guidelines for school health programs to prevent tobacco use and addiction are composed of policy, instruction, curriculum, training, family involvement, tobacco-use cessation efforts, and evaluation. School-based interventions to prevent smoking can be classified into the categories of information-giving curricula, social competence curricula, social influence approaches, combined methods draw on social competence and social influence approaches and multi-modal programmes and Youth Empowerment study. The key programs for adolescent smoking prevention are ALERT Project, HSPP, TNT Project, MPP, NC YES. Conclusions: As smoking is often the first step of unhealthy behaviour such as alcohol drinking, illegal drugs, and violence, smoking prevention programmes for adolescents in U.S. have been comprehensive school-based health programs. In smoking prevention programs for adolescents, CDC plays a critical role by supporting survey, research, policy, and funds. The effectiveness of the programs was high when it was based on school and involved parents, community, and mass media. As the effect of each programme is not expected to last for a long time, consistent repetition of these interventions is essential. Current smoking prevention programs for adolescents are exploring the empowerment approach focused on the active involvement of participants rather than traditional approaches using order and discipline.

• 한국학교보건학회지
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• 제28권3호
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• pp.168-176
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• 2015

Purpose: The purpose of this study was to investigate the combined influence of the frequency and the intensity of smoking on suicidal ideation and attempts in Korean high school students. Methods: This cross sectional study used secondary data from the 2014 Adolescent Health Behavior Online Survey. A total of 35,094 high school students were included in the study. The study set up two categories for the frequency of smoking - intermittent and daily - and another two for the intensity of smoking - heavy and light. Complex samples logistic regression was used to analyze the combined influence of smoking frequency and intensity on suicidal ideation and attempts. Results: Regardless of frequency and intensity, smoking was more likely to increase suicidal ideation and attempts than non-smoking. Among smokers, intermittent heavy smokers (suicidal ideation: Adjusted Odds Ratio [AOR]: 1.406, 95% Confidence Interval [CI]: 1.015~2.161, p=.012; suicidal attempts: AOR: 2.977, 95% CI: 1.814~4.886, p<.001) or daily heavy smokers (suicidal ideation: AOR: 1.274, 95% CI: 1.017~1.596, p=.035; suicidal attempts: AOR: 1.717, 95% CI: 1.250~2.359, p=.001) had significantly higher odds of suicidal ideation and attempts than intermittent light smokers. Conclusion: Based on the results, smoking prevention and cessation are essential to preventing suicides in adolescents. Especially, smoking intervention programs are needed to reduce smoking intensity in smokers.

• 대한예방한의학회지
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• 제18권2호
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• pp.59-67
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• 2014

Objective : This study was to examine the effects of Doin-Angyo program, evidenced by East Asian Medicine literatures, on stress among smoking adolescents. Method : This study was a prospective community trial using a one-group, pretest-posttest design. As an intervention, Doin-Angyo program was implemented for 10 minutes per session, 3 days a week, for 6 weeks to smoking students who attend a Girl's high school. Psychological stress was measured by self-report questionnaire and physiological stress was measured by salivary cortisol. The final sample for the questionnaire included 18 participants. In addition, pre- and post-salivary cortisol levels of 24 adolescents participating in the last session were compared in order to identify the acute effects of Doin-Angyo program in reducing stress. Results : There were no significant differences in overall stress-test results from the comparisons before and after the intervention. However, we found a significant going-down of the stress level(p = .032) in the question, "About School-work" among six sub-category questions. From the salivary cortisol tests in the last session, we found, in comparison with the standard salivary cortisol density level, $0.3{\mu}g/dL$, the density level tended to go down(p = .062) when higher than the standard, and it went up(p = .001) when lower than the standard, after 10 minute session. Conclusion : The results of this pilot study supported the partial effect of Doin-Angyo program in reducing the stress levels. The study protocol and results can be used to elaborate the community trials design aiming to prove the effect of Korean Medicine based health promotion modalities.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6273-6278
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• 2015

Objective: This study assessed the association between subjective body image or objective body mass index (BMI) and the risk of daily smoking in Korean adolescents, with a purpose of identifying the most suitable models. Materials and Methods: Using the 2013 9th Korea Youth Risk Behavior Web-based Survey data for 72,435 students, odds ratios were calculated for daily smoking in the past month, according to the subjective body image and calculated BMI using a respective multiple logistic regression model. The combined effect of these two factors was also analyzed by pairing a BMI category with a subjective body image category, using odds ratios for the same event within each sex group. Results: Among the surveyed students, 7.2% of boys and 1.8% of girls were classified as daily smokers. Students who perceived themselves as being very obese tended to be at lower risk of daily smoking (OR=0.61 in boys with 95% CI=0.47 to 0.79; OR=0.66 in women with 95% CI=0.47 to 0.93). In addition, boys within the obese or overweight BMI category showed a lower risk of daily smoking (OR=0.86, 95% CI: 0.77-0.96). Lean BMI was significantly associated with higher odds ratios for daily smoking only in female students (OR=1.24, 95% CI: 1.02-1.52). When pairing these two objective and subjective factors, results suggested that subjective body image has a greater effect on daily smoking than BMI in both boys and girls. Conclusions: In both male and female students, subjective body image had a greater effect on daily smoking than body mass index. A model using the combination of BMI and subjective body image was the best fit in girls, in contrast to the model using subjective body image only best suitable in boys, for the prediction of daily smoking. These results including several factors associated with daily smoking in Korean students, provide useful data for the development and implementation of smoking intervention and cessation programs for adolescents.