• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.2
• /
• pp.865-871
• /
• 2013

Background: The present qualitative study assessed the need, acceptability and appropriateness for implementing effective and culturally appropriate smoking prevention programs for adolescents in schools in Indonesia. Methods: Snowball sampling was used to recruit participants. The study sample comprised a mixture of staff in the education department, junior high school teachers and individuals who had taught junior high school students in Aceh Province, Indonesia. Data were collected through one hour in-depth face to face or telephone interviews and analyzed using a descriptive content analysis procedure. Results: School teachers and policy makers in education firmly supported the implementation of a school-based smoking prevention program in Aceh. An appropriate intervention for smoking prevention program in schools in Aceh should involve both health and Islamic based approaches, and be provided by teachers and external providers. Potential barriers to the program included smoker teachers and parents, time constraints of students and/or teachers, lack of teachers' ability, increase in students' load, the availability of tobacco advertising and sales, and lack of tobacco regulation and support from community and related departments. To increase program effectiveness, involvement of and coordination with other relevant parties are needed. Conclusions: The important stakeholders in Indonesian childhood education agreed that school-based smoking prevention program would be appropriate for junior high school students. An appropriate intervention for smoking prevention program for adolescents in schools in Indonesia should be appropriate to participants' background and involve all relevant parties.

• Korean Journal of Health Education and Promotion
• /
• v.24 no.4
• /
• pp.181-200
• /
• 2007

Objectives: A content analysis was conducted to examine whether the current school textbooks providing smoking information are effective or not. Methods: The authors reviewed 111 qualified textbooks using elementary through high schools during 2006-2007 academic year in Korea. Educational components were coded with an analysis tool developed through the present research. Result: Tobacco education components were narrowly focused on long-term physiological consequences of tobacco use, addictiveness, and harmful ingredients and they were repetitively shown in the textbooks. Negative health consequences such as lung cancer were emphasized 10 times among 12 smoking-related textbooks. Educational messages or contents are mainly based on medical knowledge (72%) rather than psycho-social components. The US school-based smoking prevention programs, however, employ psycho-social approach with cognitive and life-skill components and they contain only 7-17% of smoking-related medical knowledge. In order to increase psycho-social smoking prevention components in Korean textbooks, the present study identified social subjects of textbooks (and relating core sessions) for elementary, middle, and high school. It also provided guidelines for school instructors to use. Conclusion: Adolescent smoking behavior is not caused by the deficit of health information, but mostly by social influences including media and peer pressure. School textbooks proving smoking information need to increase psycho-social context. One of the most effective ways as a psycho-social smoking prevention program is to use social subjects (or curriculum) of textbooks such as social studies, ethics, social cultures, social environment, and home management.

• Journal of Korean Academy of Nursing
• /
• v.46 no.4
• /
• pp.552-561
• /
• 2016

Purpose: The purpose of this study was to investigate factors influencing lifetime smoking and current smoking among adolescents in South Korea. Methods: Hierarchical logistic regression was conducted based on complex sample analysis using statistics from the 10th (2014) Korea Youth Risk Behavior Web-Based Survey. The study sample comprised 72,060 adolescents aged 12 to 18. Results: The significant factors influencing adolescent lifetime smoking were female gender, older age, higher stress, higher weekly allowance, lower economic status, living apart from parents, parental smoking, sibling smoking, peer smoking, observation of school personnel smoking, and coed school compared to boys' school. The significant factors influencing adolescent current smoking were female gender, older age, higher stress, higher weekly allowance, both higher and lower economic status compared to middle economic status, living apart from parents, parental smoking, sibling smoking, peer smoking, observation of school personnel smoking, and coed school compared to boys' school. Conclusion: Factors identified in this study need to be considered in programs directed at prevention of adolescent smoking and smoking cessation programs, as well as policies.

• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.sup2
• /
• pp.1-5
• /
• 2016

To reduce tobacco use and related harm in Korea, telephone based cessation services (Quitlines) began full operation to provide regular behavioral counseling for smoking cessation in 2006. After registration in the cessation program, at least 21 calls per year are given to each client to help quit and encourage maintenance. Tailored programs for males, females, and adolescent smokers have been offered taking into account smokers' characteristics and smoking behavior. Mailing self-help quit packs and e-mail and SMS services are allowable as additional services.A total of 23,201 smokers were registered on the Quitline program from 2006 to 2014. In 2014, an average of 13,343 calls per month have been received by 28 coaches, the 1 year abstinence rate of clients is 26%, and clients' satisfaction rate is 81.6%. After introduction of the call system in 2007, client convenience and effective operations have been achieved with high technology support of a computer-based telephone system. Systematic education and evaluation programs for quit coaches have contributed to quality assurance of the services. Currently, research into development of new programs and evaluation of Quitline performance is being undertaken. A Comprehensive Multi-channel Cessation Center (CMCC) has been suggested and is now planned as a next step in the national program for smoking cessation.

• Korean Journal of Health Education and Promotion
• /
• v.21 no.1
• /
• pp.171-182
• /
• 2004

Objectives： Smoking, especially among youth, has been increasing in Korea. This study was performed to evaluate the effects of a newly developing well-designed packaged smoking prevention program (PSPP) for middle school students and to propose further ideas about the program. Methods： The subjects were middle school students enrolled in one Busan city middle school. The effects of the PSPP were evaluated through intervention and follow-up. The PSPP was executed for 10 hours during the semester of middle school freshmen by the author as a position of health teacher, from 1999. After PSPP, cognitions and experiences about smoking were assessed annually from February, 2000 to 2002 by questionnaire. The responses of the educated group and the non-educated group (enrolled in the school at 1998) were compared through chi-square test and odds ratio (OR) and 95％ confidence interval (CI) using SPSS program (ver 10.0). Results： In the three years' follow-up study on the students enrolled in 1999, the proportion of habitual smoking increased significantly (p＜0.001); freshmen 0.2％, sophmore 1.7％, junior 5.0％. However, these level were lower than the results of national study； freshmen 1.1 ％, sophmorer 6.3％, junior 8.5％. Also, the risk of smoking based on the response of 'smoking is hazardous to my health' increased by higher grading. In the comparison of educated and non-educated group, the proportion of the habitual smoking was significantly lower in the educated group(5.0％) than in the non-educated group(13.5％) (OR [95％CI]＝0.33 [0.20∼0.57]). The response rate of 'smoking is hazardous to my health' was higher (OR [95％CI]＝4.42 [2.52∼7.77]), and that of 'maybe smoking in the future' was lower (OR [95％CI]＝0.43 [0.31∼0.59]) in the educated group than in the non-educated group. Conclusions： Though there is not enough information and it was a relatively short evaluation period, this PSPP is considered to be effective in smoking prevention in middle school students. Interests and continuity would be emphasized for the success of smoking prevention programs for younger subjects.

• Korean Journal of Health Education and Promotion
• /
• v.21 no.1
• /
• pp.153-170
• /
• 2004

Objectives： This study was performed to develop a smoking prevention program for Korean high school students, and to evaluate the effects of the program. Methods： A smoking prevention program, composed of five-session curriculum, was developed by modifying several smoking prevention and cessation programs based on the Social Influence Model. The program was applied to the freshmen of a technical high school. We surveyed with a questionnaire one week before education, one week after education, and two months after education. The number of participants for data analysis were 282(181 males, 101 females). Among those, 162(97 males, 65 females) students were allocated to the education group, and the other 120(84 males, 36 females) students were allocated to the control group. The effect of education was analyzed by multiple logistic regression analysis adjusted by potential confounders. Results： Among smokers, those who had education were more likely to quit smoking (OR＝2.99, 95% confidence interval(CI) 0.84-10.64), and to decrease smoking frequency(OR＝2.29, 95% CI 0.95-5.53) in borderline significance one week after education. However, the effect of education disappeared two months after education. The effect of education was significant(OR＝9.11, 95% CI 3.22-25.76) for the increase of smoking cessation intention one week after education, and it persisted until two months after education(OR＝2.94, 95% CI 1.18-7.35). Education was also a significant predictor(OR＝1.97, 95% CI 0.89-4.37) for the increase of smoking cessation stage one week after education and it persisted(OR＝6.39, 95% CI 2.42-16.86) after two months. Among non-smokers, those who had education were more likely to decrease smoking intention one week after education(OR＝4.71, 95% CI 1.63-13.58). However, the statistical significance of education disappeared two months after education. Conclusions： The results showed that the smoking prevention program developed in this study changed smoking behaviors immdeiately after education even though the effect did not persist. However, this program was successful in increasing smoking cessation intention and stage of smoking cessation among smokers.

• The Journal of Korean Society for School & Community Health Education
• /
• v.7
• /
• pp.33-49
• /
• 2006

Background & Objectives: This study was designed to examine relationships between smoking behavior and smoking attitudes among 6th-grade students in Korea in order to provide knowledge on school-based programs for preventing adolescent smoking behaviors. Methods: Questionnaires were administered to 464 students attending three public elementary schools in O city from June 13 to June 16, 2006. The total sample size is 458 (response rate = 98.7%). Data were statistically analyzed by frequency analysis, cross tabulation, and multiple regression. Results: First, smoking behavior was significantly influenced by the factors of gender, self-concept, family structure, sibling smoking, school achievement, relationship with teachers, satisfaction with school life, and smoking friends. Theprevalence of ever-smoking was 12.7% among 6th grade students in this study. Students were most likely to initiate smoking in the 5thgrade with curiosity and smoke at their own home. Second, students showed negative attitude toward smoking overall. From the detailed section, students respondednegatively about smoking in public places while they thought that adult smoking with moderate level was okay. Student who showed positive attitudes toward smoking in the present study were significantly related to the factors of self-concept, family environment, parental and sibling smoking status, school achievement, satisfaction with school life, and smoking friends. Third, Students who had tried cigarette smoking were likely to report less negative attitudes toward tobacco than non-smoking students. Fourth, this study found that smoking friends were the most significant predictor of positives smoking attitudes. Other factors significantlyassociated with smoking attitudes were gender, relationship with friends, self-concept, relationship with teachers, paternal smoking status. Conclusions: The study results suggest that smoking prevention programs focus on resisting peer influence and need to be community-incorporated and/or comprehensive from elementary to high school.

• Journal of Preventive Medicine and Public Health
• /
• v.43 no.4
• /
• pp.283-291
• /
• 2010

Objectives: The purpose of this study was to develop a prediction model for future smoking intention among Korean adolescents aged 13 to 15 in order to identify the high risk group exposed to future smoking. Methods: The data was collected from a total of 5940 students who participated in a self-administrated questionnaire of a cross-sectional school-based survey, the 2004 Korea Global Youth Tobacco Survey. Chi-square tests and logistic regression analyses were carried out to identify the relevant determinants associated with intentions of adolescents’ future smoking. Receiver Operation Characteristic (ROC) assessment was applied to evaluate the explanation level of the developed prediction model. Results: 8.4% of male and 7.2% of female participants show their intentions of future smoking. Among non-smoking adolescents; who have past smoking experience [odds ratio (OR) 2.73; 95% confidence interval (CI) 1.92- 3.88]; who have intentions of smoking when close friends offer a cigarette (OR 31.47; 95% CI = 21.50 - 46.05); and who have friends that are mostly smokers (OR 5.27; 95% CI = 2.85 - 9.74) are more likely to be smokers in the future. The prediction model developed from this study consists of five determinants; past smoking experience; parents smoking status; friends smoking status; ownership of a product with a cigarette brand logo; and intentions of smoking from close friends’ cigarette offer. The area under the ROC curve was 0.8744 (95% CI=0.85 - 0.90) for current non-smokers. Conclusions: For efficiency, school-based smoking prevention programs need to be designed to target the high risk group exposed to future smoking through the prediction model developed by the study, instead of implementing the programs for all the students.

• Korean Journal of Health Education and Promotion
• /
• v.20 no.4
• /
• pp.67-78
• /
• 2003

This investigation was performed to summarize a few prominent features of smoking prevention program studies and to evaluate the quality of smoking prevention program studies using the Quality of Study Rating Form (QSRF). 24 school-based smoking prevention programs were subjected to an evaluation of study quality using QSRF. Study quality was 57.29 points out of 100 points on average, so it cannot be said that study quality was good. Most of the studies described the subjects and the intervention contents and intervention time. 50% stated where the intervention occurred specifically, 50% of the studies either discussed a specific theory that justified the use of one or more intervention methods, or they cited literature said to support the chosen intervention method. Only one study assigned subjects randomly to experimental groups or control groups and 50.0% of the studies showed baseline equality. There was no study where subjects were blind to being in the treatment or control group or where subjects were selected randomly by random sampling procedure. 79.2% of the studies had non-treated control groups and 20.8% of the studies had comparison groups with other treatments in the form of either other delivery methods or other contents. Sample sizes were larger than 21 in the experimental group for all studies. 75% of the studies stated face validity of outcome measure or cited from previous literature. 58.3% of the studies tested reliability and 45.8% reported the reliability measure was a figure of .70 or greater. There was no study where those rating outcomes were rated blind, because researchers generally collected data by themselves. Outcome measures were taken only after the intervention was completed and tests of statistical significance were generally referred to statistical method and p value in all studies. All studies met the criteria that follow-up was greater than 75%. The implications for the future studies were discussed.

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.12
• /
• pp.7065-7067
• /
• 2013

Background: Tobacco use is one of the leading causes of preventable death across the world today and the smoking rates among men in the Arab world are amongst the highest in the world. Smoking of dokha, a traditional Arab tobacco is common in some of the Middle East countries such as the United Arab Emirates and Iran. This review focuses on the prevalence, pattern and health effects of dokha use in the Middle East. For this purpose an electronic search was performed in the following databases and websites: MEDLINE, EMBASE, Proquest and Google scholar up to December 2012. The search strategy was based on Internet search for the synonyms of dohka or midwakh. From the results of the review it emerged that younger people are the most common users of dokha. Hence effective outreach health education programs, targeting adolescents, especially school students before they take up the habit of smoking, may thus curb the emergence of the problem.