• 보건행정학회지
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• 제27권4호
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• pp.284-295
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• 2017

Background: The objectives of this study were to identify the reasons of quitting smoking, to determine the factors that make it difficult or helpful to maintain smoking cessation and to confirm the changes after the smoking cessation. Methods: This study was conducted an in-depth interview with people who participated in the smoking cessation treatment program. There were 10 participants and they were interviewed thoroughly for 14 times. Using the directed content analysis, we analyzed the transcript which was written by recording the interview and the researchers' note. Results: The results of this study are summarized as 'the experience while at the verge of smoking cessation and stepping over the verge of smoking cessation,' 'the changing experience due to smoking cessation,' and 'maintaining the changes through overcoming re-smoking.' The smoking cessation treatment program induced the smokers to quit smoking. Participants mentioned drinking alcohol was the major obstacle to maintain smoking cessation. Also, they noted that the money and the time that were already spent to quit smoking helped their smoking cessation as well as the social relations which helped to prevent re-smoking. Participants felt well-cared through the smoking cessation treatment program and that it helped them to maintain smoking cessation. Conclusion: Smoking cessation treatment program has a positive effect on the smoking cessation trial and maintenance. In order for smokers to overcome re-smoking, educations regarding drinking problem, formation of supportive social relationship, and the applications for smoking cessation will be beneficial.

• Journal of Preventive Medicine and Public Health
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• 제39권4호
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• pp.339-345
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• 2006

Objectives: This study (a) investigated the rate of smoking cessation sucess for current male smokers, and (b) identified the factors that are associated with the smoking cessation success. Methods: Data were collected from four follow-up surveys of 700 current male smokers. The follow-up period was from December 2004 to June 2005. Success of smoking cessation was defined as "maintaining a smoking cessation status for six months". The demographic and socioeconomic factors included age, the household income level and, occupation. The smoking behavioral factors were composed of the amount of smoking, the duration of smoking, the age of initiating smoking, the willingness to quit, the frequency of trying to quit smoking and the smoker's attitude toward the anti-smoking policies. Results: The proportion of quitters increased from 6.6% to 11.0% during the follow-up period. The majority of quitters answered that the increase of tobacco price acted as cue to achieve smoking cessation. The age-standardized experience and success rate of smoking cessation were 16.0% (95% C.I.=13.0% to, 19.0%) and 4.5% (95% C.I.=3.0% to, 6.0%), respectively. On the multivariate analysis, success for smoking cessation was associated with the willingness to quit smoking, low prior tobacco consumption, and agreement on the tobacco price increase. Conclusions: The results of this study suggest that the recent anti-smoking policies provided an opportunity to quit smoking. The results of this study can be used to establish evidence for further anti-smoking policies.

• 보건행정학회지
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• 제27권4호
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• pp.276-283
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• 2017

Background: Electronic cigarette (e-cigarette) has rapidly increased. Even though e-cigarettes are actually not smoking cessation alternative supplies, some people perceive them as smoking cessation alternative supplies. The purpose of this study is to identify the relationship between e-cigarette experiences and smoking cessation behaviors among Korean adults. Methods: Cross-sectional data was collected from 7,550 participants of Korea National Health and Nutrition Examination Survey in 2014. A total of 867 participants who were current smokers were enrolled in this study. Multi-variable logistic regression analysis were performed to identify the relationship between the smoking cessation behavior and the e-cigarette experience. Results: The e-cigarette experience rate of current smokers was 22.1%. The e-cigarette experience rate was higher in groups with the higher income, the higher education level, and the white collar jobs. Smokers with experience of smoking cessation (odds ratio [OR], 3.03; 95% confidence interval [CI], 1.67 to 5.76) and with intention to smoking cessation in the future (OR, 1.59; 95% CI, 1.05 to 2.43) were more likely to experience the e-cigarette. Especially, smokers who used smoking cessation alternative supplies were more likely to experience the e-cigarette than smokers who did not use it (OR, 2.87; 95% CI, 1.59 to 5.18). Conclusion: We confirmed that e-cigarette experiences were associated with smoking cessation experience, smoking cessation plan, and use of smoking cessation aid among smokers in Korea. Additional studies should be continued to confirm whether e-cigarette are continuously influencing the smoking cessation of current smokers in South Korea as one of the smoking cessation alternative supplies.

• Tuberculosis and Respiratory Diseases
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• 제83권1호
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• pp.71-80
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• 2020

Background: In January 2015, South Korea's government raised the cigarette tax, and the retail price of cigarettes abruptly increased by 80% compared to the previous year. This research aimed to determine the effect of this increase on smoking cessation among South Korean smokers. Methods: We analyzed data collected by the 2013-2015 South Korea National Health and Nutrition Examination Survey of 15,203 South Koreans over 19 years old using regression analysis. We examined the recent non-smoking period of nonsmoking people, prepared according to the survey, and analyzed the recent smoking cessation ratio. Results: Among smokers, from 2013 to 2014, the smoking cessation rate was 7.2%, and it increased to 9.9% in 2015 after the increase in the cigarette tax. In 2015, the recent smoking cessation rate was higher among people over the age of 60 (odds ratio [OR], 2.67) compared to those between the ages of 40 and 49. The recent smoking cessation rate was higher among people with below elementary education (OR, 2.28) and above university education (OR, 1.94) compared to high school, higher for those with apartments (OR, 1.74) compared to general type residences, and higher among those with a household income in the low-middle quartile (Q2) (OR, 2.32) compared to the highest quartile (Q4). Conclusion: This innovative policy including increase in cigarette prices affected smoking cessation, and its impact varied by sub-group of smokers in South Korea.

• 보건행정학회지
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• 제29권2호
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• pp.138-145
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• 2019

Background: The purpose of this study is supposed to figure out the keyword network from 2009 to 2018 with social network analysis and provide the research data that can help the Korea government's policy making on smoking cessation. Methods: First, frequency analysis on the keyword was performed. After, in this study, I applied three classic centrality measures (degree centrality, betweenness centrality, and eigenvector centrality) with R 3.5.1. Moreover, I visualized the results as the word cloud and keyword network. Results: As a result of network analysis, 'smoking' and 'smoking cessation' were key words with high frequency, high degree centrality, and betweenness centrality. As a result of looking at trends in keyword, many study had been done on the keyword 'secondhand smoke' and 'adolescent' from 2009 to 2013, and 'cigarette graphic warning' and 'electronic cigarette' from 2014 to 2018. Conclusion: This study contributes to understand trends on smoking cessation study and seek further study with the keyword network analysis.

• 디지털융복합연구
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• 제12권1호
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• pp.445-455
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• 2014

본 연구는 보건소 금연클리닉의 신규등록자와 재등록자의 금연성공 요인을 비교분석하여, 향후 보건소 금연 사업의 효율성 제고를 위한 개선방안을 제안하고자 하였다. 연구자료는 2009년 7월 16일부터 2010년 7월 15일까지 전국 253개 보건소 금연클리닉에 등록하여 6개월 이상 서비스를 이용한 흡연자 319,908명이며, 재등록자와 신규등록자로 구분한 후, 6개월 금연성공여부를 종속변수로 하여 ${\chi}^2$검정과 t검정, 로지스틱 회귀분석을 실시하였다. 연구결과에 따르면 조사대상자들의 6개월 금연성공률은 재등록자(51.6%)가 신규등록자(48.7%) 보다 높게 나타났고, 금연성공에 영향을 미치는 공통적인 요인으로는 성, 연령, 사회보장유형, 거주지역, 하루 평균 흡연량, 처음 흡연연령, 니코틴 의존도, 서비스 내용 등이었다. 특히 보건소 금연클리닉에서 제공되는 서비스 내용 중 신규등록자는 행동요법만 제공하는 경우가 금연성공률이 높은 반면 재등록자는 행동요법과 약물요법을 병행하는 경우가 금연성공률이 높았다. 이에 따라 보건소 금연클리닉을 운영함에 있어 대상자의 특성을 고려한 다양한 금연지원서비스를 제공할 필요가 있으며, 등록유형에 따라 차별화된 서비스 제공의 필요성을 제언한다.

• 디지털융복합연구
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• 제11권2호
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• pp.365-374
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• 2013

본 연구는 간호학생들을 대상으로 흡연지식 및 태도, 그리고 금연권고를 조사하고 금연권고에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 일개 광역시 3개 대학교 간호학과에 재학 중인 간호학생 529명을 대상으로 구조화된 설문지를 이용하여 2012년 10월 1일부터 10월 30일까지 자료를 수집하였다. 연구결과, 간호학생의 금연권고는 학년별, 거주지, 주관적 건강지각, 흡연에 대한 인식, 흡연력 사정 경험, 금연권고 경험, 금연중재교육 참여의사에서 통계적으로 유의한 차이를 보였다. 간호학생들의 금연권고는 흡연지식과 흡연태도와 통계적으로 유의한 상관관계를 보였고 금연권고에 영향을 미치는 요인들은 금연중재교육 참여의사, 흡연태도, 흡연지식, 금연권고 경험으로, 금연권고를 15.5% 설명하였다. 결론적으로 간호학생들이 임상 환자를 대상으로 금연권고를 적극적으로 실천하기 위해서는 학부에서 환자들을 위한 금연중재교육을 실시하여 바람직한 흡연태도와 흡연지식을 증가시키고 임상실습시 금연권고 경험을 갖도록 하는 것이 필요할 것이다.

• 지역사회간호학회지
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• 제20권2호
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• pp.251-258
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• 2009

Purpose: The study aimed to compare characteristics associated with smoking and smoking cessation of those who had succeeded in smoking cessation. Methods: Data were collected from January to June, 2008. The subjects were 9,819 smokers who were registered at the smoking cessation clinic of public health centers in Incheon. Four characteristics (demographic, health promotion, smoking, smoking cessation) were compared between 6-week (short-term) and 6-month (long-term) success groups. Results: There was a significant difference between the 6-week and 6-month success groups for smoking cessation in demographic characteristics (gender, age, job, social security), health promotion (BMI, alcohol dependency, BP), smoking (first smoking age, smoking duration, expiration CO concentration, nicotine dependency), and smoking cessation (attempt to quit smoking, reason for smoking cessation, information source for registration). Conclusion: The group of short-term smoking cessation success was younger than the other. Also, short-term success group was of lower socioeconomic class than the other. The 6-month success group had a larger number of attempts to quit smoking. Therefore, smoking cessation policy should be focused more on younger people and those in lower socioeconomic status. These groups should be given advice on smoking cessation motives and more frequent counseling for smoking cessation.

• 기본간호학회지
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• 제13권2호
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• pp.294-303
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• 2006

Purpose: To describe nurses' attitude to smoking cessation interventions and importance of participation in tobacco control policy. Method: The participants were 841 nurses practicing in hospitals of 400 beds or more and 103 members of a professional nurse's academic society. The hospitals were systematically selected to cover the whole country. The questionnaire was adopted from the 'Oncology Nurses' Tobacco Control Survey' and used after translation, Results: Nurses who were older, married, had higher positions, more education, more experience, and who worked in an OPD setting had higher mean score for attitude to the involvement of nurses in smoking cessation interventions. More than 80% of nurses agreed on the importance of nurses' participation and involvement in tobacco control policy. However, only 65.4% of nurses stated that supporting laws to increase cigarette price was important. Conclusion: Clinical nurses' attitudes to smoking cessation interventions were positive and participants supported the importance of participation in tobacco control policies.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.177-188
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• 2010

Objectives: The aim of this study was to examine factors related to smoking behavior, and to develop multilevel communication strategies for smoking cessation. Methods: This paper reviewed theories and empirical findings with currents ecological models to develop communication strategies. Theory comparison was also performed to identify important mediators in the process of smoking cessation. Results: Factors that have been identified to influence smoking behavior ranges from individual perception, attitudes and self efficacy toward smoking to organizational norms, regulations, community capacity, media advocacy and public smoking regulation policy. In order to address these multi-level determinants of smoking behavior, objectives and strategies for smoking cessation intervention were developed utilizing ecological perspectives to cover intrapersonal, interpersonal(mainly family member and peers), organizational and community/public policy level factors. Conclusion: Multilevel approaches have advanced the existing knowledge on determinants of health behaviors. New direction of research focusing on testing multilevel intervention approaches should be expanded to inform the efficacy of applying social ecological models to health behavior change process.