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

• Journal of dental hygiene science
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• v.21 no.3
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• pp.133-139
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• 2021

Background: Smoking in adolescence leads to an intensified addiction to nicotine when physical and mental growth has not yet been completed. With the advent of e-cigarettes, the rate of e-cigarette use among Korean adolescents has been steadily increasing. To date, studies on e-cigarettes and oral health, especially on the relationship between smoking styles and oral health in adolescents, are limited. Therefore, this study aimed to identify the risk factors for oral health problems caused by the repeated use of conventional cigarettes and e-cigarettes. Methods: This explanatory research study compared the adolescents' experiences of periodontal disease symptoms according to smoking type through a secondary analysis of the original data from the 15th Adolescent Health Behavior Survey (2019). Cross-analysis was performed to compare the smoking patterns according to the adolescents' general characteristics. Finally, a binary logistic regression analysis was performed to determine how smoking characteristics affect the adolescents' experience of periodontal disease symptoms. Results: In terms of patients' general characteristics, significant differences were observed in sex, school level, grades, household economic status, type of residence, and father's education level between adolescents who smoked conventional cigarettes alone and those who smoked both conventional cigarettes and e-cigarettes (p<0.05). After checking the factors affecting the smoking pattern and the experience of periodontal disease symptoms in adolescents, it was found that the duplicate smoking group was more likely to experience periodontal disease symptoms (odds ratio, 1.20) than the group that smoked conventional cigarettes alone (p<0.05). Conclusion: Duplicate smokers experienced more symptoms of periodontal disease than those who smoked cigarettes alone. Based on the findings of this study, smoking cessation counseling according to the smoking type and differentiated education for oral health promotion should be provided.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.8
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• pp.5131-5139
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• 2014

The subjects of this study were 415 children in the first to third grade selected from 4 primary schools. Among them, 212 children belong to the experimental group, and 203 children were in the control group. The program was provided respectively to first, third and fifth grade children for 2, 4 and 6 teaching-hours from 2013.1.1 to 2013.12.19. To measure the effects of the program, the knowledge and attitudes on/toward smoking, self-concept were used as the research tools. Before and after program-implementation, there were significant differences in knowledge of smoking, but no differences in attitudes and self-concept. A smoking prevention program for primary school children should be applied step-by-step in conjunction with the regular education curriculum. In addition, the program should aim for long-term effects rather than short-term effects.

• Child Health Nursing Research
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• v.8 no.2
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• pp.152-163
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• 2002

This study was done to provide basic data to develop smoking prevention and non-smoking education program. Questionnaire were collected from 438 male, 474 female middle school students at Chunchon, Kwangwon-do from Sep 2, 2000 to Feb 28, 2001. The Questionnaire used to measure subjects' knowledge and attitude about smoking was Guideline for the content of tobacco smoking surveys of the general population by WHO. The collected data were analyzed by SPSS-Win program. The results were as follows. 1.The average score of knowledge about smoking of subjects was 57.01 on the basis of 100. 2. The average score of attitude about smoking of subjects was 63.54 on the basis of 100. 3. In knowledge about smoking, there were statistically significant difference according to subjects' grade(F=3.218, p=.041), thinking about smoking behavior(F=3.424, p=.017), harmfulness of smoking(F=17.202, p=.000), present drinking(F=3.555, p=.029) and in attitude about smoking, there were statisti cally significant difference according to subjects' grade(F=20.520, p=.000), sex(t= -5.073, p=.000), mother's smoking(t= -2.405, p=.035), brother's smoking(t= -5.022, p=.000), mother's schooling(F= 3.730, p=.024), having smoking friend or not (t=-9.357, p=.000), subjects' smoking experience (t=-12.363, p=.000), present smoking(F= 76.643, p=.000), quantity of smoking(F= 6.808, p=.001), period of stop smoking(F= 4.685, p=.004), beginning time of smoking (F=2.286, p=.049), thinking about smoking behavior(F=17.933, p=.000), harmfulness of smoking(F=58.360, p=.000), present drinking (F=58.071, p=.000). 4. There were significant relationship between subjects' knowledge and attitude about smoking(r=.469, p=.000).

• Journal of Korean Public Health Nursing
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• v.14 no.2
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• pp.281-292
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• 2000

This study was conducted from Nov. 15 to Dec. 20. 1999, covering 3.214 fourth. fifth, and sixth graders in 25 schools. one from each Ku in Seoul. in order to provide basic data for developing smoking prevention program. The results of the study were as follows : 1. Among the students under inquiry. $10.2\%$ answered they had the experience of smoking, while $6.3\%$ said they are current smokers. 2. With regard to smokers' smoking behavior. about 90% of them smoke one or two cigarettes a day. A lot of them was their own or friends' homes to smoke. but not at specific time. Many students who smoke say they was cigarettes stored and/or picked up at home. $28.9\%$ of them have friends who know that they smoke and $27.7\%$ of them have siblings are aware they are smokers. $24.2\%$ of them said no one around them is aware of the fact they. smoke. 3. Forth grade is the most frequent year students start smoking$(23.5\%)$. Most of them had their first smoking experience at their homes out of curiosity. 4. Profile of a typical smoker would; be male; from miscellaneous religions; have very few friends: have hard time to fit in at school and he/she has a poor academic record. 5. Environmental profile of a smoker consists of: commercial area resident: single-parented; lacks attention from parents; has hard time at home; has someone who smokes within the family. 6. Regarding the experience of smoking prevention education. the rate of current smokers who have learned about smoking prevention was lower than that of who have not learned. 7. Among the non-smoking students. $81.3\%$ of them said they would keep away from smoking and $1.6\%$ of them said they would like to smoke in the future. while $17.1\%$ were undecided. Among the students who smoke. $93.7\%$ wish to quit smoking.

• Journal of the Korean Society of School Health
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• v.16 no.1
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• pp.121-133
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• 2003

The purpose of this study was to find out the status of and attitudes on drug abuse in primary school students, to provide basic data for preventing the youth from their drug abuse and contributing to improve their health. 36.0% of the students had an experience of the education to prevent from drug abuse, the students wanted to have an education on drug abuse in primary school, 71% of the subjects preferred to school nurses as the education about drug abuse, and 2.9% of the students show their intention to use drug when their friends recommend to take drug. For the experience of drinking, there was a significant difference to the degree of satisfaction at their school($x^2$=23.29, p=.001), their association with father's smoking ($x^2$=13.16, p=.001), and mother's ($x^2$=5.60, p=.018) smoking. The experience of drinking showed no significant differences according to the grade and the experience of prevention education on drug abuse. Attitudes on drug abuse according to the general characteristics showed significant differences according to the grade (t=4.10, p=.007), the degree of satisfaction at the school(t=8.86, p=.000), their association with any father's drinking(t=3.18, p=.002) and mother's(t=5.23, p=.000), father's smoking(t=3.21, p=.001) and mother's(t=31.87, p=.000), the state of drug use during the pain(t=7.18, p=.000).

• Journal of the Korean Society of School Health
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• v.13 no.2
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• pp.271-282
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• 2000

Primary school is regarded as an important period when many health-related behaviors and life-styles begin to be formed. Acquiring them through school heath education has a strong influence on the health promotion of not only the family but also the community. The goal of this study is to provide baseline data to develop a suitable smoking prevention program for the first graders of middle school. In order to provide this baseline data, the relationships between knowledge and attitudes of the adolescent regarding smoking, and the degree of their stress and self-esteem of the adolescent were explored To achieve this goal a self-administered questionnaire was distributed to the students in two middle schools in Kwang-ju City by school nurses, 400 questionnaires were collected and analyzed using SAS-Fe. The findings were as follows; 1. The subjects of this study were 225 male and 179 female, their average age of than was 12.7. Two students were smoking currently and 49 students had smoked. They started smoking at the mean age of 10.0. 2. Students who were not smoking showed more positive attitudes regarding anti- smoking(F=34.07, p=0.0001), perceived less stress(F=8.32, p=0.0003), and had higher self-esteem(F=15.35, p=0.0001). 3. Those who had the intention to smoke in the future showed more negative attitudes regarding anti-smoking(F=38.97, p=0.0001), perceived more stress(F=4.87, p=0.002) and had lower self-esteem(F=5.55, p=0.0042) 4. Those who had a better self-perception of school performance showed more positive attitudes regarding smoking(F=8.28, p=0.0003), perceived less stress(F=3.48, p=0.0316), and had higher self-esteem(F=22.36, p=0.0001). Those who frequently communicate with their parent showed more positive attitudes regarding anti-smoking(F=4.27, p=0.0082), and had high self-esteem(F=13.28, p=0.0001). 5. There were positive correlations between the attitudes regarding smoking and the self esteem of the adolescent(r=0.36498, p=0.0001), and a negative correlation between the self esteem and the perceived stress of the adolescent(r=-0.34763, p=0.0001). From the above results, we notice adolescent's smoking were related not only with knowledge regarding smoking but also with the intention to smoke in the future, attitudes regarding smoking, and the degree of their stress and self-esteem. So the smoking prevention program to reduce adolescent smoking should include the strategies to increase self-esteem and to address the perceived stress and the dangers of smoking.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.7
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• pp.3341-3355
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• 2016

Background: A recent WHO data report on mortality attributable to tobacco use including cigarette smoking indicated a very high burden of deaths in Asia and that people often initiate smoking as early as young adolescents. The objectives of this study were to systematically review peer-reviewed articles on cigarette smoking initiation among Asian adolescents and to develop a conceptual model of factors influencing smoking initiation by integrating all relevant factors based on existing data. Materials and Methods: Following a PRISMA guideline, a systematic review of articles published between 2005 and June 2015 was conducted using 5 databases on cigarette smoking initiation among adolescents (aged 10-19 years) living in Asia. We summarized the main findings of each study according to our research questions and data that emerged during the data extraction process. Analysis and categorization were based on the TTI and TPB models and classification of factors extracted from the study, were as follows: personal factors, social factors, broader environmental factors, mediators, and intention to initiate smoking and smoking behavior. Results: Of 1,227 identified studies, only 20 were included in this review. Our findings found that the mean age of cigarette smoking initiation ranged from 10 to 14 years and those who are more likely to initiate smoking are male, older adolescents, adolescents with low parental SES, individuals with low parental monitoring, low parental education level and having no discussion on smoking at home, those living in public housing and those exhibiting health-risk behavior. Our study also revealed that the risk of smoking initiation increased when they are exposed to smokers, influenced by peers, exposed to tobacco advertisements, receive pocket money, have lack of knowledge about smoking, have poor school performance, have a family conflict and have psychological problems. The conceptual model developed demonstrated complex networks of factors influencing initiation. Conclusions: This systematic review presents various factors influencing smoking initiation of the Asian adolescents and provides a conceptual framework to further analyze factors. Future studies should have a standard measure of smoking initiation, should analyze interactions and the intensity of relationships between different factors or variables in the conceptual model. This will in turn consolidate the understanding of the different factors affecting smoking initiation and will help to improve interventions in this area.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.9
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• pp.4725-4732
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• 2012

Aim: The incidence of stomach cancer in Mizoram is highest in India. We have conducted a population based matched case-control study to identify environmental and genetic risk factors in this geographical area. Methods: A total of 102 histologically confirmed stomach cancer cases and 204 matched healthy population controls were recruited. GSTM1 and GSTT1 genotypes were determined by PCR and H. pylori infections were determined by ELISA. Results: Tobacco-smoking was found to be an important risk factor for high incidence of stomach cancer in Mizoram. Meiziol (local cigarette) smoking was a more important risk factor than other tobacco related habits. Cigarette, tuibur (tobacco smoke infused water) and betel nut consumption synergistically increased the risk of stomach cancer. Polymorphisms of GSTM1 and GSTT1 genes were not found to be directly associated with stomach cancer in Mizoram. However, they appeared to be effect modifiers. Persons habituated with tobacco smoking and/or tuibur habit had increased risk of stomach cancer if they carried the GSTM1 null genotype and GSTT1 non-null genotype. Conclusion: Tobacco smoking, especially meiziol is the important risk factor for stomach cancer in Mizoram. GSTM1 and GSTT1 genes modify the effect of tobacco habits. This study is a first step in understanding the epidemiology of stomach cancer in Mizoram, India.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.17
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• pp.7535-7540
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• 2015

Background: Early initiation of smoking and chewing of diverse forms of tobacco among youth in India is a significant driver for tobacco epidemic in India. Several socio-demographic factors are predictors of tobacco use in populations, especially among youth. Interventions which address these socio-demographic factors can help policy makers to curb new initiations and avert morbidity and mortality due to tobacco use. Objective: To study the various sociodemographic variables associated with tobacco use among youth in India. Materials and Methods: Secondary analysis of data from the Global Adult Tobacco Survey-India 2009-10 for the age group of 15-24 years was performed and predictors of smoking and smokeless tobacco were analyzed using data on occupation, education, and other sociodemographic factors. Results: In India there are a total of 51.3 million (22.1%) youth (15-24 years) tobacco users. Of these 35.1 million consumes chewable tobacco (15.1%), 16.2 million smoke (7%) and 1.6 million are dual users (3.1%). Males, urban, less educated, un-employed and those belonging to middle class preferred smoking over chewing; whereas, females, rural, students and those belonging to low socio-economic class are predictors of smokeless tobacco use. The major determinants of dual users are male sex, poor socio-economic strata and student class. The overall tobacco use was higher among males, rural populations, lower socioeconomic strata and un-employed class. Conclusions: India's youth is more susceptible to the tobacco addiction, especially of smokeless tobacco. Youth from rural India especially students, girls and those from poor socio-economic strata prefer to use smokeless tobacco products whereas urban, male and those less educated prefer smoking tobacco products. More population-based and region-focused research is needed to understand initiation patterns into tobacco use among youth so as to inform policymakers to devise new policy measures to curb the growing epidemic.