• Korean Journal of Adult Nursing
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• v.24 no.5
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• pp.520-530
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• 2012

Purpose: This research analyzed the different factors that influenced smoking cessation motivation. Methods: Subjects were both current and past male adult smokers. Data collection was conducted in four small businesses in Seoul and one public enterprise in Gyeonggi-Province from December 10, 2011 to January 30, 2012. Reasons for Quitting (RFQ) scale which was developed by Curry et al. was used for data collection. There were 350 participants and 324 (93%) questionnaires were used for the statistical analysis. Results: Participant's level of motivation varied by present smoking, quit attempt, smoking cessation counseling, level of nicotine dependence, stages of smoking cessation, and types of smoking. Participant's drinking pattern, smoking cessation counseling, social seeking type (G) and stages of smoking cessation had a 13% explanatory power for being motivated to stop smoking. Conclusion: For participants who drink alcohol regularly, who do not participate in smoking cessation counseling and those who are in the pre-contemplation stage for smoking cessation are candidates for future smoking cessation intervention programs or smoking cessation motivation programs.

• Journal of Korean Academy of Nursing
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• v.47 no.2
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• pp.211-221
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• 2017

Purpose: This study was done to develop and test a structural model on smoking cessation intention in technical high school men. The conceptual model was based on the theory of reasoned action and health promotion model. Methods: From May 29 to April 13, 2015, 413 technical high school students who smoked completed a structured questionnaire. Data were analyzed to calculate the direct and indirect effects of factors affecting smoking cessation intention. The SPSS WIN 20.0 and AMOS 21.0 programs were used. Results: The hypothetical model was a good fit for the data. The model fit indices were $x^2/df=2.36$, GFI=.95, AGFI=.92, NFI=0.97, and RMSEA=.05. Self-esteem had direct and indirect effects on smoking cessation intention. Attitude, subjective norm, and self-efficacy had direct effects on smoking cessation intention. Smoking knowledge and environmental factor had indirect effects on smoking cessation intention. This model explained 87.0% of the variance in smoking cessation intention. Conclusion: These results indicate that technical high school students' intention to stop smoking can be improved through an increase in self-esteem, negative environmental factors, attitude toward smoking cessation, subjective norm about smoking cessation, and self-efficacy for smoking cessation.

• Child Health Nursing Research
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• v.16 no.1
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• pp.10-19
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• 2010

Purpose: This study was done to identify the significance of smoking experiences in high school girls, and to define essential structures of the experience. Methods: A phenomenological approach was used for this study. Data were collected using in-depth interviews. Study participants were 8 high school girls who had experience with smoking. The method proposed by Giorgi (1985) was used to guide the process of data analysis. Results: Themes which emerged from the data were: 'Beginning to smoke affected by surroundings', 'Self intention to begin smoking', 'Stimulated smoking drive (appetite)', 'Giving emotional comfort', 'Mood of overlooking teenagers' smoking', 'Smoking dead zone', 'Knowing that smoking is not suitable', 'Habitual smoking', 'Prejudice against women smoking', and 'Admitting that women smoke'. Conclusion: The findings provide an understanding of the smoking experience by high school girls and indicate that in order to develop the most effective nursing interventions to help female adolescents stop smoking, consideration needs to be given to the developmental stage of high school students.

• Journal of Society of Preventive Korean Medicine
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• v.12 no.3
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• pp.185-197
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• 2008

Purpose : To know the smoking status of regional residents and to contribute the development of smoking education program by analyzing the related characteristics and affecting variables. by convenience sampling of total 1,300 regional residents in Daegu. Method : The investigation was conducted with 1,204 residents in mid to small urban area of Gyeongsangbukdo. for 3 months from April 1, to June 30, 2007. Results : 1) The current smoking rate of test subjects was 19.3% and 63% responded as non smoker, and 17.1% of test subjects responded as currently stopped smoking. 2) The smokers' age that habitually started smoking resulted to show the highest distribution at their age of $20{\sim}29$ by including 49.3% in 446 smokers, and 39.6% in ages younger than 19 years old. 3) The subjective health status of test subjects was found to be healthy in 65.1% of nonsmokers. 4) The increase of stress along with the increase of depression significantly had large effects on smoking rate. 5) When the regression analyses were conducted, test subjects' sex, age, religion, current residing area, occupation, the level of health status, the level of stress and the level of depression found to have significant effects, and the influence of these variables was 27.4% by showing an overall significance. Conclusion : Primarily, the average smoking rate of regional residents was slightly decreased, but the smoking rate in juveniles, university students, professional workers, office workers, labor workers and women were found to be increased. Therefore smoking prevention and stop smoking policies have to be enforced with the development of more effective education programs. Secondly, the health status especially the increase of stress along with the increase of depression significantly had large effects on smoking rate. So, it is considered that the responsible government, related organizations and experts should make efforts not only for the improvement of health and but also for the establishment of stress and depression solving measures. Thirdly, the supports and willingness of government and local government for substantial practicing the development of smoking prevention and stop smoking enforcement policy education programs have to be advanced with the systematic backup as the first step of improving health of national peoples.

• Journal of Preventive Medicine and Public Health
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• v.51 no.1
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• pp.1-5
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• 2018

Smokers keep smoking despite knowing that tobacco claims many lives, including their own and others'. What makes it hard for them to quit smoking nonetheless? Tobacco companies insist that smokers choose to smoke, according to their right to self-determination. Moreover, they insist that with motivation and willpower to quit smoking, smokers can easily stop smoking. Against this backdrop, this paper aims to discuss the addictive disease called tobacco use disorder, with an assessment of the addictiveness of tobacco and the reasons why smoking cessation is challenging, based on neuroscientific research. Nicotine that enters the body via smoking is rapidly transmitted to the central nervous system and causes various effects, including an arousal response. The changes in the nicotine receptors in the brain due to continuous smoking lead to addiction symptoms such as tolerance, craving, and withdrawal. Compared with other addictive substances, including alcohol and opioids, tobacco is more likely to cause dependence in smokers, and smokers are less likely to recover from their dependence. Moreover, the thinning of the cerebral cortex and the decrease in cognitive functions that occur with aging accelerate with smoking. Such changes occur in the structure and functions of the brain in proportion to the amount and period of smoking. In particular, abnormalities in the neural circuits that control cognition and decision-making cause loss of the ability to exert self-control and autonomy. This initiates nicotine dependence and the continuation of addictive behaviors. Therefore, smoking is considered to be a behavior that is repeated due to dependence on an addictive substance, nicotine, instead of one's choice by free will.

• 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).

• Korean Journal of Adult Nursing
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• v.15 no.4
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• pp.563-572
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• 2003

Purpose: This study aimed to compare differences on sexual satisfaction between non-smokers and smokers of Korean adult males. Method: The subjects of this study were 304 current smokers and 331 current non-smokers(stop smokers, never smokers) (58.0%). Because of the nature of the study, the participants were recruited through a home page advertisement of a brand newspaper company in Korea, and the survey was done through Internet system. The tool to measure participant's sexual satisfaction was adopted from the Arizona Sexual Experience Scale-Male. Result: Participant's age ranged from 20 to 49, mostly in their 30s-40s(96.1%). They were smoking average of 15 cigarettes per day. There were no significant difference on sexual satisfaction between current smokers and non-smokers( t=-.55, p>.05). However, there were significant difference on sexual satisfaction between ever smokers(n=481) and never smokers(n=154) (t=2.10, p<.05). There were significant differences an erectile and orgasm satisfaction according to number of cigarettes they smoked per day. 54.5% smokers who said that they have difficulty in keeping erectile state considered on smoking cessation within 30 days whereas 24.2% in those who said that keeping erectile state was easy. Conclusion: Informing about the high risk of sexual dysfunction with cigarette smoking should become a important part of smoking cessation education and for smoking adolescents.

• Journal of Preventive Medicine and Public Health
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• v.52 no.4
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• pp.234-241
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• 2019

Objectives: To identify simultaneous behavioral changes in alcohol consumption, smoking, and weight using a fixed-effect model and to characterize their associations with disease status. Methods: This study included 7 000 529 individuals who participated in the national biennial health-screening program every 2 years from 2009 to 2016 and were aged 40 or more. We reconstructed the data into an individual-level panel dataset with 4 waves. We used a fixed-effect model for smoking, heavy alcohol drinking, and overweight. The independent variables were sex, age, lifestyle factors, insurance contribution, employment status, and disease status. Results: Becoming a high-risk drinker and losing weight were associated with initiation or resumption of smoking. Initiation or resumption of smoking and weight gain were associated with non-high-risk drinkers becoming high-risk drinkers. Smoking cessation and becoming a high-risk drinker were associated with normal-weight participants becoming overweight. Participants with newly acquired diabetes mellitus, ischemic heart disease, stroke, and cancer tended to stop smoking, discontinue high-risk drinking, and return to a normal weight. Conclusions: These results obtained using a large-scale population-based database documented interactions among lifestyle factors over time.

• Journal of Korean society of Dental Hygiene
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• v.9 no.3
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• pp.306-318
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• 2009

Objectives : There were reports about the decreasing of quit-smoking ratio because of taking professional advices. This study were to investigate smoking prevalence rate of the dental hygienist study in nationwide and quit-smoking counseling activity for patients in dental clinic. Methods : The registered Korea Dental Hygienists Association Meeting in 2005 were recruited as subjects. The personal surveyed, 486(87.7%) returned completed questionnaires. Results : The smoking rate of dental hygienist is 3.1%, past smoking rate 1.4% and smoking cessation 95.5%. In smoking cessation counseling activity, only 20.8% of dental hygienist would advise to quit smoking. However, 63.8% intended to advise to quit smoking but they have no idea about quit smoking program and 15.4% had no intention of advising to quit. It is a whole consent that Smoking dental hygienist is tend to against smoking and necessary training about smoking cessation same opinion. Conclusions : Dental hygienist is more effective for health care professional to help people stop smoking, therefore dental hygienist is important for them to have through knowledge of subject and confidence in their role in smoking cessation.

• Journal of Korean Public Health Nursing
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• v.19 no.1
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• pp.74-94
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• 2005

The purpose of this study was to compare the effect of education between CAI(Computer Assisted Instruction) and lectures for smoking cessation among male students who attended vocational high schools. Conducted from February 24th to April 26th, 2003, the study design was quasi-experimental with nonequivalent control group pretest-posttest design. The study subjects were 60 male students in K vocational high school in Daegu city, who were present smokers and had more than 7.0 ppm concentration level of carbon monoxide. Thirty students were randomly chosen as the experimental group which applied CAI education method for smoking cessation. The other 30 students served as the control group which received lecture education method of 40 minutes on four consecutive days. CAI education for smoking cessation was composed of ready-made individual learning contents, counseling by using cyber-communication, writing a letter to stop smoking, and writing a written agreement for smoking cessation. Lecture education for smoking cessation was composed of a ready-prepared lecture for the group, writing a letter to stop smoking, and writing a written agreement for smoking cessation. To measure smoking related knowledge, Jeong Ree Roh(1996)'s smoking related knowledge scale$(Cronbach's\;{\alpha}=0.84)$ was modified and used by the researcher. To measure smoking related attitude, Jeong Ree Roh(1996)'s smoking related attitude scale$(Cronbach's\;{\alpha}=0.91)$ was modified and used by the researcher. Smoking related knowledge scale's Cronbach's $\alpha$ was 0.83 in the pilot study and 0.93 in this study. Smoking related attitude scale's Cronbach's a was 0.80 in the pilot study and 0.98 in this study. To determine the smoking amount, the number of cigarettes smoked per day was checked. The concentration level of CO in the exhaled breath was measured (Micro CO Cat. No. MCO2, UK). Data was analyzed by $x^2-test$, t-test, repeated measures ANOVA. simple main effects, and time contrast test with SPSS/Win 11.0 program. The results of this study were as follows: 1. The first hypothesis. that 'Smoking-related knowledge score in the experimental group by using CAI education for smoking cessation will be higher than that in the control group by using lecture education for smoking cessation', was not supported. 2. The second hypothesis, that 'Smoking-related attitude in the experimental group by using CAI education for smoking cessation will be higher than that in the control group by using lecture education for smoking cessation'. was supported(F=6490.79. p=0.000). 3. The third hypothesis. that 'Smoking amount in the experimental group by using CAI education for smoking cessation will be less than that in the control group by using lecture education for smoking cessation'. was supported. 1) The third-1st sub-hypothesis. that 'The number of cigarettes smoked per day in the experimental group by using CAI education for smoking cessation will be less than that in the control group by using lecture education for smoking cessation'. was supported(F=134.19. p=0.000). 2) The third-2nd sub-hypothesis. that 'The concentration level of CO by ppm per one exhaled breath in the experimental group by using CAI education for smoking cessation will be lower than that in the control group by using lecture education for smoking cessation"' was supported(F=268.55. p=0.000). From the above results. CAI education can be an effective intervention to improve smoking-related knowledge and attitude. and to reduce the number of cigarettes smoked per day and the concentration level of CO by ppm per one exhaled breath. Lecture education can be effective to improve smoking-related knowledge. In the future, when CAI education and lecture education for smoking cessation are applied on the school nursing field. the students can gain a comprehensive understanding of smoking cessation, changes in smoking-related knowledge. smoking-related attitude and reducing smoking amount. Furthermore, CAI education for smoking cessation could be developed as an individual self initiative program and could give a guideline to apply CAI education for smoking cessation in other field.