• 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 Preventive Medicine and Public Health
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• v.44 no.3
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• pp.118-124
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• 2011

Objectives: Although cigarette smoking is known to be related to the exacerbation of asthma symptoms, several studies have indicated that the prevalence of cigarette smoking among asthmatic adolescents is similar to or even higher than that among non-asthmatic adolescents. The aim of this study was to evaluate the relationship between asthma and cigarette use behaviors and whether or not the presence of suicidal ideation modifies this relationship among Korean adolescents. Methods: We analyzed data from the 2008 Korea Youth Risk Behavior Web-based Survey, which included a nationally representative sample of middle and high school students. Multiple logistic regression models were used to calculate odd ratios and 95% confidence intervals of cigarette use behaviors among current asthmatics, former asthmatics, and nonasthmatics, after adjusting for gender, grade, school records, socioeconomic status, current alcohol use, and suicidal ideation. Results: Of 75 238 study participants, 3.5% were current asthmatics and 4.5% were former asthmatics. Compared with non-asthmatics, asthmatics were more likely to report current cigarette use, frequent and heavy cigarette use, and cigarette use before 13 years of age. There were statistically significant interactions between asthma and suicidal ideation in cigarette use behaviors. Conclusions: This study demonstrated that asthmatic adolescents are more likely than non-asthmatic adolescents to engage in cigarette use behaviors and the presence of suicidal ideation is an effect modifier of the relationship between asthma and cigarette use behaviors. Particular attention should be paid to the awareness of health risks of cigarette smoking and mental health problems among asthmatic adolescents.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.11
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• pp.4563-4570
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• 2015

Background: Smoking is a learnt behavior during adolescence and understanding the factor/s associated with smoking will assist in identifying suitable measures in combating the rising prevalence of smoking among adolescents. This research aimed to identify the factor/s associated with smoking among form four students in Kota Tinggi, Johor. Multistage sampling was used to select a representative sample of students in 2008 and data were collected using a self-administered validated questionnaire. This study revealed that the overall smoking prevalence was 19.0% with a significantly higher proportion of male smokers (35.8%) as compared to females (3.15%). Adolescents who were male (aOR 6.6, 95%CI 2.61-16.4), those who had peer/s who smoked (aOR 4.03, 95% CI 1.31-12.4), and those who studied in rural areas and Felda Settlements ( aOR 4.59, 95 CI 1.11-18.0; aOR 9.42, 95%CI 3.91-29.1) were more likely to smoke in the past one week. On the other hand, adolescents with better knowledge on the hazards of smoking and negative attitudes towards smoking were less likely to smoke (aOR 0.51, 95%CI 0.37-0.72; aOR 0.67, 95%CI 0.46-0.99). Future promotional and interventional programmes on smoking should be considered and the above identified risk factors integrated to reduce smoking prevalence among students of school-going ages in Kota Tinggi. Johor.

• Korean Journal of Health Education and Promotion
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• v.20 no.3
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• pp.19-35
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• 2003

The purpose of this study is to examine the effectiveness of video-and discussion-based smoking cessation intervention for adolescents. And this study is intended to provide a basic database for the development of health education, to serve health promotion for adolescent. The subjects were 472 high school students in K yungkido. The data was collected from September 23th to October 31 st, 2002. The data was collected by the measurement of knowledge, attitude, and intention toward smoking. Pre-research was conducted before smoking cessation education and post-research was performed twice, immediately after the education and 4 weeks later. Collected data was analyzed by using the SPSS 10.0 which is a computational statistical program. The results of this study are as follows： 1. Total knowledge points in smoking cessation program-based group are higher than any other groups and the statistical difference is significant. 2. The students' attitude points in experimental groups are higher than that of the control group and the statistical difference is significant. However, the meaningful statistical difference disappeared after 4 weeks. 3. The non-smoking students' intention points do not show any significant difference. And the smoking students' intention points in experimental groups are higher than that of the control group but the statistical difference is insignificant. 4. There are correlations among knowledge, attitude and intention toward smoking： knowledge and attitude are negatively correlated, knowledge and intention are positively correlated for non-smoking students, and for smoking students, attitude and intention have a negative correlation.

• Journal of the Korean Society of School Health
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• v.30 no.2
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• pp.154-163
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• 2017

Purpose: This study aimed to understand the current situation of Korean adolescents' sexual experience and its characteristics by school level, gender, and related factors to their sexual experience. This could be the basic evidence for the development of various sex education programs for the youth. Methods: This study used the 11th online survey data on youth health behavior (2015) and all 68,043 students who participated in the study were included for the analysis. The binominal logistic regression model was used to identify the characteristics and relevant factors of sexual intercourse experience. Analysis was performed by complex sample design using SPSS/WIN 18.0. The statistical significance was defined as p<.05 with a two-sided test. Results: The factors related to sexual experience of adolescents included grade, sadness and hopelessness, smoking, Internet addiction, and sex education in school, for middle school boys. For middle school girls, grade, residence area, sadness and hopelessness, smoking, drinking, and sex education in school were related. For high school boys, the factors were grade, living with parents, economic situation, sadness and hopelessness, smoking, drinking, and Internet addiction. For high school girls, grade, sadness and hopelessness, smoking, and drinking were found to be related factors. Conclusion: The results of this study suggest that a practical program considering adolescents' level and characteristics should be developed and applied.

• Journal of Korean Biological Nursing Science
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• v.14 no.2
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• pp.103-111
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• 2012

Purpose: The purpose of this study was to identify the effect of self-efficacy promotion of the smoking cessation program on the amount of smoking, carbon monoxide level, urine cotinine level and the smoking cessation self-efficacy of adolescent smokers. Methods: The subjects composed of 24 for the experimental group and 28 for the control group who were smoking adolescents at the Middle School in G city. The data collection was done from October 13 to November 18, 2010. A nonequivalent control group pretest-posttest design was used. This program was composed on the basis of Shin (1997)'s Self-Efficacy Promoting Program. The self-efficacy promotion smoking cessation program was conducted for 2 hours per week, and lasted for 6 weeks on the experimental group. The control group had a general smoking program. Data was analyzed using SPSS/WIN 14.0 program. T-test was used to analyze outcome measures. Results: The amount of smoking, CO level, urine cotinine level, and self efficacy level of the experimental group was significantly improved more than that of the control group after intervention. Conclusion: Therefore, self-efficacy promotion smoking cessation program for adolescent smokers can be recommended for smoking cessation of adolescents.

• Journal of Korean Academy of Nursing
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• v.37 no.2
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• pp.227-241
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• 2007

Background. Although research has established the existence of an association between smoking and depression among adolescents, researchers have not reached consensus on the nature of the association. Objectives. The purpose of this paper is to review the literature, to examine the nature of the relationship between smoking and depression in adolescence, and to suggest future research directions. Methods. A literature search was conducted from the following six databases: (a) Ovid MEDLINE, (b) CINAHL, (c) PubMed Unrestricted, (d) PsycINFO, (e) ERIC, and (f) Sociological Abstracts. The combinations of the words, "depression," "smoking," "tobacco," "adolescent," and "teen" were used for keyword searches to find relevant articles. Results. In 47 of 57 studies, significant associations between smoking and depression were found. However, these significant relationships may either be spurious or unrelated to depression because a substantial number of studies did not adjust for confounders or did not use validated instruments to measure depression. Additionally, if the relationship is causal, its direction remains controversial. Five relationships have been suggested: (a) Depression causes smoking, (b) smoking causes depression, (c) there is a bidirectional relationship between smoking and depression, (d) smoking and depression occur due to confounders, and (e) subgroups with different relationships between the two conditions exist. Conclusions. It is necessary to further explore the relationship between smoking and depression. Future research should consider the need for: (a) longitudinal research designs, (b) more accurate measurement of depression, and (c) the control of confounders between smoking and depression.

• Journal of Korean Academy of Rural Health Nursing
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• v.5 no.1
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• pp.33-39
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• 2010

Purpose: This study was done to identify change in self-concept of smoking experience in middle school students. Method: The study was a longitudinal survey design and used only the responses on self-concept and smoking state from the data of the Korea Youth Panel Survey (KYPS). The sample for this study consisted of 3,449 middle school students and the data were collected over a two-year period (2003-2004). Results: Self-esteem scores for the first and second year were significantly higher and self-stigma and aggression scores were significantly lower in the non-smoking maintenance group. There was a significant increase in self-esteem scores for students in second year who quit smoking compared to those in first year. There was a significant decrease in scores for attachment to surrounding people and emotional sense of control in second year students compared to those first year for students in the non-smoking maintenance group and the group that quit smoking. Self-intimacy scores were significantly lower in the smoking maintenance group. There was a significant increase in sex-role identity scores in second year students compared to those in first year for students in the group who newly started smoking. Conclusion: Findings from this study can contribute to designing appropriate smoking prevention strategies to improve self-constructs related smoking experiences in adolescents.

• Child Health Nursing Research
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• v.19 no.2
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• pp.130-139
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• 2013

Purpose: In this study an examination was done of the effects of a adolescent smoking cessation motivational program on smoking temptation, internal motivation, stage of smoking cessation and quit rate. The study was done with a nonequivalent control group pretest-posttest design. Methods: Participants in the experimental group were adolescents who smoked and were referred to the program by their high school teachers. They participated in the smoking cessation motivational program for 60 minutes per session, once or twice a week for six weeks. Participants in the control group were selected from the same age group within the school and the program was provided after the posttest was completed. t-test, Mann-Whitney test, and ${\chi}^2$-test were used to analyze data. Results: The level of smoking temptation, internal motivation and stage of smoking cessation had significant change in comparison to the pretest whereas the control group did not exhibit these changes. Conclusion: The results of the study indicate that a smoking cessation motivational program for adolescents is an effective strategy to increase smoking cessation motivation in adolescents, and can be utilized as an effective intervention for adolescents who smoke.

• Journal of the Korean Society of School Health
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• v.31 no.3
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• pp.167-177
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• 2018

Purpose: This study examined the factors that affect suicidal ideation among Korean adolescents according to their family type. Methods: The data of the 2017 Korea Youth Risk Behavior Web-based Survey was used in this study. Out of 62,276, a total of 60,077 adolescents (51,367 adolescents from two-parent families and 8,710 adolescents from single-parent families) were included in the analysis. Results: This study demonstrated that the level of suicidal ideation of the adolescents in single-parent families was significantly higher than that of the adolescents in two-parent families. The factors that affect suicidal ideation among the two-parent family adolescents were gender, grade, economic status, academic performance, smoking, drinking, physical activity, subjective health status, subjective body image, subjective happiness, stress, and depression. The factors that affect suicidal ideation among the single-parent family adolescents included gender, grade, smoking, subjective health status, subjective happiness, stress and depression. Conclusion: Single-parent family adolescents are likely to have a higher level of suicidal ideation along with higher levels of depression and stress and lower levels of subjective health and happiness, compared to single-parent family adolescents. For this higher-risk group of suicidal ideation, more thoughtful attentions and proactive policies are needed to manage their mental health and stress in school and family situations.