• 보건교육건강증진학회지
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• 제27권4호
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• pp.7-16
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• 2010

Objectives: To obtain a more intensive understanding smoking behaviors of young adolescent in the contexts of schools which they attend, this study examined the effects of individual and school level factors divided into psychological and social factors respectively. Methods: Multilevel logistic regression analysis was used to test the effects of school smoking rates on 1 year smoking experience of individual pupils in a sample of 3,449 students from 100 middle schools in Korea. Results: The results of multilevel analysis revealed the importance of social factors in three environments. Especially the social factors in school level, which were sense of school membership and school smoking rate, explained the variances between groups dropping the school effect from 0.194 to 0.046. Conclusion: This study suggests that adolescents' smoking behaviors are related to the multi dimensional and multi level factors. To reduce young adults' smoking rate, school level intervention should not be ignored.

• 한국산학기술학회논문지
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• 제15권12호
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• pp.7248-7258
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• 2014

본 연구는 전화상담과 문자메시지 제공 금연프로그램이 중재 횟수를 달리한 실험군1, 실험군2와 대조군의 금연 자기효능감, 니코틴의존도, 호기일산화탄소 농도, 금연성공률에 미치는 효과를 알아보기 위한 유사실험연구로 허혈성 심질환자 60명을 대상으로 하였다. 프로그램효과를 측정한 결과, 실험군은 대조군에 비해 금연 자기효능감, 금연성공률은 유의하게 증가하였고, 니코틴의존도, 호기 일산화탄소 농도는 유의하게 감소하였다. 또한 실험군1은 실험군2에 비해 금연 자기효능감, 금연성공률은 유의하게 증가하였고, 호기 일산화탄소는 유의하게 감소하였으나, 니코틴의존도에는 유의한 차이가 없었다. 따라서 허혈성 심질환자에게 제공한 전화상담과 문자메시지 중재 금연프로그램은 금연성공률의 향상에 효과가 있으며 중재 횟수에 따라 더욱 효과가 있는 것으로 나타났다.

• Tuberculosis and Respiratory Diseases
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• 제72권5호
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• pp.426-432
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• 2012

Background: Varenicline is an effective smoking cessation aid. However, smokers prescribed with varenicline do not always receive varenicline for 12 weeks, as recommended. This study analyzed the subjects who received varenicline and investigated the effect of varenicline treatment duration on the success rate of 6-month smoking cessation. Methods: This study retrospectively analyzed 78 subjects, who received varenicline, out of the 105 smokers that had visited the smoking cessation clinic after medical examination from September 2007 to December 2009. Results: The subjects were all males. Twenty-two subjects (28.2%) had varenicline treatment for 12 weeks or longer; 18 subjects (23.1%) for 8~12 weeks; 22 subjects (28.2%) for 4~8 weeks; and 16 subjects (20.5%) for less than 4 weeks. The total success rate of the 6-month smoking cessation was 47.4%. The success rate of the 6-month smoking cessation was 63.6% in the group that received varenicline for 12 weeks or longer, which was higher than 41.1% of the group that early terminated the varenicline treatment (p=0.074). The period of varenicline treatment was extended for one more week, the odds ratio of the 6-month smoking cessation success increased to 1.172-folds (p=0.004; 95% confidence interval, 1.052~1.305). Adverse events occurred in 30.8% of the subjects who received varenicline, but no serious adverse events were found. Conclusion: If varenicline treatment period is extended, the odds ratio of the success rate for the 6-month smoking cessation increases. Therefore, an effort to improve drug compliance for varenicline in clinical practices could be helpful for the long-term success of smoking cessation.

• 한국보건간호학회지
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• 제21권2호
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• pp.217-229
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• 2007

Purpose: This study sought to investigate the relationship between smoking, drinking and the mental health of adolescents. Method: The study subjects included 1,092 randomly sampled third-year middle and high school students from N-City and the L-Kun area in Chonbuk Province. The data were collected using an anonymous questionnaire developed by the Ministry of Health and Welfare(2005). The data were analyzed using the SPSSWIN 15.0 Program. Result: The smoking rate in the adolescents was 10.1%, and the drinking rate was 43.2%. The stress recognition rate in normal daily life was 45.5%, the frequency of depressive symptoms was 33.2% and 40.0% of the subjects reported that they wanted to die at some point within the past year. The rate of stress recognition, depressive symptom experience, suicidal planning and attempt in smokers and drinkers was higher than that in non-smokers and non-drinkers (p<.05). Especially, the frequency of suicidal thoughts was higher in the drinkers than in the non-drinkers (p<.05). Conclusion: The smoking and drinking status of the adolescents was correlated with their mental health a sit relates to stress, depression and suicide. Therefore, an effective program for the prohibition of cigarette smoking and alcohol consumption is needed in order to prevent smoking and alcohol consumption in adolescents and improve their mental health status.

• 융합정보논문지
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• 제11권2호
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• pp.153-162
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• 2021

이 연구는 19세 이상 성인의 최근 한 달 이내 전자담배 흡연율과 인구사회학적 요인과 건강수준 및 건강행태 요인 측면의 관련요인을 파악하여, 전자담배 흡연율 감소를 위한 금연교육과 보건정책 수립의 근거를 생성하기 위해 시도되었다. 2018년 서울시 지역사회 건강조사에 참여한 19세 이상 22,908명의 설문자료를 이용한 이차자료 분석 연구이며, 분석은 SAS 프로그램을 이용하였다. 최근 한 달 이내 전자담배 흡연율은 4.5%이었으며, 다변량 로지스틱 회귀분석에서 전자담배 흡연 관련요인은 성, 연령, 교육수준, 직업, 일반담배 흡연상태이었다. 전자담배 흡연을 예방하고 흡연율을 낮추기 위하여 우선적으로 대졸이상의 학력을 가진 전문직을 대상으로 전자담배의 위험성을 알리는 교육을 실시하여야 한다. 또한 일반 국민을 대상으로 전자담배 흡연도 일반담배 흡연과 차이가 없음으로 알리는 홍보와 캠페인을 시행하고 나아가 전자담배를 일반담배와 동일하게 취급하는 동일한 금연정책의 전개가 요구된다.

• 대한예방한의학회지
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• 제12권3호
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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.

• 한국병원경영학회지
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• 제28권1호
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• pp.24-36
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• 2023

Purposes: The purpose of this study was to analyze the factors associated with current smoking status in Wonju-si and Chuncheon-si, and to study the cause of difference in smoking rates between these two regions. Methodology: Data was from the National Health Insurance Service database from 2019 to 2020. Current smoking status was based on the response to the health examination questionnaire. Logistic regression analysis was conducted to identify factors associated with current smoking status. The study included 207,307 individuals from Wonju-si and 173,698 individuals from Chuncheon-si. Findings: The smoking rate of Wonju-si was 19.83%, and Chuncheon-si was 18.20%, showing a difference in the smoking rates between the two regions. Logistic regression analysis found that men, those aged 40-49, being a self-employed insured, a medical-aid beneficiary, having a lower income, working in construction, transport, storage, communication, or manufacturing industries, having a high-risk drinking level and being underweight were significantly associated with a higher likelihood of smoking(p<0.05). Additionally, having a chronic disease was associated with a lower likelihood of smoking in the case of Chuncheon-si(p<0.05). Practical Implication: This study found the differences of factors associated with smoking rates between the two regions and could provide implications for establishing intervention programs or policies that could contribute to lowering the smoking rate in areas with high smoking rates.

• Korean Journal of Acupuncture
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• 제26권4호
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• pp.39-52
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• 2009

Objectives : Cue reactivity is a key factor that modulates motivational goal-directed behavior associated with compulsive drug-taking and relapse. We investigated whether acupuncture attenuated the skin conductance response and the heart rate response to smoking-related visual cues in smokers. Methods : Twenty-nine smokers were treated with real acupuncture (RA) or sham acupuncture (SA). The stress response inventory was measured on the 5th day after quitting smoking. The skin conductance response and the heart rate were measured to evaluate the autonomic changes to the smoking related visual cues on the same day. Results : The sympathetic alterations in skin conductance and the heart rate induced by the smoking-related visual cues were significantly lower in the RA group, as compared to the SA group. The stress response inventory, such as somatization and frustration, in the RA group was significantly lower than that of the SA group. Conclusions : Acupuncture ameliorated the stress symptoms as well as the sympathetic activation to smoking cues during withdrawal. These findings indicate that acupuncture might be a useful tool in smoking cessation by inhibiting smoking cues-induced autonomic responses.

• 한국학교ㆍ지역보건교육학회지
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• 제17권2호
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• pp.31-44
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• 2016

Objectives: This study was aimed at finding out the current smoking situation of workers in the field of railroad electricity and vehicles and changes of their smoking behaviors after the raise of price of tobacco in 2015. Methods: With a self-administered questionnaire conducted from February 9 to March 6 2015, one-way ANOVA and crosstabs(PASW Statistics Ver. 18.0) were conducted on the data of 626 people. Results: As the result, the smoking rate was 39.1% and 90.5% of the smoking experienced group showed some changes including cutting down on smoking due to raise of price of tobacco. Factors related to smoking included stress, the number of times of drinking, awareness of harmfulness of smoking, the number of days with hard exercise per week and the marital status. Conclusion: Therefore, it is assumed that there is necessity of top-down intervention using these factors to cut down the smoking rate.

• 대한치위생과학회지
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• 제2권2호
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• pp.13-20
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• 2019

This study aimed to investigate the actual smoking status, knowledge of oral health related to smoking, and attitude toward smoking cessation in 161 health students of the University in Jeonnam. This was done to examine the role of smoking cessation guidance as health care professionals after graduation. The collected data were analyzed using SPSS version 18.0. The significance level was α=0.05. Of those surveyed, 33.3% had previously smoked, and 30.4% were current smokers. The high school period had the highest smoking rate, at 59.2%. A daily smoking rate of 20 or more cigarettes was the highest at 30.4%. Of the respondents, 68.3% had received smoking cessation, while 10.6% said that they were encouraged by others to quit, such as friends. As a result of a correlation analysis between major satisfaction, smoking-related oral health knowledge, and attitudes toward smoking cessation, major satisfaction showed a negative correlation(r=-.394, -.337^*) with smoking-related oral health knowledge and attitude towards smoking cessation. Smoking-related oral health knowledge showed a positive correlation(r=.546^**) with attitude towards smoking cessation. As a result of a regression analysis, the knowledge of oral health related to smoking was the primary variable that affected the attitude towards smoking cessation(t=6.799, p<0.001). Based on these results, it is suggested that education on smoking cessation and the risk of smoking is delivered so that health care workers can be better prepared and educated for their future roles.