농촌의학ㆍ지역보건 (Journal of agricultural medicine and community health)
- 제26권1호
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- Pages.37-56
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- 2001
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- 1738-9577(pISSN)
흡연예방교육에 의한 청소년들의 흡연에 대한 지식 및 태도변화와 흡연량의 감소 효과
Effectiveness of Smoking Prevention Program based on Social Influence Model in the Middle School Students
- 노원환 (영남대학교 의과대학 예방의학교실) ;
- 강복수 (영남대학교 의과대학 예방의학교실) ;
- 김석범 (영남대학교 의과대학 예방의학교실) ;
- 이경수 (영남대학교 의과대학 예방의학교실)
- Roh, Won-Hwan (Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University) ;
- Kang, Pock-Soo (Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University) ;
- Kim, Sok-Beom (Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University) ;
- Lee, Kyeong-Soo (Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University)
- 발행 : 2001.06.30
초록
경상북도 구미시에 소재한 2개 남자 중학교 1학년 학생 665명(교육군 10개 학급 367명, 대조군 8개 학급 298명)을 대상으로 1999년 4월부터 2000년 4월까지 교육군과 대조군으로 구분하여 시행한 지역사회에서의 준실험설계 연구를 통하여 흡연예방과 금연을 위한 교육프로그램이 학생들의 흡연에 대한 지식과 태도를 변화시키는 정도와 흡연율에 미치는 영향을 분석하고, 이들 변화와 관련되 요인을 분석하는 것에 목적을 두고 시행한 본 연구의 그 결과는 다음과 같다. 교육군과 대조군의 흡연에 대한 지식점수의 변화는 교육군에서 1.31점으로 대조군의 0.13점에 비하여 유의한 차이를 보였다(p<0.01). 교육군의 흡연에 대한 사전조사에서의 태도점수는 13점 만점에
This study was conducted to analyze the degree of changes in knowledge and attitude toward smoking and to examine the factors affecting knowledge and attitude for smoking after providing a smoking prevention program based on social influence model for a year to middle school students. Study population consists of 665 subjects of middle school students(aged 14 years) in Gumi city in Kyeongsangbukdo Province. Among them three-hundred sixty-seven students(intervention group) were educated to a smoking prevention program for 1 year from April 1999 to April 2000. School-based four-class program to prevent smoking was developed. The program provides instruction about short and long-term negative physiologic and social consequences of smoking and also discussed the health hazards of smoking, social pressure to smoke, peer norms regarding tobacco use, and refusal skill. A 45-item self-administered structured questionnaire was designed to evaluate the change of knowledge, attitude, smoking rate and the amount of smoking. The instrument was comprised of 11 knowledge items, thirteen attitude item and demographic items. Each scales were created by summing responses to each items within each scales and high scores on the knowledge, attitude, and smoking behavioral intention scales indicated positive responses. Based on the changes before and after the implementation of smoking prevention program between intervention and control group, the change of scores on knowledge were significantly different between the control group and the intervention group(p<0.05) and the change of scores on the attitude toward smoking was significantly different between intervention and control group. The change of smoking rate were not showing a significant difference between two groups but the amount of smoking were significantly reduced in intervention group than control group. In multiple regression analysis on changes of knowledge about smoking, the variables of smoking prevention program education, previous knowledge on smoking and students' school performance were selected the significant variables. In multiple regression to analysis of the factors influencing changes in attitude toward smoking, the variables of smoking prevention program education, previous knowledge on smoking were shown to be significant. The smoking prevention program was effective on change of knowledge and attitude of middle school students. In considering that the policy should be needed to extent of implementation of school-based health education curricula based on social influence model and it would contribute to reduce smoking of students.