Journal of Preventive Medicine and Public Health

  • 제36권4호
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  • Pages.377-382
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  • 2003
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지

범이론적 모형 (Transtheoretical Model)에 근거한 청소년의 금연변화단계 예측요인

Predictors of Stage of Change for Smoking Cessation among Adolescents based on the Transtheoretical Model

  • 김정순 (부산대학교 간호학과) ;
  • 정인숙 (부산대학교 간호학과) ;
  • 천병철 (고려대학교 의과대학 예방의학교실) ;
  • 박남희 (부산대학교 간호과학연구소)
  • Kim, Jung-Soon (Department of Nursing, College of Medicine, Pusan National University) ;
  • Jeong, Ihn-Sook (Department of Nursing, College of Medicine, Pusan National University) ;
  • Chun, Byung-Chul (Department of Preventive Medicine, College of Medicine, Korea University) ;
  • Park, Nam-Hee (Research Institute of Nursing Science, Pusan National University)
  • 발행 : 2003.12.01
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초록

Objectives : The purpose of this study was to investigate the predictor associated transitions with each stage of smoking cessation based on the Transtheoretical Model, and to provide basic data for smoking cessation programs for adolescents. Methods : The participants were 297 current and former smokers, obtained from stratified random sampling of 2nd graders from 127 high schools in B cities. The data were collected between April 6th and 16th 2002, using a structured self-report questionnaire, and analyzed using a multiple logistic regression, with the SPSS program for Windows (Version 10.0). Results : The predictors of transition from precontemplation to contemplation were consciousness raising (OR=1.22, 95% CI:1.07-1.40), coping pros (OR=.84, 95% CI:.70-1.00) and attitude of parents to smoking (OR=2.97,95% Cl: 94-9.24). The predictors of transition from contemplation to preparation were helping relationships (OR=.83, 95% CI:.72-.96), self-liberation (OR=1.15, 95% CI: 99-1.33) and nicotine dependence (OR=.76, 95% CI: 56-1.03). The only predictor of transition from preparation to action was the social pros (OR=.66, 95% CI:.57-.82). The predictors of transition from action to maintenance were self-reevaluation (OR=.81, 95% CI:.71-.92) and negative affective situation (OR=.85, 95% CI:.72-1.00). Conclusion : Adequate examination on the factors for predicting the transitional stages of change for smoking cessation in Koreans are presented in this study. The results of this study will become the pillar of smoking cessation Planning and application programs.

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참고문헌

  1. Korean Association of Smoking & Health.Middle & high school students smoking survey. 2000.(Korean)
  2. Alexander C, Piazza M, Mekos D. Valente T. Peers, Schools, and Adolescent Cigarette Smoking. J Adolesc Health 2001; 29: 22-30 https://doi.org/10.1016/S1054-139X(01)00210-5
  3. Korea Institute for Health and Social Affairs. 1998 People health and health conscious pattern survey. 1999. (Korean)
  4. Simmons-Morton B, Crump AD, Haynie DL, Saylor KE, Yu K. Psychosocial, School, and Parental Factors Associated with Recent Smoking among Early Adolescent Boys and Girls. Prev Med 1999;2:,138-148
  5. Kim HS. The influence of a family dynamic, personality and smoking on deliquent behavior among Korean adolescents. J Korean Acad Nurs 2001; 31(4): 641-655. (Korean)
  6. Shin SL. The study on the development of a self-regulatory efficacy promoting program and it's effect on adolescent smoking. Unpublished doctor dissertation, Ihwa University. 1997. (Korean)
  7. Kim SJ. The effect of Smoking Cessation Program using the transtheoretical model on the smoking behavior and psychosocial variables in high school students. Unpublished doctor dissertation, Chatholic University. 1999. (Korean)
  8. Choi JS. The Effects of smoking cessation program applying the cognitive behavior therapy. Unpublished doctor dissertation. Seoul National University. 1999. (Korean)
  9. Kim SJ. Gwan IS. The effects of smoking cessation following the internet exploration and video education amongthe high school students. J of Nurs Inquiry 2000;9(1): 118-143. (Korean)
  10. Oh HS. Factoranalysis on behavior change mechanism in self-help smoking cessation. J Korean Acad Nurs 1996; 26(3): 678-832. (Korean)
  11. Oh HS. Kim YR. Changing mechanisms corresponding to the change stages of smoking cessation. J Korean Acad Nurs 1999; 26(4): 820-832. (Korean)
  12. Oh HS. Kim YR Exploratory study on developing model for smoking cessation process. J Korean Acad Nurs 1997; 27(1): 71-82. (Korean)
  13. Pallonen UE. Rossi JS. Smith NF. Prochaska JO. Almeida MA.. Applying the stage of changeand processes of change to adolescent smoking cessation[Abstract]. Ann Behav Med 1993; 15: S131
  14. Pallonen DE. Transtheoretical measure for adolescent and adult smokers: similarities and differences. Prev Med 1998;27: A29-A38 https://doi.org/10.1006/pmed.1998.0423
  15. Pallonen UE. VelicerWF. Prochaska JO. Rossi JS. Bellis JM. Tsoh JY. Migneault JP. Smith NF. Prokhorov AV. Computerbased smoking cessation interventions in Adolescents: description, feasibility, and six-month follow-up findings. Subst Use Misuse 1998a; 33(4): 935-965
  16. Pallonen UE. Prochaska JO. Velicer WF. Prokhorov AV. SmithNF. Stages of acquisition and cessation for adolescent smoking: an empirical integration. Addict Behav1998b; 23(3): 303-324
  17. Plummer BA. Velicer WF. Redding CA. Prochaska JO. Rossi JS. Pallonen UE. Meier KS. Stage of change, decisional balance, and temptations for smoking Measurement and validation in large, school-based population of adolescents. Addict Behav 2001; 26:551-571
  18. Kim BJ. Factors Associated with the strategies of change of smokingcessation behavior in Military officers. 2000; Master dissertation, Yonsei University, Seoul. (Korean)
  19. Chang SO, Park CS. Analysis of smoking temptation, nicotine dependency, perceived health status corresponding to stage of change in smoking cessation in middle agedmen. J Korean FundNurs2001;8(3): 69-80. (Korean)
  20. Zhu SH, Sun J, Billings SC, Choi W, Malarcher A. Predictors of smoking cessation in U. S. adolescents. Am J Prev Med 1999; 16(3): 202-207
  21. Ellickson PL, Tucker JS, Klein D. Sex differences in predictors of adolescent smoking cessation. Health Psychol 2001; 20(3): 186-195 https://doi.org/10.1037/0278-6133.20.3.186
  22. Prochaska JO, Velicer WF, DiClemente CC, Fava JL. Measuring the processes of change: applications to the cessation of smoking. J Consult Clin Psychol 1988; 56: 520-528 https://doi.org/10.1037/0022-006X.56.4.520
  23. Velicer WF, Diclemente CC, Prochaska JO, Brandenburg N. Decisional balance measure for assessing and predicting smoking status. J Pers Soc Psychol 1985; 48: 1279-1289 https://doi.org/10.1037/0022-3514.48.5.1279
  24. Pechacek TF, Murray DM, Luepker RV, Mittelmark MB, Johnson CA, Schutz JM. Measurement of Adolescent Smoking Behavior: Rationale and Methods. J Behav Med 1984; 7(1): 123-141 https://doi.org/10.1007/BF00845351
  25. Prokhorov AV, Pallonen UE, Ding L, Niaura R Measuring nicotine dependence among high-risk adolescent smokers. Addict Behav 1996; 21: 117-127
  26. Dappen A, Schwartz RH, O'Donnell RA Survey of adolescent smoking patterns. J Am Board Fam Pract 1996; 9(1): 7-13
  27. Chassin L, Presson CC, Rose JS, Sherman SJ.The natural history of cigarette smoking from adolescence to adulthood: demographic predictors of continuity and change. Health Psychol 1996; 15(6): 478-484 https://doi.org/10.1037/0278-6133.15.6.478
  28. Stanton WR. DSM-III-R tobacco dependence and quitting during late adolescence. Addict Behav 1995; 20:595-603 https://doi.org/10.1016/0306-4603(95)00019-9
  29. Dozois DN,Farrow JA. Miser A. Smoking patterns and cessation motivations during adolescence. Int J Addict 1995; 30: 1485-1498 https://doi.org/10.3109/10826089509055844
  30. Hines D. Young smokers attitudes about methods for quitting smoking: barriers and benefits to using assisted methods. Addict Behav 1996; 21:531-535 https://doi.org/10.1016/0306-4603(95)00076-3
  31. Prince F. The relative effectiveness of a peer-led and adult-led smoking intervention program. Adolescence 1995; 300(17): 187-194.
  32. Siquerira LM, Roinitzky LM, Rickert VI. smoking cessation in adolescents: the role of nicotine dependence, stress, and coping methods. Arch Pediatr Adolesc Med 2001; 155(4): 489-495 https://doi.org/10.1001/archpedi.155.4.489
  33. Sargent JD, Mott LA, Stevens M.. Predictors of smoking cessation in adolescents. Arch Pediatr Adolesc Med 1998; 152(4): 388-393 https://doi.org/10.1001/archpedi.152.4.388
  34. Virgili M, Owen N, Severson HH. Adolescents' smoking behavior and risk perceptions. J Subst Abuse 1991; 3: 315-324 https://doi.org/10.1016/S0899-3289(10)80015-X
  35. Cohn LD, Macfarland SY, Yanez C, Imai WK. Risk-perception: difference between adolescents and adults. Health Psychol 1995; 14:217-222 https://doi.org/10.1037/0278-6133.14.3.217