서울 시내 일부 초 . 중 . 고등학교 학생의 흡연위험요인에 관한 연구

Risk Factors for Smoking Behavior in Elementary, Middle and High School Students

  • 이보은 (이화여자대학교 의과대학 예방의학교실) ;
  • 박혜숙 (이화여자대학교 의과대학 예방의학교) ;
  • 하은희 (이화여자대학교 의과대학 예방의학교) ;
  • 김남희 (이화여자대학교 의과대학 예방의학교) ;
  • 한영란 (동국대학교 의과대학 간호학과)
  • 발행 : 2004.06.01

초록

Objectives: The rate of adolescent smoking is important because lead to adult smoking. And early onset of smoking is associated with chronic disease in adult life. The purpose of this study is to describe the smoking status of adolescents and identify the risk factors for smoking in each school. Methods: We selected the participant schools that are located in Yang-cheon Gu, Seoul, Korea, considering the social economic status. The subjects were included 719elementary school students,1,251 middle school students and 1,513 high school students. Self-reported questionnaires were administrated between December 16 and December 24 , 2002. Students were informed in writing that the survey was voluntary. The response rate was 98.7, 81.1 and 95.4 in elementary, middle, and high school, respectively. Results: The results of this study were as follows: 1) Students who have attempted to smoke were 8.8% in elementary school, 29.3% in middle school and 35.0% in high school. 2) The current smokers were 2.0%, 7.9% and 11.5% in elementary, middle and high school, respectively. 3) In elementary school, smoking of mends and physical health were significantly predicted the attempt to smoke. Stress, smoking of mends, alcohol, and binge drinking were associated with the attempt to smoke of middle school students. In high school, the attempt to smoke was related to gender, maternal education, depression, school performance, smoking of brothers, smoking of mends, alcohol, and binge drinking. 4) Current smoking was associated with smoking of mends and binge drinking in middle school and gender, school performance, smoking of brothers, smoking of mends, alcohol, and binge drinking in high school in multiple logistic regression. Conclusion: There is a need for health education and specific strategies to help adolescents prevent from smoking. Smoking prevention programs which include risk-taking behavior such as alcohol, method of copying with stress, and supporting environment were required.

키워드

참고문헌

  1. 김성원. 서울지역 중학생의 흡연시작에 대한 위험 요인. 대한임상건강증진학회지 2002;2(1):58-69
  2. 김택민, 지선하, 오희철. 고교생들의 금연교육 효과 분석. 한국역학회지 1992;14(2):175-183
  3. 남승희. 청소년은 누구인가. 서원, 1992
  4. 박영규, 강윤주. 학동기 아동의 흡연행동 및 흡연에 대한 지식, 태도 조사. 가정의학회지 1996;17(9):798-809
  5. 보건복지부, 한국금연운동협의회. 2002 성인흡연율. (Available; http://www.kash.or.kr/)
  6. 서울특별시 교육청. 서울지역 청소년의 흡연 및 약물남용 실태와 효과적 예방대책 연구 1996
  7. 서울시교육청. 서울시내 초 . 중 . 고등학생 흡연실태 조사. 2002
  8. 세계보건기구(WHO). 세계보건보고서. 1996
  9. 세계보건기구(WHO). 세계보건보고서. 2002
  10. 안은아, 홍해숙. 초등학생의 흡연 및 간접흡연 실태. 경북간호과학지 2001;5(2):37-58
  11. 연세대학교 보건대학원 국민건강증진연구소, 사단법인 한국금연운동협의회. 2002년 전국 중, 고등학교 학생 흡연실태조사. 2002
  12. 이석구, 권윤형, 이길회. 일부 도시지역 고등학교 1학년 학생들의 흡연실태와 관련요인. 가정의학회지 2000;21(8):1042- 1052
  13. 이윤지, 이정애. 광주지역 남자 중고등학생의 흡연 실태와 흡연관련 요인. 예방의학회지 1993;26(3):359-370
  14. 이은현, 전기홍, 송미숙, 이순영, 김지윤. 고등학생 흡연과 스트레스 및 사회적 지지와의 관련성. 예방의학회지 2003;36(2):131-136
  15. 정래순, 피승용, 강윤주, 이상현, 윤방부. 서울지역 인문계 고등학생들의 흡연실태 및 니코틴 의존도에 대한 조사. 가정의학회지 1996;17(6):425-437
  16. 정미영, 박찬웅. 일부지역 중,고등학생의 흡연행위에 영향을 미치는 요인에 관한 연구. 대한보건협회학술지, 2001;27(1):39-52
  17. 정연강과 장영미(1994). 학교보건간호를 통한 금연 교육의 실태에 관한 연구. 한국학교보건학회지 1994;7(2):135-143
  18. 정유석. 천안 지역 청소년 흡연율 및 금연교육의 효과. 가정의학회지 2003;24:150-157
  19. 주혜경. 일부 남자고등학생들의 스트레스 생활사건과 흡연의 관계연구. 한국학교보건학회지 1994;7(2):105-114
  20. 지선하. 우리나라 청소년 흡연 실태조사. 제 54차 대한예방의학회 추계학술대회; 경주교육문화회관, 2002년 10월
  21. 최혜영(1999). 초등학생의 흡연지식 . 흡연태도와 흡연행동에 관한 연구. 이화여자대학교 대학원 석사학위논문
  22. 한국금연운동협의회. 청소년 흡연율 실태조사. 1999
  23. Ahmed NU, Ahmed NS, Semenya KA, Elzey JD, Larson C, et al. Prevalence and correlates of initiation of smoking behavior among preteen black and white children. J Natl Med Assoc 2004;96(2):200-8
  24. Azevedo A, Machado AP, Barros H. Tobacco smoking among Portuguese high-school students. Bull World Health Organ 1999;77(6):509-14
  25. Baska T, Ballova M, Mad'ar R, Straka S. Epidemiology of smoking habit in adolescents. Suggestions for prevention. Cent Eur J Public Health. 1999;7(1):31-4
  26. Burke V, Milligan RA, Beilin LJ, Dunbar D, Spencer M, et al. Clustering of health-related behaviors among 18-year-old Australians. Prev Med 1997;26(5 Pt 1):724-33
  27. CDC. National Health Interview Survey(NHlS). (Available; http://www.cdc.gov/nchs/nhis.htm)
  28. CDC. Youth Risk Behavior Surveillance System (YRBSS). (Available.http.//www.cdc.gov/nccdphp/dash/yrbs/)
  29. 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):478-84 https://doi.org/10.1037/0278-6133.15.6.478
  30. Chen K, Kandel DB. The natural history of drug use from adolescence to the mid-thirties in a general population sample. Am J Public Health 1995;85(1):41-7 https://doi.org/10.2105/AJPH.85.1.41
  31. Coogan PF, Adams M, Geller AC, Brooks D, Miller DR, et al. Factors associated with smoking among children and adolescents in Connecticut. Am J Prev Med. 1998;15(1):17-24 https://doi.org/10.1016/S0749-3797(98)00022-1
  32. Escobedo LG, Marcus SE, Holtzman D, Giovino GA Sports participation, age at smoking initiation, and the risk of smoking among US high school students. JAMA 1993 Mar 17;269(11):1391-5 https://doi.org/10.1001/jama.269.11.1391
  33. Global Youth Tobacco Survey Collaborating Group (2003). Differences in Worldwide Tobacco Use by Gender: Findings from the Global Youth Tobacco Survey. J of School Health 2003;73(6):207-215 https://doi.org/10.1111/j.1746-1561.2003.tb06562.x
  34. Gritz ER, Prokhorov AV, Suchanek Hudmon K, Mullin Jones M, Rosenblum C, et al. Predictors of susceptibility to smoking and ever smoking: a longitudinal study in a triethnic sample of adolescents. Nicotine Tob Res. 2003;5(4):493-506 https://doi.org/10.1080/1462220031000118568
  35. Ha BM, Yoon SJ, Lee HY, Ahn HS, Kim CY, et al. Measuring the burden of premature death due to smoking in Korea from 1990 to 1999. Public Health 2003;117(5):358-65 https://doi.org/10.1016/S0033-3506(03)00142-2
  36. Henker B, Whalen CK, Jamner LD, Delfino R. Anxiety, affect, and activity in teenagers: monitoring daily life with electronic diaries. J Am Acad Child Adolesc Psychiatry 2002;41(6):600-670
  37. Johnston LD, O'Malley PM, Bachman JG. National survey results on drug use from monitoring the future study, 1975-1997. Vol 1.Secondary students, Rockville, Maryland: National Institute on Drug Use;1998
  38. Kremers SPJ, Mudde AN, Vries HD. Subtypes within the precontemplation stage of adolescent smoking acquisition. Addictive Behaviors 2001; 26: 237-251 https://doi.org/10.1016/S0306-4603(00)00104-0
  39. Lee DJ, Trapido E, Rodriguez R. Self-reported school difficulties and tobacco use among fourth- to seventh-grade students. J Sch Health 2002;72(9):368-73 https://doi.org/10.1111/j.1746-1561.2002.tb03561.x
  40. Lifrak PD, McKay JR, Rostain A, Alterman AI, O'Brien CP. Relationship of perceived competencies, perceived social support, and gender to substance use in young adolescents. J Am Acad Child Adolesc Psychiatry 1997;36(7):933-940 https://doi.org/10.1097/00004583-199707000-00015
  41. Liu X. Cigarette smoking, life stress, and behavioral problems in Chinese adolescents. J Adolesc Health 2003;33(3):189-92 https://doi.org/10.1016/S1054-139X(03)00020-X
  42. Morello P, Duggan A, Adger H jr, Anthony JC, Joffe A. Tobacco use among high school students in Buenos Aires, Argentina. Am J Public Health 2001;91(2):219-24 https://doi.org/10.2105/AJPH.91.2.219
  43. Petridou E, Zavitsanos X, Dessypris N, Frangakis C, Mandyla M, et al. Adolescents in high-risk trajectory: clustering of risky behavior and the origins of socioeconomic health differentials. Prev Med. 1997;26(2):215-9 https://doi.org/10.1006/pmed.1996.0130
  44. Sasco AJ, Merrill RM, Benhaim-Luzon V, Gerard JP, Freyer G. Trends in tobacco smoking among adolescents in Lyon, France. Eur J Cancer 2003;39(4):496-504 https://doi.org/10.1016/S0959-8049(02)00798-0
  45. Scragg R, Laugesen M, Robinson E. Parental smoking and related behaviours influence adolescent tobacco smoking: results from the 2001 New Zealand national survey of 4th form students. N Z Med J 2003 12;116(1187):U707
  46. Sun YH, Yu TS, Tong SL, Zhang Y, Shi XM, et al. A cross-sectional study of health-related behaviors in rural eastern China Biomed Environ Sci. 2002;15(4):347-54
  47. Thorlindsson T, Vilhjalmsson R Factors related to cigarette smoking and alcohol use among adolescents. Adolescence 1991;26(102):399-418
  48. Tucker JS, Ellickson PL, Klein DJ, Predictors of the transition to regular smoking during adolescence and young adulthood. Adolesc Health. 2003;32(4):314-24 https://doi.org/10.1016/S1054-139X(02)00709-7
  49. US Dept of Health and Human Services. Preventing tobacco use among young people. A report of the Surgeon General. Atlanta, GA: National center for chronic disease prevention and health promotion. Office on smoking and health, 1994
  50. Wang MQ, Ala T, Fitzhugh EC, Tenn K, Turner L, et al. Social influence on Southern adolescent smoking transition : A retrospective study. South Med J 1997;90(2):218-222 https://doi.org/10.1097/00007611-199702000-00011
  51. Zhu BP, Liu M, Shelton D, Liu S, Giovino GA. Am J Public Health. 1996 Mar;86(3):368-75. Cigarette smoking and its risk factors among elementary school students in Beijing https://doi.org/10.2105/AJPH.86.3.368