Journal of the Korean Society of School Health (한국학교보건학회지)

The Korean Society of School Health (한국학교보건학회)
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Factors Related with the Intention of Smoking Abstinence among Elementary Students in a Large City

일부 대도시 초등학생의 금연의지와의 관련 요인

  • Park, Soon-Woo (Department of Preventive Medicine, Catholic University of Daegu School of Medicine)
  • 박순우 (대구가톨릭대학교 의과대학 예방의학교실)
  • Published : 2009.06.01
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Abstract

Purpose: The aim of this study was to identify the factors related with the intention of smoking abstinence among elementary students in a metropolitan city in Korea. Methods: All the elementary schools in the city were stratified by region, and then schools as a primary sampling units (PSU) were selected by probability proportional to size (PPS) sampling. One class per grade was sampled randomly from 5th and 6th grade in the sampled schools from October to December in 2004. The students completed a standardized self-administered questionnaire anonymously. A total number of 1,712 respondents who did not smoke was included in the final analysis. The dependent variable was an intention of smoking in the future, and it was dichotomized into 'absolutely confident in smoking abstinence' and 'others'. The risk of non-absolute confidence in smoking abstinence was calculated with simple and multiple logistic regression, which were conducted with STATA 9.0 by a design-based analysis considering strata variable, PSU, and sampling weight. Results: In the final model of multiple logistic regression analysis, those who were more likely to have non-absolute confidence in smoking abstinence were male students (OR=2.66, p<0.001); barely attending religious services (OR=3.32, p=0.002) or having no religion (OR=1.95, p=0.027); exposure to environmental tobacco smoke outside home 1${\sim}$2 days per week (OR=1.60, p=0.013); having friends who smoked (OR=1.93, p=0.011); non-absolute confidence in refusing to smoke (OR=5.35, p<0.001); having relatively less negative attitude (OR=2.88, p<0.001), positive attitude (OR=2.35, p<0.001), and indifference (OR=4.05, p=0.034) toward peer smoking; not good relationship with mother (OR=1.52, p=0.016). Conclusion: The factors related with non-absolute confidence in smoking abstinence were coincided with those of smoking among children. The results of this study suggest the smoking prevention education should be applied to the children more actively, especially who are not confident in smoking abstinence in the future.

Keywords

References

  1. 김현철, 김은경, 최은실, 김유정, 이현주, 김정주, 장형숙, 심경선, 전상남, 강요한, 강현석, 오주환,조경숙, 권순만 (2006). 우리나라 중고등학교 청소년의 성별 및 학교 종류별 흡연 결정요인. 예방의학회지, 39(5), 379-388
  2. 대구가톨릭대학교 의과대학 예방의학교실, 질병관리본부 질병예방센터 만성병조사팀 (2008). 우리나라 청소년의 흡연실태: 청소년건강행태온라인조사 결과. 주간 건강과 질병, 1(36), 601-609
  3. 박순우, 김종연, 이상원, 박정한, 윤연옥, 이원기 (2006a). 설계기준 분석 방법에 의한 지역사회청소년 흡연율 추정. 예방의학회지, 39(4),205-212
  4. 박순우, 이상원, 김종연 (2006b). 청소년들의 또래흡연율 추정에 대한 관련 요인. 예방의학회지,39(3), 249-254
  5. 박순우, 김종연 (2007). 설계기준분석 방법에 의한대도시 지역 초등학생의 흡연경험 관련 요인.한국모자보건학회지, 11(2), 197-210
  6. 보건복지부‧질병관리본부 (2008). 청소년건강행태온라인조사: 제4차 조사 중간결과 발표 및 청소년건강정책 포럼 자료집
  7. 오희철, 김일순, 지선하, 박순우, 신호상, 박종연, 이상욱, 설재웅, 윤지은, 주성은 (2003). 한국인 흡연율 평가도구 표준화 연구. 연세대학교.건강 증진기금사업지원단
  8. 한국금연운동협의회 (2009). 흡연과 통계 [Online]. Available: http://www.kash.or.kr/user_new/pds_list.asp?curr entTopMenu=2&tIdx=12 [2009. 4. 25]
  9. Berg C., Choi W. S., Kaur H., Nollen N., & Ahluwalia J. S. (2009). The roles of parenting, church attendance, and depression in adolescent smoking. J Community Health, 34(1), 56-63 https://doi.org/10.1007/s10900-008-9118-4
  10. Bertrand L. D., Abernathy T. J. (1993). Predicting cigarette smoking among adolescents using cross-sectional and longitudinal approaches. J Sch Health, 63(2), 98-103 https://doi.org/10.1111/j.1746-1561.1993.tb06088.x
  11. Breslau N., & Peterson E. L. (1996). Smoking cessation in young adults: age at initiation of cigarette smoking and other suspected influences. Am J Public Health, 86(2), 214-220 https://doi.org/10.2105/AJPH.86.2.214
  12. Brook J. S., Whiteman M., Czeisler L. J., Shapiro J., Cohen P. (1997). Cigarette smoking in young adults: childhood and adolescent personality, familial, and peer antecedents. J Genet Psychol, 158(2), 172-88 https://doi.org/10.1080/00221329709596660
  13. Carvajal S. C., Wiatrek D. E., Evans R. I., Knee C. R., & Nash S. G. (2000). Psychosocial determinants of the onset and escalation of smoking: cross-sectional and prospective findings in multiethnic middle school samples. J Adolesc Health, 27(4), 255-265 https://doi.org/10.1016/S1054-139X(00)00124-5
  14. Everett S. A., Warren C. W., Sharp D., Kann L., Husten C. G., & Crossett L. S. (1999). Initiation of cigarette smoking and subsequent smoking behavior among U. S. high school students. Prev Med, 29(5), 327-333 https://doi.org/10.1006/pmed.1999.0560
  15. Flay B. R., Petraitis J., & Hu F. B. (1999). Psychosocial risk and protective factors for adolescent tobacco use. Nicotine Tob Res, Suppl 1, S59-65
  16. Jackson C., & Dickinson D. (2004). Cigarette consumption during childhood and persistence of smoking through adolescence. Arch Pediatr Adolesc Med, 158(11), 1050-1056 https://doi.org/10.1001/archpedi.158.11.1050
  17. Jackson C. (1998). Cognitive susceptibility to smoking and initiation of smoking during childhood: a longitudinal study. Prev Med, 27(1), 129-134 https://doi.org/10.1006/pmed.1997.0255
  18. Lai M. K., Ho S. Y., & Lam T. H. (2004). Perceived peer smoking prevalence and its association with smoking behaviours and intentions in Hong Kong Chinese adolescents. Addiction, 99(9), 1195-1205 https://doi.org/10.1111/j.1360-0443.2004.00797.x
  19. Sussman S., Dent C. W., Burton D., Stacy A. W., & Flay B. R. (1995). Developing school-based tobacco use prevention and cessation programs. Sage Publications
  20. Sussman S., Dent C. W., Mestel-Rauch J., Johnson C. A., Hansen W. B., & Flay B. R. (1988). Adolescent nonsmokers, triers, and regular smokers' estimates of cigarette smoking prevalence. When do overestimations occur and by whom? J Appl Soc Psychol, 18, 537-51 https://doi.org/10.1111/j.1559-1816.1988.tb00035.x
  21. Takakura M., & Wake N. (2003). Association of age at onset of cigarette and alcohol use with subsequent smoking and drinking patterns among Japanese high school students. J Sch Health, 73(6), 226-31 https://doi.org/10.1111/j.1746-1561.2003.tb06566.x
  22. Unger J. B., Johnson C. A., Stoddard J. L., Nezami E., & Chou C. P. (1997). Identification of adolescents at risk for smoking initiation: validation of a measure of susceptibility. Addict Behav, 22(1), 81-91 https://doi.org/10.1016/0306-4603(95)00107-7