Analysis of the Factors Affecting to Youth Smoking Based on the Stage of Change

변화 단계이론에 근거한 중학생의 흡연관련요인 분석

  • Published : 2009.06.30

Abstract

Purpose: This study was to analyse the factors affecting youth smoking, especially self-efficacy and perceived social norm, based on the stage of change. Methods: A self-reported survey was conducted during the period from the 21 st of April to the 17th of May, 2008. Data were collected from 10,707 students of 12 middle schools in Seoul, Gyeonggi-do, and Incheon. The data were analysed with SPSS/WIN 15.0. Results: The smoking possibility was 2.18 times higher in the male students than in female students, and 1.76 times higher in 8th-grade students and 2.48 times higher in 9th-grade students than in 7th-grade ones. Smoking possibility increased when students had more experience in alcohol, more friends who smoke, or worse relationship with their parents. Also this study showed that high-level self-efficacy and perceived social norm were acting as inhibiting factors of smoking. Conclusion: To reduce the youth's smoking rate, smoking prevention programs should provide educational chances to learn knowledge and skills on how to reject smoking temptation. Also, someone significant like parents should make it clear to the youth that they do not want their children to smoke.

Keywords

References

  1. Bruce, G. S. M. (2004). The Protective effect of parental expectationsagainst early adolescent smoking initiation. Health Education Research, 19(5), 561-569. https://doi.org/10.1093/her/cyg071
  2. DiClemente, C., Prochaska, J., Fairhurst, S., Velicer, W., Valesquez,M., & Rossi, J. (1991). The processes of smoking cessation:An analysis of precontemplation, contemplation, and preparationstages of change. Journal of Consulting and Clinical Psychology, 59(2), 295-304. https://doi.org/10.1037/0022-006X.59.2.295
  3. Fishbein, M., Triandis, H. C., Kanfer, F. H., Becker, M.,Middlestadt, S. E., & Eichler, A., (2001). Factors influencingbehavior and behavior change. In Baum, A. Revensen, T.A., Singer, S. E. (Eds.), Handbook of Health Psychology (pp.3-18). Mahwah, NJ: Lawrence Erlbaun.
  4. Hong, J. Y., Lee, M. S., Na, B. J., & Kim, K. Y. (2006). RelatedFactors for the Initiation of Smoking in High SchoolStudents Based on the Transtheoretical Model. Journal of Preventive Medicine and Public Health, 30(1), 67-73.
  5. Hwang, H. S., & Tae, Y. S. (2002). Predictive factors for intentionof smoking Cessation among youth smokers. TheJournal of The Korean Society for Hyperthermia and Oncology,6(1), 77-91.
  6. Im, Y. S., Lee, J. H., Kim, S. I., & Ham, J. S. (2003). AdolescentSmoking Behavior: personality, motivation, craving, nicotine dependence. Korean Journal of Youth Studies, 10(3),461-479.
  7. Kim, H. S. (2001). The influence of a family dynamic environment,personality, and smoking on delinquent behavioramong korean adolescents. Journal of Korean Academy of Nursing, 31(4), 641-655.
  8. Kim, H. C., Kim, E. K., Choi, E. S., Kim, Y. J., Lee, H. J., Kim, J.J., et al. (2006). The determinants of adolescent smoking bygender and type of school in Korea. Journal of Preventive Medicine and Public Health, 39(5), 379-388.
  9. Korean Association of Smoking & Health (2007). Report: Actualstate of smoking.
  10. Korea Centers for Disease Control and Prevention (2005). 2005Korean Youth Risk Behavior Survey.
  11. Korea National Statistical Office (2007). 2007 Statistics of theYouth.
  12. Lee, E. H., Chun, K. H., Song, M. S., Lee, S. Y., & Kim, J. Y.(2003). Relationships of smoking, stress and social supportof high school students. Journal of Preventive Medicine and Public Health, 36(2), 131-136.
  13. Lee, J. W. (1997). A correlational study of adolescent smoking, environmentalfactors, stress and self-efficacy. Unpublished master'sthesis, Hanyang University, Seoul.
  14. Lee, S. H. (2005). The attitude and knowledge on smoking and selfconceptamong female senior high school students. Unpublishedmaster's thesis, Sahmyook University, Seoul.
  15. Ma, H., Unger, J. B., Chou, C. P., Sun, P., Palmer, P. H., Zhou,Y., et al. (2008). Risk factors for adolescent smoking in urban and rural China: Findings from the China seven citiesstudy. Addictive Behavior, 33(8), 1081-1085. https://doi.org/10.1016/j.addbeh.2008.04.004
  16. Ministry of Health and Welfare, Korea Centers for DiseaseControl and Prevention, Ministry of Education & HumanResources Development (2006). 2006 Youth Health RiskBehavior web-based Survey
  17. Moon, J. H. (2005). Comparative study on knowledge, attitudes andself-respect according to smoking of high school students in ruralarea. Unpublished master's thesis, Chosun University,Gwangju.
  18. Park, N. H. (2005). Gender differences in the association betweenpsycho-social factors and smoking, drinking inadolescents. Journal of Korean society for health education and promotion, 21(4), 123-136.
  19. Sargent, J. D., & Dalton, M. (2001). Does parental disapproval ofsmoking prevent adolescents from becoming establishedsmokers? Pediatrics, 108(6), 1256-1262. https://doi.org/10.1542/peds.108.6.1256
  20. United States Department of Health Human Service (1994). Thehealth consequences of involuntary exposure to tobaccosmoke: A Report of the Surgeon General.
  21. Weincke, J. K., & Kelsey, K. T. (2002). Teen smoking, field cancerization,and "critical period" hypothesis for lung cancersusceptibility. Environmental Health Perspect, 110(6), 555-558. https://doi.org/10.1289/ehp.02110555
  22. Zeena, H., Ron, H. J. S., Hein de, V., & Rutger, C. M. E. E. (2005).Parental rules and communication: Their association withadolescent smoking. Addiction, 100, 862-870. https://doi.org/10.1111/j.1360-0443.2005.01067.x