DOI QR코드

DOI QR Code

성인 남성의 금연 준비단계에 영향을 미치는 요인

Factors Affecting Preparation Stage to Quit Smoking in Men

  • 연정운 (건국대학교 의학전문대학원 예방의학교실) ;
  • 김형수 (건국대학교 의학전문대학원 예방의학교실) ;
  • 이건세 (건국대학교 의학전문대학원 예방의학교실) ;
  • 장성훈 (건국대학교 의학전문대학원 예방의학교실) ;
  • 최희정 (건국대학교 의료생명대학 간호학과) ;
  • 함은미 (건국대학교 의료생명대학 간호학과) ;
  • 명준표 (가톨릭대학교 의과대학 예방의학교실 직업환경의학센터)
  • Yeon, Jeong-Woon (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Kim, Hyeong-Su (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Lee, Kun-Sei (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Chang, Soung-Hoon (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Choi, Hee-Jung (Department of Nursing, College of Biomedical and Health Sciences, Konkuk University) ;
  • Ham, Eun-Mi (Department of Nursing, College of Biomedical and Health Sciences, Konkuk University) ;
  • Myong, Jun-Pyo (Department of Preventive Medicine, Catholic Industrial Medical Center, College of Medicine, The Catholic University of Korea)
  • 투고 : 2011.08.04
  • 심사 : 2012.05.28
  • 발행 : 2012.06.30

초록

Purpose: This study was done to investigate factors affecting preparation stage to quit smoking in men. Methods: Based on data from the Community Health Survey conducted in Chungbuk Province in 2008, we estimated rates and odds ratio (OR) of smoking cessation intention for 2,639 men who were current smokers. Multivariate logistic regression analyses were used to identify factors affecting preparation stage to quit smoking. Results: Among current male smokers, the rate of smoking cessation intention was 17.1%. The OR of factors affecting smoking cessation was as follows: Compared to men with middle school education, the OR for rate of smoking cessation intention in men with high school education was 1.47 (p=.018), and for college or higher, 1.55 (p=.017). Compared to being single, the OR for cohabitation after marriage was 1.61 (p=.011) and living alone after marriage, 2.23 (p=.005). The OR for attempt to quit smoking, exposure to secondhand smoke and participation in smoking education were 6.80 (p<.001), 1.32 (p=.020) and 1.69 (p=.005), respectively. Conclusion: Results of this study show that it is necessary to decrease exposure to secondhand smoke and to increase participation in smoking cessation education targeting current smokers to move them from precontemplation or contemplation stage to preparation stage.

키워드

참고문헌

  1. Ahn, O. H., Yeun, E. J., Kwon, S. B., Chung, H. K., & Ryu, E. J. (2005). Predictive factors of aspects of the transtheoretical model on smoking cessation in a rural community. Journal of Korean Academy of Nursing, 35, 1285-1294. https://doi.org/10.4040/jkan.2005.35.7.1285
  2. Chang, H. J., & Noh, M. S. (2003). Factors related to the recognition and behavioral intention for smoking cessation programs. Korean Journal of Health Education and Promotion, 20(3), 1-18.
  3. Chang, S. O., Kim, E. J., Kil, S. Y., Seomun, G. A., & Lee, S. J. (2005). Influential variables on intention and action to quit smoking between adolescent smokers and adult smokers-based on the transtheoretical model. Journal of Korean Academy of Nursing, 35, 1410-1419. https://doi.org/10.4040/jkan.2005.35.7.1410
  4. Chang, S. O., Kim, E. J., Seomun, G. A., Lee, S. J., & Cha, B. K. (2006). Predictors of pre and post preparation in stages of change of smoking for adolescent smokers and adult smokers. Journal of Korean Academy of Fundamental Nursing, 13, 119-128.
  5. Chang, S. O., & Park, C. S. (2001). A study on the variables that influence stages of change in smoking cessation. Journal of Korean Academy of Fundamental Nursing, 8, 391-401.
  6. Kenford, S. L., Flore, M. C., Jorenby, D. E., Smith, S. S., Wetter, D., & Baker, T. B. (1994). Pridicting smoking cessation. Who will quit with and without the nicotine patch. Journal of American Medical Association, 271, 589-594 https://doi.org/10.1001/jama.1994.03510320029025
  7. Kim, B. J. (2000). Factors associated with stages of change of smoking cessation behavior in military officers. Unpublished master's thesis, Yonsei University, Seoul.
  8. Kim, M. S. (2005). A study on health-related quality of life, smoking knowledge, smoking attitude, and smoking cessation intention in male smokers. Journal of Korean Academy of Nursing, 35, 344-352. https://doi.org/10.4040/jkan.2005.35.2.344
  9. Kim, Y. H., Kim, J. S., & Kim, M. S. (2009). Effectiveness of public health center smoking cessation counseling program using the transtheoretical model. Journal of Korean Academy of Nursing, 39, 469-479. http://dx.doi.org/10.4040/jkan.2009.39.4.469.
  10. Kim, Y. H., Seo, N. S., & Kang, H. Y. (2006). Nicotine dependence, smoking-related attitude, and subjective norms across the stages of change for smoking cessation among adults smokers in a rural area. Journal of Korean Academy of Nursing, 36, 1023-1032. https://doi.org/10.4040/jkan.2006.36.6.1023
  11. Lee, H. J. (2007). Self-efficacy and smoking behavior according to the stage of change in smoking cessation. Unpublished master's thesis, Gachon University, Incheon.
  12. Manchon Walsh, P., Carrillo, P., Flores, G., Masuet, C., Morchon, S., & Ramon, J. M. (2007). Effects of partner smoking status and gender on long term abstinence rates of patients receiving smoking cessation treatment. Addictive Behaviors, 32, 128-136. http://dx.doi.org/10.10 16/j.addbeh.2006.03.027 https://doi.org/10.1016/j.addbeh.2006.03.027
  13. Marcus, B. H., Selby, V. C., Niaura, R. S., & Rossi, J. S. (1992). Self-efficacy and the stages of exercise behavior change. Research Quarterly for Exercise and Sport, 63, 60-66. https://doi.org/10.1080/02701367.1992.10607557
  14. Ministry for Health, Welfare and Affairs. (2011a, April 30). A survey of smoking behavior in 2010. Retrieved April 30, 2011, from http:// www.nosmokeguide.or.kr/policy/policy4_02_list.asp?idx_no= 273&s earchkey = &search = &gotopage = 1&pds_code = S
  15. Ministry for Health, Welfare and Affairs. (2011b, August 2). Information system of smoking cessation clinic at Public Health Center. Retrieved August 2, 2011 from http://quitclinic.nosmokeguide.or.kr/ login/login.asp
  16. Konkuk University, Korea Centers for Disease Control & Prevention. (2009, April). 2008 community health survey in Chungbuk-do. Chungju: Author.
  17. Pechmann, C., & Reibling, E. T. (2000). Planning an effective anti-smoking mass media campaign targeting adolescents. Journal of Public Health Magagenment and Practice, 6(3), 80-94. https://doi.org/10.1097/00124784-200006030-00013
  18. Prochaska, J. O., DiClimente, C. C., & Norcross, J. C. (1992). In search of how people change. Applications to addictive behaviors. American Psychologist, 47, 1102-1114. http://dx.doi.org/10.1037//0003-066X.47.9.1102
  19. Plummer, B. A., Velicer, W. F., Redding, C. A., Prochaska, J. O., Rossi, J. S., Pallonen, U. E., et al. (2001). Stage of change, decisional balance, and temptations for smoking: Measurement and validation in a large, school-based population of adolescents. Addictive Behaviors, 26, 551-571. http://dx.doi.org/10.1016/S0306-4603(00)00144-1
  20. Ryu, S. Y., Shin, J. H., Kang, M. G., & Park, J. (2011). Factors associated with intention to quit smoking among male smokers in 13 communities in Honam region of Korea: 2010 community health survey. Korean Journal of Health Education and Promotion, 28, 75-85.
  21. Sheeran, P. (2002). Intention-behavior relations: A conceptual and empirical review. European Review of Social Psychology, 12(1), 1-36. http://dx.doi.org/10.1080/14792772143000003
  22. Son, J. H., Kim, S. A., Kam, S., Yeh, M. H., Park, K. S., & Oh, H. S. (1999). Factors related to the intention of participation in a worksite smoking cessation program. Journal of Preventive Medicine and Public Health, 32, 297-305.
  23. Suh, M. K. (2006, May). The conditions and analysis of anti-smoking campaign of governmental offices in 2005. Symposium conducted at the meeting of the 2006 Spring Conference of Korean Society of Health Education and Promotion, Seoul.

피인용 문헌

  1. Integrative Smoking Cessation Stage Model for Chinese Students Studying in Korea vol.7, pp.4, 2012, https://doi.org/10.1016/j.anr.2013.09.001
  2. 뇌졸중 흡연노인의 금연의도 예측요인 vol.21, pp.1, 2012, https://doi.org/10.7739/jkafn.2014.21.1.48
  3. Exploring socio-contextual factors associated with male smoker’s intention to quit smoking vol.16, pp.1, 2016, https://doi.org/10.1186/s12889-016-3054-5
  4. 여성 근로자의 금연의도 영향요인: 2014년 지역사회건강조사 자료를 활용하여 vol.25, pp.4, 2012, https://doi.org/10.5807/kjohn.2016.25.4.352
  5. 우리나라 성인 흡연자의 금연의도와 관련 요인: 2014년 국민건강영양조사 자료를 이용하여 vol.19, pp.3, 2012, https://doi.org/10.7586/jkbns.2017.19.3.178
  6. 일 지역 고등학생의 금연의도 영향 요인 vol.5, pp.3, 2012, https://doi.org/10.15205/kschs.2017.09.30.963
  7. 일 지역 고등학생의 금연의도 영향 요인 vol.5, pp.3, 2012, https://doi.org/10.15205/kschs.2017.09.30.963
  8. 폐결핵 환자의 흡연행위에 영향을 미치는 요인 vol.24, pp.1, 2012, https://doi.org/10.22650/jkcnr.2018.24.1.103
  9. The association of stage of change for smoking cessation with smoking knowledge and attitude in women college students of Seoul, Korea vol.36, pp.1, 2019, https://doi.org/10.14367/kjhep.2019.36.1.69
  10. 성인 남성의 금연에 대한 주관성 연구: Q 방법론적 접근 vol.21, pp.2, 2012, https://doi.org/10.7586/jkbns.2019.21.2.141
  11. 급성관상동맥증후군 환자의 금연의도에 영향을 미치는 요인 vol.13, pp.2, 2012, https://doi.org/10.12811/kshsm.2019.13.2.107
  12. 대학생들의 모바일 앱을 이용한 금연정보탐색과 행위변화 vol.52, pp.1, 2012, https://doi.org/10.16981/kliss.52.1.202103.279