Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Association between Smoking Cessation Attempts and Perceived Stress Level: the Korea National Health and Nutrition Examination Survey 2015

금연 시도와 인지된 스트레스 정도와 연관성: 2015년 국민건강영양조사를 바탕으로

  • Lee, Yejin (Department of Healthcare Management, Eulji University) ;
  • Kim, Ji-yeon (Department of Healthcare Management, Eulji University) ;
  • Lee, Ju Hyun (National Institute of Dementia) ;
  • Yoo, Ki-Bong (Department of Health Administration, Department of Information & Statistics, Yonsei University) ;
  • Noh, Jin-Won (Department of Healthcare Management, Eulji University)
  • 이예진 (을지대학교 의료경영학과) ;
  • 김지연 (을지대학교 의료경영학과) ;
  • 이주현 (중앙치매센터) ;
  • 유기봉 (연세대학교 보건과학대학 보건행정학과 및 정보통계학과) ;
  • 노진원 (을지대학교 의료경영학과)
  • Received : 2018.06.25
  • Accepted : 2018.09.20
  • Published : 2018.09.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to analyze the association of smoking cessation attempts and the perceived stress level and to identify the factors affecting the perceived stress level of quit smoking. The study utilized the 2015 Korean National Health and Nutrition Examination Survey, and was applied an Ordinal Logistic Regression to examine the association of smoking cessation attempts and perceived stress level. The current smoker those who experience failure in smoking cessation, were more stressful than those who experience success in smoking cessation (OR=1.72, CI;1.41-2.08). This study identified smoking cessation failure as a major psychiatric factor associated with high perceived stress level, and suggests high stress after smoking cessation failure as one of the reasons why smokers do not reach complete smoking cessation. Also, in order to promote smoking cessation, it is needed to have political approach in reducing the psychiatric hurdle like high stress after smoking cessation failure.

본 연구는 금연 시도와 인지된 스트레스 정도와의 연관성을 규명하고 금연을 시도함에 있어 인지된 스트레스에 영향을 미치는 요인을 확인하고자 한다. 본 연구에서는 2015 국민건강영양조사 대상자 중 만 19세 이상인 참여자를 대상으로 하였으며, 금연시도 및 성공 여부와 인지된 스트레스 정도의 연관성을 파악하기 위해 순서형 로지스틱 회귀분석을 수행하였다. 금연 시도에 실패한 흡연자가 금연시도에 성공한 흡연자보다 더 높은 스트레스와 연관성이 있는 것으로 나타났으며(OR=1.72, 95% CI: 1.41-2.08) 금연시도를 하지 않은 흡연자(OR=1.05, 95% CI: 0.71-1.55)에 대해서는 유의한 차이가 없었다. 본 연구는 금연 실패와 흡연자들의 높은 스트레스 정도 간의 연관성을 확인하였으며, 흡연자가 완전한 금연 성공에 도달하지 못하는 원인 중 하나로 금연 실패 후 겪는 높은 스트레스를 제시한다. 또한 흡연자들의 금연 시도를 증진하기 위하여 금연 실패 후 겪는 스트레스와 같은 정신과학적 장벽을 낮추기 위한 정책적 접근이 요구된다.

Keywords

References

  1. M. J. Thun, B. D. Carter, D. Feskanich, N. D. Freedman, R. Prentice, A. D. Lopez, ... & S. M. Gapstur. (2013). 50-year trends in smoking-related mortality in the United States. New England Journal of Medicine, 368(4), 351-364. https://doi.org/10.1056/NEJMsa1211127
  2. US Department of Health and Human Services. (2014). The health consequences of smoking-50 years of progress: a report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 17.
  3. T. Hirayama. (1981). Non-smoking wives of heavy smokers have a higher risk of lung cancer: a study from Japan. Br Med J (Clin Res Ed), 282(6259), 183-185. https://doi.org/10.1136/bmj.282.6259.183
  4. Y. M. Lee, N. H. Park & J. M. Seo. (2003). Process of change, self efficacy and decisional balance corresponding to stage of change in smoking cessation in industrial workers. Journal of Korean Academy of Adult Nursing, 15(3), 483-492.
  5. S. Moon. (2017). Factors Influencing Intention to Quit Smoking in Korean Adult Smokers: Using 2014 Korea National Health and Nutrition Examination Survey. Journal of Korean Biological Nursing Science, 19(3), 178-190. https://doi.org/10.7586/jkbns.2017.19.3.178
  6. US Department of Health and Human Services. (2006). The health consequences of involuntary exposure to tobacco smoke: a report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention. Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
  7. Ministry of Health and Welfare. (2016). Republic of Korea's Party Report on Implementation of WHO FCTC. Ministry of Health and Welfare. http://apps.who.int /fctc/implementation/database/sites/implementation/files /documents/reports/rok_2016_report.pdf
  8. Ministry of Health and Welfare. (2011). 3rd National Health Promotion Plan (2011-2020). Ministry of Health and Welfare. http://www.khealth.or.kr/board/view?pageNum=1&rowCnt=10&no1=3&linkId=559209&menuId =MENU00829&schType=0&schText=&boardStyle=Text&categoryId=&continent=&country=
  9. OECD. (2013). Health at a glance 2013: OECD indicators. OECD publishing. https://doi.org/10.1787/health_glance -2013-en2
  10. Z. Triandafilidis, J. M. Ussher, J. Perz & Huppatz, K. (2018). Young Australian women’s accounts of smoking and quitting: a qualitative study using visual methods. BMC women's health, 18(1), 5. https://doi.org/10.1186/s12905-017-0500-1
  11. Y. S. Yoon, S. W. Oh, H. W. Baik, H. S. Park & W. Y. Kim. (2004). Alcohol consumption and the metabolic syndrome in Korean adults: the 1998 Korean National Health and Nutrition Examination Survey. The American journal of clinical nutrition, 80(1), 217-224. https://doi.org/10.1093/ajcn/80.1.217
  12. A. McEwen, P. Hajek, H. McRobbie & R. West (2008). Manual of smoking cessation: a guide for counsellors and practitioners. John Wiley & Sons.
  13. S. Cohen & E. Lichtenstein. (1990). Perceived stress, quitting smoking, and smoking relapse. Health Psychology, 9(4), 466. https://doi.org/10.1037/0278-6133.9.4.466
  14. R. E. Glasgow, R. C. Klesges, J. S. Mizes & T. F. Pechacek. (1985). Quitting smoking: strategies used and variables associated with success in a stop-smoking contest. Journal of consulting and clinical psychology, 53(6), 905. https://doi.org/10.1037/0022-006X.53.6.905
  15. N. Herd & R. Borland. (2009). The natural history of quitting smoking: findings from the International Tobacco Control (ITC) Four Country Survey. Addiction, 104(12), 2075-2087. https://doi.org/10.1111/j.1360-0443.2009.02731.x
  16. K. N. Carter, F. S. van der Deen, N. Wilson & T. Blakely. (2012). Smoking uptake is associated with increased psychological distress: results of a national longitudinal study. Tobacco control, tobaccocontrol-2012.
  17. Korea Centers for Disease Control and Prevention. (2015). The Korea National Health and Nutrition Examination Surveys. Korea Centers for Disease Control and Prevention. http://www.cdc.go.kr/CDC/contents/CdcKrContentView.jsp?cid=60599&menuIds=HOME001-MNU1130-MNU1639-MNU1640-MNU1642
  18. S. Kweon, Y. Kim, M. J. Jang, Y. Kim, K. Kim, S. Choi, ... & K. Oh. (2014). Data resource profile: the Korea national health and nutrition examination survey (KNHANES). International journal of epidemiology, 43(1), 69-77. https://doi.org/10.1093/ije/dyt228
  19. SPSS version 24.0 (Statistical Packages for Social Science Inc., Chicago, IL, USA).
  20. G. Taylor, A. McNeill, A. Girling, A. Farley, N. Lindson-Hawley & P. Aveyard. (2014). Change in mental health after smoking cessation: systematic review and meta-analysis. Bmj, 348, g1151. https://doi.org/10.1136/bmj.g1151
  21. H. J. Soh. (2012). Exploring Young Adult Smokers' Cognitive Structure of Smoking Behavior for Effective Anti-smoking Communication Campaign Messages. The Korean Journal of Advertising, 23(4), 77-96.
  22. R. Borland, T. R. Partos, H. H. Yong, K. M. Cummings & A. Hyland. (2012). How much unsuccessful quitting activity is going on among adult smokers? Data from the International Tobacco Control Four Country cohort survey. Addiction, 107(3), 673-682. https://doi.org/10.1111/j.1360-0443.2011.03685.x
  23. Y. H. Khang, S. C. Yun, H. J. Cho & K. Jung-Choi. (2009). The impact of governmental antismoking policy on socioeconomic disparities in cigarette smoking in South Korea. Nicotine & Tobacco Research, 11(3), 262-269. https://doi.org/10.1093/ntr/ntn036
  24. T. M. Song. (2011). Changes in smoking rates of male adults in Korea and smoking cessation policy: focus on smoking cessation clinics. In Health Welf Policy Forum (Vol. 173, pp. 55-63).
  25. L. C. Gallo & K. A. Matthews. (2003). Understanding the association between socioeconomic status and physical health: do negative emotions play a role?. Psychological bulletin, 129(1), 10. https://doi.org/10.1037/0033-2909.129.1.10
  26. C. Manfredi, Y. I. Cho, K. S. Crittenden & T. A. Dolecek. (2006). A path model of smoking cessation in women smokers of low socio-economic status. Health Education Research, 22(5), 747-756. https://doi.org/10.1093/her/cyl155
  27. J. D. Kassel, D. P. Evatt, J. E. Greenstein, M. C. Wardle, M. C. Yates & J. C. Veilleux. (2007). The acute effects of nicotine on positive and negative affect in adolescent smokers. Journal of abnormal psychology, 116(3), 543. https://doi.org/10.1037/0021-843X.116.3.543