DOI QR코드

DOI QR Code

Relevant Factors for Smoking in Adolescent Boys : Focusing on the connection with smoking of family members

청소년 남학생 흡연의 관련요인 : 가족구성원 흡연과의 관련성을 중심으로

  • Park, Ah-Young (Division of TB & HIV Control, Korea Centers for Disease Control & Prevention) ;
  • Kim, Chul-Woung (College of Medicine, Chungnam National University)
  • 박아영 (질병관리본부 결핵에이즈관리과) ;
  • 김철웅 (충남대학교 의과대학)
  • Received : 2019.07.24
  • Accepted : 2019.11.01
  • Published : 2019.11.30

Abstract

The purpose of this study was to analyze the association between family members and adolescent boys smoking. The data were evaluated by frequency analysis, 𝑥2 test and logistic regression analysis using 27,276 people who responded to the 14th(2018) Korean Youth Risk Behavior Survey. Among male students, the nonsmoking rate was 91.5% and the smoking rate was 8.5%(2.5% of occasional smoking and 6.0% of frequent smoking). The study results showed that the smoking status of male students was varied significantly according to the number of smokers among the family members(p<0.001). Meanwhile, smoking based on the characteristics of socio-demographic factors was affected by grades, school records, economic status, and parents' educational background(p<0.001). Smoking by health factors showed a significant difference in alcohol consumption, suicidal thoughts, depression experiences, stress recognition, frequency of breakfast consumption, level of fatigue after sleep, and subjective perception of health(p<0.001). Male smokers were more likely to smoke when two family members smoked than only one(p<0.001). These results confirmed that smoking in boys was affected by the smoking status of family members and suggested that the smoking cessation program of family smokers can be effective in designing smoking cessation prevention and smoking cessation projects.

본 연구의 목적은 청소년 남학생 흡연과 가족구성원의 흡연의 관련성을 분석하기 위함이다. '제14차(2018년) 청소년건강행태조사'에 응답한 27,276명을 이용하여 빈도분석, 교차분석, 다중 로지스틱 회귀분석을 실시하였다. 남학생 중 비흡연율은 91.5%, 흡연율은 8.5%(가끔 흡연함 2.5%, 자주 흡연함 6.0%)이다. 연구결과, 가족구성원의 흡연자 수에 따른 남학생의 흡연 상태는 유의한 차이가 있다(p<0.001). 인구사회학적 특성에 따른 흡연은 학년, 학업성적, 경제상태, 아버지 학력, 어머니 학력에서 유의한 차이가 있고(p<0.001), 건강행태관련 특성에 따른 흡연은 음주 정도, 자살 생각률, 우울감 경험률, 스트레스 정도, 아침식사 빈도, 수면 후 피로회복 정도, 주관적 건강 인지 정도에서 유의한 차이가 있다(p<0.001). 남학생의 흡연가능성은 가족구성원 흡연자가 1명일 때보다 가족구성원 흡연자가 2명이상일 때 더 높다(p<0.001). 본 연구의 의의는 남학생 흡연이 가족구성원 흡연상태에 따라 영향을 받는다는 것을 확인하였으며 이러한 연구결과는 청소년 흡연의 예방 및 금연사업을 구성할 때 가족 흡연자의 금연 사업을 병행하여 설계한다면 좋은 효과를 거둘 수 있음을 시사한다.

Keywords

References

  1. OECD, Tobacco consumption, OECD.Sta, c2017 [cited 2019 July 2], Available From: https://stats.oecd.org/index.aspx?DataSetCode=HEALTH_LVNG (accessed Jun. 24, 2019)
  2. J. E. Kyung, The 14th (2018) Korea Youth Risk Behavior Web-Based Survey, Ministry of Education, pp.1-394, Ministry of Health and Welfare, Disease control center, 2018.
  3. M. McGue, W. G. Iacono, "The Association of Early Adolescent Problem Behavior With Adult Psychopathology", The American journal of psychiatry, Vol.162, No.6, pp.1118-1124, JUN 2005 DOI: http://dx.doi.org/10.1176/appi.ajp.162.6.1118
  4. J. H. Choi, Y. J. Yang, H. K. Seo, "Smoking habits and factors associated with smoking and smoking cessation of korean medical students", Korean Journal of Family Medicine, Vol.16, No.2, pp.157-171, 1995.
  5. National Cancer Center, NO SMOKE GUIDE, Ministry of Health and Welfare, c2012, Available From: http://www.nosmokeguide.go.kr/ (accessed Jun. 24, 2019)
  6. Y. R. Yeun, "A Study of Internet Addiction, Depression and Anxiety among Smoking Adolescents", Journal of the Korea Academia-Industrial cooperation Society, Vol.13, No.11, pp.5364-5371, 2012. DOI: https://doi.org/10.5762/KAIS.2012.13.11.5364
  7. J. J. Ko, G. S. Kim, "The Analysis on the Relation between Smoking Behavior and Delinquent of Boys' High School Students", Family and Environment Research, Vol.30, No.1, pp.311-324, MAR 1992.
  8. J. H. Kim, "Health Risk Behaviors Associated with Smoking Experiences in Adolescence", Journal of Korean Soc. of School Health, Vol.20, No.1, pp.77-90, JUN 2007.
  9. S. Y. Yim, M. H. Park, "Comparison of the Factors Affecting Smoking Quit Attempts in Adolescent Smokers according to Amount of Smoking", Journal of the Korea Contents Association, Vol.17, No.7, pp.622-633, JUL 2017. DOI: https://doi.org/10.5392/JKCA.2017.17.07.622
  10. G. T. Smith, D. M. McCarthy, M. S. Goldman, "Self-reported drinking and alcohol-related problems among early adolescents: dimensionality and validity over 24 months", Journal of Studies on Alcohol, Vol.56, No.4, pp.383-394, 1995. DOI: https://doi.org/10.15288/jsa.1995.56.383
  11. D. B. Kandel, K. Andrews, "Processes of adolescent socialization by parents and peers", International Journal of the Addictions, Vol.22, No.4, pp.319-342, APR 1987. DOI: https://doi.org/10.3109/10826088709027433
  12. H. S. Kim, "The Experiences of Smoking and Non-smoking in Male Adolescents", Journal of the Korea Academia-Industrial cooperation Society, Vol.20, No.6, pp.489-500, JUN 2019. https://doi.org/10.5762/KAIS.2019.20.6.489
  13. K. H. Beck, S. Marjorie, R. Swift, M. Ko, "A survey of parent attitudes and practices regarding underage drinking", Journal of Youth and Adolescence, Vol.24, No.3, pp.315-334, JUN 1995. DOI: https://doi.org/10.1007/bf01537599
  14. J. Guo, L. M. Collins, K. G. Hill, J. D. Hawkins, "Developmental pathways to alcohol abuse and dependence in young adulthood.", Journal of Studies on Alcohol, Vol.61, No.6, pp.799-808, NOV 2000. DOI: https://doi.org/10.15288/jsa.2000.61.799
  15. B. Y. Seo, Smoking Related Factors of Middle School Students in Some Area of Busan City, Master's thesis, Kosin University, Busan, Korea, pp. 20-21, AUG 2006.
  16. H. J. Kim, S. J. Shin, "The study of oral health perception, oral health behavioral and family smoking status according to smoking experience in a part of high school students", Journal of korean society of dental hygiene, Vol.11, No.5, pp.695-706, 2011.
  17. L. J. Kang, H. S. Kim, "Risk and Protective Factors Related to Cigarette Smoking among Korean Male High School Students", Korean Consumption Culture Association, Vol.8, No.4, pp.121-142, DEC 2005.
  18. S. H. Gwon, S. Y. Jeong, "Factors Influencing Adolescent Lifetime Smoking and Current Smoking in South Korea : Using data from the 10th (2014) Korea Youth Risk Behavior Web-Based Survey", Journal of Korean academy of nursing, Vol.46, No.4, pp.552-561, AUG 2016. DOI: http://dx.doi.org/10.4040/jkan.2016.46.4.552
  19. W. B. Choi, An Analysis of Factors Affecting Youth Smoking, Master's thesis, Daejeon University, Daejeon, Korea, pp.62, 2001.
  20. H. G. Shim, A Study on Smoking Status and Leading Plan of Vocational High School Students, Master's thesis, Sookmyung Women's University, Seoul, Korea, pp. 21-22, DEC 1998.
  21. H. S. Lee, "The Factors Affecting Adolescent Smoking in Korea", Korean Journal of Health Promotion and Disease Prevention, Vol.7, No.4, pp.229-237, 2007.
  22. W. K. Kim, "Predictors of Smoking Behavior in Korean Male and Female Youth", Journal of Future Oriented Youth Society, Vol.1, No.11, pp.63-85, 2014.
  23. H. O. Kim, "A Study on the Actual Conditions of Smoking in Middle and High School Students in One Region", Journal of Korean Soc. of School Health, Vol.12, No.1, pp.149-167, MAR 1999.
  24. J. K. Kim, H. G. Kim, "Determinants of Smoke and Smoking Frequency among Middle and High School Students", Research Center for Korean Youth Culture, Vol.33, pp.88-118, MAR 2013.
  25. S. P. Hong, The Difference in Behavioral Characteristics and Self-Esteem of Smoking Teenagers Depending on the School Type, Master's thesis, Chonnam National University, Gwangju, Korea, pp.30, FEB 2002.
  26. H. Y. Song, E. Y. Doo, S. J. Choi, "The Relationships between Health Behaviors, Mental Health and Smoking among Korean Adolescents", Journal of the Korea Contents Association, Vol.17, No.7, pp.557-570, JUL 2017. DOI: http://dx.doi.org/10.5392/JKCA.2017.17.07.557
  27. D. H. Kang, J. W. Kim, J. H. Lee, S. Y. Yoon, T. Y. Choi, "Factors Associated with Smoking Frequency and Suicidal Attempt in Korean Adolescent Smokers", Journal of the Korean Society of Biological Therapies in Psychlatry, Vol.24, No.3, pp.230-238, OCT 2018.
  28. J. O. Byeon, Y. T. Cho, "School smoking rate as a social factor affecting the adolescent smoking in Korea: Multilevel analysis", Korean Journal of Health Education and Promotion, Vol.27, No.3, pp.7-16, SEP 2010.
  29. S. H. Cho, A. Y. Eom, G. S. Jeon, "The Effects of Socio-Economic Status on Drinking and Smoking in Korean Adolescents", The Korean Journal of Health Service Management, Vol.6, No.4, pp.13-25, DEC 2012. DOI: http://dx.doi.org/10.12811/kshsm.2012.6.4.013
  30. J. B. Lee, M. I. Hahm, D. J. Kim, H. H. Cho, I. S. Min, "The Association between Adolescentsʼ. Risk Behavior and Smoking", Korea journal of hospital management, Vol.24, No.2, pp.12-22, APR. 2019
  31. S. Y. Lee, E. Y. Jeon, "Psychological factors associated with adolescent smoking", Korean Journal of Youth Studies, Vol.8, No.1, pp.197-217, JUN 2001.
  32. S. J. Son, A Study on Effects of Adolescent Smoking Factors on Smoking Status and Smoking Prevention Factors, Ph.D dissertation, Major in Social Welfare Department of the Graduate School Hanyoung Theological University, Seoul, Korea, pp.114-118, 2014.
  33. I. Y. Kim, J. S. Kang, A Meta-Analytic Study on Differences between Middle and High School Students in Cognitive, Emotional and Social Variables Related to Adolescent Smoking, pp.83-119, Chonbuk National University Social Science Research Institute, 2018. DOI: http://dx.doi.org/10.33071/ssricb.42.3.201812.83
  34. H. J. Lee, D. J. Kim, "Influence of Mental Health on Smoking among Korean Adolescents : Korea Youth Risk Behavior Web-based Survey 2016", Journal of the Korean society for Wellness, Vol.12, No.3, pp.423-431, AUG 2017. DOI: http://dx.doi.org/10.21097/ksw.2017.08.12.3.423
  35. Y. H. Choi, J. H. Chae, "A Study on Relationship between Level of Cigarette Consumption, Eating and Mental-psychological State among Adolescents : Based on 2013 Korea Youth Risk Behavior Survey", Journal of the Korea Academia-Industrial cooperation Society, Vol.16, No.11, pp.7321-7328, NOV 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.11.7321