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Factors Associated with the Smoking Cessation Behavior according to the Transtheoretical Model in Korean College Students  

Paek, Kyung-Shin (Department of Nursing, Semyung University)
Riley, Tracy A. (College of Nursing, Akron University)
Publication Information
Korean Journal of Health Education and Promotion / v.27, no.5, 2010 , pp. 27-39 More about this Journal
Abstract
Objectives: The purposes of this study were to examine the contribution of each of the Transtheoretical Model components in explaining stages of smoking cessation and to identify factors associated with the smoking cessation behavior among Korean college students. Methods: The participants for this study were 334 undergraduate students who enrolled in general education courses. Self-report surveys were distributed and returned. The survey variables comprised the stages of change for smoking cessation, self-efficacy, decisional balances and processes of change in smoking cessation. Results: Significant differences were noted in the five stages of change for self-efficacy, decisional balance, and the processes of change. The strongest factor associated with the smoking cessation behavior was self-efficacy. Conclusion: Study findings indicate application of the Transtheoretical Model may be useful to enhance future smoking cessation efforts in college students. The strategies to enhance smoking cessation self-eficacy in college students will be an important intervention component in future studies.
Keywords
Stages of change; Self-efficacy; Decisional balance; Processes of change; Smoking cessation;
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Times Cited By KSCI : 6  (Citation Analysis)
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1 Waters, K., Harris, K., Hall, S., Nazir, N., and Waigandt, A. 2006. Characteristics of social smoking among college students. Journal of American College Health 55(3):133-139.   DOI   ScienceOn
2 Ha, B. M., Yoon, S. J., Lee, H. Y., Ahn, H. S., Kim, C. Y., and Shin, Y. S. 2003. Measuring the burden of premature death due to smoking in Korea from 1990 to 1999. Public Health 117(5):358-365.   DOI   ScienceOn
3 Hayes, E. R., and Plowfield, L. A. 2007. Smoking too young: Students' decisions about tobacco use. MCN: The American Journal of Maternal Child Nursing 32(2):112-116.   DOI   ScienceOn
4 Hoeppner, B. B., Velicer, W. F., Redding, C. A., Rossi, J. S., Prochaska, J. O., Pallonen, U. E., et al. 2006. Psychometric evaluation of the smoking cessation processes of change scale in an adolescent sample. Addictive Behaviors 31(8):1363-1372.   DOI   ScienceOn
5 Khang, Y., and Cho, H. 2006. Socioeconomic inequality in cigarette smoking: Trends by gender, age, and socioeconomic position in South Korea, 1989–2003. Preventive Medicine 42(6):415-422.   DOI   ScienceOn
6 Kim, Y. 2006. Adolescents' smoking behavior and its relationships with psychological constructs based on transtheoretical model: A cross-sectional survey. International Journal of Nursing Studies 43(4):439-446.   DOI   ScienceOn
7 Cho, K. S. 2006. Tobacco control policy of the republic of Korea, 2005. Kwachon, South Korea: Ministry of Health and Welfare.
8 Ridner, S. L., and Hahn, E. J. 2005. The pros and cons of cessation in college-age smokers. Clinical Excellence for Nurse Practitioner 9(2):81-87.
9 Rigotti, N. A., Moran, S. E., and Wechsler, H. 2005. US college students' exposure to tobacco promotions: Prevalence and association with tobacco use. American Journal of Public Health 95(1):138-144.   DOI   ScienceOn
10 Sarna, L., Danao, L. L., Chan, S., Shin, S. R., Baldago, L. A., Endo, E., et al. 2006. Tobacco control curricula content in baccalaureate nursing programs in four Asian nations. Nursing Outlook 54(6): 334-344.   DOI   ScienceOn
11 DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., and Rossi, J. S. 1991. The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology 59(2):295-304.   DOI
12 Lenz, B. K. 2009. Nursing students' response to tobacco cessation curricula in Minnesota baccalaureate nursing programs. Journal of Nursing Education 48(10):566-573.   DOI   ScienceOn
13 Prochaska, J. O., Velicer, W. F., DiClemente, C. C., and Fava, J. 1988. Measuring processes of change: Applications to the cessation of smoking. Journal of Consulting and Clinical Psychology 56(4): 520-528   DOI
14 Lee, C. Y., Shin, S., Lee, H. K., and Hong, Y. M. 2009. Validation of self-report on smoking among university students in Korea. American Journal of Health Behavior 33(5):540-549.
15 Korea antismoke research institution. Smoking rate of young adult. http://cafe.daum.net/kns11. 2010.
16 Kyungwon University Newspaper. Smoking and drinking of college students. http://www.i-kwup.com/news/read.php. 2009.
17 Korea antismoke research institution. Smoking rate of young adult. http://cafe.daum.net/kns11/1ohf/777 . 2009.
18 Prochaska, J. O., and DiClemente, C. C. 1982. Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy:Theory, Research & Practice 19(3):276-288.   DOI
19 Ministry of Education, Science & Technology. Educational statistics. http://www.mest.go.kr/me_kor/inform/science/science/general/index.html. 2008.
20 Myers, M. G., Doran, N. M., Trinidad, D. R., Wall, T. L., and Klonoff, E. A. 2009. A prospective study of cigarette smoking initiation during college: Chinese and Korean American students. Health Psychology 28(4):448-456.   DOI
21 Oh, H. S., and Kim, Y. S. 1996b. Factor analysis on behavior change mechanisms in self-help smoking cessation. Journal of Korean Academy Nursing 26(3):678-687.
22 Kim, M. Y., Suh, S. L., and Ham, O. K. 2007. Stages and processes of smoking cessation among high school students in rural community. Journal of Korean Academy Community Health Nursing 18(3):431-440.   과학기술학회마을
23 Prochaska, J. O., and Velicer, W. F. 1997. The transtheoretical model of health behavior change. American Journal of Health Promotion 5(1):38-48.
24 Lee, Y. M. 2004. Process of change, decisional balance and self efficacy corresponding to stage of change in exercise behaviors in middle aged women. Journal of Korean Academy Nursing 34(2): 362-371.   과학기술학회마을   DOI
25 Lee, C. Y., Kim, H. S., and Lee, T. W. 2001. Evaluation of health promotion services in health centers. Ministry of Health & Welfare. Seoul.
26 Korea antismoke research institution. Attitudes survey for tobacco. http://cafe.daum.net/kns11. 2006
27 Horneffer-Ginter, K. 2008. Stages of change and possible selves: 2 tools for promoting college health. Journal of American College Health 56(4):351-358.   DOI   ScienceOn
28 Park, N., Kim, J., and Lee, Y. 2003. Factors associated with the stage of change of smoking cessation behavior in adolescents. Taehan Kanho Hakhoe Chi 33(8):1101-1110.   과학기술학회마을
29 Pimenta, F., Leal, I., and Maroco, J. 2008. Health beliefs, stages of change and smoking behaviour in Portuguese college students. Journal of Smoking Cessation 3(1):14-22.
30 Haddad, L. G., and Petro-Nustas, W. 2006. Predictors of intention to quit smoking among Jordanian university students. Canadian Journal of Public Health 97(1):9-13.
31 Oh, H. S., and Kim, Y. S. 1997. Exploratory study on developing model for smoking cessation process. Journal of Korean Academy Nursing 27(1):71-82.
32 Otsuki, M. 2009. Social connectedness and smoking behaviors among Asian American college students: An electronic diary study. Nicotine & Tobacco Research 11(4):418-426.   DOI   ScienceOn
33 Otsuki, M., Tinsley, B. J., Chao, R. K., and Unger, J. B. 2008. An ecological perspective on smoking among Asian American college students: The roles of social smoking and smoking motives. Psychology of Addictive Behaviors 22(4):514-523.   DOI
34 Habib, S. H., and Saha, S. 2010. Burden of non-communicable disease: Global overview. Diabetes & Metabolic Syndrome: Clinical Research & Review 4(1):41-47.   DOI   ScienceOn
35 Ham, O. K. 2007. Stages and processes of smoking cessation among adolescents. Western Journal of Nursing Research 29(3):301-315.   DOI   ScienceOn
36 Ahn, O., Yeun, E., Kwon, S., Chung, H., and Ryu, E. 2005. Predictive factors of aspects of the transtheoretical model on smoking cessation in a rural community. Taehan Kanho Hakhoe Chi 35(7):1285-1294.   과학기술학회마을
37 Bandura, A. 1997. Self-efficacy: The exercise of control. New York: W. H. Freeman and Company.
38 O' Hea, E. L., Wood, K. B., and Brantley, P. J. 2003. The transtheoretical model: Gender differences across 3 health behaviors. American Journal of Health Behavior 27(6):645-656.   DOI   ScienceOn
39 Oh, H. S., and Kim, Y. S. 1996a. Changing mechanisms corresponding to the changing stages of smoking cessation. Journal of Korean Academy Nursing, 26(4):820-832.
40 Durkin, A. 2007. Promoting smoking cessation among nursing students: How faculty can help. Nursing Education Perspectives 28(3):150-154.
41 Chang, S. O., Kim, E. J., Kil, S. Y., Seomun, G. A., and 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 Nursing 35(7):1410-1419.   과학기술학회마을   DOI
42 Staten, R. R., Noland, M., Rayens, M. K., Hahn, E., Dignan, M., and Ridner, S. L. 2007. Social influences on cigarette initiation among college students. American Journal of Health Behavior 31(4):353-362.   DOI   ScienceOn
43 Lin, K., Lou, M., and Liu, P. 2004. The experiences of resuming smoking among medical college students [Chinese]. Journal of Nursing 51(6):55-63.
44 Yalinkaya-Alkar, z., and Karanci, A. N. 2007. What are the differences in decisional balance and self-efficacy between Turkish smokers in different stages of change? Addictive Behaviors 32(4):836-849.   DOI   ScienceOn
45 Viswanath, K., Herbst, R. S., Land, S. R., Leischow, S. J., and Shields, P. G. 2010. Tobacco and cancer: An American association for cancer research policy statement. Cancer Research 70(9):3419-3430.   DOI
46 Wang, K., Yang, C., Chu, N., and Wu, D. 2009. Predictors of cigarette smoking behavior among military university students in Taiwan. Journal of Nursing Research 17(3):161-168.   DOI   ScienceOn
47 Warnecke, R. B., Morera, O., Turner, L., Mermelstein, R., Johnson, T. P., Parsons, J., et al. 2001. Changes in self-efficacy and readiness for smoking cessation among women with high school or less education. Journal of Health and Social Behavior 42(1):97-110.   DOI   ScienceOn
48 Velicer, W. F., Redding, C. A., Sun, X., and Prochaska, J. O. 2007. Demographic variables, smoking variables, and outcome across five studies. Health Psychology 26(3):278-287.   DOI
49 Velicer, W. F., DiClemente, C. C., Prochaska, J. O., and Brandenburg, N. 1985. Decisional balance measure for assessing and predicting smoking status. Journal of Personality and Social Psychology 48(5):1279-1289.   DOI
50 Son, H. M. 2005. Differences in processes of change, decisional balance and temptation across the stages of change for smoking cessation. Journal ofKorean Academy Nursing, 35(5):904-913.   과학기술학회마을   DOI
51 Staten, R. R., and Ridner, S. L. 2007. College students' perspective on smoking cessation: "if the message doesn't speak to me, I don't hear it". Issues in Mental Health Nursing 28(1):101-115.   DOI   ScienceOn
52 Thompson, B., Thompson, L. A., Hymer, J., Zbikowski, S., Halperin, A., andJaffe, R. 2007. A qualitative study of attitudes, beliefs, and practices among 40 undergraduate smokers. Journal of American College Health 56(1):23-28.   DOI   ScienceOn
53 Rasmussen-Cruz, B., Hidalgo-San Martin, A., Nuno-Gutierrez, B., and Hidalgo-Rasmussen, C. 2006. Tobacco consumption and motives for use in Mexican university students. Adolescence 41(162): 355-368.