• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.4
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• pp.362-373
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• 2018

This study was conducted to investigate the relationship between interest in smoking cessation and factors that define this interest. The study subjects were 593 male civil servants who work at D metropolitan city and were smokers at the time of the survey. The research method was a survey using a self-administered questionnaire in October 2015. Interest in smoking cessation of study subjects showed that 28.3% had no interest in smoking cessation, 45.7% were interested in smoking cessation, but had no intention to quit within six months, and 26.0% were interested in smoking cessation and intended to quit within six months. Multiple regression analysis revealed that the factors influencing interest in smoking cessation with explanatory powers of 23.6% were employment type, age when first starting smoking, number of cigarettes smoked per day, time from when you wake up until you smoke your first cigarette, recognition of susceptibility to lung cancer, and benefits to smoking cessation. Logistic regression analysis revealed that the odds ratio of recognition of susceptibility for lung cancer, benefits to smoking cessation, and barriers to smoking cessation were significantly increased in the group with interest in smoking cessation and intention to quit within six months vs. the group with no interest in smoking cessation. Taken together, these results suggest that cancer prevention due to smoking and awareness of the seriousness of health problems caused by smoking were factors increasing interest in smoking cessation.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.5
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• pp.456-466
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• 2017

This study examined the relationship between the interest in smoking cessation and factors that define the interest in smoking cessation. The study subjects were 593 male civil servants who worked at D metropolitan city, and were smokers at the time of the survey. The research method was a survey using a self-administered questionnaire in October 2015. As a result, the interest in smoking cessation showed a positive correlation with the cues to action for smoking cessation, recognition of susceptibility for lung cancer, recognition of the seriousness for lung cancer, and benefits to the practice of action on smoking cessation. With the analysis of the covariance structure, the benefits and barriers to the practice of action on smoking cessation were the largest factors increasing the interest of smoking cessation, followed by the order of recognition of susceptibility and seriousness for lung cancer, cues to action for smoking cessation, and social support network. These results suggest that the cancer prevention effect due to smoking and the awareness of the seriousness of the health problems caused by smoking were the factors increasing interest in smoking cessation. Therefore, it is very important that education on quitting smoking for male smokers be continued to better understand the factors leading to an increase in smoking.

• The Journal of Korean Society for School & Community Health Education
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• v.13 no.2
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• pp.59-76
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• 2012

Objectives: This study Development of a healthy college life, and effective for smoking cessation programs for education is to utilize as a basis for. Methods: The study employs frequency analysis, cross-analysis and correlation analysis through SPSS Win 17.0 on 296 (84.6% of total participants) from the entire participants of 350. The significance test is delivered with ${\chi}^2$-test. Results: 1) The participants consist of 47.7% (147) males and 52.3% (161) females. 78.2% (241) has experience of smoking cessation program at high school. 61.7% (190) has parents who are smoking. 40.9% (126) answers that they are currently smoking while 59.1% (182) answers that they are not. 2) When asked about their perception on quitting smoking, 81.2% (250) says that non-smokers are distressed by others' smoking. 74.0% (228) has unpleasant experience with cigarette smoke. 3) The analysis of the relation between smoking cessation program at high school and smoking shows that 63.8% of the ones who have experience of the program are non-smokers while 68.7% of those with no experience of the program are smokers. 4) Among those who have tried to quit smoking, 73.9% have experience of smoking cessation program at high school. 31.8% of these participants also reveal their interest in the cessation program. 5) In the analysis of the correlation between smoking habits, the experience of smoking cessation program at high school is closely related to non-smoking while current smoking habit is highly related to the strong interest in participation of cessation program. Also, the more interest they have in participating, the stronger needs they feel for smoking prevention program at college. Conclusion: Therefore, the last phase of education-related courses at the University of educated and credits granted through open non-smoking pledge, non-smoking club, non-smoking camps, training programs, such as smoking in non-smoking education and programs for students interested in openness and participation must be done will.

• Journal of Preventive Medicine and Public Health
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• v.50 no.3
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• pp.177-187
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• 2017

Objectives: Medical students represent a primary target for tobacco cessation training. This study assessed the prevalence of medical students' tobacco use, attitudes, clinical skills, and tobacco-related curricula in two countries, the US and Italy, with known baseline disparities in hopes of identifying potential corrective interventions. Methods: From September to December 2013, medical students enrolled at the University of Bologna and at Brown University were recruited via email to answer survey questions assessing the prevalence of medical students' tobacco use, attitudes and clinical skills related to patients' smoking, and elements of medical school curricula related to tobacco use. Results: Of the 449 medical students enrolled at Brown and the 1426 enrolled at Bologna, 174 Brown students (38.7%) and 527 Bologna students (36.9%) participated in this study. Italian students were more likely to smoke (29.5% vs. 6.1%; p<0.001) and less likely to receive smoking cessation training (9.4% vs. 80.3%; p<0.001) than their American counterparts, even though the majority of students in both countries desired smoking cessation training (98.6% at Brown, 85.4% at Bologna; p<0.001). Additionally, negative beliefs regarding tobacco usage, the absence of formal training in smoking cessation counseling, and a negative interest in receiving specific training on smoking cessation were associated with a higher risk of not investigating a patient's smoking status during a routine history and not offering tobacco cessation treatment to patients. Conclusions: Medical curricula on tobacco-related health hazards and on smoking cessation should be mandatory in order to reduce smoking among medical students, physicians, and patients, thereby improving tobacco-related global health.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.4
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• pp.1830-1840
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• 2013

This study attempts to set a pathway on smoking cessation behavior and to verify it by an analysis of the students who smoke. The study was performed with an analysis of the data of 160 students at N university. There were statistically significant differences among the students who desired to quit smoking (or who expressed interest in quitting smoking) in the following areas: thoughts about smoking cessation, intention to quit smoking, health promoting behavior (HPB), and depression cognitive scale (DCS) (p<.01). The student's major was also shown to have a statistically significant influence on one's intention to quit smoking (p=.034) and HPB (p=.044). As thoughts about smoking cessation increased, HPB also showed a significant increase (p<.05). Additionally, as HPB scores increased, DCS scores decreased significantly (p<.001), and thoughts about smoking cessation increased, while DCS scores decreased significantly (p=.027). This study confirmed the pathway that the intention to quit smoking influences DCS by mediating the effects of HPB and that thoughts about smoking cessation influence DCS.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.14
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• pp.5685-5689
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• 2014

Background: It is well known that smoking is a preventable factor for all-cause mortality; however, it is still questionable how many years after smoking cessation that people will have reduced risk for mortality, in particular in those with a high interest in their own health. We aimed to examine the association between time since quitting smoking and total mortality among past-smokers relative to current smokers. Materials and Methods: We enrolled 36,446 health examinees that voluntarily taken with diverse health check-up packages of high cost burden in 1995-2003 and followed them till death by 2004. The history of cigarette smoking consumption was collected using a self-administrative questionnaire at the first visit time. Mortality risk by smoking cessation years was analyzed using Cox's proportional hazard model. Results: Compared to non-smokers, male smokers over 15 pack-years had higher risk for total mortality (HR=1.60, 95%CI 1.23-2.14). The mortality risk in female smokers with same pack-years was more pronounced than that in male smokers (HR=2.83, 95%CI 1.17-7.04) despite a small number of cases. Compared to current smokers, a decrease of total mortality was observed among those who ceased smoking, and inverse dose-response was found with years after cessation: RR 0.98 (95%CI, 0.64-1.41) (<2 yrs), 0.60 (95%CI, 0.43-0.83) (3-9 yrs), and 0.58 (95%CI, 0.43-0.79) (${\geq}10$ yrs). Conclusions: A reduced risk of total mortality was observed after 3 years of smoking cessation. Our findings suggest that at least 3 years of smoking cessation may contribute to reduce premature mortality among Asian men.

• The Korean Journal of Applied Statistics
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• v.27 no.1
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• pp.21-30
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• 2014

Ordinary survival analysis cannot be applied when a significant fraction of patients may be cured. A cure rate model is the combination of cure fraction and survival model and can be applied to several types of cancer. In this article, the cure rate model is considered in the interval censored data with a cluster effect. A shared frailty model is introduced to characterize the cluster effect and an EM algorithm is used to estimate parameters. A simulation study is done to evaluate the performance of estimates. The proposed approach is applied to the smoking cessation study in which the event of interest is a smoking relapse. Several covariates (including intensive care) are evaluated to be effective for both the occurrence of relapse and the smoke quitting duration.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.8
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• pp.47-55
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• 2019

This study was conducted to investigate the factors associated with electronic cigarette use by Korean adults. To accomplish this, data collected from 228,477 individuals during a community health survey conducted by the Korean Centers for Disease Control and Prevention in 2015 were analyzed by descriptive analysis, the Chi-squared test, and logistic regression analysis. The lifetime prevalence of electronic cigarette smoking was 11.1% for men and 0.8% for women. The current prevalence for electronic cigarettes smoking was 24.2% for men and 26.1% for women among lifetime users of electronic cigarettes. The lifetime experience rate of electronic cigarette smoking was significantly associated with age, educational attainment, occupation, income status and current smoking status, respectively. The current universal smoking e-cigarette is significantly related to the current smoking status, which shows a significantly higher number of current smokers than groups that have smoked in the past. The preference for electronic cigarette smoking was high. E-cigarettes were perceived by those who aimed to quit smoking as having a smoking cessation effect compared to regular cigarettes while also providing the pleasure of smoking and addressing the addiction. Therefore, e-cigarettes were highly favored because they were reflected as a solution to the dilemma of smoking. In 2014, electronic cigarette imports tripled from the previous year, and interest in electronic cigarettes is increasing worldwide. Accordingly, measures related to the prevention and discontinuation of e-cigarettes should be considered. Strengthening anti-smoking education and active promotion of anti-smoking risks is needed to improve smokers' wrong perception of smoking-related health. The WHO also reports that there is a lack of grounds to ensure or acknowledge that e-cigarettes are effective. Accordingly, it is important to identify environmental factors influencing the use of electronic cigarettes and explore the relationship between electronic cigarette recognition and use.

• Communications for Statistical Applications and Methods
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• v.24 no.6
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• pp.605-625
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• 2017

This paper presents proportional odds cure models to allow spatial correlations by including spatial frailty in the interval censored data setting. Parametric cure rate models with independent and dependent spatial frailties are proposed and compared. Our approach enables different underlying activation mechanisms that lead to the event of interest; in addition, the number of competing causes which may be responsible for the occurrence of the event of interest follows a Geometric distribution. Markov chain Monte Carlo method is used in a Bayesian framework for inferential purposes. For model comparison some Bayesian criteria were used. An influence diagnostic analysis was conducted to detect possible influential or extreme observations that may cause distortions on the results of the analysis. Finally, the proposed models are applied for the analysis of a real data set on smoking cessation. The results of the application show that the parametric cure model with frailties under the first activation scheme has better findings.

• Safety and Health at Work
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• v.7 no.4
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• pp.293-298
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• 2016

Background: The aim of this study was to increase knowledge regarding the dangers associated with tobacco use, and decrease secondhand smoke exposure and tobacco use behaviors with an antitobacco messaging campaign among rural, medically underserved, blue-collar workers. Methods: A quasiexperimental study was conducted with employees at two worksites. One worksite received the intervention, which consisted of nine different antitobacco messages. Baseline and follow-up surveys were conducted at each worksite to assess change in knowledge and behavior; the data were compared across the two worksites. Results: Two hundred twenty-two and 243 participants completed baseline and follow-up surveys at the intervention and comparison sites, respectively. A statistically significant difference was seen over time between the worksites on knowledge of the dangers of tobacco (p < 0.0001); the mean knowledge score increased at the intervention site, but remained unchanged at the comparison site. In general, non-smokers at both worksites appeared to try to decrease exposure to secondhand smoke over the follow-up period. Repeated measures analysis indicated that there were no differences in motivation to quit (p = 0.81), interest in quitting (p = 0.40), thinking about quitting (p = 0.53), or several tobacco-use behaviors over time among smokers at the intervention and comparison worksites. There were slight increases over time in the proportion of smokers who do not allow smoking in their homes/vehicles at the intervention worksite, although not statistically significant. Conclusion: Participants at the intervention worksite increased their knowledge regarding the dangers of tobacco use and secondhand smoke exposure. Among current tobacco users, the intervention appeared to increase family rules regarding secondhand smoke exposure in their homes and vehicles.