• Journal of the Korean Society of School Health
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• v.20 no.1
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• pp.77-90
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• 2007

Purpose : This study identified the patterns of smoking of students attending middle schools and high schools, and analyzed its related health risk behaviors. Methods: The data was based on the survey of 1,517 middle students and 911 high students residing in Kyung-Gi district. Results: The current smoking rates of male and female middle students are 5.3%, and 3.1% respectively. The rates of experiences in smoking are 21.4% and 16.0%(male/female). The current smoking rates of male and female high students are 17.9% and 8.5%, whereas the rates of experiences in smoking are 34.2% and 23.3% respectively. On the other hands, 14.1% of middle students and 12.0% of high students were exposed to smoking for at least 2 hours per day. The majority of middle and high school smokers started smoking when they were in middle or high school. And the most popular places to smoke were children's playgrounds, public open area., parks, and so on. Whether having a smoker as a friend or not and students' own perception towards smoking influenced the decisions to smoke for middle and high students. Both middle and high students, regardless of their gender, who have higher rates of drinking experiences and the hours of computer usage were found to have higher rates of smoking experiences. Meanwhile, the sleeping hours is in reverse proportion to the rate of smoking experiences. There was statistically significant difference in smoking experiences related to the degree of obesity only in the female high students: underweight and overweight students showed higher rates of smoking experiences than those falling in the normal weight range. Conclusion: For the effective prevention of adolescence smoking, it is necessary to adopt a comprehensive approach, which classifies the target population according to their age and sex and cover all health risk behaviors.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.1
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• pp.309-314
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• 2014

Purpose: Cigarette smoking causes many kinds of cancer, and it is more closely related with lung cancer, rather than other cancers. Smoking is the leading cause of lung cancer and ninety percent of the smokers are male in China, but there is little published data concerning the psychological responses in the male smokers with lung cancer and its influence on the symptom burden. The aim of the study was to verify the hypothesis that male smokers with lung cancer have more positive attitude and less symptom burden, comparing to male non-smokers. Methods: A total of 194 men with cancer in West China Hospital, Sichuan, China, were assessed by self-administered questionnaire. Psychological response was measured by the Chinese version of Mini-Mental Adjustment to Cancer scale (Mini-MAC), and symptom burden was measured by the physical symptom distress scale from the Rotterdam Symptom Checklist (RSCL). Results: We found that smokers with lung cancer got higher scores in positive attitude and a smaller symptom burden than non-smokers. Patients with education lower than high school got higher scores of positive attitude compared to college graduate patients (p=0.038). Smokers with lung cancer who knew the potential carcinogenicity of cigarette showed less negative emotions (p=0.011). The psychological response was not affected by age, clinical stage, cell type, smoking duration and amount. Conclusions: Male smokers with lung cancer have a more positive attitude and fewer symptoms, comparing to male non-smokers. Appropriate psychological intervention for non-smokers with lung cancer deserves more attention.

• The Journal of Korean Society for School & Community Health Education
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• v.9 no.1
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• pp.143-156
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• 2008

Objectives: This study was performed to examine the effective health education measures and health education programs for college students and also investigated the demands of restriction on drinking and smoking behavior in public area at the school level. Methods: The data were collected from 446 students of five universities located in Seoul and analyzed with SPSS WIN 10.0 program. Results: 1) Current drinkers were average 87.7% (male 90.1%, female 85.3%) and binge drinker was 68.4% (male 76.5%, female 60.2%). Among all drinkers, 19.4% drank more than eight times per month. As for the rate of smoking, 50.9% among the male student, and 12.1% among females were smokers. Among all smokers. the largest group (41.5%) smoked between >$11{\sim}20$ cigarettes per day. Many of the students started smoking in their middle schools (male 29.8%, female 51.5%). It implies that smoking prevention programs need to be emphasized in these schools. 2) The analysis of the correlation between drinking and smoking shows that no smoking students who drank were 66.2%, but abstainer who is smoker were only 5.7%(p=0.004). Alcohol consumption frequency and amount of smokers were higher than those of nonsmokers (p=0.000). The rate of attempts to reduce drinking was 38.1%, mainly for health reason. More than 34.5% of smoking student had made attempts to quit smoking, but succeeded only 16.9%. 3) As for the needs of moderate drinking and smoking cessation education, 67.8% among female students and 53.6% among male demand special education programs. About effective health education measures on drinking and smoking, 49.3% of drinkers and 35.2% of smokers had an inclination for health educator, and the next were video, campaign and pamphlet. 4) The largest group (45.0%) of respondents had agreed to regulate on drinking behavior, and especially 74.5% of them wants to ban the practice in most public area in school. 35.7% among female students and 27.0% among male desired to extend the non-smoking area on whole campus. The health policy for college students, through various ways, such as education, counseling service, and special program on orientation, should be employed. For public health perspectives, university and college community had to institute the detailed enforcement regulation on drinking and smoking.

• Korean Journal of Health Education and Promotion
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• v.32 no.2
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• pp.15-26
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• 2015

Objectives: This study performed to analyze general characteristics, environmental factors, and health promoting lifestyle by smoking behavior among university students. Methods: In 2011, interview survey was conducted with 700 Korean students of university and college in located 7 metropolitan cities and the biggest province (Gyeonggido). To examine the factors related to smoking behavior, it collected environmental factors, health promoting lifestyle, and mental health. Multiple logistic regression analysis for survey data identified the difference of smoking behavior. Results: The 20.4% of university students was current smoker. Smoking rate of male was higher than that of female. The university students residing in Seoul and surrounding areas were less likely to have smoking behavior than them residing in local areas. In multiple regression models, difference by gender, academic year, college level, college type, region, secondary smoking exposure time, health status, monthly drinking, alcohol use disorder, and eating breakfast remained significantly (p<0.01, p<0.05). Conclusion: Future efforts should be focused on association between health risk factors and environment factors in physical, mental, and social aspects. To achieve this, we will need to provide the integrated health promotion program to decrease smoking problems of university students.

• Journal of Nutrition and Health
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• v.32 no.7
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• pp.812-820
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• 1999

The aim of this investigation was to assess the difference of health behaviors, dietary patterns and nutrient intakes between smokers and nonsmoker from 435 free living elderly in Kyunggi province. The study subjects were interviewed to collect general characteristics and health behaviors such as smoking, exercise, alcohol consumption, and food habits by questionnaires and nutrient intakes by a 24-hour recall, and weight, height, waist, hip, and blood pressure were measured. The percentages of smoker were 52.3% in males and 12.1% in females. Current smokers were fond of alcohol, salty or hot food, tended to have meals irregularly and insufficient sleep, and were inactive lifestyle compared to nonsmokers. Smokers consumed fewer servings of vegetables, fruits, and beans and their products. Women who smoked consumed less energy, carbohydrates, and vitamin E than nonsmokers, and their nutrient adequacy ratio of protein, iron, phosphate, niacin, vitamin B1, and vitamin C were significantly lower than nonsmokers. There were no differences of nutrient intakes and nutrient adequacy ratio between smokers and nonsmokers in male subjects. In conclusion, elderly smokers tended to have less healthy life style, food habit, and dietary nutrient intakes which may influence the deleterious effects of smoke components on cancer and coronary heart disease risk, thus health education program should include nutrition education as well as smoking cessation.

• Journal of East-West Nursing Research
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• v.18 no.2
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• pp.104-110
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• 2012

Purpose: The purpose of this study was to investigate the relationship between health promotion behavior and aggression among teenagers. Methods: This was a descriptive study. The survey participants were 502 teenagers. Data was collected from September 7 to October 5, 2009. The data was analyzed using descriptive analysis, independent-samples t-test, ANOVA, and stepwise multiple regression. Results: The average age of participants was 14.4. Fourty eight percent of participants were male, 67.3% were middle-class house, 23.1% were above overweight, 6.3% were daily smoker, 43.5% were occasional drinker. Age was found to have a statistically negative correlation with health promotion behavior, while having positive correlation with aggression. There were significant differences in teenagers' health promotion behavior and aggression according to their smoking and drinking experiences. Personal regression was identified as the most powerful predictor of teenager's aggression. Personal relationship, nutrition accounted for 15.7% of the variance. Conclusion: It is necessary to consider a program related to teenager's health promotion for reduction of their aggression level.

• Korean Journal of Adult Nursing
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• v.21 no.3
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• pp.281-292
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• 2009

Purpose: The purpose of this study was to investigate the risk factors related to prehypertension in Korean adults. Methods: The data were obtained from the Korean National Health and Nutrition Examination Survey 2005. The subjects of this study were 3,981 adults aged over 20 years of age. Demographic characteristics, alcohol drinking, smoking, physical activity, stress, BMI, serum lipid profiles and blood pressure were analyzed in this study. Results: Prevalence of prehypertension was 38.9% in this study. As the result of multiple logistic regression, the risk of prehypertension in male, elderly and low income persons was increased. And the risk of prehypertension was increased in the case of problem drinking, alcohol abuse, formal smoker, overweight, obesity and hyperlipidemia in triglyceride. Conclusion: To decrease prehypertension prevalence, it is necessary to detect and manage the influencing risk factors of prehypertension such as alcohol drinking, smoking, obesity, physical activity, stress and serum lipid profiles.

• Journal of Periodontal and Implant Science
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• v.31 no.4
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• pp.803-810
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• 2001

The purposes of this study were to investigate the relationship between cigarette smoking levels and periodontal status. 199 subjects, consisting of male 127 and female 72, classified by smoking levels and duration were selected: Patients who had smoked for more than 20 cigarettes/day were considered heavy smokers, 10 to 19, moderate smokers; 1-9, light smokers:0, non-smoker. And smokers were divided into ones who had smoked for more than 20 years, 10-19 years, less than 10 years and non-smokers. Heavy smokers and moderate smokers showed significantly greater pocket depths, less clinical attachment levels, more molar furcation involvements, greater alveolar bone loss and higher scores of plaque index than light smokers and non-smokers,(p < 0.05). When the duration of smoking was considered as a factor, scores of clinical parameters were worse and alveolar bone loss were significantly greater in long-term smokers, who had smoked for more than 20 years. In conclusion, cigarette smoking is associated with periodontal status.

• Tuberculosis and Respiratory Diseases
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• v.40 no.4
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• pp.449-453
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• 1993

A 64-year-old male was admitted due to abruptly developed, severe dyspnea via local clinic. He had been a heavy smoker and alcoholic for a long time. Chest PA showed huge haziness in right upper lung field. Sputum culture for bacteriology was positive for Klebsiella pneumoniae. Immediately, appropriate antibiotics were administered and artificial ventilation was started. On 40th hospital day, simple chest roentgenogram taken due to sudden aggravated dyspnea showed marked hyperlucency in right upper lung field, suggestive of rupture of abscess cavity and resultant pneumothorax. At that time, chest tube was inserted but air leakage from the chest tube persisted. Chest CT scan taken after chest tube insertion showed the tube inserted into a thin-walled cavity in the above lesion. on 84th hospital day, right upper lobectomy with decortication was performed. Pathologically, cavittary lung abscess was diagnosed on the findings of partial re-epithelialization of ciliated columnar epithelium with severe pulmonary vascular occlusion and extensive fibrous pleural adhesions.

• The Journal of Korean Medicine
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• v.39 no.4
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• pp.171-176
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• 2018

Background: Small cell lung cancer (SCLC) tends to grow more rapidly and spread much faster than non-small cell lung cancer (NSCLC). A concurrent combination of chemotherapy and thoracic radiotherapy is suggested as the standard conventional treatment, but it is more challenging for elderly patients having pulmonary and cardiovascular comorbidities. Case presentation: Here we present a case of an 80-year-old male, current smoker diagnosed with SCLC in limited stage T3N0M0 (36mm right upper lobe, satellite nodule) in Dec, 2015. The standard concurrent chemoradiotherapy was not available for his comorbidities, which included chronic obstructive pulmonary disease (COPD) and angina pectoris. Furthermore, he and his family refused the recommended chemotherapy or radiotherapy exclusively. Alternatively, he received various non-conventional treatments including local radiofrequency hyperthermia, mistletoe, and Traditional Korean medicine including acupuncture, moxibustion and herbs since Jan. 2016. Despite the progression in primary tumor size, there have been no other distant relapse so far, and the patient has been in stable condition ever since. Conclusion: We suggest that a combination of various alternative treatments could be a candidate for elderly patients intolerable to conventional cytotoxic treatments.