• Journal of Preventive Medicine and Public Health
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• 제36권3호
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• pp.248-254
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• 2003

Objective : This study was conducted in order to investigate predictors of smoking cessation in outpatients. Method : Subjects were 40f adult smoking patients who saw their doctors in the outpatient setting at a university hospital, regardless of their willingness of otherwise in smoking cessation. Physicians delivered a brief, stop smoking prompt to all patients who smoked one or more cigarettes a day. Then they referred to on-site counselors who provided a brief, nurse assisted intervention with a survey to a randomly assigned intervention group (200 smoking patients), whom the counselors telephoned later to prevent relapse or promote the motivation to quit, or gave only a survey to a control group (201 smoking patients). After at least 5 months, self-reported current smoking cessation was confirmed later using cut-off values of 7 ppm or less in expired alveolar air after breath holding portable CO analyzer. Results : After 5 months, subjects in the intervention group were 1.56 times (95% C.I. 0.89-2.73) more likely to quit smoking than those in the non-intervention group (14.0% vs. 9.0%). Willingness to quit smoking in a month, scheduled admission in a month, self efficacy score and FTND (Fagerstrom Test for Nicotine Dependence) score were all significantly related with smoking cessation. In stepwise multiple logistic regression, previous attempts to quit smoking were significant instead of self efficacy score. In the intervention group who had willingness to quit smoking in a month (132 smoking patients), FTND score, whether quit date was today, and whether quit promise paper was submitting were all significantly related with smoking cessation. In stepwise multiple logistic regression, scheduled admission in a month and whether quit date was today were significant predictor variables, Smoking cessation treatment should be tailored to individual smoking patients considering these predictors.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.273-281
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• 2019

본 연구는 성인 남성의 흡연 영향요인, 흡연이 구강건강과 삶의 질에 미치는 영향을 분석하고 치과의료기관의 금연지원 필요성을 제안하고자 하였다. 연구는 2018년 10-12월 기간 중 J시 치과의료기관에 내원한 흡연경험이 있는 성인 남성 165명을 대상으로 흡연영향요인, 흡연이 구강건강에 미치는 영향에 관한 지식, 구강건강 관련 삶의 질, 치과 금연지원 인식을 자기기입식 설문조사하였다. 분석은 SPSS18.0 통계 프로그램을 이용하였다. 흡연집단은 스트레스지수가 13.0으로 비흡연집단 9.97보다 높았고 음주회수가 주 2회 이상으로 비흡연자 0.96회보다 높았으며(p<0.05) 구강보건지식은 상대적으로 낮았다(p>0.05). 흡연은 스트레스(r= .283, p<0.001)와 구강건강관련 삶의 질(r= -.263, p<0.001)과 유의한 상관관계가 있었다. 국가 금연지원 서비스 인식은 32.9 % 이었으나 금연서비스 경험은 19.4 %로 이용율이 낮았다. 치과의료기관의 금연 지원은 65.5 %가 긍정적으로 응답하여 치과금연서비스 이용의 증가를 기대할 수 있었다. 흡연자의 금연지원을 위해 스트레스와 음주 조절 및 구강건강 영향에 대한 교육이 필요하고, 금연서비스 이용을 높이기 위한 금연정책으로 구강보건전문가들의 금연지원 활성화가 요구되었다

• Clinical and Experimental Pediatrics
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• 제49권10호
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• pp.1042-1049
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• 2006

목 적 : 건강위험행동은 만성질환의 가장 큰 원인으로 보건교육의 예방 목표이다. 예방을 위한 적절한 개입이 필요한 시점인 후기 청소년기에서 각 위험행태에 대한 현황과 그 위험행동을 지속하게 할 수 있는 위험요인을 찾아 청소년의 건강한 생활습관을 형성할 수 있는 인자들을 규명하고자 하였다. 방 법 : 2006학년도 고려대학교 신입생들을 대상으로 한 건강검진에 참여한 학생 중 자발적으로 설문지에 응답한 1,297명을 대상으로 비공개 설문지를 통한 조사를 실시하였으며, 설문지는 기본 정보와 4가지의 건강 위험행태(흡연, 음주, 약물사용, 성 행태)에 대한 문항으로 구성되었다. 결 과 : 친구의 흡연과 주변 사람의 흡연하는 정도가 흡연 경험에 영향을 주는 것으로 나타났고, 흡연경험자가 현재흡연자로 이행할 위험요인들은 남성, 도시출신, 친구의 흡연, 니코틴 의존도로 나타났다. 고 위험 음주군의 위험요인들로 남성, 만취하는 회수, 음주한 기간, 과음에 대한 위험성 인식이 낮은 경우가 있었다. 부적절한 약물 사용 경험자는 1.0%로 비교적 낮은 편이었으나 처방 없이 약물을 구하는 경우가 많은 것으로 나타났다. 성 행태 조사 결과 성교육을 받은 경우는 68.1%이나 성교육을 받은 사람에서 피임여부가 유의한 차이를 보이지 않았다. 자신이 양성애를 포함하여 동성애적인 성향을 가진다고 대답한 경우는 1.6%로 나타났으며 거의 이성애로 인식하는 경우는 여성의 비율이 유의하게 높았다. 결 론 : 향후 후기 청소년들의 보건 교육의 목표는 건강위험행동의 시작단계에서 습관적 행동으로의 이행을 막고 건강위험행태에 대한 감시체계 확립에 있다. 고려대학교 신입생들의 건강위험행태에 대한 조사 결과는 후기 청소년들의 건강 위험행태의 위험요인을 규명하는 데 이용될 수 있을 것이다.

• 보건교육건강증진학회지
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• 제22권4호
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• pp.73-90
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• 2005

Objectives: Smokers who had failed to quit smoking were frequently reported that life stress mostly interrupted their abstention. Stress vulnerability model for smoking cessation has been considered, and most of contemporary smoking cessation programs help smokers develop coping strategies for stressful situations. This study aims to investigate the appropriate coping styles for stress of abstention from smoking. The result of investigating the relationship between abstention following smoking cessation program and coping styles would suggest useful information for those who want to stop smoking and health practitioners who help them. Methods: Participants were 69 smokers (62 males, 7 females) participated in a hospitalized smoking cessation program, whose mean age was 44.89 (SD=9.61). Participants took medical test and completed questionnaires and psychological tests including: Fagerstrom Test for Nicotine Dependence and Multidimensional Coping Scale. To identify participants' abstention, researchers followed them for 2 years. To identify whether abstained or not and encourage them to abstain, researchers called them on the telephone once a week for 3 months. After 3 months, they were contacted every other week till 6 months passed since they left smoking cessation program. And they were contacted once a month for other 18months. Researchers also contacted their family to identify their abstention. Data Mining Decision Tree was performed with 37 variables (13 variables for the coping styles and 24 smoking-related variables) by Answer Tree 3.0v Results: Forty four (63.8%) out of sixty nine for 2 weeks, 34 (49.3%) for 6 months, 25 (36.2%) abstained for 1 year, and 22 (31.9%) abstained for 2 years. Participants of this study abstained average of 286.77 days from smoking. Included variables of a Decision Tree model for this study were positive interpretation, emotional expression, self-criticism, restraint and emotional social support seeking. Decision Tree model showed that those (n=9) who did not interpret positively (<=7.5) and criticized themselves (>6.5) abstained 23 days only, while those (n=9) who interpreted positively (>7.5), expressed their emotion freely (>6.5), and sought social support actively (>11.5) abstained 730 days, till last day of the investigation. Conclusion: The results of this study showed that certain coping styles such as positive interpretation, emotional expression, self-criticism, restraint and emotional social support seeking were important factors for long-term abstention from smoking. These findings reiterate the role of stress for abstention from smoking and suggest a model of coping styles for successful abstention from smoking. Despite of limitation of this study, it might help smokers who want to stop smoking and health practitioners who help them.

• Tuberculosis and Respiratory Diseases
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• 제71권2호
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• pp.114-119
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• 2011

Background: There is very limited data present on smoking cessation rates in outpatient departments of pulmonology. In this study, we aimed to investigate the effectiveness of a brief smoking cessation intervention program in an outpatient department of pulmonology and identify predictors of smoking cessation failure. Methods: After a brief recommendation of smoking cessation from pulmonologists, smokers willing to quit smoking were given individual counseling and supplement drugs. Fifty smokers were included in this study and baseline characteristics, smoking history and success rate were reviewed at 3 months. Results: The mean age of the patients was $58.3{\pm}14.6$ years and the total group of patients included 3 women. The rate of smoking cessation success was 74% at 3 months, and there were no differences in age, spirometric indexes and associated diseases between the smoking cessation success and failure group. The rate of supplement drug usage was not different in both groups either. However, body weight, mean number of cigarette usage per day and nicotine dependence scores in the failure group were significantly higher than in the success group. In multivariate analysis, body weight and mean number of cigarette usage per day were significant. Two smokers with a depressive disorder failed the smoking cessation. Conclusion: A smoking cessation intervention program in the outpatient department of pulmonology showed a favorable success rate. More intensive interventions are needed to unfavorable groups which include the obese and heavy smokers.

• 대한불안의학회지
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• 제5권1호
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• pp.29-35
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• 2009

Background : In spite of the worldwide relevance of obsessive-compulsive disorder Ed-highlight : Unclear. Perhaps consider changing word choice. (OCD), there are considerable differences in prevalence, sex ratio, comorbidity patterns, and sociodemographic correlates. Data on subclinical OCD have been sparse to date. Methods : Data stemmed from the Korea Epidemiologic Catchment Area (KECA) study which had been carried out from April to December 2001. Korean versions of DSM-IV adapted Composite International Diagnostic Interview were administered to a representative sample of 6275 persons aged 18-64 living in the community. DSM-IV based criteria for subclinical OCD were applied. Results : The lifetime prevalence rates for OCD and subclinical OCD were 0.8% and 6.6%, respectively. In both OCD and subclinical OCD, the rates for males and females were not statistically different. OCD was demonstrated to be associated with depressive disorder, bipolar disorder, social phobia, generalized anxiety disorder, and alcohol and nicotine dependence. Additionally, subclinical OCD was associated with posttraumatic stress and somatoform disorders. Comorbidity rates in subclinical OCD were lower than those in OCD. Conclusions : The lifetime prevalence rate for OCD was less than 1% in the Korean general population. Age distribution and comorbidity patterns suggest that subclinical OCD represents a broad and heterogeneous syndrome and not simply a milder form of OCD.

• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5531-5536
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• 2015

Background: Increased pricing of cigarettes might be one of the most effective approaches for reducing the prevalence of smoking. This study aimed to investigate the effects of increasing cigarette prices through taxation by a tobacco intervention policy on the changes in smoking prevalence in Korean university students. Materials and Methods: The participants in this study were 23,047 healthy university students aged 18-29 years from a health examination in 2011-2015. We investigated the adjusted prevalence of daily and occasional smoking before and after increasing cigarette prices through taxation. Results: The prevalence of occasional smoking was significantly decreased in 2015 from 2014 in both male (from 10.7% in 2014 to 5.4%) and female (from 3.6% to 1.1%) students, but the prevalence of daily smoking did not decrease significantly. The frequency of individuals who had attempted smoking cessation during the past year was significantly higher among occasional smokers in male students (90.2%) compared with daily smokers (64.9%). For female students, there were no differences in experience of smoking cessation, willingness for smoking cessation, or E-cigarette experience between daily and occasional smokers. Conclusions: We found that a policy of increasing cigarette prices through taxation is associated with decreases in the prevalence of occasional smokers, who have relatively lower nicotine dependence compared with individuals who smoke daily. The results of our study suggest that social support and direct intervention for smoking cessation at the community level are needed for university students alongside the pricing policy.

• 한국식품영양과학회지
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• 제43권5호
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• pp.772-783
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• 2014

본 연구는 한국건강관리협회 건강증진의원에서 생애전환기 건강진단을 수검한 만 40세 중년기의 성인 27,684명을 대상으로 한 대규모 인구집단 연구로서, 우울한 기분상태와 흡연, 음주, 신체활동 특성과의 관련성을 파악하고 이들을 대상으로 효과적인 건강증진 프로그램을 개발하는데 기초자료로 활용하고자 시도하였다. 전체 연구대상자의 6.4%는 우울기분군으로 분류되었고 우울기분의 분포는 남성보다 여성에서 유의하게 높았다. 비우울군에 비해 우울기분군에서 현재 흡연자의 비율이 높았으며, 비흡연자에 비해 과거 흡연자와 현재 흡연자에서 우울기분의 교차비가 증가하였다. 또한 현재 흡연자의 하루 평균 흡연량이 21개피 이상일 경우 우울기분과의 교차비가 증가하여 흡연과 우울기분의 높은 관련성을 나타내었다. 1주 평균 음주일수가 3일 이상인 경우 보정 후 우울기분의 교차비가 비음주군에 비해 높았으며 우울기분군에서 알코올남용 및 알코올의존이 더 높아 부적절한 음주행태와 우울기분이 관련성이 있음을 확인할 수 있었다. 우울군에서는 고강도 운동을 5일 이상 한다고 응답한 비율이 낮았고 1주 평균 고강도 운동 횟수가 2~4일로 적당할 경우, 우울기분의 교차비가 낮아져 고강도 신체활동과 우울기분의 관련성을 나타내었다. 본 연구에서는 고강도 운동에서만 유의한 관련성을 보였으나 운동 강도, 빈도와 우울기분과의 관련성에 대한 다각적인 연구가 추가적으로 필요할 것이라 생각된다. 결론적으로 본 연구에서는 생애전환기를 지나고 있는 대한민국 만 40세 성인의 우울기분이 흡연, 음주, 신체활동의 생활습관과 연관성을 가지고 있음을 알 수 있었다. 따라서 이들을 대상으로 효과적인 질병예방과 건강증진 프로그램을 제공하기 위해서는 경도의 우울기분 유무를 파악하고, 심리적 정신적인 건강관리를 위한 지원을 병행하는 것이 매우 중요할 것이다. 우울기분의 관리를 위해 서는 지역사회에서 흡연, 음주, 신체활동 등의 생활습관 개선을 교육, 지원하는 것뿐만 아니라 흡연, 음주, 신체활동을 아우르는 다양한 중재 프로그램의 개발이 필요하다 사료된다.