• 지역사회간호학회지
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• 제15권2호
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• pp.277-288
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• 2004

Purpose: This study was to provide basic information for preventing high school students from smoking by examining their actual smoking condition and their knowledge and attitude about smoking. Method: The subjects were 515 students selected from six(6), high schools in Jecheon. Data were collected using a questionnaire from the 1st to the 17th of December 2002. The author prepared the tool by modifying the scale of knowledge and attitude about smoking developed by Moon(2001). Data were analyzed with SPSS/WIN program using frequencies, percentages, $x^2$-test, t-test, ANOVA. Duncan test and Pearson's correlation coefficient. Result: 1. The percentage of ex-smoking students was 29.9% of male students and 18.6% of female ones. The percentage of currently smoking students was 23.9% of male students and 3.0% of female ones. The percentage of non-smoking students was 46.2% of male students and 78.4% of female ones, 2. There were not significant differences in smoking knowledge according to smoking status in male and female students. 3. There were significant differences in smoking attitude according to smoking status in male(F=32.70, p=.000) and female(F=11.15, p=.000) students. 4. In smoking status according to general characteristics, there were significant differences according to the type of school($x^2$=32.93, p=.000), grade($x^2$=11.91, p=.018), educational level of the father($x^2$=30.52, p=.000) and the mother($x^2$=14.23, p=.027), monthly allowance($x^2$=17.19, p=.028), harmony of family members($x^2$=15.23, p=.019), school life($x^2$=26.96, p=.00l) and school record($x^2$=30.24, p=.000). 5. In smoking status according to smoking-related characteristics, there were significant differences according to experience in cigarette purchase($x^2$=150.04. p=.000), experience in errands for cigarette($x^2$=20.00, p=.000), knowledge of cigarette price($x^2$=72.52, p=.000), close friends' smoking($x^2$=107.41. p=.000) and smoking of brothers and sisters($x^2$=16.97, p=.002). 6. There were significant correlation between knowledge and attitude about smoking in the whole students(r=.337. p=.000), ex-smokers(r=.324. p=.000), non-smokers(r=.369. p=.000) but there was not a significant correlation between knowledge and attitude about smoking in current smokers(r=.128. p=.30l). Conclusion: Smoking prevention education should considered students' smoking status. Current smokers need smoking prevention education aiming to change their attitude toward smoking in order for them to reduce smoking and to practice smoking cessation.

• 한국환경보건학회지
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• 제40권6호
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• pp.492-501
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• 2014

Objectives: The purpose of this study was to assess the validity of self-reported cigarette smoking status and investigate factors associated with the accuracy self-reported and measured urinary cotinine in Korean adults. Methods: We used data from the $1^{st}$ Korean National Environmental Health Survey (2009-2011) among adults aged ${\geq}19$ years (N=6,246). The survey examined self-reported smoking status, and urinary cotinine was regarded as the biomarker of exposure to tobacco smoke. Urinary cotinine was analyzed using a gas chromatography-mass spectrometry (GC/MS) and data analysis was conducted using IBM SPSS version 20.0, which uses the sample weight and calculates variance estimates to adjust for the unequal probability of selection into the survey. Results: We calculated a cut-off point (53.3 ug/L) by using a ROC (Receiver Operating Characteristic) curve. The smoking prevalence was 24.6% based on self-reported data and 28.2% based on urinary cotinine concentrations. When we assessed the agreement between self-reported and urinary cotinine, we found an average agreement of 97.7% among self-reported smokers and 94.5% among self-reported non-smokers. Among self-reported smokers, factors affected the discrepancy were age, household economic status and average number of cigarettes smoked per day. On the other hand, gender, former smoking experience, and exposure to SHS (second hand smoke) were associated with discrepancies among self-reported non-smokers. Conclusion: These results suggest that self-reported data on smoking status provide a valid estimate of actual smoking status. In future research, we will conduct a continuous monitoring study for reliability verification of the data to reduce potential interpretation errors.

• 산업융합연구
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• 제18권5호
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• pp.30-35
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• 2020

본 연구의 목적은 융복합을 통한 유산소운동이 금연에 참여한 여자 대학생의 호기 일산화탄소 및 호흡순환기능에 미치는 영향을 규명하는데 있다. 대상자는 D광역시 D대학 여자대학생들로 흡연을 시작한지 2년 이상 그리고 규칙적인 신체활동을 하지 않는 자를 우선 선별한 후, 실험 참가 의사를 밝힌 총 18명을 선정하여, 금연의 서약서와 실험 동의서를 받았다. 무선배정으로 운동집단 9명, 통제집단 9명으로 분류하였으며, 정확한 운동프로그램을 설정하기 위해 최대하운동부하검사를 통해 개인별 운동강도를 설정하여 1-3주 50%HRmax, 4-6주 60%HRmax, 7-9주 70%HRmax로 설정하여 다음과 같은 결과를 얻었다. 첫째, 일산화탄소의 변화는 운동집단에서 참여 전 상습흡연자 수치에서 참여 후 비흡연자 수치로 나타났으며, 통제집단 역시 금연의 효과로 비흡연자 수치를 보였다. 둘째, 호흡순환기능은 운동집단에서 최대산소섭취량, 최대심박수, 최대환기량 모두 유의한 증가를 보였지만, 통제집단은 유의한 수준의 변화를 보이지 않아 건강한 삶을 영위하기 위해 규칙적인 신체활동의 중요성을 확인하였다.

• 한국콘텐츠학회논문지
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• 제21권2호
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• pp.215-226
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• 2021

본 연구의 목적은 다회차 음주에 따른 장소별 음주량과 알코올의존을 분석하는 것이다. 국제 알코올 통제 연구의 일환으로 2012년에 수집된 단면 데이터를 사용하였으며, 만19-64세 음주자 1,789명 중 855명을 대상으로 하였다. 다회차 음주자 비율은 남성(χ²=37.607, p<.001), 학생(χ²=52.466, p<.001), 미혼자(χ²=34.205, p<.001), 흡연경험이 있거나 스트레스가 있는 군(χ²=40,09, p<.001, χ²=21.66, p<.001)에서 유의적으로 높았다. 특히, 미혼자, 흡연자, 스트레스군의 알코올 섭취량이 기혼자, 비흡연자, 비스트레스군보다 유의적으로 더 높았다. 다회차에 걸쳐 알코올 섭취량이 가장 높은 장소는 주류 판매 업종인 술집으로 나타났다(F=67.8g, p<0.001). 음주자의 음주차수가 증가할수록 총 알코올 섭취량이 증가하였으며(F=209.993, p<0.001) 알코올의존도 검사인 RAPS4와 DSM-IV에서 양성 반응을 나타낸 음주자의 수(%)가 각각(F=129.836, p<0.001; F=94.669, p<0.001) 증가하였다. 음주자 중 알코올의존 교차비는 남성이 여성보다 2.3(95% CI: 1.745-3.057)배, 무직자는 직장인보다 3차에서 3.2(95% CI: 1.053-9.838)배, 흡연자는 비흡연자보다 3차에서 3.9(95% CI: 1.230-12.292)배, 그리고 스트레스군도 비스트레스군보다 2.1(95% CI: 1.561-2.768)배 높았다. 결론적으로 음주차수가 증가할수록 흡연여부나 스트레스와의 관련성과 알코올 의존도가 높아져 알코올에 더 취약할 수 있음을 시사한다.

• 치위생과학회지
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• 제17권6호
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• pp.487-494
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• 2017

본 연구는 국민건강영양조사 제4기와 제5기(2007년~2012년) 자료를 이용하였으며, 구강검진 조사자료가 제공되지 않은 2011년 자료를 제외하고, 20세 이상의 성인 11,643명을 대상으로 연도별 흡연 유형별 치주질환의 추이를 살펴보고, 치주질환에 영향을 주는 인자를 평가하였다. 5개년도를 통합한 자료에서는 비흡연자에 비해 직접흡연자는 단순, 다중 로지스틱 회귀분석 모두에서 치주질환이 있을 aOR이 1.78, 1.77이었으며(p<0.001), 연도별 경향성을 보았을 때, 여자에 비해 남자가 치주질환이 있을 aOR은 1.12로 나타났다(p<0.001). 연도별 흡연 유형에 따라 치주질환 유병률은 치주질환이 있는 집단에서 직접흡연자의 비율이 현저하게 증가추세를 보였다. 또한 주요인자를 보정한 연도별 흡연 유형과 치주질환의 관련성을 단변량 분석한 결과, 비흡연자에 비해 직접흡연자의 치주질환이 있을 aOR은 2007년도에 1.99로 가장 높게 나타났다. 반면에 간접흡연자가 비흡연자에 비해 치주질환이 있을 확률은 통계적으로 유의하지 않았다. 인구사회학적 변수와 임상적 변수를 보정한 다변량 로지스틱 분석결과, 2007년도를 제외하고는 치주질환 발생에 있어 직접흡연자의 위험비는 통계적으로 모두 유의하였다. 반면 치주질환 발생에 있어 간접흡연의 영향력은 2010년도에서만 1.68의 aOR로 통계적 유의성을 보였다(p=0.032). 결론적으로 본 연구를 통해 연도에 따라 간접흡연의 노출이 증가되고 있음을 간접적으로 예측할 수 있었고, 직접흡연자에 비해 통계적 영향력의 크기는 뚜렷하지 않지만 치주질환에 있어 위험인자로서 독립적으로 고려되어야 함을 확인할 수 있었다. 중대구강병인 치주질환의 다양한 위험요인을 규명하고, 이를 예방하기 위한 측면에서 간접흡연과 치주질환의 명확한 기전과 영향력 크기를 밝히기 위한 근거자료 마련이 지속화되어야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제44권5호
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• pp.210-217
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• 2011

Objectives: The rising burden of preventable risk factors for non-communicable diseases (NCDs) among adolescents is a major public health challenge worldwide. We identified the preventable risk factors for NCDs in adolescents. Methods: In a school-based study, pre-tested structured questionnaires were completed by 414 adolescents (14 to 17 years) at six schools in three cities in Pakistan. The chi-squared test and adjusted odds ratio (aOR) with 95% confidence interval (CI) were calculated in a multinomial logistic regression analysis. Results: Over 80% of the adolescents had unhealthy diets, and 54% were physically inactive. Most adolescents were exposed to passive smoking, and 14% were also current smokers. More than one-third of participants chewed betel nut, and one-quarter used oral tobacco. More girls were physically inactive (OR, 4.07; 95% CI, 2.69 to 6.17), whereas a greater proportion of boys were current smokers (OR, 2.17; 95% CI, 1.19 to 3.91), exposed to passive smoking (OR, 2.57; 95% CI, 1.72 to 3.83), and using betel nut (OR, 2.03; 95% CI, 1.34 to 3.06). Only 3.1% of the participants were without any preventable lifestyle risk factor for NCDs, and over 80% had ${\geq}$2 factors. Co-existence of risk factors was independently associated with fathers being blue-collar workers (aOR, 3.57; 95% CI, 1.07 to 11.92) and parents not treating their child fairly (aOR, 5.05; 95% CI, 1.29 to 19.78). Conclusions: Most of the adolescents studied had preventable risk factors for NCDs. These results warrant comprehensive and integrated interventions to prevent lifestyle risk factors, and parents are front-line stakeholders.

• 대한한의학회지
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• 제29권1호
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• pp.134-145
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• 2008

Objectives : This study investigated the relationship between drinking, smoking and stress of workers by analyzing heart rate variability. The subjects were workers in the automobile manufacturing industry. Methods : The subjects consisted of 21,239 and 19,999 industrial workers who had received health examination by Korean oriental medicine and submitted questionnaires about drinking history and smoking history, during 8 months from April to November. The subjects were categorized into drinking history and smoking history. The heart rate variability was measured for five minute at rest using SA-3000P (Medicore) and reported stress severity as stress index, stress resistance and fatigue. We analyzed the relationship between drinking, smoking and stress into frequencies, $x^2$-test using the SPSS Ver. 12.0. Results : Regarding the relationship between drinking and stress index orstress resistance, there was no statistically significant difference, but regarding the relationship between drinking and fatigue, the drinker group had a significantly higher level of fatigue than the non-drinker group. There was a statistically significant difference in stress index, stress resistance and fatigue between the current-smoker group and others. Stress resistance of the current-smoker group had lower levels than the non-smoker group or ex-smokers. On the other hand, stress index and fatigue of the current-smoker group had higher levels than the non-smoker group or ex-smokers. Conclusions : The above results revealed that drinking and smoking could put workers under a lot of stress. Smoking workers were especially apt to be under stress and had difficulty in alleviating stress.

• 한국학교보건학회지
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• 제33권1호
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• pp.39-47
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• 2020

Purpose: The purpose of this study was to compare unsafe sex experiences of multicultural and non-multicultural adolescents. Methods: The study analyzed the data of 3,029 respondents who responded that they had sex in the Korea Youth Risk Behavior Web-Based Survey of 2018. Weighted percentages and simple and multiple logistic regression were conducted using SAS 9.2. Results: As a result of univariate analysis, the odds ratio of unsafe sex was significantly higher in multicultural adolescents, but the difference between the two groups was not significant after controlling for the related variables. Among the covariates, the odds of unsafe sex were significantly higher in boys (AOR: 1.34; 95% CI: 1.08~1.66), those who did not live with their family (AOR: 1.68; 95% CI: 1.17~2.39), those with low academic achievement (AOR: 1.33; 95% CI: 1.02~1.73), binge drinkers (AOR: 1.61; 95% CI: 1.29~2.02), smokers (AOR: 1.37; 95% CI: 1.06~1.78), and those who did not receive sex education (AOR: 1.59; 95% CI: 1.20~2.11). Conclusion: There was no significant difference in unsafe sex experience between multicultural and non-multicultural adolescents. This study also shows the positive effect of school sex education on safe sex in teenagers. It is necessary to strengthen sex education for male students, students not living with their family, students with low academic achievement, binge drinkers, and smokers.

• Journal of Preventive Medicine and Public Health
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• 제40권4호
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• pp.321-328
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• 2007

Objectives : The aim of this study was to evaluate the roles of cigarette smoking, alcohol consumption, tuberculosis, and their interactions in the risk of lung cancer in a Korean cohort. Methods : The study subjects comprised 13,150 males and females aged above 20 years old. During the follow up period from 1993 to 2002, 79 lung cancer cases were identified by the central cancer registry and the national death certificate database. Information on cigarette smoking, alcohol consumption and the history of physician-diagnosed tuberculosis was obtained by interview. Indirect chest X-ray findings were also evaluated to ascertain tuberculosis cases. Cox proportional hazard models were used to estimate relative risks (RR) and 95% confidence intervals (CI) after adjusting for age and gender. Results : Cigarette smoking was statistically significantly associated with an increased risk of lung cancer [for current smokers, RR = 2.33 (95% CI = 1.23 - 4.42) compared to non-smokers]. After further adjustment for cigarette smoking, both alcohol consumption and tuberculosis showed no statistically significant association with the risk of lung cancer [for current drinkers, RR = 0.80 (95% CI = 0.48 - 1.33) compared to non-drinkers] [for tuberculosis cases, RR = 1.17 (95% CI = 0.58 - 2.36) compared to non-cases]. There was no statistically significant interaction between cigarette smoking and alcohol consumption (p-interaction = 0.38), or cigarette smoking and tuberculosis (p-interaction = 0.74). Conclusions : Although cigarette smoking was confirmed as a risk factor of lung cancer in this cohort study, this study suggests that alcohol consumption and tuberculosis may not be associated with the risk of lung cancer.

• 대한임상검사과학회지
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• 제52권2호
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• pp.105-111
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• 2020

흡연은 염증 증가와 관련이 있으며 다양한 질환의 위험 인자이다. 요거트는 건강에 이로운 영향을 미치는 것으로 알려져 있다. 이 연구에서는 요거트 섭취가 흡연자들의 혈액학적 변수와 섬유소원 수치에 미치는 영향을 조사하였다. 연구대상자들은 네 개의 군으로 나누었는데 비흡연자는 대조군과 요거트군으로, 흡연자는 흡연군과 복합군(흡연하면서 요거트 섭취)으로 분류하였다. 연구대상자들은 3주 동안 요거트 섭취와/또는 담배를 피웠으며 3주 후에 혈액학적 변수와 섬유소원의 수치 변화를 조사하였다. 연구 결과, 복합군에서 호중구와 섬유소원의 수치가 의미 있게 증가한 반면 림프구 수치는 감소했다. 호산구 수치는 흡연군에서 의미 있게 증가했지만 복합군에서는 변화가 없었다. 또한 흡연군과 복합군에서 평균혈색소농도가 증가하여 흡연이 적혈구 수명에 영향을 미칠 수 있음을 나타냈다. 결론적으로, 이 연구는 요거트 섭취가 흡연자들의 호중구, 림프구, 섬유소원의 수치를 조절함으로써 면역 기능에 영향을 미칠 수 있다는 것을 보여주었고 흡연군과 달리 복합군에서는 호산구 수치가 증가하지 않음으로써 요거트 섭취가 알레르기 반응에 억제 효과를 가지게 할 수 있다는 것을 나타냈다.