• Asian Pacific Journal of Cancer Prevention
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• v.14 no.2
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• pp.625-630
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• 2013

Background: Hardcore smoking is represented by a subset of daily smokers with high nicotine dependence, inability to quit and unwillingness to quit. Estimating the related burden could help us in identifying a high risk population prone to tobacco induced diseases and improve cessation planning for them. This study assessed the prevalence and associated factors of hardcore smoking in three South-East Asian countries and discussed its implication for smoking cessation intervention in this region. Materials and Methods: Global Adult Tobacco Survey (GATS) data of India, Bangladesh and Thailand were analyzed to quantify the hardcore smoking prevalence in the region. On the basis of review, an operational definition of hardcore smoking was adopted that includes (1) current daily smoker, (2) no quit attempt in the past 12 months of survey or last quit attempt of less than 24 hours duration, (3) no intention to quit in next 12 months or not interested in quitting, (4) time to first smoke within 30 minutes of waking up, and (5) knowledge of smoking hazards. Logistic regression analysis was carried out using hardcore smoking status as response variable and gender, type of residence, occupation, education, wealth index and age-group as possible predictors. Results: There were 31.3 million hardcore smokers in the three Asian countries. The adult prevalence of hardcore smoking in these countries ranges between 3.1% in India to 6% in Thailand. These hardcore smokers constitute 18.3-29.7% of daily smokers. The logistic regression model indicated that age, gender, occupation and wealth index are the major predictors of hardcore smoking with varied influence across countries. Conclusions: Presence of a higher number of hardcore smoking populations in Asia is a major public health challenge for tobacco control and cancer prevention. There is need of intensive cessation interventions with due consideration of contextual predictors.

• Research in Community and Public Health Nursing
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• v.21 no.4
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• pp.522-531
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• 2010

Purpose: The purpose of this study was to examine the effects of knowledge about the harmfulness of smoking and attitude toward smoking temptation for middle school students. Methods: A survey was conducted in this study on 745 students from 12 middle schools in the Y City. Data were analyzed with SPSS/WIN 12.0 using descriptive statistics, t?test, ANCOVA, Scheffe's test and multiple regression analysis. Results: There was statistically significant difference in knowledge about the harmfulness of smoking (F=2.88, p<.05) and attitude toward smoking (F=54.61, p<.001). And there was statistically significant difference in smoking temptations among tempting factors such as negative mood of individual (F=63.61, p<.001), positive mood of social situation (F=67.08, p<.001), habitualness (F=57.68, p<.001), weight control (F=33.01, p<.001), and others' smoking (F=73.13, p<.001). Conclusion: These results suggest that smoking?cessation programs to enhance the effectiveness of nursing interventions should be tailored to the level of smoking temptation and that educational programs should be developed for middle school students.

• Korean Journal of Health Education and Promotion
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• v.23 no.3
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• pp.1-16
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• 2006

Objectives: To analyze the characteristics of smoking prevention programs for the adolescent, and to synthesize the common effect sizes on smoking prevention programs for the adolescent. Methods: Seventeen studies for meta-analysis were selected from dissertations, these, and papers that had been published from 1996 to 2005 and had a randomized or nonequivalent control group in a pre test-post test design. The analysis of the data was computed by using the meta-analysis software package developed by Song(2003). Results: Smoking prevention programs for the adolescent have resulted in a significant effect size on smoking-knowledge( .62), smoking-attitude( .55) of smoking prevention programs for the adolescent showed more than 'medium effect' size. In smoking-knowledge and amount of smoking, the effect size was smoking-attitudes, the effect size was large in the studies which consists of more than 10 sessions of intervention. Conclusion: From the above results, we notice that the smoking prevention programs for the adolescent were effective in increasing the smoking-knowledge, smoking-attitudes, and the intention of smoking-cessation.

• Korean Journal of Health Education and Promotion
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• v.24 no.4
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• pp.241-249
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• 2007

Health education aims at behavior change rather than just delivering health knowledge to people. In Korea health education activities in public sector began in 1960 and they were included in the primary prevention program in communities. This article reviewed current health education programs in healthy living practice programs provided by local public health centers in Korea and drew implications for the future role of health education in community setting. Health education has been a core function of the National Health Promotion programs in the nation since the enactment of the National Health Promotion Law in 1995. The National Health Promotion programs are funded by the National Health Promotion Fund which are drawn from tobacco tax. The National Health Promotion programs include healthy living practice programs (smoking prevention and cessation programs, moderate alcohol use programs, physical activity promotion programs, and nutrition programs), chronic disease prevention programs, oral health programs and public hygiene programs. Methods of the National Health Promotion programs include health education, health counseling, health class, health information management, survey and research. Smoking prevention and cessation programs include smoking cessation clinic, smoking cessation education, non-smoking environment program, and non-smoking campaign. Moderate alcohol use programs include alcohol use education, moderate alcohol use campaign, alcohol use counseling, and alcohol free environment programs. Physical activity promotion programs include obesity control, targeted exercise program, and exercise civic group programs. Nutrition programs include nutrition management, obesity management, nutrition education, breakfast eating program, and nutrition counseling and treatment programs. The health education programs in community are not efficient today because there are many overlapping contents and short term goals. Community health education programs needs to be more comprehensive. Workforce development is another big issue at the moment because the National credential program will begin in 2009. Variety of community health education programs should be developed and funded by the national health promotion fund.

• Health Policy and Management
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• v.12 no.4
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• pp.56-67
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• 2002

The objectives of this study were to look into the present conditions and problems of smoking prevention programs for young people carried out by the Korean health insurance corporation(KHIC) and to provide the basic data for the governmental policy. In order to examine the actual achievements of existing smoking cessation programs, a survey was conducted over 235 KHIC branches. The person responsible for the cessation program from each branch responded to questionnaire sent by mail with regard to smoking cessation programs The survey shows the shortage of responsible persons. educational subjects were mainly elementary, middle school and high school students. The main educational method was to watch the video of which the content is the knowledge of smoking. but most of these videos were made for adults. Therefore, these videos are not appropriate for the children. 37% of these branches estimated the effectiveness of their program. On the basis of the survey data and analysis of current situations, the following actions are recommended in order to develop a more effective cessation program; first, the establishment of the effective administrative plan, second, the supplementation of the educator and the responsible person, third, the development of text books and videos which are appropriate for the children.

• Korean Journal of Health Education and Promotion
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• v.23 no.2
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• pp.29-45
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• 2006

Objectives: This study aims to investigate the attitude toward smoking and knowledge on smoking, self-efficacy, and self-esteem among high school students, and examine the moderate effects of gender on the differences in those variables between smoking and non-smoking students. As the result of investigation, it would suggest useful information for those who want to provide interventions of smoking prevention and smoking cessation to adolescents. Methods: Participants were 1,117 high school students (511 males, 584 females), whose mean age was 16.38 (SD=.87). To identify whether participants were smoking or not, bogus-pipeline was used. The data was collected with questionnaire include Smoking Attitude Inventory, General Self-Efficacy Scale, and Rosenberg's Self-Esteem Scale. A Pearson chi-square test and 2-way MANOVAs were performed with SPSS 11.5 for Windows. Results: With bogus-pipeline, one hundred thirty five (26.0%) of male students and 125(21.4%) of female students reported as they were smoking, while 115(22.2%) of male students and 78(13.3%) of female students reported as they were smoking at unidentified survey which was performed one week before bogus-pipeline. Results revealed that students who smoked had more positive attitude toward smoking and more knowledge on smoking than those who didn't smoke. Difference in knowledge on smoking between smoking and non-smoking students only existed in female students. Female students who smoked had lower self-esteem than female students who didn't smoke, but this difference didn't exist in male students. Conclusion: With the results of this study, it is considered smoking rates of adolescents surveyed with unidentified self-report questionnaires as underestimated. Health practitioners might consider female smokers' attitude toward and knowledge on smoking and self-esteem, especially for high school students. Despite of limitation of this study, it might help those who want to prevent initiation of smoking and give up smoking in adolescence.

• Journal of Korean Biological Nursing Science
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• v.18 no.4
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• pp.213-220
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• 2016

Purpose: The aim of this study was to identify the influence of knowledge, attitude and preventive health behavior of cancer on nicotine dependency in male college students who have a habit of smoking. Methods: In this study, a cross-sectional survey design was adopted for the 254 male college students who smoke in D and S city. The data was analyzed for descriptive statistics, t-test, Pearson's correlation coefficient and multiple regression analysis using the SPSS 20.0 program. Results: Knowledge about lung cancer (${\beta}=-.407$, p<.001), preventive health behaviors about cancer (${\beta}=-.223$, p<.001) and the smoking period ($5years{\leq}$) (${\beta}=.198$, p=.001) were identified as the factors influencing nicotine dependency of the subjects. The model explained 33% of variance in nicotine dependency (F=20.49, p<.001). Conclusion: The results suggest that anti-smoking educators should include the strategies to increase knowledge about lung cancer and preventive health behaviors of cancer, and to reduce the smoking period in their smoking cessation program.

• Journal of Korean Academy of Nursing
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• v.33 no.2
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• pp.256-264
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• 2003

Purpose: The purpose of this research was to find out tobacco control education taught graduate, baccalaureate and associate degree-nursing programs in Korea. Method: A valid and reliable questionnaire previously used to assess tobacco use in medical and nursing schools in the United States was translated and revalidated. Surveys were sent out to all the graduate, baccalaureate and associate nursing programs in Korea. All 6-tobacco curricula content areas recommended by the United States National Cancer Institute and the Agency for Health Care Policy and Research was included. Result: Majority of BSN (93.2%-75%) and AD (92.3%-64.1%) programs were teaching health hazards, cancer risk, health effects of tobacco, effects of ETS, contents of cigarette, withdrawal symptoms and high risk groups of smoking as a part of required courses. However, 87.5% (14/16) of graduate, 50.0% (22/44) in baccalaureate, 53.8% (21/39) in associate degree programs were not teaching about the 5 A's. Of those who reported teaching smoking cessation strategies, they were covered most frequently in Community Nursing (50%), Adult Health Nursing (43.8%) on the graduate level, and in Community Nursing (65.9%-BSN, 76.9%-AD) and Adult Health (54.5%-BSN, 74.4%-AD) on the undergraduate level. 31.1% (5/16) in Graduate, 18.2%(8/44) in BSN, 10.3% (4/39) in Associate Degree programs reported that there are no smoking students in their schools and rest of the schools reported either do not know or they have 1 to more than 21% of students smoking. Conclusion: The study results identifies the quantity and level of tobacco control content in three different nursing programs and will help in developing curricular guidelines in the future. Further survey needs to be done on nursing students' knowledge, attitude and belief on smoking and smoking cessation.

• Journal of agricultural medicine and community health
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• v.45 no.4
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• pp.221-234
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• 2020

Objectives: The purpose of this study is to identify the policy compliance according to the socio-demographic characteristics, stress, satisfaction of relationship, Health Belief Model and characteristics of smoking behaviors and knowledge related smoking of the residents living in the Smoke-free apartment and to investigate the change of the smoking related behavior before and after the implementation of the policy. Methods: The subjects of the survey were 293 residents aged 19 or older who reside in apartments six months after the designation of Smoke-free apartment located in Daejeon. All collected data were analyzed using T-test, ANOVA and Hierarchical multiple regression of SPSS for windows(ver 24.0) program. Results: The policy compliance was higher in women and those who lived for less than two years, and non-smokers were significantly higher. The policy compliance of the whole subjects was related to satisfaction with the surrounding relationship, perceived disability about smoking cessation, frequency of smoking and the amount of smoking. The policy compliance of the whole subjects was related to the satisfaction of the surrounding relationship, the perceived disability about smoking cessation, and the amount of smoking. In addition, after the implementation of the gold research station designation policy, it had a positive impact on smoker's smoking behavior and resulted in reducing the frequency of secondhand smoke among residents. Conclusions: In order to increase the compliance of the non-smoking policy It is necessary to continuously expand the indoor smoking cessation zone policy, develop policies and supplement the health belief model components.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.8
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• pp.5287-5295
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• 2015

This study was conducted to identify the related factors of cancer preventive behaviors for adolescent smokers. Data were collected from September 1st 2012 to March 31st 2013 of 200 adolescent smokers who were participating in smoking cessation school at W hospital in B city. As a results, there were significant differences in cancer preventive behaviors by grade, religion, benefit, barrier, perceived health status, daily living, alcohol, exercise, nicotine dependency, first smoking age, smoking duration and non-smoking intention. Cancer preventive behaviors were weakly negative related to knowledge about cancer, And there is weakly positive correlation between cancer preventive behaviors and attitude about cancer. Meaningful variables which explain cancer preventive behaviors were daily living, barrier, grade, exercise, benefit, knowledge about cancer, smoking cessation intention in order. Total explanation power was 30.6% and daily living has most explanation power. In conclusion, It is necessary to encourage sound hobbies and exercise instead of smoking for adolescent smokers in their daily living. And health education programmes, based on the grade and smoking cessation intention of adolescent smokers, need to be developed to emphasize the benefit of cancer preventive behaviors, and to decrease barriers against those behaviors.