• Proceedings of The Korean Society of Health Promotion Conference
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• 2001.09a
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• pp.91-111
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• 2001

Background: Alcohol and tobacco use are two major behavioral risk factors implicated in increased morbidity and mortality. Since both substances are widely used in Korea, a concerted effort is currently underway to reduce the use of tobacco and alcohol in Korea. Objectives: Efforts directed toward educating health promotion planners and health educators from local health departments to organize and implement health education programs to reduce the proportion of people smoking and excessive drinking in the community. Methods: A training guide on prevention of smoking and excessive drinking has been developed. Comprehensive multi-media health promotion materials were developed based on health behavior theories and strategies for effective health behavioral interventions. To better control of behavioral risk and promote health enhancement, the materials were developed to introduce a user-oriented developmental approach by making messages more persuasive and organizing content in a user-friendly manner. Sections of the report explain theoretical background of the intervention, choosing goals and a target population, specific program activities to include in an intervention, development, organization, methods of making program content vivid and persuasive, and evaluation,. Implications for Practitioners: The process followed in developing the health intervention materials is described in detail to assist practitioners who need to develop effective programs to reduce the use of tobacco and excessive alcohol. Health educators from all local health departments in the country were trained in the use of the materials, to enable them to develop community interventions to reduce smoking and excessive drinking.

• Tuberculosis and Respiratory Diseases
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• v.69 no.3
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• pp.153-162
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• 2010

Smoking is the most important risk factor of many pulmonary diseases, including chronic obstructive pulmonary disease and lung cancer, cardiovascular disorders and other malignancies. Therefore, smoking cessation is a practical way to prevent and treat smoking-related diseases. Also, the clinicians who care the patients with smoking-related disease should pay attention to it. This article reviews briefly recent publications focused on the influence of smoking cessation in some smoking-related diseases and strategies to improve smoking cessation such as pharmacotherapy or systemic behavioral approach programs. In addition, it reviews personalized therapy based on gene typing for smoking cessation.

• The Journal of Korean Society for School & Community Health Education
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• v.7
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• pp.33-49
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• 2006

Background & Objectives: This study was designed to examine relationships between smoking behavior and smoking attitudes among 6th-grade students in Korea in order to provide knowledge on school-based programs for preventing adolescent smoking behaviors. Methods: Questionnaires were administered to 464 students attending three public elementary schools in O city from June 13 to June 16, 2006. The total sample size is 458 (response rate = 98.7%). Data were statistically analyzed by frequency analysis, cross tabulation, and multiple regression. Results: First, smoking behavior was significantly influenced by the factors of gender, self-concept, family structure, sibling smoking, school achievement, relationship with teachers, satisfaction with school life, and smoking friends. Theprevalence of ever-smoking was 12.7% among 6th grade students in this study. Students were most likely to initiate smoking in the 5thgrade with curiosity and smoke at their own home. Second, students showed negative attitude toward smoking overall. From the detailed section, students respondednegatively about smoking in public places while they thought that adult smoking with moderate level was okay. Student who showed positive attitudes toward smoking in the present study were significantly related to the factors of self-concept, family environment, parental and sibling smoking status, school achievement, satisfaction with school life, and smoking friends. Third, Students who had tried cigarette smoking were likely to report less negative attitudes toward tobacco than non-smoking students. Fourth, this study found that smoking friends were the most significant predictor of positives smoking attitudes. Other factors significantlyassociated with smoking attitudes were gender, relationship with friends, self-concept, relationship with teachers, paternal smoking status. Conclusions: The study results suggest that smoking prevention programs focus on resisting peer influence and need to be community-incorporated and/or comprehensive from elementary to high school.

• Journal of the Korean Society of School Health
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• v.23 no.2
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• pp.246-255
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• 2010

Purpose: This study is based on an experimental research program designed to evaluate the before and after states of a control group that undertook a series of smoking prevention education sessions. Methods: The research was undertaken between June 2 and July 22, 2008. Students from two public elementary schools in Uiwang City took part in the study. 76 students from one of the schools (School 'W') were designated as the experimental group and 89 students from the other school (School 'O') were allotted to the control group. During the research period, the experimental group held 10, 40 minute discussions on the subject of smoking prevention. The control group had no such sessions and no information was given. The data was collected in 3 stages, firstly after initial study preparation, secondly after five sessions and thirdly after ten sessions. The data was analysed using the SPSS/WIN 12.0 program. Results: First, there was a presumption that the experiment group would have a greater knowledge about the effects of smoking than the control group. This was supported by the data analysis results (F=41.79, p =.000). Second it was presumed that the experiment group would have a more informed attitude to smoking than the control group. This was supported by the data analysis results (F=6.917, p =.009). Third, there was the presumption that the experiment group would have a greater knowledge of the effects of smoking after ten sessions than they would five sessions. This was supported by the data analysis results (F=56.911, p =.000, Scheffe=3rd> 2nd>1st). Fourth, the presumption held that the experimental group would have a more informed attitude to the effects of smoking after ten sessions than they did five. This was supported by the data analysis results (F=14.607, p =000, Scheffe=3rd>2nd>1st). Conclusion: The results appear to show that the elementary school students who participated in the smoking prevention sessions had an increased knowledge of the risks and had also formed a more negative attitude towards smoking. On the basis of the findings of this study, I would suggest that there are benefits in developing learner-centered smoking prevention programs and other related media. Also, smoking prevention discussions should be included in the regular curricula relating to health education.

• Journal of the Korean Society of School Health
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• v.19 no.1
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• pp.55-65
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• 2006

Purpose : This was aimed to investigate the effects of empirical smoking prevention program on the knowledge of the harmfulness of smoking, attitude to smoking, smoking temptation among female high school students. Methods : This study used nonequivalent control group pre and post test design. The subjects were recruited from the first and second grade at the two girls' high schools located in Ulsan city, and randomly assigned to two groups(113 in the experimental group and 117 in the control). The intervention was both the events such as nonsmoking promulgation and experiential learning programs and student-oriented educational sessions(once a week for six weeks). Data was analyzed with X2 test, t-test and ANCOVA. Results : The mean knowledge was 12.5 for pretest and 13.7 for posttest in the experimental group, and 12.7 and 13.4 in the control group, retrospectively. The mean attitude was 71.0 for pretest and 72.2 for posttest in the experimental group, and 72.3 and 72.6 in the control group, retrospectively. The mean temptation was 15.0 for pretest and 14.7 for posttest in the experimental group, and 13.9 and 14.0 in the control group, retrospectively. There's no difference in the change of the knowledge of the harmfulness of smoking, attitude to smoking, smoking temptation between experimental and control groups. Conclusion : As the possible reasons, the subjects already had sufficient knowledge on the harmfulness of smoking, the research questionnaires were too plain to get any difference, the effect of intervention was too small to show a difference in such as short-term, and finally, there were many external factors. Hence, we recommend further studies with appropriate questionnaire for longer time.

• Journal of Preventive Medicine and Public Health
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• v.43 no.4
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• pp.283-291
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• 2010

Objectives: The purpose of this study was to develop a prediction model for future smoking intention among Korean adolescents aged 13 to 15 in order to identify the high risk group exposed to future smoking. Methods: The data was collected from a total of 5940 students who participated in a self-administrated questionnaire of a cross-sectional school-based survey, the 2004 Korea Global Youth Tobacco Survey. Chi-square tests and logistic regression analyses were carried out to identify the relevant determinants associated with intentions of adolescents’ future smoking. Receiver Operation Characteristic (ROC) assessment was applied to evaluate the explanation level of the developed prediction model. Results: 8.4% of male and 7.2% of female participants show their intentions of future smoking. Among non-smoking adolescents; who have past smoking experience [odds ratio (OR) 2.73; 95% confidence interval (CI) 1.92- 3.88]; who have intentions of smoking when close friends offer a cigarette (OR 31.47; 95% CI = 21.50 - 46.05); and who have friends that are mostly smokers (OR 5.27; 95% CI = 2.85 - 9.74) are more likely to be smokers in the future. The prediction model developed from this study consists of five determinants; past smoking experience; parents smoking status; friends smoking status; ownership of a product with a cigarette brand logo; and intentions of smoking from close friends’ cigarette offer. The area under the ROC curve was 0.8744 (95% CI=0.85 - 0.90) for current non-smokers. Conclusions: For efficiency, school-based smoking prevention programs need to be designed to target the high risk group exposed to future smoking through the prediction model developed by the study, instead of implementing the programs for all the students.

• The Journal of Korean Medicine
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• v.26 no.3 s.63
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• pp.124-134
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• 2005

Objectives : This study was peformed to evaluate the actual state and the effects of Smoking Prevention or Stop-Smoking Programs (Sp/SSP) for middle school students and to confirm students' needs for Oriental Medical Treatments (OMT) in SP/SSP. Methods : Thirty-nine middle school students who took part in the SP/SSP of the Public Health Center (PHC) in July 2004 answered the questionnaire. There were twenty students in $PHC{\alpha}$, and 19 students in $PHC{\beta}$. Resillts : 1. At the elementary school, SP/SSP is not enough, compared with middle school (p=.000). 2. Subjects preferred tile documents from PCH to those from school $(PCH{\alpha}: p-value=.002,\;PCH{\beta}: p-value=.004)$ 3. There was no mention of OMT in school SP/SSP. 4. The degree of thinking about need of teaming OMT in SSP has a positive correlationship (p-value=.000) with intention to be treated with auricular acupuncture therapy. Results : The SP/SSP for middle-school students must be improved to be more active, more experimental and more individual. Also, a more various, positive approach in OMT is required toward the Stop-Smoking Program.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.8
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• pp.4667-4669
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• 2013

We evaluated cigarette smoking as a risk factor for prostate cancer in a prospective, population-based cohort study. The subjects were 14,450 males among the participants in the Seoul Male Cancer Cohort Study who had at least 1-year follow-up. They were followed up between 1993 and 2008. During the 16-year follow-up period, 87 cases of prostate cancer occurred over the 207,326 person-years of the study. The age-adjusted relative risks of past and current smokers at entry were 0.60 (95%CI: 0.34-1.06) and 0.70 (95%CI: 0.43-1.13), respectively, suggesting that cigarette smoking may not be a risk factor for prostate cancer. The relationship between prostate cancer and other modifiable factors, such as Westernized diet, should be studied with the goal of establishing prevention programs for prostate cancer.

• Journal of the Korean Society of School Health
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• v.29 no.2
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• pp.81-89
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• 2016

Purpose: This study is to analyze influencing factors of smoking intention among nonsmoking middle school students with regard to smoking attitude, knowledge and social influence. Methods: Data were collected from non smoking students of 5 middle schools in D metropolitan city. The 1,892 enrolled subjects provided informed voluntary consent prior to completing a structural questionnaire covering smoking attitudes, knowledge, social influences and general characteristics. The data were analysed using SPSS/Win 21.0 program by -test and logistic regression analysis. Results: Among the nonsmoking students, 85.5% never had an intention to smoke. In relation to general characteristics, smoking intention was significantly associated with sex, school records, socioeconomic status, relationship with parents, smoking experience, and smokers around them. In relation to attitude, knowledge, and social influence, smoking intention was significantly associated with a lower attitude score, a lower knowledge score, and a lower social norm. In the logistic regression analysis, smoking intention was associated with a lower attitude score (2.99 times), a lower social norm (2.65 times), being male (2.35 times), low socioeconomic status (2.22 times). and having smoking experience (2.70 times). Conclusion: It is needed to develop promotional strategies that could provide adjusted systematic smoking prevention education for the preferred smoking group and afford smoking prevention programs considering subject characteristics to help young adolescents avoid access to smoking in their early age.

• The Journal of Korean Society for School & Community Health Education
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• v.12 no.3
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• pp.1-15
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• 2011

Objectives: We describe the development of a smoking and drinking prevention program for adolescents, using intervention mapping. Methods: The study sample consisted of 1,000 high school second-grade students from 6 high schools in Seoul. The PRECEDE model was applied for the needs assessment. We carried out a social diagnosis by assessing the factors such as the quality of life, happiness level, and satisfaction with school life; an epidemiological diagnosis on the perceived health status, stress levels, and priority of health issues; a behavioral diagnosis on the smoking and drinking rate and the intention to smoke and drink; and an educational diagnosis on knowledge, beliefs, attitudes, self-efficacy, outcome expectations, social norms and life skills. Results: The development process included a needs assessment, identifying factors that influence smoking and drinking among adolescents. Intention, knowledge, perceived norms, perceived benefit, perceived cost, perceived susceptibility, self-efficacy, and life skills were identified as determinants. Three performance objectives were formulated to describe what an individual needs to do in order to avoid smoking and drinking. Subsequently, we constructed an intervention matrix by crossing the performance objectives with the selected determinants. Each cell describes the learning objectives of the smoking and drinking prevention program. The program used methods from the transtheoretical model, such as consciousness raising, outcome expectations, self-reevaluation, self-liberation, counterconditioning, environmental reevaluation, and stimulus control. The program deals with the effects of smoking and drinking, self-improvement, decision making, understanding advertisements, communication skills, social relationships, and assertiveness. Conclusions: By using the process of intervention mapping, the program developer was able to ensure a systematical incorporation of empirical and new data and theories to guide the intervention design. Programs targeting other health-related behavior and other methods or strategies can also be developed using this intervention mapping process.