• 보건교육건강증진학회지
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• 제27권4호
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• pp.123-129
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• 2010

Objectives: The aim of this study is to seek an effective way to support smoking cessation by analyzing any change to the pattern of nicotine dependence according to the change in time. Methods: The study was conducted with 800 male smokers who had participated in smoking cessation programs at public health centers from July 16, 2005 to July 15, 2008. Latent growth curve modeling approach was used for data analysis. Results: From the developmental trajectory of individual nicotine dependence, while nicotine dependence of smokers with high nicotine dependence in the first year was slightly decreased in the third year, smokers with low nicotine dependence in the year showed dramatically lower nicotine dependence in the third year. Compared with those who did not successfully quit smoking, the initial value of nicotine dependence of those who successfully quit smoking in the first and the second year was low. Over the years, nicotine dependence was decreased. Conclusion: From this study it was demonstrated that nicotine dependence was reduced through the practice of smoking cessation and reduced nicotine dependence was a factor which affects successful smoking cessation. These results indicate that multiple attempts to quit smoking finally reduces nicotine dependence. Reduced nicotine dependence is likely to increase the possibility of successful smoking cessation.

• 농촌의학ㆍ지역보건
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• 제49권1호
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• pp.37-49
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• 2024

이 연구는 강원도 원주시와 춘천시에 거주하고 있는 만 19세 이상 성인 600명을 대상으로 두 지역 간 흡연 상태에 차이가 있는지를 탐색하고, 지역 내 금연프로그램 경험이 금연 시도에 영향을 미치는지를 평가하였다. 연구결과 원주시는 춘천시보다 현재흡연율이 더 높고, 흡연기간은 더 길었으며, 흡연 시작 연령은 춘천시보다 더 낮았다. 원주시의 현재흡연율이 춘천시보다 더 높았음에도 불구하고 관할지역 내 보건소 등에서 운영하는 금연 교육프로그램의 이수 경험률이 원주지역에서 더 낮았고(OR=0.52, 95% CI=0.33~0.81), 금연클리닉의 이용률도 더 낮았지만 유의하지는 않았다. 지역 내 금연프로그램 경험이 금연 시도에 미치는 영향을 분석한 결과, 원주시는 금연교육 이수자와 금연클리닉 이용자가 그렇지 않은 대상자에 비해 각각 OR=2.31, OR=2.29로서 금연 시도 경험이 더 높았고, 춘천시의 경우도 금연지원서비스를 인지하고 있는 대상자의 금연 시도 경험이 그렇지 않은 대상자에 비해 OR=2.26배 더 높았다. 하지만 두 지역 모두 적은 표본수로 인하여 통계적 유의수준에 도달하지는 못하였다. 이 연구결과를 바탕으로 해당보건의료기관은 지역주민의 금연지원서비스에 대한 인식 제고와 흡연자의 금연 시도를 높이기 위한 지역 내 보다 실용성 있는 금연 교육프로그램을 개발하고 지역-밀착형 홍보로 접근성을 제고하여 현재흡연율의 지역 격차를 해소할 수 있는 중재전략을 마련할 필요가 있다.

• 보건교육건강증진학회지
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• 제8권1호
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• pp.45-58
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• 1991

The purpose of this study was to investigate determinants of stop smoking. The data on which the analysis was based come from a survey of 355 middle-aged men in Seoul. The data was analyzed using proportion, x²-test, Pearson's Correlation Coefficient and Stepwise Multiple Regression. The following were the results; 1. Success rate of stop smoking is 19.9% of 229 persons who attempted to quit smoking. 2. As for the number of quit attempts, 33.3% of ex-smokers tried once; 25.4% of current smokers tried twice. 3. As for methods of quit attempts ex-smokers showed higher tendency in using will power and books/guides than current smokers who in using will power alone. 4. For the attitudes on smoking of family, the majority of ex-smokers and current smokers were opposed absolutely. 5. The main opposite to smoking were wives in cases of both ex-smokers and current smokers, but More ex-smokers answered that the main opposite to smoking were others than current smokers. 6. As for the measures of smoking in the office, more ex-smokers answered inviting than current smokers and more current smokers assigned a smoking spot than ex-smokers. 7. Majority of ex-smokers approve of restriction at public spot strongly. 8. As for the attitude about caution on a cigarette case, more ex-smokers insisted than current smokers. 9. There was a relation between the degree of exposure about knowledge and the degree of knowledge. 10. Stepwise Multiple Regression portray that following factors influence stop smoking in order named. (1) attitude on the smoking restriction at public spot, (2) methods of quit attempt, (3) attitude about caution on cigarette case. Even so, it turned out that these factors alone can explain only 20% of self-examination. Therefore study for the other factors ought to be continued. I submit following suggestions ending this study. 1. Continuous study of the other factors affecting stop smoking must be carried on. 2. Since there was a relation the degree of exposure about knowledge and the degree of knowledge, efficient health education is required using campaign and mass media.

• 한국직업건강간호학회지
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• 제25권4호
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• pp.352-361
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• 2016

Purpose: The purpose of this study was to identify the factors influencing smoking cessation in female workers. Methods: This study was secondary analysis based on the data from the Community Health Survey, 2014 with the subjects of 2,007 female workers. The data were analyzed using $x^2$ test and multiple logistic regression. Results: 29.2% of female workers had the intention to quit smoking. The subjects with office jobs showed higher smoking cessation intention than non-office jobs. Smoking cessation intention was influenced by the amount of smoking per day, previous attempts to quit smoking, sleeping time, the presence of chronic disease, the presence of depressive symptoms, weight control behavior and subjective body images. Conclusion: These findings show that tailored interventions should be provided depending on the types of occupations in order to increase smoking cessation in female workers. In addition, smoking cessation programs need to consider not only the smoking related factors but also physical and psychological health including chronic disease, weight, and depression.

• 한국환경보건학회지
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• 제43권1호
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• pp.64-70
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• 2017

Objectives: The purpose of this study is to examine the effect of the raise of cigarette prices by KRW 2,000 at the beginning of 2015 on the change in smoking behavior among male office workers, and to analyze the correlation of various factors including their work behaviors and socio-economic factors with their smoking rate. Methods: In this research, a follow-up observation panel was constituted with 420 smokers as targets from among male office workers at a bank located in Daegu, South Korea. A cross-analysis and ANOVA analysis were carried out in order to examine whether changes in smoking status, amount of smoking, stop-smoking motivation, and reasons for smoking cessation failure after the passage of time since the cigarette price hike were statistically significant. The level of statistical significance was P < 0.05. Results: After the cigarette price hike, among the 420 smokers who were the target of the panel the rate of smoking cessation declined at the time-point of the survey to 15.5%, 12.4%, 8.5%, and 5.7% after one month, three months, six months, and 12 months, respectively. As a result of a follow-up observation of 65 smokers who stopped smoking immediately after the price hike, the actual non-smoking rate declined to 15.5%, 8.3%, 4.4%, and 3.1% after one month, three months, six months, and 12 months, respectively. One (1) year after the cigarette price hike, the non-smoking rate among the 420 smokers reached as low as 3.1% (13 persons). The most important reason for the failure of the attempts to quit smoking was stress for more than 60% of the smokers who attempted to stop. Conclusions: It seems that a powerful anti-smoking policy by the state targeting the nation's workers is necessary. For companies, mediation for workers' job stress can become a strategy for the success of non-smoking attempts. The government seems to require a practical policy to reduce the smoking rate by actively carrying out social, economic, and scientific research to come up with a reduction method for the cigarette hazard, an effective price hike policy, and other non-price policies.

• 한국콘텐츠학회논문지
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• 제20권7호
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• pp.118-126
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• 2020

이 연구는 흡연 청소년을 연구대상으로 하여 흡연에 대한 부정적 인식에 기여할 것으로 예상되는 담뱃갑 경고 그림과 금연 시도와의 연관성을 분석하였다. 2018 청소년 건강행태 온라인 조사 자료를 활용하였으며, 현재 흡연자인 청소년 3,722명을 연구 대상으로 선정하였다. 변수 측정을 위해 인구사회학적, 건강관련, 흡연 관련 요인들을 보정한 후 다변수 이항 로지스틱 회귀분석을 시행하였다. 현재 흡연자인 청소년의 담뱃갑 경고 그림 인지율은 84.7%였으며, 그 중 금연 시도율은 72.8%이었다. 다변수 이항 로지스틱 회귀분석 결과, 청소년 흡연자의 금연시도와 담뱃갑 경고그림 인지 여부는 유의한 관련이 있었으며, 학년, 주관적 학업성적, 스트레스 인지, 담배 구매 용이성도 유의한 변수로 나타났다. 이러한 결과를 토대로 향후 흡연 청소년들이 쉽게 인지할 수 있는 담뱃갑 경고그림 제작이 이루어져야 할 것이다.

• 한국산학기술학회논문지
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• 제14권4호
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• pp.1830-1840
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• 2013

연구는 흡연 대학생의 금연 생각과 금연 의도, 건강증진행위와 우울인지를 파악하고 금연생각과 금연의도, 건강증진행위, 우울인지의 경로를 검증하기 위하여 시도되었으며 2012년 4월 천안시 소재 N대학에 재학 중인 흡연 대학생 160명의 설문지를 분석하였다. 연구결과 금연에 대한 관심/욕구는 금연생각, 금연의도, 건강증진행위와 유의한 차이를 보였고(p<.001) 전공에 따라 금연의도(p=.034)와 건강증진행위(p=.044)는 유의한 차이를 보였다. 본 연구에서 설정한 대안 모형의 경로는 금연의도는 건강증진위를 매개로하여 우울인지에 영향을 주고 금연생각은 우울인지에 영향을 주는 경로 모형이다. 대안 모형의 적합도는 ${\chi}^2$ 1.172, p.279로 GFI .996, RMSEA .033, CFI .998, NFI .987로 나타났고 금연의도가 높을수록 건강증진행위가 유의하게 높아지며 건강증진행위가 높을수록 우울인지가 유의하게 낮아지는 것으로 나타났으며 금연생각이 높을수록 우울인지가 유의하게 낮아지는 것으로 나타났다.

• 보건교육건강증진학회지
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• 제22권1호
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• pp.55-71
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• 2005

Purpose: The purpose of this study was to find out what are the major motivations of middle and high school students to quit attempts and stay as non-smokers. Method: Data was collected through focus group interviews with 3 groups(15 students), and was analyzed according to Morgan and Kruger(1998)'s analytic method. Results: We identified 6 categories of motivations for Smoking Cessation. They include perceptions of negative consequences of smoking on health, influences in significant others, being ashamed of oneself, drop of academic achievements, narrowness in interpersonal relationships, determining priorities for a student. Although 'perceptions about negative health consequences' was one of the most significant motivation of smoking cessation for adolescents, participants did not know the seriousness of nicotine addiction. Moreover, their contents of motivations were different from those of adults such as responsibility for their family, decreasing curiosity about smoking and test of self willingness. Also most of them were extrinsic motivations and related to their highly competitive school life. Conclusion: To conclude, considering the results of our analysis, smoking cessation programs should be carefully developed to more effectively help adolescents quit and stay away from smoking.

• 의료법학
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• 제9권2호
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• pp.231-267
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• 2008

Tobacco has become the world's leading cause of deaths and diseases. And !be tobacco use and dependence itself is a kind of diseases, so-called "mental and be-havioural disorders due to use of tobacco" in "International Statistical Classification of Diseases and Related Health Problems(ICD-10)" and "Korean Standard Classification of Diseases". The tobacco use and dependence is a chronic disease that requires repeated clinical interventions and multiple attempts to quit. But effective treatments to the tobacco use and dependence are developed and exist that can significantly increase the rate of long-tenn smoking abstinence. So the physicians should warn smoking patients about the dangers of smoking to the health and the life, and the clinicians ought to provide one of more of the treatments which have been proven effective in helping smokers quit to smoke. It has been concluded that if a doctor failed to provide effective treatment for smokers, and the smokers subsequently died of the smokers-related conditions(tobaccosis) or became incapacitated by the tobaccosis the smokers were considered in the medical malpractice. Thus the smokers could sue the physician for medical malpractice, claiming that the doctor's legal responsibility of appropriate treatments including smoking-cessation which the physician deliberately or negligently breached.

• 한국보건간호학회지
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• 제20권1호
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• pp.39-56
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• 2006

Objectives: To investigate the drinking and smoking habits among the community residents of a city. Methods: We surveyed 1.973 adults from October 1, 2005 to November 16, 2005. The data collected on alcohol drinking habits involved frequency, age of initiation, amount of alcohol consumed, number of attempts to reduce consumption and reasons for reducing it. The data collected on smoking habits involved amount, age of initiation, duration, situations, and the number of attempts to quit smoking. These were analyzed with frequency, percentage, mean, standard deviation, $x^2$-test, t-test and ANOVA. Results: The rate of drinking was 67.4%; 83.1% among males, and 52.5%among females. Among all drinkers, the largest group (29.8%) drank once or twice a week. The mean age of initiation was 21.2 years; 19.9 among males, and 22.8 among females. The average consumed amount was 5.8 glasses; males consumed 7.4 glasses, and females 3.3 glasses. The consumption was the highest among those in fifties. The rate of attempts to reduce drinking was 33.4%, mainly for health reasons. The rate of smoking was 38.0%; 72.4% among males, and 5.5% among females. Among all smokers, the largest group (44.1%) smoked between 11 and 20 cigarettes per day. The mean of the age of initiation was 20.7 years; 20.3 among males, 25.6 among females. The mean smoking duration was 20.9 years; 21.3 years among males, and 16.2 years among females. The main reason for the initial attempt was curiosity. The most common situation for smoking was after dinner. The rate of attempts to quit smoking was 77.1%, mainly out of concern for one's health. Alcohol consumption among smokers was higher than among any other group of nonsmokers. Also, the age of drinking initiation among smokers was lower than among any other group of nonsmokers. Conclusion: This study highlighted the actual data on drinking and smoking habits among community residents. The study can be utilized for creating programs aiming at reducing the consumption of alcohol and tobacco or stopping it altogether. Therefore, it is now possible to assess the indicators for interventions in each population group. Finally, the groups of heavy drinkers and smokers are expected to be given priority for intervention program.