• Journal of Korean society of Dental Hygiene
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• v.15 no.5
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• pp.805-811
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• 2015

Objectives: The purpose of the study is to investigate the relationship between self-efficacy and learning attitude according to smoking experience in the middle school students. Methods: A self-reported questionnaire was completed by 608 middle school students in Gyeongnam from July 1 to 23, 2013. The questionnaire consisted of general characteristics of the subjects, smoking behavior, self-efficacy, and learning attitude. The questionnaire was adapted and modified from Kang, Park, and Koh. The self-efficacy was divided into general efficacy and social efficacy. The learning attitude was divided into attention concentration, learning method, and self learning. Data were analyzed using SPSS Win 21.0 program. Results: The nonsmoking students tended to have higher general efficacy and social efficacy than the smokers (p<0.01). The nonsmokers had more attention concentration in learning attitude than the smokers (p<0.001). The learning method (p<0.001) and self learning (p<0.001) showed the same results between the two groups. The smoking experience had the negative correlation with general efficacy (r=-0.164) and social efficacy(r=-0.154). The general efficacy is positively related to social efficacy (r=0.568). The smoking experience had the negative correlation to attention concentration (r=-0.235), learning method (r=-0.211) and self learning (r=-0.148). The attention concentration was positive relation with learning method (r=0.690) and self learning(r=0.662. The learning method had positive relation to self learning (r=0.764). Conclusions: The smoking students tended to have lower self-efficacy and learning attitude, so it is necessary to implement the smoking prevention program in the middle school students.

• Korean Journal of Health Education and Promotion
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• v.17 no.2
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• pp.17-33
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• 2000

The aim of this study is having the status, knowledge and attitude of the high school attendees toward smoking be analyzed, helping to make effective health education methods to diminish adolescent smoking habits. The field self-questionnaire investigation has been performed from Oct 10th through 23rd in 1999. The whole 427 cases were distributed to 1st and 2nd grade students of randomly selected men's high school in Seoul. And 414 cases (97%) were finally selected for analysis after exclusion of cases with insufficient information. The main contents of questionnaire are composed of several sectors; the general characteristics of the interviewees, the relationship with parents, the life style and the peer relationship in school. And smoking-related characteristics are taken into consideration, too. The major findings of the study are as follows: The smoking/non-smoking related factors are, in socio-demographical terms, the grade, average spending per month of the interviewees. And the degree of satisfactory relationship with parents is significant on smoking behavior. The higher, the degree of satisfaction on school life and relationship with designated teacher, the more chances of non-smoking habit. Poor academic grades and peer group dependability of interviewees cause higher smoking habit rate in other way. The self-interviewees grade and cohabitation with parents are also significant on both the attitude toward smoking habit and the knowledge on smoking statistically. The academic history and vocations of the parents and the academic grades of interviewees are also effective variables, but don't make any gap between groups knowledge on smoking. Smoking groups used to have positive attitude toward smoking habit. Both the attitude and knowledge on smoking by the consideration of Quit-smoking have statistically significance. The groups which have negative attitude and high knowledge on smoking quit-smoking into consideration. And the primary cause of quit-smoking is on health by smoking. Depression, stress, adult smoking in the house, peer group pressure, cigarettes advertisements on papers and magazines and smoking scenes on TV have positive correlation on forming smoking habit (p〈0.001) But the knowledge on diseases triggered by smoking has negative correlation on forming smoking habit. (p〈0.05, p〈0.001). Social factors as monthly spending, relationship and communication with parents, the degree of satisfaction in school life, academic grades and student-teacher relationship have crucial negative correlation on smoking habit. That is to say, the higher, the monthly spending is, the worse, the relationship with parents and teachers is, the lower, the academic grades of the student is, the percentage of the interviewees who have smoking habit seems to get higher.

• Korean Journal of Health Education and Promotion
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• v.20 no.3
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• pp.19-35
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• 2003

The purpose of this study is to examine the effectiveness of video-and discussion-based smoking cessation intervention for adolescents. And this study is intended to provide a basic database for the development of health education, to serve health promotion for adolescent. The subjects were 472 high school students in K yungkido. The data was collected from September 23th to October 31 st, 2002. The data was collected by the measurement of knowledge, attitude, and intention toward smoking. Pre-research was conducted before smoking cessation education and post-research was performed twice, immediately after the education and 4 weeks later. Collected data was analyzed by using the SPSS 10.0 which is a computational statistical program. The results of this study are as follows： 1. Total knowledge points in smoking cessation program-based group are higher than any other groups and the statistical difference is significant. 2. The students' attitude points in experimental groups are higher than that of the control group and the statistical difference is significant. However, the meaningful statistical difference disappeared after 4 weeks. 3. The non-smoking students' intention points do not show any significant difference. And the smoking students' intention points in experimental groups are higher than that of the control group but the statistical difference is insignificant. 4. There are correlations among knowledge, attitude and intention toward smoking： knowledge and attitude are negatively correlated, knowledge and intention are positively correlated for non-smoking students, and for smoking students, attitude and intention have a negative correlation.

• Journal of the Korean Society of School Health
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• v.15 no.1
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• pp.93-105
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• 2002

This study was aimed at identifying on the state and knowledge toward smoking and passive smoking in middle school students. The data were collected from 6th. to 18th. August, 2001. Subject were 125 middle school students who were participated in the Smoking Cessation Program of S Health Agency in Busan. The collected data were analyzed by SPSS program for frequency, percent, mean, and chi-square test. The smoking related state and attitude of subjects were as follows; the nurmber of the smoking students are 10(8.0 %) at present, 19(15.2 %) at past experience, 53(42.4 %) having at present smoking friends, 73(58.4 %) having at present smoking family. Also the smoking starting time of present or past smoking experience was the middle school; 12(9.6 %) and elementary school; 11(8.8 %). They started because of the peer group members; 12(9.6 %), curiosity; 8(6.4 %), and looking good; 7(5.6 %). The passive smoking related state and attitude of subjects were as follows; the number of the passive smoking aware rates are very well level; 71(56.8 %), well level; 54(43.2 %). The exposed experience to passive smoking was always; 38(30.4 %), sometimes; 86(68.8 %), not experience; 1(0.8 5). The place of exposure to passive smoking was game rooms; 67(53.6 %), house; 30(24.0 %), fast food place or cafeteria; 10(8.0 %), and street or in a vehicle ; 3(2.4 %). The main smoker to passive smoking exposure was unknown person; 61(48.8 %), grand parents or parents; 43(34.4 %), brothers or friends; 8(6.4 %), teachers; 4(3.2 %). The chief complant of passive smoking exposure was dyspnea; 36(28.8 %), coughing; 34(27.2 5), dizziness; 21(16.8 %), no symptom; 18(14.4 %). The mostly affected smoker to passive smoking exposure was parents; 52(41.6 %), brothers or friends; 48(38.4 %). The health affected perception to passive smoking exposure was very affected; 109(87.2 %), not affected; 3(2.4 %). In conclusion, it can be well recognized that considerable number of middle school students is exposed to the passive smoking in their homes and by unknown persons, but, their knowledge and attitude toward the exposure to passive smoking is not effective. Therefore, it is hoped that regular smoking education program at school and restriction campaign in home and the public place is necessary.

• Korean Journal of Health Education and Promotion
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• v.20 no.2
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• pp.19-33
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• 2003

A simulated control group pretest-posttest design was used to investigate the effects of a health promotion education program on knowledge, attitude, and self-efficacy in sexuality, drinking, and smoking among college women. The subjects included 17 women in the experimental group, and twenty in the control group. This program was carried out for a total of four sessions, two hours per session once a week. The results were as follows； 1) Knowledge on sexuality, drinking, and smoking increased significantly in the experimental group compared to the control group (U＝66.50, p＝.001 ； U＝23.50, p＝.000； U＝29.50, p＝.000). 2) For attitude, only the attitude to drinking showed a significant difference between the two groups (U＝76.00, p＝.004). 3) For self-efficacy, only self-efficacy on drinking showed a significant difference between the two groups (U＝55.00, p＝.000). In conclusion, the health promotion program for college women increased their knowledge on sexuality, drinking, and smoking. This program affected their attitude and self-efficacy towards moderation in drinking. A even more appropriate education program on sexuality, drinking, and smoking for college women could be developed using this program by addressing the limitations in this study and repeating the study with a more varied sample.

• Research in Community and Public Health Nursing
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• v.13 no.2
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• pp.230-238
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• 2002

Objectives: This pre-post quasi-experimental study was designed to investigate the effects of school based smoking prevention education on knowledge and attitude toward smoking, and the satisfaction of education among middle school students. Methods: The subjects included 94 middle school students in the experimental group. and 87 students in the control group. The educational content contained smoking refusal skills, which were taught through lectures and videos. Data collection was achieved using a self-reported questionnaire developed by the investigator. Data were analyzed with the SPSS 10.0 program including frequency, percentile, X2, paired t-test, and ANCOVA. Results: The results were as follows: 1. After the smoking prevention education, the smoking knowledge of the experimental group was significantly improved, whereas that of control group didn't change significantly. 2. There were no significant differences between pretest and post test attitude scores in both groups. 3. Refusal skill was the education content that provided the highest satisfaction for the subjects, and the degree of satisfaction was higher with video watching than with a lecture. Conclusion: Smoking prevention education for middle school students increased their level of smoking knowledge, but did not affect their attitudes toward smoking. Therefore, it is necessary to develop a more effective program, and to evaluate the effects of a long term education program with further studies.

• Journal of Korean Public Health Nursing
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• v.24 no.2
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• pp.226-236
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• 2010

Purpose: The study investigated factors related to the smoking behavior among 639 high school students in Geoje, Korea. Methods: Data collected by self-reported questionnaires was analyzed by the SPSS WIN 14.0 program with Chi-test, t-test, and multiple logistic regression analysis. Results: Smoking behavior differed by gender (p=.002), school type (p=.001), experience with alcohol consumption (p=.005), family harmony (p=.003), father's smoking (p=.001), academic achievement (p=.010), self-esteem (p=.010), stress (p=.004), and attitude to smoking (p=.0001). Smoking behavior was significantly associated with gender (odds ratio (OR)=0.66, 95% confidence interval (CI)=0.46-0.95), school type (OR=1.52, 95% CI=1.03-2.23), experience with alcohol consumption (OR=0.56, 95%CI= 0.39-0.82), academic achievement (OR=1.98, 95-I=1.20-3.29), attitude to smoking (OR= 0.76, 95%CI=0.69-0.84) and father's smoking (OR=1.59, 95%CI=1.11-2.29). Conclusion: Anti-smoking programs for high school students should especially consider those at higher risk (males in vocational high school with no drinking experience of drinking, lower academic achievement, favorable attitude to smoking, and whose fathers smoke). Community efforts to reduce adult smoking would be advantageous.

• Journal of the Korean Society of School Health
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• v.20 no.1
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• pp.1-9
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• 2007

Purpose: The purpose of this study was to examine the effect of school-based preventive education on smoking-related knowledge, attitude and practice of health behaviors among elementary school children at a rural province in Korea. Methods: The subjects were 134 among the 4th -6th graders (exp. = 67, control = 67) from two schools at J province. Education program was conducted in 5-sessions for experimental group. And study instrument for smoking-related knowledge was developed 2-point 15-items (a = .82), for attitude was 3-point 15-items (a = .79), and for practice of health behavior was also 3-point 30-items (a = .86). Data were collected by interview from May 28th to July 10th 2003 and analyzed with the frequency, percentage, x2-test and t-test using SPSS-PC program, Results: The group of having smoking experiences was 14.2% and 52.2% of the subject had smoking family members. The first motive of smoking was curiosity in 78.9% and 36.8% of them started smoking before the third grade. School-based preventive education of smoking were affirmatively effective in smoking-related knowledge (t = 4.14, p = .001), smoking-related attitude (t = 3.654, p = .001), practice of health behavior, on the other hand, was not changed significantly by the education. Conclusion: Based on these findings, the authors recommend that school-based smoking prevention education should be started from lower graders in regular curricular basis and health promotion program for primary school children should be emphasized to lead healthy behavior in collaboration with public and private health sectors in community.

• Journal of Preventive Medicine and Public Health
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• v.36 no.3
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• pp.271-278
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• 2003

Objectives : The purposes of this study were to assess the smoking status, knowledge and attitude related to smoking and smoking cessation activity of the physicians in a community, and to identify their predictors of smoking cessation activity. Method : All physicians employed by various health facilities in a community were surveyed using a structured questionnaire. Of the physicians surveyed,523 (69.6%) returned completed questionnaires. Results : The smoking rate of physicians was 29.3% (34.2% in males, 3.6% in females) and the knowledge and attitude scores to smoking were $22.5{\pm}2.4\;and\;65.4{\pm}0.9$, respectively. The self-efficacy score was $3.4{\pm}1.0$ and the smoking cessation activity score was $65.4{\pm}6.9$. The smoking cessation activity was statistically significant with working place, specialty, knowledge and attitude to smoking and self-efficacy. In stepwise multiple regression, smoking cessation activity was predicted by doctors' working place, specialty, attitudes related to smoking issues, and self-efficacy of counseling knowledge and stills. Conclusion : Physicians need to participate routinely and actively in smoking cessation activity. For doctors to effectively counsel and intervene in patients regarding smoking cessation, it is essential to integrate education un smoking cessation intervention into curricula in formal education and to offer continuing education including smoking cessation intervention.

• Journal of Korean Public Health Nursing
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• v.19 no.1
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• pp.74-94
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• 2005

The purpose of this study was to compare the effect of education between CAI(Computer Assisted Instruction) and lectures for smoking cessation among male students who attended vocational high schools. Conducted from February 24th to April 26th, 2003, the study design was quasi-experimental with nonequivalent control group pretest-posttest design. The study subjects were 60 male students in K vocational high school in Daegu city, who were present smokers and had more than 7.0 ppm concentration level of carbon monoxide. Thirty students were randomly chosen as the experimental group which applied CAI education method for smoking cessation. The other 30 students served as the control group which received lecture education method of 40 minutes on four consecutive days. CAI education for smoking cessation was composed of ready-made individual learning contents, counseling by using cyber-communication, writing a letter to stop smoking, and writing a written agreement for smoking cessation. Lecture education for smoking cessation was composed of a ready-prepared lecture for the group, writing a letter to stop smoking, and writing a written agreement for smoking cessation. To measure smoking related knowledge, Jeong Ree Roh(1996)'s smoking related knowledge scale$(Cronbach's\;{\alpha}=0.84)$ was modified and used by the researcher. To measure smoking related attitude, Jeong Ree Roh(1996)'s smoking related attitude scale$(Cronbach's\;{\alpha}=0.91)$ was modified and used by the researcher. Smoking related knowledge scale's Cronbach's $\alpha$ was 0.83 in the pilot study and 0.93 in this study. Smoking related attitude scale's Cronbach's a was 0.80 in the pilot study and 0.98 in this study. To determine the smoking amount, the number of cigarettes smoked per day was checked. The concentration level of CO in the exhaled breath was measured (Micro CO Cat. No. MCO2, UK). Data was analyzed by $x^2-test$, t-test, repeated measures ANOVA. simple main effects, and time contrast test with SPSS/Win 11.0 program. The results of this study were as follows: 1. The first hypothesis. that 'Smoking-related knowledge score in the experimental group by using CAI education for smoking cessation will be higher than that in the control group by using lecture education for smoking cessation', was not supported. 2. The second hypothesis, that 'Smoking-related attitude in the experimental group by using CAI education for smoking cessation will be higher than that in the control group by using lecture education for smoking cessation'. was supported(F=6490.79. p=0.000). 3. The third hypothesis. that 'Smoking amount in the experimental group by using CAI education for smoking cessation will be less than that in the control group by using lecture education for smoking cessation'. was supported. 1) The third-1st sub-hypothesis. that 'The number of cigarettes smoked per day in the experimental group by using CAI education for smoking cessation will be less than that in the control group by using lecture education for smoking cessation'. was supported(F=134.19. p=0.000). 2) The third-2nd sub-hypothesis. that 'The concentration level of CO by ppm per one exhaled breath in the experimental group by using CAI education for smoking cessation will be lower than that in the control group by using lecture education for smoking cessation"' was supported(F=268.55. p=0.000). From the above results. CAI education can be an effective intervention to improve smoking-related knowledge and attitude. and to reduce the number of cigarettes smoked per day and the concentration level of CO by ppm per one exhaled breath. Lecture education can be effective to improve smoking-related knowledge. In the future, when CAI education and lecture education for smoking cessation are applied on the school nursing field. the students can gain a comprehensive understanding of smoking cessation, changes in smoking-related knowledge. smoking-related attitude and reducing smoking amount. Furthermore, CAI education for smoking cessation could be developed as an individual self initiative program and could give a guideline to apply CAI education for smoking cessation in other field.