• 한국산학기술학회논문지
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• 제15권8호
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• pp.5169-5175
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• 2014

이 연구는 일개광역시 보건소 금연클리닉 서비스 이용자의 금연관련 요인을 찾고자 수행되었다. 연구 대상자는 2007년 일개광역시 보건소 금연클리닉에 등록된 이용자 2,125명이었다. 빈도분석, 카이제곱검장, 다중로지스틱 회귀분석 등이 이용되었다. 6개월 금연 성공률은 39.8%였다. 남성, 65세 이상에서 금연률이 높았다. 고혈압, 주 2회 이상 음주자, 규칙적인 운동자, 10ppm 이상의 일산화탄소량 일수록 금연성공률이 유의하게 높았다. 다른 독립변수는 금연성공률과 통계학적으로 유의한 결과를 보이지 않았다. 로지스틱회귀분석 결과, 연령, 사용된 니코틴패치 수, 총 의뢰횟수 등이 금연성공과 유의한 기여요인으로 도출되었다. 특히 총 의뢰횟수가 가장 높은 오즈비를 보였다. 규칙적인 의뢰가 보건소 금연클리닉 프로그램에서 금연성공의 가장 효과적인 중재가 될 수 있음을 확인하였다.

• 한국직업건강간호학회지
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• 제11권2호
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• pp.150-157
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• 2002

The purpose of this study is to analyze papers of smoking cessation program into method and effect 13 papers that purblished from January, 1980 to Oct., 2001 in the country and 30 papers that purblished from Jan., 1980 to Jun., 1999 in other countries were analized. The result of this study can be summarized as follows 1) The most of subjects were students(46.5%) and residents(30.2%). 2) There were a few of papers based on the Theory(9.3%). 3) Programs included education(58.3%), reward (13.9%) and support(12.5%). 4) There were experimental design(46.5%), non-experimental design(29.5%) and experimental design(25.0%). The most of papers of non-experimental desigs were significant. 5) Behavior(48.7%), knowledge(15.4%) and attitude(12.8%) were evaluated as a effect of program. Knowledge had higher significant rate than other evaluation items. 6) Programs that was from a year to two years had the highest significant rate.

• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6919-6924
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• 2013

Background: Between 1998-2009 South Korea experienced significant progress in reducing the male smoking rate from 66.3% to 46.9%. As part of a significant government effort in the area of smoking cessation intervention, the Korean government implemented the national "Smoking Cessation Clinics (SCC)" program in 2004. Materials and Methods: Data covered 804,334 adult male smokers participating in SCC program at 253 public health centers between 2006-2009. We examined participant cessation rates with the SCC program, their characteristics and program intervention components using health insurance status as a socioeconomic status (SES) indicator. Multivariate logistic regression analyses were performed correcting for intra-class correlations within public health centers. Results: The overall 6-month quit rate was high (46.8%). Higher odds of smoking cessation were positively associated with higher levels of behavioral counseling sessions, but not nicotine replacement therapy (NRT). Cessation rates were lower for Medicaid participants than for regular health insurance participants. Disadvantaged younger smokers were less likely to participate in the program. Older smokers were more likely to quit regardless of SES. Stress was cited as major reason for failure. Conclusions: SES inequalities across different age groups exist in smoking cessation among Korean adult male smokers. There is a need for intervention programs specifically targeting sub-populations of SES by different age groups.

• 한국직업건강간호학회지
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• 제14권1호
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• pp.24-33
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• 2005

Purpose: This cross-sectional study was to find out smoking condition, smoking related knowledge and attitudes of white color workers to provide baseline data which were to develope smoking cessation programs. Methods: The subjects were 303 workers in G-city. Data were collected from July 1st to Aug. 31st 2003 by self-reported questionnaire. Data were analyzed by descriptive statistics, t-test, ANOVA, and Duncan's multiple comparison test, using SAS-pc 8.0 version. Results: Average age of the laborers was 32.3 years, and 50.7% of male were smoking currently, and 2.4% of female were so. Starting age of smokers was average 20.1 and smoking period was average 12.4 years. Majority of smokers smoked more than one pack of cigarettes in a day. Average points of nicotine dependency was 3.9 out of 10 and 12.5% were more than 7. Those who wanted to 'quit smoking very soon' and 'decided to quit smoking right now' were 29.1%. But those who got any helps and advices from professional experts in smoking cessation were 6.4%. 83.5% of the smokers had tried to quit smoking but failed due to their stress(44.6%), lack of will(36.6%) etc. Laborers knowledge related smoking score were average 11points out of 15, and attitudes were average 75.7points out of 125. Smokers showed significantly low knowledge(p=.012), and more allowing attitudes(p=.001). Conclusions: The smoking cessation programs for the workers should consist of stress management skills, and strengthened willingness. And should be run the program for those who want to 'quit smoking very soon' and 'decided to quit smoking right now' first of all.

• 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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• 제21권1호
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• pp.153-170
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• 2004

Objectives： This study was performed to develop a smoking prevention program for Korean high school students, and to evaluate the effects of the program. Methods： A smoking prevention program, composed of five-session curriculum, was developed by modifying several smoking prevention and cessation programs based on the Social Influence Model. The program was applied to the freshmen of a technical high school. We surveyed with a questionnaire one week before education, one week after education, and two months after education. The number of participants for data analysis were 282(181 males, 101 females). Among those, 162(97 males, 65 females) students were allocated to the education group, and the other 120(84 males, 36 females) students were allocated to the control group. The effect of education was analyzed by multiple logistic regression analysis adjusted by potential confounders. Results： Among smokers, those who had education were more likely to quit smoking (OR＝2.99, 95% confidence interval(CI) 0.84-10.64), and to decrease smoking frequency(OR＝2.29, 95% CI 0.95-5.53) in borderline significance one week after education. However, the effect of education disappeared two months after education. The effect of education was significant(OR＝9.11, 95% CI 3.22-25.76) for the increase of smoking cessation intention one week after education, and it persisted until two months after education(OR＝2.94, 95% CI 1.18-7.35). Education was also a significant predictor(OR＝1.97, 95% CI 0.89-4.37) for the increase of smoking cessation stage one week after education and it persisted(OR＝6.39, 95% CI 2.42-16.86) after two months. Among non-smokers, those who had education were more likely to decrease smoking intention one week after education(OR＝4.71, 95% CI 1.63-13.58). However, the statistical significance of education disappeared two months after education. Conclusions： The results showed that the smoking prevention program developed in this study changed smoking behaviors immdeiately after education even though the effect did not persist. However, this program was successful in increasing smoking cessation intention and stage of smoking cessation among smokers.

• 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.

• 한국산학기술학회논문지
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• 제20권3호
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• pp.535-543
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• 2019

본 연구의 목적은 일개 공공병원의 금연클리닉 프로그램에 참여한 흡연 환자(입원 및 외래 포함)를 대상으로 일반적 특성과 흡연관련 특성 측면에서 프로그램 시작 6주 후, 12주 후 금연성공 및 유지 요인을 확인하는 것이다. 본 연구에서 활용된 자료는 2014년 공공보건의료프로그램 중 금연프로그램을 통해 수집된 2차 자료를 활용하였다. 금연 프로그램은 6주 동안 중재가 진행되며, 12주째 금연 유지 상태를 점검한다. 자료분석방법은 카이제곱 검정, t-test, 로지스틱 회귀분석법을 활용하였다. 연구대상자는 총 90명이며, 남자는 85명(94.45%), 여자는 5명(5.55%)으로 대부분 남자였다. 금연프로그램 종료시점인 참여 6주째 금연성공군과 금연실패군간에 가족유형(${\chi}^2=4.496$, p=0.037), 최종 교육정도(${\chi}^2=12.253$, p=0.002), 프로그램 참여 전 하루 흡연량 (t=-2.906, p=0.005), 프로그램 참여 전 니코틴의존도(t=-3.081, p=0.003)간에 유의한 차이를 보였다. 금연 프로그램 참여 6주 후 금연성공 요인으로는 종교유무(OR=3.719, 95% CI=1.076-12.859)와 프로그램 참여 전 니코틴의존도(OR=0.713, 95% CI=0.520-0.976)가 유의한 것으로 나타났다. 금연프로그램 참여 12주 후 금연 유지 요인으로는 가족유형(OR=0.017, 95% CI=0.001-0.507)과 금연의지(OR=2.062, 95% CI=1.059-4.015)가 유의한 것으로 나타났다. 금연이 성공하고 지속적으로 유지되기 위해서는 대상자의 특성별 프로그램 개발이 요구되며 이와 관련한 지속적인 연구 및 지원이 필요할 것이다.

• 대한간호학회지
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• 제36권6호
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• pp.1023-1032
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• 2006

Purpose: The purpose of this study was to identify nicotine dependence, smoking-related attitude, and subjective norms across the stages of change for smoking cessation among adult smokers in a rural area. Method: The subjects were 276 current smokers (male=243, female=33). There were 3 stages of change for smoking cessation: pre-contemplation, contemplation, and preparation stage. Data was collected by an interview or self-reporting from February 12th to March 5th 2004, and analyzed with frequency, percentage, $X^2-test$, Fisher's exact probability test, ANOVA, and Scheffe test using the SPSS-PC program. Result: According to the stages of change, 114(41.3%) current smokers were in pre-contemplation, 110(39.9%) in contemplation, and 52(18.8%) in the preparation stage. There was a higher percentage of males than females ($X^2-test$=8.99, p=.011) in the preparation stage. The mean score of the smoking-related attitude (F:7.43, p=.001) and subjective norm(F=27.41, p=.001) were both lowest in the pre-contemplation stage and increased positively during the stages of change for smoking cessation. Conclusion: Based on these findings, the authors recommend that community-based smoking cessation programs should be developed by considering the intention or motives of current smokers and should be initiated in the preparation stage and primarily for male groups.

• 대한한방소아과학회지
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• 제32권3호
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• pp.62-71
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• 2018

Objectives Childhood & adolescence is the most crucial period in a lifetime to learn ability to maintain one's health even though this period usually has the least death rate or illness. Smoking is the one of the most common cause of one's death and illness, but can be avoidable. The purpose of this study is to investigate the effectiveness of the smoking cessation education through the program by school doctor of Korean medicine. Methods In 2017, the Seoul metropolitan office of education and the Seoul Korean medicine association implemented the program by school doctor of Korean medicine including smoking cessation education for 2 elementary schools (470 students) and 3 middle schools (1,106 students). And we carried out questionnaire to 211 people (1 elementary school and 1 middle school) and analyzed the results. Results The score in regards to smoking knowledge, before and after education, was increased from 3.35 to 4.22. The score in regards to negative perceptions about smoking, before and after education, was increased from 17.62 to 18.08. Conclusions After the smoking cessation education through the program by school doctor of Korean medicine, participants were highly satisfied because their knowledge about the smoke was increased as well as negative perception of the smoke. Therefore, development and application of smoking cessation programs will be needed.