• Asian Pacific Journal of Cancer Prevention
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• v.15 no.11
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• pp.4575-4581
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• 2014

Turkey protects its entire population of 75 million people with all the MPOWER measures at the highest level. The aim of this study is to make a comparison of smoking and addiction data obtained from Sakarya University students in 2005-6 and 2012-13. A total of 4,200 (2,500 and 1,700 for each academic year) students at Sakarya University in Sakarya, Turkey, were randomly selected for sampling purposes. The selected participants represented Sakarya University students. Data were collected using a pretested anonymous and confidential, self-completed questionnaire which took 15-20 minutes to complete and Fagerstrom Test for nicotine dependence. Chi-squared, Spearman correlation, and binary logistic regression tests were used to define associations, if any. The level of significance was kept at alpha=0.05. Smoking prevalance dropped by 8.5% (from 26.9% to 18.5%). Male gender, older age, high family smoking index, low self-rated school success, and high peer smoker proportion were common variables that have correlation with smoking status. In the binary logistic regression test the highest contributor to "being a smoker" was found to be the rate of peer smokers. Having all friends smoking puts the student a a 47.5 and 58.0 times higher risk for smoking for males and females, respectively. Our results suggest an admirable diminution of smoking prevalance among Sakarya University students, which can be attributed to MPOWER protection.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.14
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• pp.5937-5940
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• 2014

Background: This study was conducted as a descriptive-correlational exercise with the aim of determining the effect of student perceptions of social skills on their pro and con perceptions of smoking. Materials and Methods: The study sample comprised 106 students at $6^{th}$, $7^{th}$ and $8^{th}$ grades in three primary schools. The data were collected through socio-demographic data collection form, Social Skill Perception Form and Child Decisional Balance Scale. Data were evaluated by percentage calculation, Student t test and correlation analysis. Results: While the point average of pro perception of smoking of the students with a high point average of social skill perception, was $8.6{\pm}3.1$, in those with a low social skill perception point average it was $10.7{\pm}4.2$, the difference being significant(p=0.012). The respective point averages of con perceptions were $26.8{\pm}3.7$ and $23.5{\pm}3.3$, again significant (p=0.000). While a positive medium level (r=0.410) relationship was determined between the point average of social skill perception and con perception of smoking, a negative low level (r=0.281) relationship was determined with the pro perception of smoking. Conclusions: As the social skill perception point average increases, children's con perceptions of smoking increase and their pro perceptions decrease.

• Women's Health Nursing
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• v.5 no.3
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• pp.362-378
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• 1999

This study is to investigate sex role identity and health behavior among university students in Seoul, during the late of 1999. The instruments for data obtainment were KSRI of Kim(1994), and Health Style : A Self-Test provided by ODPHP National Health Information Center. These instrument were reliable, showing Cronbach $\alpha$ .98 and .77. Frequency, t-test, $x^2$-test, stepwise regression were conducted for data analysis, using SAS 6.12 program. The major findings were as follows : 1. For female student. Androgeny(34.0%)type was most common and subjects of feminity type were 28.7%. In contrast, Masculinity type(41.8%) was most prevalent. and undifferentiated type was 30.1% among male students. There were significant difference between male and female student in the type of sex role identity. 2. 89.6% of all subjects were included in risk group for exercise and physical activity, 86.4% for diet habit, 43.2% for alcohol drinking and drug use, 35.6% for stress control, 32.8% for safety behavior, 24.8% for smoking. The big health risk behavior problem of male students were smoking, drinking, diet habit, and exercise. The important health risk behavior problem were diet habit and exercise. There were significant difference in smoking, drinking, exercise between sex. 3. Analysis of the distribution by sex role identity type and health behavior revealed that subjects who were undifferentiated typed group had high risk behavior in stress control, safety, exercise, drinking. Smoking and drinking were more problematic for masculinity typed group had high risk behavior in diet and exercise. The data showed that androginy typed group had more healthy behavior, compared with other sex role identity typed group for all of health behavior. Further research is need to understand the role of sex role identity in health behavior, the variables associated with them. And sex role identity has to be considered in research and practice about health promotion.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.24
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• pp.10841-10846
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• 2015

Background: Smoking is a primary risk factor for cancer development. While most research has focused on smoking cigarettes, the increasing popularity of shisha or water pipe smoking has received less attention. This study measured the prevalence and risk factors for shisha and cigarette smoking and related knowledge. Materials and Methods: This cross-sectional analytical study was conducted in Shah Alam, Malaysia. Participants aged ${\geq}18years$ were selected from restaurants. Data regarding demographic variables, smoking patterns, and knowledge about shisha smoking were collected in local languages. Logistic regression was performed to assess risk factors. Results: Of 239 participants, 61.9 % were male and 99.2% revealed their smoking status. Some 57.4% were smokers: 50.7% only cigarettes, 5.9% only shisha and 42% both. Mean age of starting cigarette smoking was $17.5{\pm}2.4years$ and for shisha smoking $18.7{\pm}2.0years$. In a univariate model, male gender, age 33-52 years and monthly income > MYR 4,000 increased the risk and unemployment and being a student decreased the risk. In a multivariate model, male gender increased the risk of smoking, while being a student decreased the risk, adjusting for age and income. The perception of shisha being less harmful than cigarettes was present in 14.6% and 7.5% had the opinion that shisha is not harmful at all, while 21.7% said that it is less addictive than cigarettes, 39.7% said that shisha did not contain tar and nicotine, 34.3% said that it did not contain carbon monoxide and 24.3% thought that shisha did not cause health problems. Conclusions: Prevalence of shisha and cigarette smoking is high in the general population in Malaysia and knowledge about shisha smoking is relatively low. The findings of our study might have implications for understanding similarities and differences in incidence of shisha and cigarette smoking in other cultural/geographic regions.

• Journal of the Korean Society of School Health
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• v.30 no.2
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• pp.174-180
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• 2017

Purpose: This study examined depression, ego-resilience and health behaviors of high school student in order to understand the relationship among these variables. Methods: The study used raw data from the Korean Children and Youth Panel Survey conducted in 2015. Data was analyzed using SPSS 21.0 for descriptive statistics, t-test, $x^2$ test, Pearson's correlation coefficients, and multiple regression analysis. Results: Gender, school performance, economic status, subjective health status, drinking behavior and ego-resilience had significant effects on depression. Moreover, school performance, subjective health status, smoking behavior, duration of exercise during physical education classes, and depression had significant effects on ego-resilience. Conclusion: Based on these findings, we need to develop the interventions for depression and ego-resilience for adolescents, considering the related factors to health status and behaviors.

• Korean Journal of Health Education and Promotion
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• v.27 no.2
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• pp.95-108
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• 2010

Objectives: The Purpose was to investigate the effects of the '5&6 smoking cessation program' and '5 days smoking cessation program' on the high school student's perception, urine cotinine, and smoking behaviors. Methods: This study was designed using nonequivalent control group pretest-posttest. The '5&6 smoking cessation program' was applied to the experimental group 1(28 students). The '5 days smoking cessation program' was applied to the experimental group 2(19 students). Control group was 53 students. Data was analyzed using descriptive statistics, $X^2$-test, Fisher's exact test, Independent-sample t-test, Paired t-test, ANOVA, Wilcoxon signed ranks test, Cronbach's coefficient alpha. Results: The '5&6 program' was significantly increased on smoking self-efficacy, stage of smoking cessation behavior change, Cons. for smoking and significantly decreased on daily smoking amount, urine cotinine level than control group. The '5 days program' was significantly decreased on urine cotinine level and Pros. for smoking than control group. The '5&6 program' was significantly increased on stage of smoking cessation behavior change than '5 days program'. Conclusion: This study showed that the '5&6 program and the '5 days program' are effective in adolescent's smoking cessation behaviors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.31 no.4
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• pp.169-176
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• 2020

Exploring the risk factors of adolescent suicide is important for effective suicide prevention. This study explored the clustering of adolescent suicides based on six risk factors: mental disorder, broken family, depression, anxiety, previous suicide attempts, and deviant behaviors. Using 173 student suicide reports obtained from the Ministry of Education, we evaluated the associations between suicide and variables related to mental disorders; dysfunctional family life; depression and anxiety; previous suicide attempts; deviant behaviors such as drinking and smoking; and school life characteristics, including attendance and discipline, problems within the past year, and incidents prior to suicide. In addition, reports of warning signs just before suicide were included in the analysis. The two-stage cluster analysis classified the students into three clusters: the silent type (cluster 1; 48.55%), in which no risk factors were observed; environmental-risk type (cluster 2: 24.28%), which featured a high frequency of broken households, deviant behaviors such as smoking/drinking and running away from home; and depressive type (cluster 3: 27.17%), which featured a high frequency of mental health problems such as depression, anxiety, and suicide attempts. Identifying the sub-types of adolescent suicide may help to inform tailored suicide prevention and intervention strategies in school.

• The Journal of Korean Society for School & Community Health Education
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• v.18 no.1
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• pp.1-12
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• 2017

Objectives: This study aimed to analyze sexual experience rates according to socio-demographic factors, health behavioral factors, and internet use time, and to identify sex experience related factors in high school students using the data from the 11th Korean Youth Health Risk Behavior Web-Based Survey. Methods: A total of 33,744 students (17,346 boys and 16,398 girls) in high schools were analyzed using the SPSS WIN version 22 program. SPSS complex samples methods were used for analyses. Socio-demographic factors, health behavioral factors, and internet use time as independents variables were included. The complex samples logistic regression analyses were used to calculate the odds ratio of the sexual experience according to the socio-demographic factors, health behavioral factors and internet use time. Unweighted frequencies and percentages were represented in result tables. Results: 3.6% of girls and 9.9% of boys in high school had sexual experiences. Daily average smoking amount and daily alcohol drinking amount were a dose-response relationship with sexual experience after considering confounding factors. Students who smoke 10-19 cigarettes had 5.74 times higher risk and 20 cigarettes or more had 7.27 times higher risk of sexual experiences, comparing with non-smoking students, relatively. Likewise, students who drink soju less than 1-2 bottles and more than 2 bottles had 3.82- and 4.35 times higher chance of sexual experiences, compared with non drinking students, respectively. Conclusions: We found that there were the dose-response relationship between health behavioral characteristics and sexual experiences. Further research is needed to identify an interaction effect between smoking and drinking alcohol on sexual experiences in high school students.

• The Korean Journal of Community Living Science
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• v.15 no.4
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• pp.79-88
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• 2004

The purpose of this study was to compare the dietary behavior of middle school and high school students who had working mothers with students whose mothers were not employed. Self-reports on their dietary behavior and one-day dietary records were obtained from 396 middle school students and 364 high school students using anonymous questionnaires. The results were summarized as follows; the students with working mothers were more likely to not to eat properly and their dietary behavior was generally inadequate, showing a greater irregularity for meals, more of a tendency to skip breakfast, less diversity of food intake, and a higher incidence of drinking and smoking. One-day dietary records obtained by 24k recall methods showed less diverse food intake and a higher rate of skipped meals in students with working mothers. Drinking and smoking were more prevalent among middle school students whose mothers were working than among those students with unemployed mothers, but in the case of high school student the difference was not significant. With more and more housewives seeking jobs, more attention needs to be given to the dietary and nutritional intake of their children, especially among middle school students. High school students seem to be less affected than middle school students by their mother's employment.

• Korean Journal of Health Education and Promotion
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• v.22 no.1
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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.