• Journal of Preventive Medicine and Public Health
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• 제46권3호
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• pp.139-146
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• 2013

Objectives: Cigarette smoking prevalence among adolescent males in rural areas of Korea has increased in recent years. The aim of this study was to explore the factors related to increasing trends in cigarette smoking among adolescent males living in rural areas. Methods: The raw data from the Korea Youth Risk Behavior Web-based Survey from 2006 to 2009 were used. Data were analyzed by using the method of complex survey data analysis considering complex sampling design. Multiple logistic regression models were used to explore the factors affecting cigarette smoking. We evaluated the linear time trends in the prevalence of factors that were related to current smoking status and the linear time trends in cigarette smoking in groups stratified by the exposure to each factor using logistic regression models. Finally, we examined the contributions of the factors to the time trends in cigarette smoking by adjusting for each of those factors in the baseline regression models and changes in the adjusted odds ratio by survey year. Results: A statistically significant increasing trend in smoking was observed after adjusting for the factors affecting cigarette smoking. Significant factors related to cigarette use were perceived stress, experience with depression, current alcohol drinking, exposure to secondhand smoke, and academic performance. The factor related to increasing trends in cigarette smoking was academic performance. Conclusions: Stress about academic performance is an important factor affecting the increase in cigarette smoking among adolescent males in a rural area of Korea.

• 대한지역사회영양학회지
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• 제5권3호
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• pp.432-443
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• 2000

Smoking can increase oxidative stress and thereby change the antioxidant defense system in the body. Supplementation of antioxidant vitamins might improve antioxidant status in the body. The purpose of this study was to evaluate the effectiveness of vitamin C supplementation and smoking cessation education on changes of antioxidant status and psychosocial factors related to smoking. To obtain above purposes, we investigated the effectiveness of intervention for male adolescent smokers were evalnate by assessing changes in dietary intakes, plasma antioxidant vitamin concentration, and psychosocial factors related to smoking after program completion. Subjects, male adolescent smokers, were assigned into four groups : Control group(19 students), Educ. group(19 students), Vit. C supple. group(19 students), and Educ.+Vit. C suppl. group(19 students). The Educ. group and Educ.+Vit. C suppl. group received nutrition and smoking cessation education once a week for 5 weeks. Vit. C suppl. group and Educ.+Vit. C suppl. group received 500 mg per day of ascorbic acid for 35 days. All data were collected before and after intervention. Vit. B$_2$and Vit. C intakes of all groups were increased, but the only Ca intake was increased in the Educ. group. Plasma Vit. C concentration and Ratio(plasma Vit. C/Vit. C intakes) were increased in the Vit. C suppl. group and Educ.+Vit. C suppl. group, and the Vit. C deficiency status of these groups(Vit. C suppl. group and Educ.+Vit. C suppl. group) disappeared. Showing the effects of Vit. C supplementation, plasma $\alpha$-tocopherol was increased in the Educ. and Educ.+Vit. C suppl. group, and especially high increases were seen in the Educ.+Vit. C suppl. group. Psychosocial factors related to smoking changed after the education a little. This intervention program had an impact on nutrition intakes, plasma antioxidant vitamins, and some beliefs related to smoking in male adolescent students. Various programs of nutrition and smoking cessation education and vitamin supplementation for quitting smoking must be implemented for adolescent smokers, and further studies are needed regarding sorts and amount of antioxidant nutrients and supplementation periods.

• Child Health Nursing Research
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• 제25권4호
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• pp.487-495
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• 2019

Purpose: We aimed to identify associations between the frequency of electronic cigarette (e-cigarette) use and smoking-related characteristics among adolescent smokers. Methods: We used data from the 14th Korea Youth Risk Behavior Survey. The participants were 3,722 smokers who had smoked cigarettes on at least one day during the past 30 days. The frequency of e-cigarette use was defined as the number of days that participants used e-cigarettes during the past 30 days, and was divided into four categories: 0, 1~2, 3~9, and ${\geq}10$ days. We used the $x^2$ test and multinomial logistic regression to examine the associations between the frequency of e-cigarette use and smoking-related characteristics. Results: Those who attempted to quit smoking, had used a heated tobacco product (HTP) at least once, or initiated e-cigarette use before middle school were more likely to use e-cigarettes for 3~9 days in the past 30 days. More frequent e-cigarette use (${\geq}10$ days) was associated with a higher frequency and greater amount of cigarette use, lifetime HTP use, and earlier initiation of e-cigarette use. Conclusion: Smoking-related characteristics differed by the frequency of e-cigarette use. Therefore, intervention programs targeting adolescent smokers should consider differences in smoking-related characteristics based on the frequency of e-cigarette use.

• 한국콘텐츠학회논문지
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• 제17권7호
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• pp.622-633
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• 2017

본 연구는 청소년의 흡연 정도에 따른 금연시도 영향요인을 비교하기 위해 시행되었다. 본 연구는 질병관리본부가 실시한 2016년 제12차 청소년 건강행태 온라인조사의 원시자료를 이용한 2차 분석 연구로 SPSS 21.0으로 복합표본 분석하였으며, 본 연구의 대상자는 청소년 흡연자 4,012명으로 하루 10개비 미만의 일반흡연 청소년은 3,171명(78.4%), 하루 10개비 이상의 중증흡연 청소년은 841명(21.6%)로 나타났다. 연구결과, 금연시도 비율은 일반흡연 청소년은 71.6%, 중증흡연 청소년은 64.8%로 일반흡연 청소년에서 더 높았다. 일반흡연 청소년의 금연시도 영향요인은 격렬한 신체활동, 우울 경험, 흡연 시작시기, 친구흡연, 금연교육 경험, 금연홍보 경험으로 나타났으며, 중증흡연 청소년의 금연시도 영향요인은 격렬한 신체활동, 친구흡연, 금연교육 경험, 금연홍보 경험으로 나타났다. 본 연구 결과를 토대로, 청소년 흡연자의 금연시도 성공을 위해 효과적인 밀착형 금연프로그램 개발을 위한 기초자료로 활용함을 기대한다.

• 지역사회간호학회지
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• 제15권1호
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• pp.95-101
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• 2004

Purpose: The purpose of this study was to identify factors influencing adolescent smoking behavior in the Seoul area. Method: A total of 6.352 middle and high school students living in the Gangnam district of Seoul participated in the study. A self report survey method was used to identify factors related to smoking. Result: A stepwise logistic regression analysis identified four factors associated with adolescent smoking: living with a parent who smokes (OR=1.4), having friend (s) who smoke (OR=14.8), negative attitudes toward passive smoking(OR=4.8), and ignorance of the impact of smoking on health(OR=4.6). Conclusion: Based on the study results, components of effective programs to reduce adolescent smoking rates should include programs to deal with peer pressure to smoke and to reduce the impact of parents who smoke, to increase knowledge of the impact of smoking, and to promote positive attitudes toward anti smoking.

• 한국콘텐츠학회논문지
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• 제11권4호
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• pp.303-311
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• 2011

본 연구는 청소년의 6개월간의 금연성공률을 미치는 영향요인을 확인하기 위하여 시도되었다. 연구대상자는 인천광역시 보건소 금연클리닉에 등록한 925명의 청소년이었다. 수집한 자료는 로지스틱회귀분석을 이용하여 영향요인을 분석하였다. 청소년의 6개월 금연성공의 주요요인은 금연시도를 한 적이 있는 것 보다 금연시도를 한 적이 없는 것이었고(OR=9.48), 음주를 안 하는 것보다 음주(OR=4.61)를 하는 것이, 가족이나 친구의 권유(OR=3.93), 금연방법(인지-행동요법과 니코틴 대체요법의 병행(OR=2.45), 여학생보다는 남학생(OR=1.78)이, 중학생 보다는 고등학생(OR=1.65)이, 호기 CO농도가 낮을수록(OR= 0.95), 니코틴 의존도가 낮을수록(OR=0.76)이었다. 청소년을 위한 금연정책은 금연 뿐 아니라 청소년기 이전부터 흡연예방을 강조해야 한다. 가족, 금연상담사 및 건강관리자들은 금연을 시도하는 청소년이 첫 시도에 금연에 성공하도록 도와주어야 하며, 특히 여학생과 중학생의 경우에는 금연을 위한 동기를 부여하고 금연상담을 더 많이 해야 한다. 청소년 흡연자의 호기 CO 농도가 높거나 니코틴 의존도가 높다면, 이들에게는 인지-행동 요법과 함께 니코틴 대체요법도 효과적이라고 생각한다.

• 보건교육건강증진학회지
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• 제22권2호
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• pp.173-193
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• 2005

Objectives: The purpose of this study is to analyze the peer group factor related to adolescent smoking in the social structure(network) of adolescent groups, by applying the theory of social network. Methods: The data was collected from boy students of one high school located in Gun-Po city of Kyonggi Province. The total number of the sample was 605(223 first grade, 198 second grade, 184 third grade). The survey using the questionnaire was carried out in April 2005. Social position is finally classified as clique member, liaison, isolate group by using the NetMiner II 2.5 version. Results: The current smoking rate was 15.0%, and the life-time smoking rate was 34.9%. The smoking rate increased significantly, as the grade went up. And it was significantly high among the group having smoking friends. The logistic regression analysis showed that the odds ratio of the smoking friends group was about 4 times higher than the no smoking friends group in experience of smoking. But the smoking rate was higher significantly in the isolate group within the network composed of 2. person's social-link. The odds ratio of the isolate group was about 4.5 times higher than the clique member. However, this pattern was not found in the network composed of 3 person's social-link. Therefore, the hypothesis that clique member would have a correlation with smoking was rejected. In reality, the isolate group had a tendency of smoking more frequently. Conclusions: The result of this study suggests that the role of the peer group in smoking is to be considered in the prevention program. More attentions should be paid for the isolate group.

• Journal of Korean Biological Nursing Science
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• 제14권2호
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• pp.103-111
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• 2012

Purpose: The purpose of this study was to identify the effect of self-efficacy promotion of the smoking cessation program on the amount of smoking, carbon monoxide level, urine cotinine level and the smoking cessation self-efficacy of adolescent smokers. Methods: The subjects composed of 24 for the experimental group and 28 for the control group who were smoking adolescents at the Middle School in G city. The data collection was done from October 13 to November 18, 2010. A nonequivalent control group pretest-posttest design was used. This program was composed on the basis of Shin (1997)'s Self-Efficacy Promoting Program. The self-efficacy promotion smoking cessation program was conducted for 2 hours per week, and lasted for 6 weeks on the experimental group. The control group had a general smoking program. Data was analyzed using SPSS/WIN 14.0 program. T-test was used to analyze outcome measures. Results: The amount of smoking, CO level, urine cotinine level, and self efficacy level of the experimental group was significantly improved more than that of the control group after intervention. Conclusion: Therefore, self-efficacy promotion smoking cessation program for adolescent smokers can be recommended for smoking cessation of adolescents.

• Korean Journal of Health Education and Promotion
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• 제3권1호
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• pp.99-111
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• 2001

Adolescent psychosocial smoking prevention programs have been successful, but limited in the magnitude of program effects on the reduction of smoking behaviors. This is primarily due to the mixed results of independent studies with program variations. This systematic, quantitative research synthesis is designed to identify program key factors that are likely to increase program effects. The present study examined school-based psychosocial smoking prevention programs (1978-1997)among students in grades 6 to 12 in the United States. Theoretical formulations in this analysis of mediating effects posit that program impact on knowledge and/ or skills is associated with less smoking behaviors among program participants. Knowledge factors investigated in this study included health effects, social consequences, social influences, and social norms. Skill factors included affective skill, self-efficacy, assertiveness, self-control, problem solving, and refusal skill. The findings from this study highlight the importance of social consequences knowledge factor and assertive communication skill factor in decreasing adolescent smoking behaviors.

• 대한지역사회영양학회지
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• 제7권1호
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• pp.14-22
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• 2002

Adolescent smoking has been a great concern with respect to it’s causing more serious health problems than adult smoking. The smoking status and habits of middle school students were studied using anonymous questionnaires, and their dietary habits were compared. Ninety-two of 4l4 students (22.2%) had experienced smoking, and 62.0% of them began in primary school, mostly out of curiosity. The most plausible reasons for smoking were ‘boredom’ and/or ‘stress reduction’. Dietary habits were generally inadequate in the smoking group. Compared with the non-smoking group, the smoking group paid less attention to a balanced diet, more skipped breakfasts, more had irregular meal times and fewer snacked. There was no significant difference between the smoking and non-smoking groups in food intake frequency, except of sweet foods and caffeinated foods, which were more frequent consumed by the smoking group. These results suggest that more attention needs to be paid to nutrition and health education programs in elementary schools and also that proper support programs for smoking by themselves.