• 대한간호학회지
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• 제35권4호
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• pp.694-700
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• 2005

Purpose. The purpose of this study was to determine the relationship between peer and parental factors and smoking behavior of adolescents in urban cities and to investigate whether there are gender differences. Methods. A stratified and random cluster sampling design was used to obtain a cross-sectional sample of high school students in two urban cities. The sample consisted of 512 Korean adolescents (256 boys and 256 girls) aged 15 to 18 (mean age 16.7$\pm$.58). Self-reported questionnaire consisted of adolescent smoking behavior, peer smoking and alcohol use, parental smoking and alcohol use, father-mother-peer relationships and perceived social support from peers and parents. Multiple logistic regression analysis was used to examine the hypothesized model. Results. The findings showed that peer and parental factors accounted for $30.3\%$ of the variance in adolescent smoking and peer smoking was most strongly associated with adolescent smoking behavior (OR = 10.18). In addition, peer smoking (OR = 4.71), peer alcohol use (OR = 4.21), and peer relationships (OR = 1.03) were significantly associated with boys' smoking behavior. In girls, peer smoking (OR = 26.50) and parent smoking (OR = 5.48) were significantly associated with smoking behavior. Conclusions. Consistent with previous findings, peer smoking is a significant factor on adolescent smoking. Specifically, boys would be more influenced from peers than girls. Therefore, smoking prevention programs for adolescents might be focused on the social context such as, resisting to peer pressure and enhancing the self-efficacy to control.

• 보건교육건강증진학회지
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• 제30권2호
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• pp.71-82
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• 2013

Objectives: The purpose of this study was to analysis the health behaviors differences of adolescents depending on whether parenting behavior perceived by adolescents. Methods: The data which is used in this study was extracted from the 2011 second korean adolescents' penal data collected by the National Youth Policy Institute. Multivariate logistic regression analysis was performed in order to find how degree parents relationship factors are associated with adolescents' health behavior after adjusting sex, smoking(alcohol drinking) friends, and other significant variables. The data was processed by SAS 9.1. Results: Respondent's general characteristics such as smoking(alcohol drinking)friends, parents' job were positively relative to smoking and alcohol drinking experience. Also Parents's affection and experience of being abused from parents were significantly associated with smoking(alcohol drinking) experience. Conclusions: Negative vertical attitude for children is important for the health risk behaviors of adolescents. To increase effectiveness of the health policy for the adolescents in korea, it is important to adapt new strategy to include the positive empowerment of adolescents' social networks except for smoking(alcohol drinking)friends and policy support to turn negative vertical attitude for children into positive attitude for children.

• 지역사회간호학회지
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• 제21권1호
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• pp.53-62
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• 2010

Purpose: The purpose of this study was to analyze the contents and trends of smoking and smoking cessation of adolescents in Korea. Methods: The subjects were 315 researches from 1997 to 2008 in Korea. They were examined in terms of subjects, research design, key words, types of intervention, times of intervention, and dependent variables for experimental research, and in terms of subjects, concepts, research questions and research methods for qualitative research. Results: Of the studies 52.4% were master's theses, and 22.9% of the subjects were male high school students. The most common research design was descriptive design. Major concepts studied were related to emotional cognitive variables. Among 80 experimental researches, 70% were about smoking cessation programs. The number of qualitative studies was only 6. Their concepts were smoking experience, motives for smoking cessation, smoking process, and motives for smoking. A major research question was: What does smoking mean to adolescents? Conclusion: More research should be done for the female students' smoking and smoking cessation. Also, research that adapts educational programs for smoking and smoking cessation needs to be performed through at least a 10 times longer period and in regular basis to get desirable results.

• 성인간호학회지
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• 제20권2호
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• pp.231-238
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• 2008

Purpose: The purpose of this study was to investigate the relationship between depression and attention concentration by smoking status among adolescents. Methods: Depression was measured by Radloff's Center for Epidemiological studies Depression(1977) and modified by Korean(Chon & Lee, 1992), attention concentration measured by Nideffer's Test of Attention and Interpersonal Style(1976) and modified by Korean adolescents(Seo, 2004; Shin, 1988). The collected data was analyzed by the $Mean{\pm}SD$, ${\chi}^2$-test, ANOVA, Scheffe and Pearson correlation coefficient(SPSS 13.0). Results: 1. The smoking level appeared to heavy smoking group 31(22%), light smoking group 15(11%), non smoking group 92(67%). 2. The smoking level was different between the time to begin smoking, period of smoking and smoking amount/day. 3. Smoking group's depression was higher than those of the non smoking group and attention concentration was lower than those of the non smoking group. 4. The smoking amount had a significant positive correlation with depression and a significant negative correlation with attention concentration. Depression had a significant negative correlation with attention concentration. Conclusion: The result of this study offered the basis data for smoking prevention and treatment of adolescents.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.5847-5852
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• 2015

Background: Smoking behavior is related to numerous factors, including psychosocial parameters. This study investigated the association between family context factors and smoking among male adolescents. Materials and Methods: A cross-sectional, school-based study was conducted during 2014. The study sampled 900 students from intermediate and secondary schools in Madinah City, Saudi Arabia. Data concerning smoking status, sociodemographic, parental and friends' smoking behavior, and family factors were collected using a self-administered questionnaire. These data were employed to estimate the prevalence of smoking using appropriate statistical analyses including multivariate logistic regression. Results: Of 900 students, 870 completed the study questionnaire (96.7%). Of the respondents, 181 students (20.8%, 95% CI=18.1%-23.5%) were current smokers, and a much higher prevalence was observed among adolescents with most or all of their friends smoking (48.1%) and those living with neither parent (47.4%). The adjusted risk of smoking increased significantly among adolescents who lived with neither parent (OR=3.3; 95% CI=1.1-9.2) and among those who reported little or no parental supervision (OR=1.5; 95% CI=1.0-2.1). Conclusions: Family context factors are associated with an increased risk of smoking behavior among male adolescents in Saudi Arabia.

• 한국보건간호학회지
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• 제35권2호
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• pp.283-296
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• 2021

Purpose: The aim of this study was to investigate the influence of threat perception and psychological reactance to graphic health warnings on cigarette packages on intention to quit smoking among smoking adolescents. Methods: The participants were 185 smoking adolescents attending two industrial specialized high schools, who had witnessed graphic health warnings on cigarette packages within the previous 30 days. Collected data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN Ver. 25.0. Results: The results showed that participant threat perception (𝛽=.14, p=.037) after witnessing a cigarette warning message had a positive influence on intention to quit smoking. On the other hand, psychological reactance (𝛽=-.23, p=.001) showed a negative influence on intention to quit smoking. Conclusion: When designing and developing a message for smoking adolescents, customized messages are required to reflect teenagers' characteristics and raise threat perception and lower psychological reactance. In addition, we propose a future study be conducted to determine the influences of various psychological determinants, including self-efficacy and skills, on threat perception and psychological reactance to graphic health warnings on cigarette packages among smoking adolescents.

• 지역사회간호학회지
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• 제17권2호
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• pp.253-262
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• 2006

Purpose: This study was done to evaluate the predictive factors of smoking cessation intention of smoking adolescents at H. district in Chungchungnam-do. Method: A convenience sample was recruited from a public health center at H. district in Chungchungnam-do. A total of 100 smoking adolescents were enrolled in this study. A self-report survey method was used to identify the predictive factors related to smoking cessation. Result: A forward stepwise logistic regression analysis identified four factors associated with smoking cessation intention of smoking adolescents: accompanied friends during the smoking cessation program (OR=20.14), preparation for smoking cessation (OR=5.12), smoking cessation knowledge after the smoking cessation program (OR=1.41), and the number of cigarettes (OR=0.15). Conclusion: Based on this study results, the effective programs in reducing adolescent smoking rates should include components to accompany peers, increase the knowledge of smoking impact, and the benefit of smoking cessation.

• 한국학교보건학회지
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• 제24권1호
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• pp.81-88
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• 2011

Purpose: The main purpose of this study was to explore the influences of adolescents' smoking on the stress level according to gender. Methods: We used the data from the 2008 Korea National Health and Nutrition Examination Survey conducted by the Korea Centers for Disease Control and Prevention between the period of Jan. and Dec. 2008. The target population of this study is 805 adolescents in the 12~19 years old. Results: 22.0% of male adolescents and 11.8% of female adolescents were current smokers. Hierarchical regression analysis showed that stress level was associated with self-reported health status, drinking, and smoking among males. Among females, stress level was associated with BMI. Conclusion: The results of this study would help to develop smoking prevention programs and health promotion strategies for adolescents.

• 아동학회지
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• 제37권1호
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• pp.37-48
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• 2016

Objective: To prevent adolescent drinking and smoking, this study proposed a strategy based on the ecological perspective. Methods: The study applied multilevel moderated logistic regression analysis on nationally representative individual-level (2,046 9th grade adolescents) and neighborhood-level (92 geographic areas) data. Results: There was a positive association between risky neighborhood environments (e.g., rate of smoking, drinking, and presence of saloon/bars accommodation) and rates of adolescent drinking and smoking. Furthermore, the interplay between risky neighborhood environments and school adjustment pointed to a possible protective effect of a high level of school adjustment in predicting smoking and drinking among adolescents. Conclusion: Findings highlighted the importance of considering multiple neighborhood social contexts surrounding adolescents to understand their risky behavior. Furthermore, positive intervention strategies that focus on adolescents' positive development within the school domain may act to protect adolescents from harmful neighborhood environments.

• 대한간호학회지
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• 제53권2호
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• pp.155-166
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• 2023

Purpose: Although heated tobacco product (HTP) use among adolescents is an emerging public health problem, little is known about the frequency and quantity of HTP use. Thus, we investigated the associations between the frequency and quantity of HTP use and smoking characteristics (i.e., combustible cigarette [CC] and electronic cigarette [EC] use, and attempts to quit smoking) among CC-smoking adolescents. Methods: We analyzed nationally representative data from 2,470 Korean adolescents who were current CC smokers. To investigate our aim, we conducted multinomial logistic and logistic regression analyses. Results: We found that daily and heavier CC users had greater likelihoods of more frequent and heavier HTP use. In addition, dual users of CCs and ECs were more likely to use HTPs more frequently and heavily than CC users who did not use ECs. Moreover, daily EC users had the highest risk of frequent and heavy HTP use. The frequency and quantity of HTP use were not associated with attempts to quit smoking. Compared to CC-only use, dual use of CCs and HTPs was not associated with quitting attempts, and triple use of CCs, ECs, and HTPs was associated with a lower likelihood of quitting attempts. Conclusion: HTP use was less likely to displace CC use and promote attempts to quit smoking. Thus, strict regulations are required to prevent the promotion of HTPs as a substitute for CCs or as a means of quitting smoking. Additionally, health professionals should consider preventive interventions for HTP, as well as CC and EC use among adolescents.