• Research in Community and Public Health Nursing
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• v.18 no.3
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• pp.441-451
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• 2007

Purpose: The purpose of this study is to analyze the smoking behaviors and to identify the impacts of depression, temperament, and characteristic on smoking experience in the female adolescents. Methods: This study surveyed 691 highschool girls in the Gangwon area using self -administered questionnaires. Data were analyzed by SPSS 12.0. using Pearson correlation coefficient and multiple regression. Results: The smoking rate of the highschool girls was lower than that of the national average. Depression was observed to be seriously in the highschool girls. There were a positive correlations among smoking experience, the school records and novelty seeking and a negative correlation between smoking and cooperativeness. The significant predictors of smoking experience were the type of school, the satisfaction with school the school records, novelty seeking, reward dependence and cooperativeness. Conclusion: These results suggest that femalel adolescents who have the factors identified in this study are considered to have the potential for smoking. These results provide the basis for developing smoking prevention and cessation programs.

• Research in Community and Public Health Nursing
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• v.25 no.1
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• pp.33-43
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• 2014

Purpose: To evaluate the influence of experiences of witnessing tobacco advertising and preferences of tobacco companies' social responsibility (CSR) on current and future smoking intentions in adolescents. Methods: Data were collected from 700 adolescents living in Korea representing 7 metropolitan cities and 8 provinces in the method of proportional random sampling. The Gallup's data collection system was adopted using 1:1 face to face interviews. The witness of tobacco advertising was determined by 'yes', or 'no' responses to three survey items and to four survey items for preferences of tobacco CSR. For statistical analysis, ${\chi}^2$ test, Fisher's exact test and logistic regression were used. Results: 98.4% of the adolescents had experiences of witnessing tobacco advertising. POP (OR=103.44, 95% CI: 8.22~1301.45) and magazine advertisement (OR=6.07, 95% CI: 1.34~22.58) had a significant effect on their current smoking. Also, POP (${\beta}$=.24, p<.001) and movie advertisement (${\beta}$=.42, p<.001) had a significant effect on their future smoking intentions. As for the preferences of tobacco CSR, cultural-art support activities (${\beta}$=.15, p=.025) and environmental purifying campaigns (${\beta}$=-.15, p=.034) had a significant effect on their future smoking intentions. Conclusion: Witness of tobacco advertising and positive responses to tobacco CSR are associated with current and future smoking intentions in adolescents.

• Korean Journal of Health Education and Promotion
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• v.22 no.4
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• pp.123-136
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• 2005

Purpose: This study was to investigate the gender difference of relationship between psycho-social factors ana smoking, drinking in adolescents. Method: The stratified cluster sample consisted of 925 adolescents. Data were collected from May to March 2002. The instruments used in this study were Perceived Stress, DES-D, Social Support and Self-Esteem. Results: The results showed that female had more perceived stress, depressed than male. Male had more social support network, smoke than female. Male who smoked cigarettes were more perceived stress, depressed than those who did not smoke. Female who smoked cigarettes were more social support network, and had less self-esteem than those who did not smoke. Also male who drank alcohol were more perceived stress, depressed than those who did not drank. Female who drank alcohol were perceived stress, depressed, social support network, and had less self-esteem than those who did not drank. Conclusion: It is hoped that much more research on gender difference in adolescents who smoked cigarettes, drank alcohol will be implemented in the future. In addition, it is suggested the application of various interventions to deal with drinking and smoking behavior among female and male adolescents.

• Journal of Korean Academy of Nursing
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• v.36 no.8
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• pp.1315-1323
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• 2006

Purpose. The present study was intended to compare difference in research variables between delinquent adolescents and student adolescents, and to analyze discriminative factors of delinquent behaviors among Korean adolescents. Methods. The research design of this study was a questionnaire survey. Questionnaires were administered to 2,167 adolescents (1,196 students and 971 delinquents), sampled from 8 middle and high school and 6 juvenile corrective institutions, using the proportional stratified random sampling method. Statistical methods employed were Chi-square, t-test, and logistic regression analysis. Results. The discriminative factors of delinquent behaviors were smoking, alcohol use, other drug use, being sexually abused, viewing time of media violence and pornography. Among these discriminative factors, the factor most strongly associated with delinquency was smoking (odds ratio: 32.32). That is, smoking adolescent has a 32-fold higher possibility of becoming a delinquent adolescent than a non-smoking adolescent. Conclusions. Our findings, that smoking was the strongest discriminative factor of delinquent behavior, suggest that educational strategies to prevent adolescent smoking may reduce the rate of juvenile delinquency. Antismoking educational efforts are therefore urgently needed in South Korea.

• Journal of the Korean Society of School Health
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• v.29 no.3
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• pp.277-285
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• 2016

Purpose: This study investigated the rate of attempts to quit smoking and related factors in Korean adolescent smokers. Methods: The findings of this study were based on the data obtained from the '2015 $11^{th}$ Korea Youth Risk Behavior Web-based Survey'. The number of subjects was 5,123. Results: 71.7% of adolescent smokers in our study group had made previous attempts to quit smoking. Logistic regression analysis showed that the following significant factors were related to attempts to quit smoking: smoking amount (OR=1.78, 95% CI=1.42~2.23), experience of secondhand smoking in family (OR=1.16, 95% CI=1.02~1.32), experience of smoking cessation education in school (OR=2.05, 95% CI=1.79~2.35) anti-smoking publicity (OR=1.34, 95% CI=1.17~1.55), and close friend's smoking (OR=1.63, 95% CI=1.24~2.17). Conclusion: Smoking cessation policies and programs, especially those targeting adolescent smokers, should consider the factors mentioned above when designing new interventions or campaigns.

• Korean Journal of Health Education and Promotion
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• v.23 no.2
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• pp.29-45
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• 2006

Objectives: This study aims to investigate the attitude toward smoking and knowledge on smoking, self-efficacy, and self-esteem among high school students, and examine the moderate effects of gender on the differences in those variables between smoking and non-smoking students. As the result of investigation, it would suggest useful information for those who want to provide interventions of smoking prevention and smoking cessation to adolescents. Methods: Participants were 1,117 high school students (511 males, 584 females), whose mean age was 16.38 (SD=.87). To identify whether participants were smoking or not, bogus-pipeline was used. The data was collected with questionnaire include Smoking Attitude Inventory, General Self-Efficacy Scale, and Rosenberg's Self-Esteem Scale. A Pearson chi-square test and 2-way MANOVAs were performed with SPSS 11.5 for Windows. Results: With bogus-pipeline, one hundred thirty five (26.0%) of male students and 125(21.4%) of female students reported as they were smoking, while 115(22.2%) of male students and 78(13.3%) of female students reported as they were smoking at unidentified survey which was performed one week before bogus-pipeline. Results revealed that students who smoked had more positive attitude toward smoking and more knowledge on smoking than those who didn't smoke. Difference in knowledge on smoking between smoking and non-smoking students only existed in female students. Female students who smoked had lower self-esteem than female students who didn't smoke, but this difference didn't exist in male students. Conclusion: With the results of this study, it is considered smoking rates of adolescents surveyed with unidentified self-report questionnaires as underestimated. Health practitioners might consider female smokers' attitude toward and knowledge on smoking and self-esteem, especially for high school students. Despite of limitation of this study, it might help those who want to prevent initiation of smoking and give up smoking in adolescence.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.20
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• pp.8877-8881
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• 2014

Background: Despite social gradients in adult smoking, the effects of socioeconomic position (SEP) on adolescent smoking is not well understood. This study examined effects of subjective SEP as well as the objective SEP on smoking among Korean adolescents. Materials and Methods: Data were obtained from the 2012 Korea Youth Risk Behavior Web-based Survey, a nationally representative sample of middle and high school students (38,221 boys; 35,965 girls). SEP was assessed by the Family Affluence Scale (FAS) and the self-rated household economic status. Relationships between SEP and smoking were analyzed by multivariate logistic regression. Results: The low perceived SEP for either the high or low FAS grade was related to an elevated likelihood of smoking in both genders. A significantly higher risk of smoking was found in boys of low perceived SEP in middle school (odds ratio [OR] 1.50; 95% confidence interval [CI] 1.28-1.77 for high FAS, OR 1.55; 95% CI 1.21-1.98 for low FAS), and of low perceived SEP and high FAS in high school (OR 1.13; 95% CI 1.02-1.26). Among girls, an elevated risk of smoking was observed in middle school group with low perceived SEP and low FAS (OR 2.01; 95% CI 1.44-2.79) and in the high school group of low perceived SEP, regardless of FAS level (OR 1.34; 95% CI 1.14-1.57 for high FAS, OR 1.31; 95% CI 1.04-1.65 for low FAS). Conclusions: The relationship of subjectively perceived SEP with smoking is as important as objective SEP and more significant in Korean high school adolescents.

• Clinical and Experimental Otorhinolaryngology
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• v.11 no.4
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• pp.242-249
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• 2018

Objectives. Smoking is associated with hearing loss, while the correlation between tinnitus and smoking is not fully elucidated. This study aimed to evaluate risk factors of tinnitus in adolescents in terms of smoking, and we identified a rectifiable parameter that can be serially monitored. Methods. A cross-sectional study was conducted using data from the Korea National Health and Nutrition Examination Survey, with 2,782 participants aged 12 to 18 years, from 2008 through 2011. Participants with history of ear disease, hearing loss, and inadequate responses to questionnaires were excluded. We investigated the prevalence of tinnitus and tinnitus-related annoyance by questionnaire and sought potential risk factors in blood and urine tests and smoking history. Results. The prevalence of tinnitus in the 12- to 18-year-old population was 17.5%, with 3.3% reporting tinnitus-related annoyance. On univariate analysis, the prevalence of tinnitus increased with age (P<0.001) and was higher among girls (P=0.012). Blood tests and urinalysis showed significant correlation between tinnitus and red blood cell count, alkaline phosphatase levels, and urine cotinine (P=0.002, P<0.001, P=0.018, respectively). In multivariate analysis, the urine cotinine level was the only parameter associated with tinnitus (odds ratio, 1.000; 95% confidence interval, 0.999 to 1.000; P=0.038). Smoking was also significantly correlated with tinnitus (P=0.043), and amount of smoking with tinnitus-related annoyance (P=0.045). However, current smoking and past smoking were not correlated with tinnitus. Conclusion. Urine cotinine may be a rectifiable marker for management of tinnitus in adolescents. This suggests that smoking cessation should be incorporated in the management of tinnitus in adolescents.

• International Journal of Human Ecology
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• v.1 no.1
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• pp.37-58
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• 2000

Data from the National Longitudinal Study of Youth (NLSY) were used to examine factors related to adolescent behavior problems, smoking, and delinquency. This study focuses particularly on the factors in an adolescent s immediate environment such as family, school, peers, and neighborhood (i.e. the microsystems) for the identification, prevention, and early intervention of adolescent behavior problems, smoking, and delinquent behavior. Both African American and Caucasian American adolescents between the ages of 13 and 17 for whom data were available in the NLSY were included in this study (N=788). Results indicate that delinquent peer pressure and negative attitudes toward school are important determinants of behavior problems, smoking, and delinquency of American adolescents. Differences between African American and Caucasian American adolescents are highlighted.

• Journal of Environmental Health Sciences
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• v.44 no.6
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• pp.608-617
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• 2018

Objectives: The purpose of this study was to analyze related factors in relation to usage of illicit substances for Korean adolescents. Methods: This was a cross-sectional study, which used data from the Twelfth Korean Youth Risk Behavior Web-based Survey (KYRBWS). A total of 65,528 students in 2016 were included in this study. Chi-square test and logistic regression analysis were used for analyzing related factors using illicit substances. Results: Overall, 553 (0.8%) students responded as having ever used illicit substances during their lifetime and 133 (0.2%) students responded as current illicit substance users. It was found that electronic cigarette (EC) use, conventional cigarette smoking, second hand smoking, sad/despair mood, and economic status were significantly associated factors with usage of illicit substances. Comparing 'current EC users' with 'never EC users', the adjusted odds ratios (OR) was 7.76 (95% confidence interval (CI): 5.56-10.82) for life-time use of illicit substances, and 18.74 (95% CI: 8.01-43.87) for current use of illicit substances among adolescents. Additionally, comparing 'students who ever were exposed to second hand smoking during the past week', with 'students who never were exposed to second hand smoking', the adjusted OR was 2.60 (95% CI: 2.13-3.17) for life-time use of illicit substances, and 2.85 (95% CI: 1.68-4.83) for current use of illicit substances among adolescents. Conclusions: Based on the results, electronic cigarette use, second hand smoking, conventional cigarette smoking, sad/despair mood, and economic status were significantly associated with increased odds of substance experience and current substance use. Therefore, the results of this study can provide a useful evidence about adolescent behaviors in predicting substance use.