• 보건교육건강증진학회지
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• 제28권4호
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• pp.79-94
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• 2011

Objectives: The aim of this study was to evaluate the effectiveness of smoking cessation clinics for soldiers in the Korean armed forces. In so doing it attempted to identify the predictors of smoking cessation and positive transition of stages of change. Methods: In a single-group pre-post test study design, 5,362 smokers from Korean armed forces participated in the smoking cessation clinic programs based on both the Transtheoretical model and life skills approaches. Changes in stages of change and related variables were measured before the intervention and at 3-month follow-up after the intervention. Results: The cessation rates was 66.0% at 3-month follow-up. With the positive transition to action/maintain stage, proportion of participants in action/maintain stage increased more than 5 times after the intervention. Cons of smoking, self-efficacy, processes of change, and life skills increased, and pros of smoking decreased after the intervention. Predictors of smoking cessation included nicotine dependency, pros of smoking, high levels of self-efficacy, processes of change and life skills. Positive stage transition was predicted by pros of smoking and high self-efficacy. Conclusions: Application of the Transtheoretical model and life skills approaches provided useful strategies for a smoking cessation program in armed forces.

• 치위생과학회지
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• 제9권4호
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• pp.397-404
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• 2009

치과종사자의 금연에 대한 태도, 금연지도활동의 실태, 금연지도활동의 장애요인에 대한 자료를 조사 분석하여 금연지도활동을 확대하는데 필요한 자료를 얻기 위하여 강원도 원주시 구강보건지료기관에 근무하는 치과의사, 치과위생사, 간호조무사, 치과코디네이터를 대상으로 하여 설문조사법을 적용하여 다음과 같은 결과를 얻었다. 1. 치과종사자의 금연에 대한 태도점수의 평균 6점 만점에서 5.18점(${\pm}1.21$)으로 비교적 금연에 대해 긍정적인 태도를 가지고 있는 것으로 나타났다. 2. 치과종사자의 금연지도활동 점수의 평균은 12점 만점에서 6.67점(${\pm}1.85$)으로 비교적 낮게 나타났다. 3. 금연지도활동의 장애요인으로는 금연문제를 거론하기가 힘들다는 응답이 42.3%로 가장 큰 장애요인으로 나타났다. 4. 치과종사자의 금연지도활동 점수와 통계적으로 유의한 상관관계를 보인 변수는 금연에 대한 태도, 연령, 금여권유 시, 금연 가능성에 대한 인식이었다. 이상의 결과로부터 구강건강관리인력의 금연지도활동에 대한 자기효능감을 높이기 위해 정규교과과정이나 보수교육 프로그램의 개발을 통행 지속적으로 금연지도활동에 대한 이론 및 기술교육을 통해 제공해야 하며, 금연중재 프로그램의 적용과 관련하여 프로그램의 효과를 평가할 수 있는 연구가 필요하다.

• 보건행정학회지
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• 제27권4호
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• pp.276-283
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• 2017

Background: Electronic cigarette (e-cigarette) has rapidly increased. Even though e-cigarettes are actually not smoking cessation alternative supplies, some people perceive them as smoking cessation alternative supplies. The purpose of this study is to identify the relationship between e-cigarette experiences and smoking cessation behaviors among Korean adults. Methods: Cross-sectional data was collected from 7,550 participants of Korea National Health and Nutrition Examination Survey in 2014. A total of 867 participants who were current smokers were enrolled in this study. Multi-variable logistic regression analysis were performed to identify the relationship between the smoking cessation behavior and the e-cigarette experience. Results: The e-cigarette experience rate of current smokers was 22.1%. The e-cigarette experience rate was higher in groups with the higher income, the higher education level, and the white collar jobs. Smokers with experience of smoking cessation (odds ratio [OR], 3.03; 95% confidence interval [CI], 1.67 to 5.76) and with intention to smoking cessation in the future (OR, 1.59; 95% CI, 1.05 to 2.43) were more likely to experience the e-cigarette. Especially, smokers who used smoking cessation alternative supplies were more likely to experience the e-cigarette than smokers who did not use it (OR, 2.87; 95% CI, 1.59 to 5.18). Conclusion: We confirmed that e-cigarette experiences were associated with smoking cessation experience, smoking cessation plan, and use of smoking cessation aid among smokers in Korea. Additional studies should be continued to confirm whether e-cigarette are continuously influencing the smoking cessation of current smokers in South Korea as one of the smoking cessation alternative supplies.

• Journal of Preventive Medicine and Public Health
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• 제50권3호
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• pp.177-187
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• 2017

Objectives: Medical students represent a primary target for tobacco cessation training. This study assessed the prevalence of medical students' tobacco use, attitudes, clinical skills, and tobacco-related curricula in two countries, the US and Italy, with known baseline disparities in hopes of identifying potential corrective interventions. Methods: From September to December 2013, medical students enrolled at the University of Bologna and at Brown University were recruited via email to answer survey questions assessing the prevalence of medical students' tobacco use, attitudes and clinical skills related to patients' smoking, and elements of medical school curricula related to tobacco use. Results: Of the 449 medical students enrolled at Brown and the 1426 enrolled at Bologna, 174 Brown students (38.7%) and 527 Bologna students (36.9%) participated in this study. Italian students were more likely to smoke (29.5% vs. 6.1%; p<0.001) and less likely to receive smoking cessation training (9.4% vs. 80.3%; p<0.001) than their American counterparts, even though the majority of students in both countries desired smoking cessation training (98.6% at Brown, 85.4% at Bologna; p<0.001). Additionally, negative beliefs regarding tobacco usage, the absence of formal training in smoking cessation counseling, and a negative interest in receiving specific training on smoking cessation were associated with a higher risk of not investigating a patient's smoking status during a routine history and not offering tobacco cessation treatment to patients. Conclusions: Medical curricula on tobacco-related health hazards and on smoking cessation should be mandatory in order to reduce smoking among medical students, physicians, and patients, thereby improving tobacco-related global health.

• 한국간호교육학회지
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• 제10권2호
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• pp.229-238
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• 2004

This study was conducted to identify the factors affecting smoking cessation behavior of the university student smokers for developing the effective smoking cessation program. For this purpose, data were collected from 64 students registrated at the university health center for anti-smoking acupuncture through May, 2003. Data were analyzed with percentile, mean, t-test, ANOVA, pearson correlation by SPSS/PC program. The results were as follows ; There was significant relationship in the scores on perceived benefits(t=-2.05, p=.045), chance-health locus of control(t=-2.28, p=.026) and nicotine dependence (t=-1.96, p=.056) according to the grade. And also there was significant increase in the nicotine dependence in the higher grades. There were significant positive relationship between external locus of control and perceived benefits(r=.389, p=.001), perceived barriers and benefits(r=.457, p=.000), and significant negative relationship between the daily life activities and perceived barriers(r=-.350, p=.005). From these results, it can be concluded that the effective smoking cessation program could be considered of perceived benefits & barriers, and nicotine dependence to promote anti-smoking behavior for university student smokers.

• 대한치과의사협회지
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• 제44권10호통권449호
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• pp.647-657
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• 2006

By organizing the results of study questioned 1,620 dentists working nationwide in 2005, we concluded the followings. 1. The smoking rate of dentist is 29.69%. 2. 60.9% of current dentist smokers responded that they started smoking at the age of 20-24, during their dental school ages. 3. 67.41% of respondents have no idea of cyber antismoking campaign launched by Korean Dental Association, and 94.07% of respondents didn t receive formal education about smoking cessation. 4. 59.01% of respondents want to educate patients about smoking cessation in dental clinics but couldn t help putting it off for practical reasons. The reasons include their busy office hour(36.30%), difficulties in collecting proper smoking cessation documents(25.10%), and lack of their own knowledge in renunciation of smoking. (18,83%) 5. As dental healthcare personnels, they agreed with their status and duty of leading role in national renunciation of smoking. (R>80%) 6. 83.34% of dentists agreed that if educational antismoking program is arranged by Korean Dental Association, they should receive the education.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.177-188
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• 2010

Objectives: The aim of this study was to examine factors related to smoking behavior, and to develop multilevel communication strategies for smoking cessation. Methods: This paper reviewed theories and empirical findings with currents ecological models to develop communication strategies. Theory comparison was also performed to identify important mediators in the process of smoking cessation. Results: Factors that have been identified to influence smoking behavior ranges from individual perception, attitudes and self efficacy toward smoking to organizational norms, regulations, community capacity, media advocacy and public smoking regulation policy. In order to address these multi-level determinants of smoking behavior, objectives and strategies for smoking cessation intervention were developed utilizing ecological perspectives to cover intrapersonal, interpersonal(mainly family member and peers), organizational and community/public policy level factors. Conclusion: Multilevel approaches have advanced the existing knowledge on determinants of health behaviors. New direction of research focusing on testing multilevel intervention approaches should be expanded to inform the efficacy of applying social ecological models to health behavior change process.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.123-129
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• 2010

Objectives: The aim of this study is to seek an effective way to support smoking cessation by analyzing any change to the pattern of nicotine dependence according to the change in time. Methods: The study was conducted with 800 male smokers who had participated in smoking cessation programs at public health centers from July 16, 2005 to July 15, 2008. Latent growth curve modeling approach was used for data analysis. Results: From the developmental trajectory of individual nicotine dependence, while nicotine dependence of smokers with high nicotine dependence in the first year was slightly decreased in the third year, smokers with low nicotine dependence in the year showed dramatically lower nicotine dependence in the third year. Compared with those who did not successfully quit smoking, the initial value of nicotine dependence of those who successfully quit smoking in the first and the second year was low. Over the years, nicotine dependence was decreased. Conclusion: From this study it was demonstrated that nicotine dependence was reduced through the practice of smoking cessation and reduced nicotine dependence was a factor which affects successful smoking cessation. These results indicate that multiple attempts to quit smoking finally reduces nicotine dependence. Reduced nicotine dependence is likely to increase the possibility of successful smoking cessation.

• 한국학교ㆍ지역보건교육학회지
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• 제21권2호
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• pp.73-86
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• 2020

Objectives: The purpose of this study was to effects of education program of smoking prevention and cessation through the linkages between subjects on smoking knowledge, grit, health promoting behaviors of college students in some area. Methods: A non-equivalent control group pre-post test design was used. The intervention group received the education program for 6 weeks from October 1 to November 15, 2019. The control group lived only usual daily life. Results: t-test showed that Smoking Knowledge (t=3.78, p<.001) and grit (t=3.75, p<.001) were significant differences between the two groups. In terms of health promotion behaviors, total(t=2.89, p=.002) and physical activity(t=3.20, p=.002), health responsibility(t=3.90, p<.001), spiritual growth(t=1.99, p=.049), interpersonal relations(t=2.61, p=.010) were significant difference between the two groups, in other hands nutrition(t=0.89, p=.372) and stress management(t=1.69, p=.092) were no significant difference between two groups. Conclusions: the education program of smoking prevention and cessation through the linkages between subjects was founded to be an effective education program in improving smoking Knowledge, grit, health promoting behaviors of college students in some area.

• 지역사회간호학회지
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• 제17권2호
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• pp.273-282
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• 2006

Purpose: This study was to evaluate the effects of smoking prevention education on primary school students. Method: This study used a nonequivalent control group pretest-posttest design. The subjects were 189 6th graders of two primary schools, of them, 97 were assigned to the experimental group and 92 were assigned to the control group. Smoking prevention education was applied in 7 sessions for 40 minutes every week. Survey was conducted before and one week after the smoking prevention education to examine student's knowledge of smoking, attitude, and smoking cessation intention. The data were analyzed by descriptive statistics and $x^2-test$, t-test using the SPSS Win 10.0 program. Results: After the completion of the smoking prevention education, there were significant differences between the experimental group and the control group in smoking knowledge (t=2.651, p=.009), but smoking attitude (t=-.492, p=.623) and smoking cessation intention (t=-.425, p=.671) were not statistically significant between the two groups. Conclusion: The smoking prevention education for primary school students increased their knowledge on smoking but didn't have any significant impact on changing their smoking attitude and smoking cessation intention. Further study on longitudinal effect is recommended and the smoking prevention education should be provided continuously at school.