• Child Health Nursing Research
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• 제6권1호
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• pp.51-59
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• 2000

The purpose of this study was to investigate the actual state of and the factors in relation to drinking and smoking of elementary school. The subject for this study consisted of 604 students of six elementary schools located in Pusan. The data were collected by using a anonymous questionnaire during the period from Nov. 1, 1998 to Nov. 15, 1998. The results of this study are summarized as follows. 1. The rate of drinking of the whole respondents was 20.7% (male 25.4%, female 15.6%), the rate of smoking was 8.1%(male 11.7%, female 4.2%). The user of drink and cigarets together showed 5.6%. 2. The school year of the first drinking and smoking was most at the 5th grade in elementary school(drinking 24.8%, smoking 20.4%). The motivation of beginning drinking and smoking was curiosity for the most part(32.0%, 61.2%). As to a way to get drink and cigarets, using a thing in the house' was most(82.2%). As to a used place, their own home or their friends' home showed 32.2% for the most part. Companion was mostly alone(84.0%). 3. Those who had experience of drinking and smoking took more positive attitude toward drinker and smoker, were more hospitable to exhortation to drinking and smoking, and were more positive about the late intention of drinking and smoking, but his desire for health education was lower than not. And he showed overlooking or keeping step with his friend's drinking and smoking. 4. In the results so far investigated difference of drinking and smoking according to a general tendency of respondents. The experience of drinking was related to sex distinction (P=0.003) and the marital status of parents (P=0.001). And the experience of smoking had relation to sex distinction(P=0.001), the marital status of parents(P=0.001), the parent's attitude of bring up(P=0.020) and making use of leisure (P=0.029)(P<.05).

• 지역사회간호학회지
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• 제22권2호
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• pp.204-211
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• 2011

Purpose: To investigate the frequency of breakfast skipping and affecting factors in children in poverty. Methods: The subjects were 644 children who were receiving the services of community child center or delivery meal-box. They were asked about their socio-demographic characteristics, health behaviors and breakfast-skipping status in the survey. Results: Breakfast-skippers were 17.4% of the subjects. The count of negative health behaviors in breakfast skippers was higher than that in eaters, and the behaviors of exercise, screen time, alcohol experience, and smoking experience were worse in skippers than in eaters. The odds ratio of breakfast skipping was higher in female children (OR=2.53, p<.001), those with single father (OR=3.76, p<.001) or single mother (OR=1.83 p=.030), those with alcohol experience (OR=1.82, p=.022) and smoking experience (OR=2.80, p=.003), and under-weight ones (OR=2.54, p=.048). Conclusion: Breakfast skipping is associated with gender, family structure, alcohol experience, smoking experience and BMI. Children in poverty need comprehensive health promotion programs including interventions for breakfast skipping and health behaviors.

• Clinical and Experimental Pediatrics
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• 제55권2호
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• pp.35-41
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• 2012

Passive exposure to tobacco smoke significantly contributes to morbidity and mortality in children. Children, in particular, seem to be the most susceptible population to the harmful effects of environmental tobacco smoke (ETS). Paternal smoking inside the home leads to significant maternal and fetal exposure to ETS and may subsequently affect fetal health. ETS has been associated with adverse effects on pediatric health, including preterm birth, intrauterine growth retardation, perinatal mortality, respiratory illness, neurobehavioral problems, and decreased performance in school. A valid estimation of the risks associated with tobacco exposure depends on accurate measurement. Nicotine and its major metabolite, cotinine, are commonly used as smoking biomarkers, and their levels can be determined in various biological specimens such as blood, saliva, and urine. Recently, hair analysis was found to be a convenient, noninvasive technique for detecting the presence of nicotine exposure. Because nicotine/cotinine accumulates in hair during hair growth, it is a unique measure of longterm, cumulative exposure to tobacco smoke. Although smoking ban policies result in considerable reductions in ETS exposure, children are still exposed significantly to tobacco smoke not only in their homes but also in schools, restaurants, child-care settings, cars, buses, and other public places. Therefore, more effective strategies and public policies to protect preschool children from ETS should be consolidated.

• 한국학교보건학회지
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• 제22권1호
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• pp.49-59
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• 2009

Purpose: The aim of this study was to identify the factors related with the intention of smoking abstinence among elementary students in a metropolitan city in Korea. Methods: All the elementary schools in the city were stratified by region, and then schools as a primary sampling units (PSU) were selected by probability proportional to size (PPS) sampling. One class per grade was sampled randomly from 5th and 6th grade in the sampled schools from October to December in 2004. The students completed a standardized self-administered questionnaire anonymously. A total number of 1,712 respondents who did not smoke was included in the final analysis. The dependent variable was an intention of smoking in the future, and it was dichotomized into 'absolutely confident in smoking abstinence' and 'others'. The risk of non-absolute confidence in smoking abstinence was calculated with simple and multiple logistic regression, which were conducted with STATA 9.0 by a design-based analysis considering strata variable, PSU, and sampling weight. Results: In the final model of multiple logistic regression analysis, those who were more likely to have non-absolute confidence in smoking abstinence were male students (OR=2.66, p<0.001); barely attending religious services (OR=3.32, p=0.002) or having no religion (OR=1.95, p=0.027); exposure to environmental tobacco smoke outside home 1${\sim}$2 days per week (OR=1.60, p=0.013); having friends who smoked (OR=1.93, p=0.011); non-absolute confidence in refusing to smoke (OR=5.35, p<0.001); having relatively less negative attitude (OR=2.88, p<0.001), positive attitude (OR=2.35, p<0.001), and indifference (OR=4.05, p=0.034) toward peer smoking; not good relationship with mother (OR=1.52, p=0.016). Conclusion: The factors related with non-absolute confidence in smoking abstinence were coincided with those of smoking among children. The results of this study suggest the smoking prevention education should be applied to the children more actively, especially who are not confident in smoking abstinence in the future.

• Asian Pacific Journal of Cancer Prevention
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• 제15권3호
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• pp.1307-1312
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• 2014

Background: The objective of this study was to examine the effect of self-concept levels and perceived academic achievements of sixth, seventh and eighth grade primary school students upon their perceptions about smoking. Method: The data were collected with the Socio-Demographic Data Collection Form, Pier-Herris Self-Concept scale and Children's Decision Balance Scale. The study sample consisted of 374 students receiving education in the sixth, seventh and eighth grades of three primary schools, which were selected among primary schools of Izmir Provincial Directorate for National Education representing three socio-economic groups with a simple random sampling method. The data were collected in December 2012-January 2013. Percentages and the t test were used in the evaluation of the data. Results: While students with a positive self-concept had score averages of $7.12{\pm}2.18$ regarding the lower dimension of smoking pros and $29.0{\pm}2.47$ regarding the lower dimension of smoking cons, their counterparts with a negative self-concept had score averages of $8.61{\pm}3.76$ (p=0.000) and $28.1{\pm}3.49$ (p=0.004), respectively. According to self-perception, there was statistical difference between perceptions of students regarding smoking (p<0.01). While students perceiving themselves successful had score averages of $7.81{\pm}3.13$ and $28.5{\pm}3.19$ regarding the lower dimension of smoking benefit and harm, students perceiving themselves unsuccessful had score averages of $8.27{\pm}3.39$ (p=0.333) and $29.01{\pm}2.05$ (p=0.235), with no difference determined. Conclusion: Students with a positive self-perception had a low perception of smoking pros and a high perception of smoking cons. Perception of academic achievement did not affect the pros and cons perceptions of children regarding smoking.

• 보건교육건강증진학회지
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• 제25권3호
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• pp.59-75
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• 2008

Objectives: The purpose of this study was to identify the stages of change distributions for nine major health behaviors among poor children in underserved area, and to provide basic information for developing specific objectives and strategies for health education program. Methods: The health behavior data were obtained with a self-administered questionnaire and analysed for 3,081 poor children in 106 local children's centers nationwide. Stages of change classification were based on self-reported responses to five statements. The health behaviors included were balanced diet, safety behavior (helmet and protective device use while riding), regular exercise, smoking, alcohol use, drug use, sleep pattern, weight management and stress management. Results: Poor children were more likely in precontemplation and less frequently in action and maintenance stages for a safety behavior. 33.1% of respondents were precontemplators, 29.9% contemplators, and 6.5% in preparation stage. Only 4.3% and 9.6% were in action and maintenance stages, respectively. Gender differences were apparent. Boys were more likely to be precontemplators for nine health behaviors. Children from the lowest socioeconomic status and disrupted family were more likely to be in precontemplation for weight management and exercise behaviors. Children living with both parents were more likely to be in the action and maintenance stages for nine health behaviors. Stages of change for balanced diet and smoking were significantly related with those for other eight health behaviors. And the stage of exercise adoption was found to be significantly related with those for other seven health behaviors. Conclusion: Safety education must receive high priority in health education program for low income children. Balanced diet smoking cessation and regular exercise could be a possible gateway behavior toward healthier lifestyle practices.

• 한국융합학회논문지
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• 제10권2호
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• pp.269-276
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• 2019

이 연구는 아동과 청소년의 흡연과 관련된 연구 중 국내 학술지에 발표된 연구의 동향을 알아보는 것이 목적이다. 이를 위해 논문 선정, 분류 유목 결정, 평정지침서 작성, 논문 분석, 코딩, 코딩 결과 분석의 절차를 거쳤다. 분석대상은 2018년까지 학술지에 게재된 논문 중 선정 기준에 부합한 350편의 논문이며, 발표 연도, 연구대상, 연구주제, 연구방법에 초점을 두어 분석하였다. 그 결과 아동과 청소년을 대상으로 한 흡연 관련 연구는 1995부터 2000년 사이에 급격하게 증가하였으며, 그 추세가 유지되었다. 주된 연구 대상은 일반 아동과 청소년이었으며, 가장 많이 연구된 주제는 '관련 요인', '개입', '실태', '예방', '특성', '법과 정책', '척도', '개관과 이론'의 순이었다. 연구방법은 양적연구를 가장 많이 사용하였고, 자료는 연구자가 직접 질문지를 활용해 수집하는 형태가 가장 많았으며 점차 패널 데이터의 활용 사례가 늘고 있었다. 향후에는 더 다양한 주제에 대한 연구가 필요하며 질적 및 혼합 연구 방법을 포함한 균형 잡힌 연구 방법도 제안되었다.

• 디지털융복합연구
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• 제18권7호
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• pp.411-419
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• 2020

본 연구는 유아의 간접흡연에 대한 인식, 간접흡연으로부터 자신을 보호하는 기술, 금연에 대한 태도 및 의지를 향상시키는데 있어, 가정연계교육의 효과를 검증하고자 수행되었다. 이를 위해 서울 및 경기도 소재 유아교육기관 3곳의 만 5세 유아 208명을 실험집단, 비교집단, 통제집단으로 구분하여 실험하였다. 실험집단은 간접흡연예방 가정연계교육을, 비교집단은 간접흡연예방 기관교육 처치하였고, 통제집단은 기존의 방식대로 건강교육의 일환으로 흡연예방교육을 실시하였다. 세 집단의 사전, 사후 변화값을 측정한 결과, 금연구역 및 표시에 대한 인식, 간접흡연에 대한 인식, 금연에 대한 태도 및 의지에 있어 세 집단 모두 집단 내 유의한 차이를 보였으며, 간접흡연으로부터 자신을 보호하는 기술에서는 실험집단과 비교집단에서만 유의한 차이를 보였다. 집단 간 변화값은 실험집단, 비교집단, 통제집단 순으로 증가폭이 높게 나타나 가정연계교육이 유아기 간접 흡연예방에 가장 긍정적인 효과가 있음을 알 수 있었다. 향후 다양한 연령을 대상으로 가정연계방식의 간접흡연예방교육이 확대되어야 하며, 부모의 참여와 실제적 효과성 증진을 위해 온라인교육 및 지역사회연계 방안이 연구될 필요가 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권sup1호
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• pp.25-29
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• 2016

Efforts to reduce tobacco use among school children need to be based on understanding of access to cigarettes by these subjects because previous studies indicated that enforcement of laws for controlling tobacco sales seems to not affect teen/school children because they can obtain cigarettes from different sources. This paper aims to describe access to and availability of cigarettes among school students (aged 13-15 years old) according to the data from GYTS Vietnam 2014. In GYTS, a national school-based survey of students of grades 8-10, our findings showed that about 15% school children are current smokers who smoke at home, and that they could easily buy cigarettes from stores (63.2%), or someone else (27.8%), or street vendors (9%). Notably, over 85% of school children answered that they were not refused because of their age. This high percentage was nearly the same in the North (85.7%), the Centre (92.5%), and the South (89.7%) of Viet Nam. These findings show that it is quite easy for school children to obtain cigarettes and this is a crucial challenge for policy makers aiming to reduce tobacco use among youth in general and school-age students in particular.

• Asian Pacific Journal of Cancer Prevention
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• 제17권11호
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• pp.4813-4818
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• 2016

Objective: The objective of the study was to determine the Knowledge, Attitude and Practice of chewing gutka,areca nut, snuff and tobacco smoking among the young population in the Northern India Population between the age of 15 to 22 years. Methods: The study was approved by the ethical committee. A total of 10 school and colleges located in the rural and urban areas was selected. A total of 1500 young individuals aged between 15 to 22 years were selected. A self-administered questionnaire was designed comprised of 14 closed ended questions about Knowledge, Attitude and Practice towards consumption of areca nut, gutka and tobacco smoking that were filled by the participants. Descriptive statistics were obtained and mean, standard deviation, frequency and percentages were calculated. Data was analyzed by using SPSS. Result: A total of 1050 out of 1500 students responded to the questionnaire. A total of 227 subjects agreed that they are consuming the tobacco. Out of this, 196 (86.34%) were boys and 31 (13.65%) were girls who agreed in consumption of tobacco product. Out of 196, 150 boys (76.5%) practices the habit of smoking 1 -5 times a day and 46 (23.4% ) practice the habit of chewing areca nut and gutkha 1 - 5 times a day. Out of 31 girls, 25 girls (80.6%) practices the habit of smoking 1 -5 times a day and 6 (19.4%) practice the habit of chewing areca nut and gutkha 1 - 5 times a day. Out of 740 subjects, 530 were boys and 210 girls have full knowledge of deleterious long term effects of tobacco consumption. Conclusion:The present study concluded that young population of North India lack Knowledge, Attitude and Practice regarding consumption of areca nut, gutka and tobacco smoking. Here is an urgent need to take effective steps, especially on launching community awareness programs for the school children and public to educate them about the consequences of tobacco use, and on assessing their effectiveness in curbing the problem.