• 한국학교ㆍ지역보건교육학회지
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• 제12권2호
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• pp.29-42
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• 2011

Objectives: This is an explanatory correlational study to assess the level of and the relationship of the related factors of health promotion behavior by gender among college students. Methods: Subjects were 950 of the freshmen of the year 2010 at a university in a city adjacent to a metropolis, in S. Korea. Data were collected from the freshmen who understood the purpose of the study and agreed to participate during a freshmen core course using a structured questionnaire. Related factors include active- and passive-self efficacy, internal health locus of control, and social support. Related factors were compared between male and female using t-test and the relationship between the related factors and the health promotion behavior was analyzed separately for each sex, by multiple regression analysis using SPSS 12.0. Results: There were differences in the related factors of BMI between male and female students. They were alcohol behavior and perceived health status among female students while smoking status, alcohol behavior, perceived health status, and BMI among male students. Result from the multiple regression analysis revealed difference in the related factors and in the magnitude of the relationship evaluated by the standardized beta coefficients. Significant factors, listed by the magnitude of beta coefficients, among female were social support, active self efficacy, passive self efficacy, internal health locus of control, and alcohol behavior. Significant factors among male students were social support, active self efficacy, smoking, internal health locus of control, passive self efficacy, and perceived health status. Conclusions: There are gender difference in health promotion behavior and the related factors. The results suggest that the gender differences need to be considered when planning health promotion programs in college. Further research is necessary in order to draw consensus on roles of the related factors of health promotion behavior.

• Child Health Nursing Research
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• 제8권2호
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• pp.152-163
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• 2002

This study was done to provide basic data to develop smoking prevention and non-smoking education program. Questionnaire were collected from 438 male, 474 female middle school students at Chunchon, Kwangwon-do from Sep 2, 2000 to Feb 28, 2001. The Questionnaire used to measure subjects' knowledge and attitude about smoking was Guideline for the content of tobacco smoking surveys of the general population by WHO. The collected data were analyzed by SPSS-Win program. The results were as follows. 1.The average score of knowledge about smoking of subjects was 57.01 on the basis of 100. 2. The average score of attitude about smoking of subjects was 63.54 on the basis of 100. 3. In knowledge about smoking, there were statistically significant difference according to subjects' grade(F=3.218, p=.041), thinking about smoking behavior(F=3.424, p=.017), harmfulness of smoking(F=17.202, p=.000), present drinking(F=3.555, p=.029) and in attitude about smoking, there were statisti cally significant difference according to subjects' grade(F=20.520, p=.000), sex(t= -5.073, p=.000), mother's smoking(t= -2.405, p=.035), brother's smoking(t= -5.022, p=.000), mother's schooling(F= 3.730, p=.024), having smoking friend or not (t=-9.357, p=.000), subjects' smoking experience (t=-12.363, p=.000), present smoking(F= 76.643, p=.000), quantity of smoking(F= 6.808, p=.001), period of stop smoking(F= 4.685, p=.004), beginning time of smoking (F=2.286, p=.049), thinking about smoking behavior(F=17.933, p=.000), harmfulness of smoking(F=58.360, p=.000), present drinking (F=58.071, p=.000). 4. There were significant relationship between subjects' knowledge and attitude about smoking(r=.469, p=.000).

• 한국학교보건학회지
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• 제10권2호
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• pp.213-239
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• 1997

In recent years, adolescent issues including smoking, drinking, drug abuse, juvenile delinquency, deviant sexual behavior, mental health problems, high suicide rate, misconducts and absence without due notice, etc are emerging as serious social problems and the debate on these controversial issues is heating up. Accordingly, the purpose of this study is to analyze factors which are changeable and fixable among the factors influencing the adolescent's health behavior and misconducts and, eventually influencing factors which can be used as the basis to establish health policies and health promotion program to reduce the health risk behavior and misconducts of adolescents. The smoking rates are 34.1% for male students of prep schools and 13.8% for females students of the same school and 55.7% for males, 31.8% for females of the vocational schools and 58.3% for males and 48.8% for females of social institutional schools, which showed the great diffence among the different types of schools and between sex. In particular, male students of social institutional school showed 1.7 times higher smoking rate than those of prep schools and in case of female students, 3.5 times higher rate. The time of initial smoking was most frequently during the middle school days for both males and females. In case of drug abuse, 5.4% of males and 2.7% females of general schools were using adhesives and inhalants which was 2.5 times higher for males and 6.3 times higher for females of social institutional schools. 41.8% of males and 30.3% of females of prep schools, 41.8% of males and 59.4% of females of vocational schools and 55.1% of males and 36.6% of females of social institutional schools have experienced kissing. Regarding the health promoting behavior and misconducts, female students practiced the health promoting behavior more than male students while male students showed higher rate of health risk behavior and misconducts than female students, which was statistically significant. The group of students who have not attended the health education class, in comparison to those who have attended, were more likely to practice health risk behavior and misconducts. Those with higher academic achievement was more likely to practice the health promoting behavior while those with poor academic achievement were more likely to practice health risk behavior and misconducts. As the perceived health status was higher and as students experienced less illness, the health promoting behavior was higher.

• 지역사회간호학회지
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• 제12권1호
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• pp.168-174
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• 2001

This study was conducted to investigate the disease preventive behavior and health promoting behavior of a community residents. The subjects were selected by convenient sampling and the total number was 300(Female, 170, Male, 130). The data were collected by face to face interviews during the period of Sep. 15-30, 1999. The measurement tool for this study was the rating score for disease preventive behavior and health promoting behavior. The instrument was developed by the researcher based on the tool of Korea Institute for Health and Social Affairs. The data were analyzed by percentage, mean, t-test, ANOVA. $x^2-test$ by Windows SPSS/PC program(v7.5). The results were as follows: 1. In the comparison of disease preventive behavior rates between male and female, there was a statistically significant difference in physical examination, measuring the blood pressure and vaccination for B type hepatitis. In the comparison of disease preventive behavior rates among the age, there was a statistically significant difference in physical examination, measuring the blood pressure. 2. The rating score for the health promoting behavior of the men subjects was lower than that of the women subjects. In the comparison of health promoting behavior scores between male and female, there was a statistically significant difference in smoking, drinking, regular exercise, breakfast eating, vegetable consumption and teeth brushing. In the comparison of promoting Behavior scores among the age, there were significant difference, there was a statistically significant difference in smoking, sleeping, seat belt use, breakfast eating and salty eating.

• 지역사회간호학회지
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• 제22권1호
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• pp.1-10
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• 2011

Purpose:The present study was to apply the Attitudes-Social influence-Efficacy (ASE) model in order to identify factors associated with the assertive behavior of non-smoking college students when they are exposed to secondhand smokes in Korea. Methods: Data were collected from non-smoking college students (N=1,656, 76.6% female) at two universities in Seoul and Gyeonggi-do. The main outcome measure was the assertive behavior. ASE factors such as attitudes toward being assertive, social influences, and self-efficacy as well as socio-demographic, health-related, and smoking-related factors were self-administrated. Results: The mean of the assertive behavior (range 1~5 points) was 2.23;37.6% was not at all assertive, while 4.3% was always assertive. Higher assertiveness was significantly correlated with a higher level of positive attitude, social influence and self-efficacy (p<.05 for all). Stepwise multiple regression analyses showed that the social influence was the strongest factor associated with the assertive behavior (${\beta}=0.430$, p<.001, $R^2$=.246), followed by self-efficacy, motive to assertiveness, having any family member who had diseases, and male gender. These factors explained the assertive behavior by 39.7%. Conclusion: The ASE model may explain the assertive behavior of non-smoking college students under secondhand smoke exposure. Social influence and self-efficacy were significant factors associated with their assertive behavior.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6273-6278
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• 2015

Objective: This study assessed the association between subjective body image or objective body mass index (BMI) and the risk of daily smoking in Korean adolescents, with a purpose of identifying the most suitable models. Materials and Methods: Using the 2013 9th Korea Youth Risk Behavior Web-based Survey data for 72,435 students, odds ratios were calculated for daily smoking in the past month, according to the subjective body image and calculated BMI using a respective multiple logistic regression model. The combined effect of these two factors was also analyzed by pairing a BMI category with a subjective body image category, using odds ratios for the same event within each sex group. Results: Among the surveyed students, 7.2% of boys and 1.8% of girls were classified as daily smokers. Students who perceived themselves as being very obese tended to be at lower risk of daily smoking (OR=0.61 in boys with 95% CI=0.47 to 0.79; OR=0.66 in women with 95% CI=0.47 to 0.93). In addition, boys within the obese or overweight BMI category showed a lower risk of daily smoking (OR=0.86, 95% CI: 0.77-0.96). Lean BMI was significantly associated with higher odds ratios for daily smoking only in female students (OR=1.24, 95% CI: 1.02-1.52). When pairing these two objective and subjective factors, results suggested that subjective body image has a greater effect on daily smoking than BMI in both boys and girls. Conclusions: In both male and female students, subjective body image had a greater effect on daily smoking than body mass index. A model using the combination of BMI and subjective body image was the best fit in girls, in contrast to the model using subjective body image only best suitable in boys, for the prediction of daily smoking. These results including several factors associated with daily smoking in Korean students, provide useful data for the development and implementation of smoking intervention and cessation programs for adolescents.

• 한국학교보건학회지
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• 제20권1호
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• pp.103-111
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• 2007

Purpose : The purpose of this study was to investigate the effects of stresses to female university students and their habits of dealing with stresses through drinking alcohol and smoking. Methods : Subjects, 313 students, were selected through convenience sampling method from the 2 four-year universities in Chonbuk and Chonnam province from May to June, 2005. Data were collected through the structured questionnaires that include general characteristics, Quantity Frequency methods, the number of cigarette per day, campus stress scale, and stress coping style scale, and they were analyzed by Cronbach' alpha, descriptive statistics, ANOVA and t-test by using SPSS/PC⁺ program. Results: In this study, 80% of subjects have drunk alcohol. The mean frequency of drinking alcohol per month was 4.68 times and the mean number of alcohol consumption amount per drinking 6.16 glasses. The rate of smoking was 13.7%, and the mean number smoking cigarette per day in the previous month was 12.4. The mean score of stress was 2.20. Among 8 sub-factors of stress, study related stress scored highest among the sub-factors. The mean score of coping styles was 2.50. Among 4 coping styles, hopeful thought was mostly used. Among stresses, the concern of one's future affected her drinking habits. Faculty relationship, academic problem, and value affected smoking habits. Hopeful thought comes out to affect smoking, while drinking, perceived health status, and practice time showed no relationship with coping style. Conclusion: Based on the results, developing a life stress counseling program and effective coping program for women's university students is imperative, especially for those of who show passive attitude toward stress and solve it emotionally instead of using problem-oriented methods. Also, it will be necessary to study further nursing intervention to curb university females' drinking alcohol and smoking.

• 대한간호학회지
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• 제40권6호
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• pp.852-862
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• 2010

Purpose: This study was done to investigate differences in health behaviors by job stress level in male and female workers in a large-sized company. Methods: Participants were 576 male and 228 female workers who completed questionnaires. Job stress was measured using the 'Short Form Korean Occupational Stress Scale (SF-KOSS)'. Health behaviors included smoking, alcohol consumption, regular exercise, and diet. Frequency, mean, SD, chi-square test, and multivariate logistic regression using SAS version 9.1 were used to analyze data. Results: Smoking, drinking and regular exercise rates were not different by job stress level in male or female workers. Only regular diet was significantly different by job stress level in male and female workers. From multivariate analysis, the alcohol consumption rates for female workers differed by marital status. Regular exercise rate was significantly related to age for male workers and type of employment for female workers. After adjusting for demographic and work-related characteristics, regular diet significantly differed by shift work for male workers and marital status and shift work for female workers. Conclusion: The findings of the study indicate that nursing interventions should be developed to manage job stress to improve diet habits for male and female workers in large-sized companies.

• 보건교육건강증진학회지
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• 제23권2호
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• pp.11-27
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• 2006

Objectives: This study was conducted to evaluate the effects of a tailored program based on the Transtheoretical Model to smoking cessation in high school girls. Methods: A quasi-experimental research design was used in this study. The participants were 35 industrial high school girls who have been smoking. The girls were allocated to an experimental group(18) and a control group(17) by randomization. For intervention, the experimental group received the group smoking cessation program and individual program which tailored according to the stage of change. A common group smoking cessation program was given to the control group. Data were collected before the program, immediately after and 4 weeks after the program was completed and were analyzed with repeated measure ANOVA. Result: In the experimental group, the daily smoking amount, nicotine dependency and decisional balance(Pros) score were significantly decreased and the self-efficacy score were significantly increased at one month after the intervention in comparison with before and immediately after it. The decisional balance(Cons) and processes of change score of the experimental group were significantly increased at immediately after the intervention and one month after it in comparison with before it, and at one month after it in comparison with immediately after it. A significant difference in the daily smoking amount, urine cotinine, nicotine dependency, decisional balance(Pros, Cons) and processes of change score between the both groups was found after one month of intervention. Conclusions: The tailored smoking cessation program was more effective, compared to the common smoking cessation program on smoking behavior, self-efficacy, decisional balance, processes of change. This program can be used for favorable changes in high school girl's smoking behavior.

• Journal of Nutrition and Health
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• 제32권8호
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• pp.908-917
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• 1999

This study was done to compare nutrient intakes, anthropometric indices, and psychosocial factors related to smoking by smoking status among adolescent girls in Seoul. Subjects were high school students, and smokers were 17.6%. Nutrient intakes were analyzed by convenient method, and anthropometric measurements were done by Inbody 2.0. Psychosocial factors of smoking were examined based on the Theory of Planned Behavior : 26 attitudinal, 9 normative, and 17 control beliefs were used. Smokers smoked 5-7 cigarettes a day on average, with 1.26 pack-years of smoking, There were no significant differences in anthropometric characteristics, except fat distribution, between smoking(n=92) and nonsmoking(n=92) and nonsmoking(n=94) group. The percentage of alcohol groups. Especially, caloric intake (63.6% of RDA) were much below the recommended level. With respect to psychosocial factors, 18 out of 26 attitudinal beliefs were significantly different between smokers and nonsmokers. Smokers responded less negatively on the items of bad health effects of relax(p<0.001). In addition, smokers were more convinced of advantages of smoking (test, etc.)but responded less negatively on the disadvantages of smoking(bothering others, yellow teeth, bad breath, etc.). Smokers expressed less pressure for not smoking from siblings, friends, school seniors than nonsmokers. In addition, smokers, expressed less confidence in controlling the urge to smoker or quitting smoking in several situations, such as 'after a meal', 'feel bored', 'with friends', 'when angry' offered a cigarette by friends', 'drinking coffee or tea', 'drinking alcohol', 'seeing others smoke'(p<0.001). Smokers also felt less developing in applying specific skills for controlling the urge to smoker or quitting smoking. These findings suggest the need for developing smoking cessation programs for adolescent females, focusing on specific beliefs identified in this study.