• 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.

• Journal of Preventive Medicine and Public Health
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• 제39권3호
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• pp.249-254
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• 2006

Objectives: This study was conducted to examine the factors related to the perceived peer smoking prevalence for adolescents. Methods: A self-administrated questionnaire was administered to 352 students in a technical high school in Kangwon Province in May, 2002. The questions included in the questionnaire were concerned with the estimated number of smokers among ten students of the same grade in their school, the sociodemographic characteristics, the smoking-related behaviors and attitudes, and the smoking-related environments. All the students had their expiratory carbon monoxide level measured with EC50 Micro-Smokerlyzer? to verify their smoking status. Multiple regression analysis was applied for data analysis using Windows SPSS 11.5. Results: The former and current smokers overestimated the peer smoking prevalence. Multiple regression analysis for estimating the peer smoking prevalence for the male showed that the perceived smoking prevalence was higher in the female students than in the male students, higher in those students whose mothers had a higher educational level, who had smoked more frequently, who had more best friends smoking, and who had a higher actual smoking rate of the class. For estimating the peer smoking prevalence for the female, the perceived smoking prevalence was higher in the female students than in the male students, higher in those who smoked more frequently, whose five best friends smoked, who had higher actual smoking rate of the class, and who had smoking siblings. Conclusions: This study showed that a higher perceived peer smoking rate is related with their own smoking history and smoking frequency, the smoking related environment, and gender. Smoking prevention and smoking cessation programs need to focus on correcting the falsely perceived smoking prevalence.

• 농촌의학ㆍ지역보건
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• 제29권1호
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• pp.15-28
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• 2004

Objectives: This study was performed to examined the effectiveness evaluation of peer education program on smoking prevention and cessation for elementary school students. Methods: Data were collected from 60 students in a rural area through self-administrated questionnaires. Child-leaders participated the peer education program to assist their friend, parent, and adult in community to quit the smoking for 4 weeks. Results and Conclusions: Major conclusions were as follows : 1. The peer education program on smoking prevention and cessation for elementary school students was reinforce to increasing the tobacco knowledge and the cessation skill, learning the communication skill, and improving the empowerment. 2. Image of tobacco, intention of smoking in future, recommendation for smoking cessation, pro of smoking. con of smoking, and level of assert in post-test were higher than those in pre-test. 3. There were significant differences in image of tobacco, con of smoking, and level of assert by grade between the pre-test and the post-test of peer education program. But intention of smoking in future, recommendation for smoking cessation, and pro of smoking were not related to effectiveness of peer education program. 4. Child-leaders for smoking prevention and cessation performed the their task to 1.4 persons per student. 5. Participating students were satisfied with the contents of program, the usefulness of educational materials, and preference of parents, but they were not satisfied with the usefulness of task note, learning time, and lecture room.

• Asian Pacific Journal of Cancer Prevention
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• 제14권6호
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• pp.3483-3489
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• 2013

Background: To identify the prevalence of different stages of smoking and differences in associated risk factors. Materials and Methods: Thos longitudinal study started in February 2011 and the subjects were 2552 form one students aged between twelve to thirteen years of from 15 government secondary schools of Kinta, Perak. Data on demographic, parental, school and peer factors were collected using a self-administered questionnaire. We examined the effects of peer, school and parental factors on the five stages of smoking; never smokers, susceptible never smokers, experimenters, current smokers and ex-smokers, at baseline. Results: In the sample, 19.3% were susceptible never smokers, 5.5% were current smokers 6% were experimenters and 3.1% were ex-smokers. Gender, ethnicity, best friends' smoking status, high peer pressure, higher number of relatives who smoked and parental monitoring were found to be associated with smoking stages. Presence of parent-teen conflict was only associated with susceptible never smokers and experimenters whereas absence of home discussion on smoking hazards was associated with susceptible never smokers and current smokers. Conclusions: We identified variations in the factors associated with the different stages of smoking. Our results highlight that anti-smoking strategies should be tailored according to the different smoking stages.

• 기본간호학회지
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• 제8권1호
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• pp.51-68
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• 2001

The purpose of this study was to explain the relationship between smoking status, smoking behavior and hardiness in university students in Gangnung City. The subjects were a convenience sample of 315 students. The data were collected by a questionnaire given to the students between May 22 to June 2, 2000. An instrument developed by Akers & Gang(1996) and translated by Sohn, Jung-Nam(1999) was used in this study to measure definition of smoking, differential reinforcement of smoking and smoking behavior. The differential peer association scale developed Krohn et al.(1982) and translated by Sohn, Jung-Nam(1999), and the hardiness scale developed by Pollock(1984) and translated by Suh, Mun-Sa(1988) were also used. The data were analyzed using the SAS/PC+ Program and included descriptive statistics, t-test, ANOVA, and Spearman correlation coefficients. The results of this study are as follows : 1. The smoking rate for university students was 50.5% of which 44.7% started smoking in high school. 2. The mean score for level of hardiness was $3.14{\pm}0.43$ 3. The mean score for smoking behavior was as follows : 1) The mean score for the neutralizing definition was $2.16{\pm}0.57$ 2) The mean score for the negative definition was $2.37{\pm}0.71$ 3) The mean score for the positive differential reinforcement was $1.89{\pm}0.63$ 4) The mean score for the negative differential reinforcement was $2.96{\pm}0.64$ 5) The mean score for the differential peer association was $2.67{\pm}1.05$ 4. The data showed positive correlations between hardiness and the neutralizing definition(r=.1951, P<.001), between hardiness and the positive differential reinforcement(r=.1128, P<.05), between hardiness and the amount of smoking per day(r=.1452, P<.05) between the neutralizing definition and positive differential reinforcement(r=.4212, P<.0001), between the neutralizing definition and differential peer association(r=.1856, P<.001), between the neutralizing definition and age at smoking initiation(r=.1582, P<.05), between the negative definition and negative differential reinforcement(r=.2985, P<.0001), between the positive differential reinforcement and differential peer association(r=.3451, P<.0001), between positive differential reinforcement and the amount of smoking per day(r=.4431, P<.0001), between differential peer association and the duration of smoking(r=.2789, P<.0001), between differential peer association and the amount of smoking per day(r=.5410, P<.0001), between the duration of smoking and the amount of smoking per day(r=.4245, P<.0001). The data showed negative correlations between the neutralizing definition and the negative definition(r=-.2065, P<.001) between the neutralizing definition and negative differential reinforcement(r=-.3943, P<.0001) between the neutralizing definition and duration of smoking(r=-.1957, P<.05), between the negative definition and positive differential reinforcement(r=-.2093, P<.001), between the negative definition and the amount of smoking per day(r=-.2282, P<.001), between positive differential reinforcement and negative differential reinforcement(r=-.5555, P<.0001) between negative differential reinforcement and differential peer association(r=-.3653, P<.0001), between negative differential reinforcement and the amount of smoking per day(r=-.4570, P<.0001), between the age at smoking initiation and the duration of smoking(r=-.4594, P<.0001).

• 보건교육건강증진학회지
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• 제21권1호
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• pp.197-216
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• 2004

The purpose of this study was to compare beliefs about social rule, differential peer association, perceived behavioral control, intention of smoking, and self efficacy for rejecting smoking among smokers, reformed smokers, and non smokers in adolescence. The subjects were 576 adolescents in middle and high school, living in K city. The data was collected through questionnaires from December 1st to 18th, 2002 was analyzed using descriptive statistics, x²-test, and ANOVA. 1) The general characteristics and characteristics related to smoking among smokers, reformed smokers, and non smokers in adolescence showed differences as follows： sex, mother's education, monthly allowance, thinking about teacher's smoking, feelings about the smoking scene, thinking about father's smoking, drinking, satisfaction of school, and sexual experience. 2) Belief about social rule, differential peer association, perceived behavioral control, intention of smoking, and self efficacy for rejecting smoking among the three groups showed differences as follows： smokers have a lower belief about social rule, lower perceived behavioral control, lower self-efficacy for rejecting smoking, but higher differential peer association and higher intention of smoking than those of reformed smokers and non smokers. We recommend the development of a nursing program for anti-smoking behavior including the research factors affecting attitudes of smoking adolescents.

• 보건교육건강증진학회지
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• 제22권2호
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• pp.173-193
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• 2005

Objectives: The purpose of this study is to analyze the peer group factor related to adolescent smoking in the social structure(network) of adolescent groups, by applying the theory of social network. Methods: The data was collected from boy students of one high school located in Gun-Po city of Kyonggi Province. The total number of the sample was 605(223 first grade, 198 second grade, 184 third grade). The survey using the questionnaire was carried out in April 2005. Social position is finally classified as clique member, liaison, isolate group by using the NetMiner II 2.5 version. Results: The current smoking rate was 15.0%, and the life-time smoking rate was 34.9%. The smoking rate increased significantly, as the grade went up. And it was significantly high among the group having smoking friends. The logistic regression analysis showed that the odds ratio of the smoking friends group was about 4 times higher than the no smoking friends group in experience of smoking. But the smoking rate was higher significantly in the isolate group within the network composed of 2. person's social-link. The odds ratio of the isolate group was about 4.5 times higher than the clique member. However, this pattern was not found in the network composed of 3 person's social-link. Therefore, the hypothesis that clique member would have a correlation with smoking was rejected. In reality, the isolate group had a tendency of smoking more frequently. Conclusions: The result of this study suggests that the role of the peer group in smoking is to be considered in the prevention program. More attentions should be paid for the isolate group.

• 대한간호학회지
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• 제44권6호
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• pp.649-659
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• 2014

Purpose: The purpose of this study was to develop and evaluate a school-based peer leader centered smoking prevention program. Methods: Non-equivalent control group with a pre/post-test design was used. Students (n=174) in two boys' junior high schools located in D city, Korea participated with 85 being selected for the experimental group and 89 for the control group. Five sessions were given to the experimental group and a 50 minute lecture to the control group. Knowledge, attitude, nonsmoking intention, and nonsmoking efficacy were measured for the both experimental and control group at two weeks before the program and one month after the program was completed. Data were analyzed using ${\chi}^2$-test, Fisher's exact test, independent t-test and paired t-test with the SPSS 21.0 program. Results: The experimental group showed higher overall knowledge, negative attitude toward smoking, and higher non-smoking intention and efficacy. After receiving the school based peer leader centered smoking prevention program scores for attitude toward smoking and nonsmoking efficacy increased in the experimental group were higher than in the control group. Conclusion: The school-based peer leader centered smoking prevention program needs longitudinal evaluation, but from this study, there is an indication that this program can be used with junior high school students and effectively change students' attitude toward smoking and promote nonsmoking efficacy.

• 여성건강간호학회지
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• 제6권2호
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• pp.316-329
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• 2000

The purpose of this study is to identify various predictors of smoking behavior among female adolescents. Data for this study was collected from 357 students enrolled in a female high school, a coeducational high school, and a vocational high school in Seoul from 1st to 20th July 1999 and this data was analysed based on descriptive statistics and logistic regression with the SAS program. The results were as follows: 1. The proportion of current smokers was 17.9% and experienced smokers was 34.2% in girl high schools. 2. According to the factors family, school, peer, social learning, and psychological factors, the predictable variables are lack of family attachment and function in family factors, school involvement in school factors, associating with smokers among peers and modeling and differential reinforcement of smoking in social learning factors, self-assertiveness, self-esteem, and depression in psychological factors. 3. According to all the factors, the main predictors were peer association, differential reinforcement of smoking, and lack of family attachment. These variables cause 48.4% of smoking behavior. To prohibit smoking among female students, this society should develop a program to focus on peer leadership about quitting smoking, acquirement of skills of refusal for smoking, counter conditioning, reinforcement management, and support system about nonsmoking.

• 대한간호학회지
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• 제51권1호
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• pp.54-67
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• 2021

Purpose: The aim of this study was threefold, to longitudinally examine the risk of habitual smoking onset in adolescents, to delineate the effects of neighborhood characteristics and friends' smoking status on the habitual smoking onset, and to investigate whether the association between friends' smoking status and habitual smoking onset was moderated by neighborhood characteristics. Methods: This study conducted multilevel discrete-time survival analysis, using cohort data from the 3rd to 6th waves of the Korean Child and Youth Panel Survey, which excluded habitual smokers, matched with 2010 census data on respondents' residence. Results: Habitual smoking onset risk increased from the 8th to the 11th grade, and then slightly decreased from the 11th to the 12th grade. Friends' smoking status (B = 0.60, p < .001), smoking rate (B = 0.06, p = .038), and the number of tobacco outlets in the respondents' neighborhood (B = 0.51, p = .003) were positively associated with habitual smoking onset risk. Furthermore, the association between friends' smoking status and habitual smoking onset risk was moderated by the number of tobacco outlets in the neighborhood. Specifically, the association was stronger in neighborhoods with more tobacco outlets (B = 0.58, p = .048). Conclusion: Friends' smoking status and living in neighborhoods that are more susceptible to smoking increase the risk of habitual smoking. The number of tobacco outlets in the neighborhood enhances the peer effect of adolescent's smoking behavior. Therefore, policies or interventions designed to reduce youth's tobacco use should focus on not only on reducing peer smoking, but also restricting smoking by adults and the number of neighborhood tobacco outlets.