• Korean Journal of Health Education and Promotion
• /
• v.26 no.2
• /
• pp.49-61
• /
• 2009

Objectives: The purpose of the study was to test the applicability of the Theory of Planned Behavior(TPB) to Korean adult smokers in order to obtain an enhanced understanding of their smoking-cessation intention and to establish strategies for effective smoking-cessation interventions at the community clinic. Methods: The data came from a survey that was conducted on adult male smokers who visited the smoking-cessation clinic at H community clinic in Korea from January to November in 2006 (N=434). Included in the survey were questions asking core variables and salient belief variables dictated by TPB. A structural equation model was established using TPB and data were analyzed to examine the applicability of the theory to the understanding of the structure of variables leading to intention. Results: The analysis of the structural model revealed that the study model was statistically significant(p<.001), suggesting the high validity of TPB in explaining the structure of the data. Among the relationships in the model, negative behavioral beliefs were not significant(p>.05), and negative control beliefs and subjective norm were significant(p<.05) but not as highly as other variables in the model(p<.001). Conclusion: TPB was useful in understanding smoking-cessation intention of smokers who visited community clinic to stop smoking. More specific strategies for counseling and education need to be developed to enhance attitude and perceived behavioral control (self-efficacy) toward smoking-cessation intention, such as emphasizing health benefits of quitting smoking, and eliciting values and life principles that can help increase the intention to stop smoking.

• Korean Journal of Acupuncture
• /
• v.26 no.4
• /
• pp.39-52
• /
• 2009

Objectives : Cue reactivity is a key factor that modulates motivational goal-directed behavior associated with compulsive drug-taking and relapse. We investigated whether acupuncture attenuated the skin conductance response and the heart rate response to smoking-related visual cues in smokers. Methods : Twenty-nine smokers were treated with real acupuncture (RA) or sham acupuncture (SA). The stress response inventory was measured on the 5th day after quitting smoking. The skin conductance response and the heart rate were measured to evaluate the autonomic changes to the smoking related visual cues on the same day. Results : The sympathetic alterations in skin conductance and the heart rate induced by the smoking-related visual cues were significantly lower in the RA group, as compared to the SA group. The stress response inventory, such as somatization and frustration, in the RA group was significantly lower than that of the SA group. Conclusions : Acupuncture ameliorated the stress symptoms as well as the sympathetic activation to smoking cues during withdrawal. These findings indicate that acupuncture might be a useful tool in smoking cessation by inhibiting smoking cues-induced autonomic responses.

• Korean Circulation Journal
• /
• v.53 no.1
• /
• pp.17-30
• /
• 2023

Background and Objectives: To evaluate the impact of smoking in young adults on the risk of cardiovascular disease (CVD) and the clustering effect of behavioral risk factors such as smoking, obesity, and depression. Methods: A Korean nationwide population-based cohort of a total of 3,280,826 participants aged 20-39 years old who underwent 2 consecutive health examinations were included. They were followed up until the date of CVD (myocardial infarction [MI] or stroke), or December 2018 (median, 6 years). Results: Current smoking, early age of smoking initiation, and smoking intensity were associated with an increased risk of CVD incidence. Even after quitting smoking, the risk of MI was still high in quitters compared with non-smokers. Cigarette smoking, obesity, and depression were independently associated with a 1.3-1.7 times increased risk of CVD, and clustering of 2 or more of these behavioral risk factors was associated with a 2-3 times increased risk of CVD in young adults. Conclusions: In young adults, cigarette smoking was associated with the risk of CVD, and the clustering of 2 or more behavioral risk factors showed an additive risk of CVD.

• 대한예방의학회:학술대회논문집
• /
• 2002.10a
• /
• pp.414-415
• /
• 2002

• Journal of Dairy Science and Biotechnology
• /
• v.23 no.2
• /
• pp.99-106
• /
• 2005

Chronic diseases such as cancer, cardiovascular diseases, are the leading cause of death and disability in Korea since 1970 due to lifestyle change introduced by urbanization & industrialization. The type of cancer and cardiovascular diseases changes as lifestyle becomes westernized. These diseases account for 4 of every 10 deaths and affect the quality of lift of Koreans. Although chronic diseases are among the most common and costly healthy problems, they are also preventable. Adopting healthy behaviors such as quitting smoking, being physically active, eating right with moderate alcohol drinking, and maintaining healthy weight can prevent or control the effect of these diseases.

• 한국유가공학회:학술대회논문집
• /
• 2005.06a
• /
• pp.1-12
• /
• 2005

Chronic diseases such as cancer, cardiovascular diseases, are the leading cause of death and disability in Korea since 1970 due to lifestyle change introduced by urbanization & industrialization. The type of cancer and cardiovascular diseases changes as lifestyle becomes westernized. These diseases account for 4 of every 10 deaths and affect the quality of lift of Koreans. Although chronic diseases are among the most common and costly healthy problems, they are also preventable. Adopting healthy behaviors such as quitting smoking, being physically active, eating right with moderate alcohol drinking, and maintaining healthy weight can prevent or control the effect of these diseases.

• Journal of Korean Academy of Nursing
• /
• v.37 no.7
• /
• pp.1139-1148
• /
• 2007

Purpose: The purpose of this study was to investigate the effects of a community-based group smoking cessation program among adult smokers in a rural community. Method: The study design was quasi-experimental with a pre and posttest. A total of 55 adult smokers participated in the study. They were evaluated 1, 3, and 6 months after the program to identify the long-term effectiveness of the program. The program consisted of a total of 5 sessions provided twice a week. To test the effectiveness of the program, urine creatinine, expired air carbon monoxide, nicotine dependence, and smoking-related knowledge were used as dependent variables. Data was analyzed with the SPSS 10.0 program with a t-test, paired t-test, and Scheffe test. Result: Urine creatinine, expired air carbon monoxide, and nicotine dependence were significantly decreased after the program. Also, the rates of continuous abstinence were 81.8% at posttest, 65.5% at 1 month, 54.5% at 3 months, and 54.5% at 6 months follow-up. Conclusion: This community-based group smoking cessation program implemented by a nurse and smoking cessation counselors was effective for quitting smoking and decreasing urine creatinine and nicotine dependence. Therefore, this smoking cessation program could be recommended to induce smoking cessation as health promotion management in the rural community.

• The Journal of the Convergence on Culture Technology
• /
• v.7 no.4
• /
• pp.305-312
• /
• 2021

This study was conducted to evaluate the effect of smoking prevention smoking cessation program using smoking cessation supporters on the smoking knowledge and beliefs and self-efficacy of smoking cessation of nursing students. The smoking prevention and smoking cessation program developed for this study consisted of general education on smoking (8 times for 30 minutes each time) and the activities of college student smoking cessation supporters. The 30 college student smoking cessation supporters consisted of 6 people per team, a total of 5 teams, and conducted online video promotions by team, smoking cessation promotion and campaign activities, recruiting and mentoring for smoking cessation challengers. As a result of the study, smoking prevention and smoking cessation programs using smoking cessation supporters were effective in increasing nursing students' smoking knowledge and changing their beliefs about smoking negatively. In particular, by understanding the awareness and overall situation of smoking among nursing students, and operating a smoking prevention and smoking cessation program, it made them realize that smoking prevention and secondhand smoke among non-smokers are threatening the health of others. It contributed to the spread of the smoking cessation culture in the university by providing a way to motivate people to quit smoking and to maintain their success in quitting smoking.

• Journal of agricultural medicine and community health
• /
• v.33 no.1
• /
• pp.90-100
• /
• 2008

=Objectives: The aim of this study was to investigate the smoking rate and the related factors to early smoking of high school students.Methods: A questionnaire was administered to 920 students in 3 high schools in Daegu Metropolitan Results: Of total respondents, 1.8% had experience of smoking. Of those, 20.2% citied curiosity, 9.0% cited upon recommendation of friends, and 6.2% cited stress management as the main reason for their smoking. Separately, 53.1% responded habitually and 26.5% responded stress management as the main reason for continuing smoking. Of total former smokers, 68.4% said 'worry about their health' as the main reason for quitting smoking. Of those who failed to quit smoking, 58.7% cited 'weakness of will' as the main reason for their failure. Of total respondents, 10.8% were smoking currently. 'Smoking of family member'(p<0.01) and 'intent to smoke'(p<0.05) were significantly associated to early smoking of the subjects.In multivariate logistic regression analysis, 'higher levels of stress' and 'smoking of family member' were significant related factors to early smoking.Conclusions: Amid growing number of early smokers, it is imminent to identify the actual state of discourage smoking. In addition, education programs need to be developed to assist early smokers in quitting smoking and prevent smoking among youth.

• Journal of Preventive Medicine and Public Health
• /
• v.32 no.4
• /
• pp.513-525
• /
• 1999

Objectives : High-normal blood pressure' is a factor influencing decision to initiate targeted intensive intervention strategy in westernized populations. JNC-VI offered the vigorous lifestyle modification for persons with 'high-normal blood pressure', who could be early detected. As a hypertension seems to be the result of multiple genetic factors operating in concert with associated environmental factors, it will be necessary to identify the high-normal blood pressure as a risk factor of hypertension for applying primary prevention strategy in Korean people. Methods : Although cohort study design might be adequate to recruit incidence cases, to keep time sequence of events, and to prevent information bias, nested case-control study was chosen for avoiding measurement errors because hypertension is a benign disease. Source population was the 'Seoul Cohort' participants and follow-up was done by using Korea Medical Insurance Corporation's database on the utilization of health services from 1 Jan93 to 30Jun97. Incidence cases were ascertained through the chart review, telephone contacts, and direct blood pressure measurements. Controls included the pairing of 4 individuals to each case on the basis of age. Results : As 75% of 247 incident cases had high-normal blood pressure, the crude odds ratio for hypertension was 2.04 (95% CI 1.47-2.83). Another statistically significant risk factors of hypertension were body mass index, dietary fiber, alcohol consumption, weekly activity and history of quitting smoking. The multivariate odds ratio of high-normal blood pressure adjusted for all risk factors was 1.84 (95% CI 1.31-2.56). Among high-normal blood pressure group, body mass index, weekly ethanol amounts, weekly physical activity, and dietary fiber except history of quitting smoking were still risk factors of hypertension. Conclusion : 'High-normal blood pressure' is a risk factor for hypertension in Korean middle-aged men, which represents that the vigorous lifestyle modification for persons with 'high-normal blood pressure' is need.