• Journal of Preventive Medicine and Public Health
• /
• v.39 no.1
• /
• pp.67-73
• /
• 2006

Objective: This study was conducted to investigate the relationship between the intention of smoking and its related factors in high school students. Methods: Our study subjects were 1,203 high school students who resided in one city and in one county region. We conducted a self-administered questionnaire survey from June 7 to June 19, 2004. Both the decisional balance and temptation inventory showed high reliability estimates. We provided good fit for the 12-item decisional balance inventory and the 10-item temptation inventory by using a confirmatory factor analysis. We also used multiple logistic regression analysis to identify the major contributing factors for the intention to start smoking. Results: On the univariate analysis, the subjects who were female, the 2nd and 3rd grade students, the students in vocational high school, the ex-drinkers or current drinkers, and ex-smokers were found to be significantly more distributed in the groups with intention to start smoking. Except for the concept of the cons, the group with intention to start smoking showed significantly higher standardized T scores for the 7 concepts of decisional balance and temptations. On the multiple logistic regression analysis, the females, the 2nd and 3rd grade students, the students in vocational high school, the experience of cigarette smoking and low T score of the cons were significantly related to the intention to start smoking. Conclusions: The intention to start smoking in high school students was affected by various factors such as gender, the school grade and the experience of smoking. Therefore, further research should be conducted for providing the essential data for developing a brief instrument for selecting the groups with intention of starting smoking among adolescents.

• Research in Community and Public Health Nursing
• /
• v.18 no.3
• /
• pp.431-440
• /
• 2007

Purpose: The purpose of this study was to describe stage distribution of current and former smokers and to analyze significant variables that used by adolescents at each stage using the Transtheoretical Model. Methods: A cross-sectional study was performed with 145 students attended to five high schools in one rural area. The survey instruments included stages and processes of change. decisional balance, self-efficacy, and knowledge related to smoking. Results: Among the participants, 47.6% were in the precontemplation and contemplation stages, 20.7% were in the preparation stage, and the other 31.7% were in the action and maintenance stages. Analysis of variance tests revealed that behavioral processes, pros and cons of smoking, and self-efficacy were significantly associated with the stages of smoking cessation, while among 10 processes of change, self-reevaluation, self-liberation, and reinforcement management were significantly different by the stages. Conclusions: The study results suggest that smoking cessation programs should emphasize behavioral strategies, self-efficacy, and decisional balance to help students adopt and maintain smoking cessation.

• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.sup2
• /
• pp.11-18
• /
• 2016

Aiming at reducing smoking population, Taiwan government adopted a successful smoking cessation quitline model from California Smokers' Helpline, commissioned a private non-profit organization-Teacher Chang Foundation, which was well-known for its quality telephone counseling service-to set up Asia's first quitline, Taiwan Smokers' Helpline (TSH) in 2003. The establishment of the quitline is a significant progress for tobacco control in Taiwan, as it built up a cooperative model with smoking cessation clinics to increase the quit rate through assisting smokers to overcome their psychological obstacles while quitting smoking.

• Journal of Convergence for Information Technology
• /
• v.7 no.4
• /
• pp.205-213
• /
• 2017

This study was conducted to identify convergence factors affecting smoking behavior among college students through the lens of a Health Belief Model. A descriptive study was carried out with 417 college students in Jeju, South Korea. Descriptive statistics and multiple regression analysis were performed using the SPSS 19.0 program. The results showed that sex(t=-7.44, p<.001), pocket money(t=-2.06, p=.040), smoking in the family(t=4.43, p<.001), smoking of close friends(t=9.59, p<.001), and perceived barriers(t=0.87, p=.014), cues to action(t=6.33, p<.001) were statistically significant variables influencing smoking. These findings indicate that among smoking-related and health belief-related variables needs to be considered for preventive and therapeutic approach to stop smoking in college students.

• Korean Journal of Health Education and Promotion
• /
• v.28 no.4
• /
• pp.79-94
• /
• 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.

• Research in Community and Public Health Nursing
• /
• v.23 no.3
• /
• pp.327-337
• /
• 2012

Purpose: This study examined the effectiveness of an adolescent school -based smoking prevention program. Methods: The study was done with a nonequivalent control group pretest-posttest design. The subjects of the present study were 399 non-smoking high school students in Kyongbuk province. The subjects were divided into 184 experimental group members in G city who participated in a school-based smoking prevention program and 216 control group members in K city who did not participate. Data were collected from June to November 2011. collected data were analyzed using SPSS/WIN 18.0 through $x^2$-test, independent t-test and ANCOVA. Results: The experimental group had significantly increased knowledge of smoking, knowledge of smoking prevention program, attitude of smoking, skill of smoking prevention in comparison to the control group. Conclusion: The school-based smoking prevention program delivered to non-smoking adolescents is an effective method of encouraging smoking prevention and can be utilized as an effective nursing intervention for non-smoking adolescents.

• Research in Community and Public Health Nursing
• /
• v.21 no.1
• /
• pp.63-70
• /
• 2010

Purpose: This study was to identify the stages of change in smoking cessation behavior and factors associated with the stages of smoking cessation behavior according to the trans-theoretical model. Methods: The subjects were 154 industrial workers working at H Industry in N City, Chonnam Province who were currently smoking and had smoked in the past. Data were analyzed by descriptive statistics, ANOVA, and Duncan's multiple comparison test using SAS Version 10.0. Results: The subjects were distributed among the stages of change in smoking cessation behavior: there were 28 subjects (18.2%) in the precontemplation stage, 71 (46.1%) in the contemplation stage, 21 (13.6%) in the preparation stage, 8 (5.2%) in the action stage, and 26 (16.9%) in the maintenance stage. The amount of smoking per day, self-efficacy, and advantages (pros) of smoking were significantly associated with the stage of change in smoking cessation behavior. Conclusion: This study suggested that the stage of change in smoking cessation behavior of the subject should be identified prior to the application of intervention programs, nursing intervention strategies should be considered to reduce the amount of smoking per day, and the disadvantages of smoking should be perceived.

• Research in Community and Public Health Nursing
• /
• v.29 no.1
• /
• pp.33-40
• /
• 2018

Purpose: The purpose of this study was to identify factors associated with intermittent and light smoking among Korean high school students. Methods: In this cross-sectional study, we employed secondary data from the 2015 Korea Youth Risk Behavior Web-Based Survey, and used the biopsychosocial model as a framework. The analysis was performed using the data of 2,851 high school students who smoked. We defined intermittent and light smoking as smoking on 1 to 29 days in a 30-day period and no more than 10 cigarettes per day. A logistic regression analysis using the complex samples procedure was conducted. Results: Among all the participants, 1,231 (43.2%) were intermittent and light smokers. Factors significantly predicting intermittent and light smoking were gender and grade (biological factors); subjective stress (psychological factor); and mother's smoking, sibling's smoking and academic achievement (sociocultural factors). Conclusion: In smoking cessation programs, health care providers both at school and in the community should consider the unique biological, psychological, and sociocultural characteristics of intermittent and light smoking behavior among high school students.

• Korean Journal of Adult Nursing
• /
• v.20 no.1
• /
• pp.77-90
• /
• 2008

Purpose: This study attempted to identify influential variables on types of smoking in adult smokers, which have been derived from Q-study. Methods: A survey was conducted with 328 adult smokers at community settings in Seoul, South Korea from April 2006 to July 2006. To identify the influential variables related to smoking, variables from the Trans-theoretical model(i.e., self-efficacy for smoking abstinence, smoking temptation, process of change, decisional balance(pros and cons)) and nicotine dependency were analysed by ANOVA. Post-comparison tests were also done. Results: The scores of nicotine dependency and smoking temptation were higher in habitual craving types than any other types, while the scores of self-liberation and self-efficacy for smoking abstinence were higher in self control types than any other types. Conclusion: Specific smoking intervention methods for each of the smoking types needs to be developed, based on how different groups of individuals gets into a decisions to quit smoking within their contexts.

• Journal of Korean Public Health Nursing
• /
• v.32 no.3
• /
• pp.388-399
• /
• 2018

Purpose: The aim of this qualitative study was to identify the experiences of smoking and smoking cessation in out-of-school youth. Methods: The participants were 12 out-of-school youths belonging the Youth support Center located in A and B area. The data were collected from January 8 to 15, 2018, using a FGI(Focus Group Interview). The main sub-domains of the experiences of smoking and smoking cessation in out-of-school youth by 7 questions were categorized from the intrapersonal, interpersonal, organizational, and community factors in ecological model. Results: The motivation, continuity, disadvantage of smoking experiences of out-of-school youth were analyzed in 10 sub-domains (curiosity, friend's invitation, mood of adapted group, habit, relieving stress, providing breaks, friendship, physical damage, loss of money, a bad sight of smoker). The reason, difficulty, advantage, reason for restarting smoking cessation experiences of out-of-school youth were analyzed in 15 sub-domains (physical damage, for future hope, invitation of others, influence of family, weight gain, emotional stress, worsening friendship, improvement physical condition, saving money, better relationships, not with bad friends, withdrawal, smoking of friends, drinking, separated a lover). Conclusion: Based on the results, it is expected that a Specialized Smoking Cessation Education Program will be developed for out-of-school youth's health activities in ecological factors.