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Assertive Behavior in Asking Smokers Not to Smoke among Patients with Vascular Diseases
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 Title & Authors
Assertive Behavior in Asking Smokers Not to Smoke among Patients with Vascular Diseases
Kim, Eun Kyung; Chae, Young Ran; Jung, Yun Hee; Park, Eun Ha;
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Purpose: The purpose of this study was to identify the assertive behavior of asking smokers not to smoke and investigate the factors related to assertive behavior in patients with vascular diseases. Methods: Participants were 203 adult Korean patients with vascular diseases such as cerebral infarction and myocardial infarction. Data were collected using questionnaires that included the characteristics of secondhand smoke (SHS), secondhand smoke-related variables (Health belief model factors, health promotion model factors) and level of assertive behavior. Descriptive statistics, t-test, ANOVA and multiple regression using SPSS/WIN 18.0 were performed. Results: Participants who never ask smokers not to smoke was 39.9%, whereas participants who always ask was 7.4%. There was a weak positive relationship between assertive behavior and susceptibility to disease (r=.18), severity of disease (r=.19), benefit of assertive behavior to SHS exposure (r=.10), barrier of assertive behavior to SHS exposure (r=.24), and self-rated health (r=.21) respectively. There was a moderate positive relationship between assertive behavior and self-efficacy of assertive behavior to SHS exposure (r=.49). Health belief model factors explained 15.7% variance and health promotion model factors explained 27.0% of assertive behavior. Conclusion: The findings of this study suggest that self-efficacy of assertive behavior to SHS exposure is a very important factor. Therefore the development of a program to foster self-efficacy of assertive behavior regarding SHS exposure in patients with vascular diseases is needed.
Secondhand smoking;Vascular diseases;Assertiveness;
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Korea Centers for Disease Control and Prevention. Health statistics 2011: Korea National Health and Nutrition Examination Survey (KNHANES V-2) [Internet]. Seoul: Korea Centers for Disease Control and Prevention, 2011 [cited 2015 Feb 2]. Available from:

Glymour MM, Defries TB, Kawachi I, Avendano M. Spousal smoking and incidence of first stroke the health and retirement study. American Journal of Preventive Medicine. 2008;35(3):245-248. crossref(new window)

Faught BE, Flouris AD, Cairney J. Epidemiological evidence associating secondhand smoke exposure with cardiovascular disease. Inflammatory and Allergy-Drug Targets. 2009;8(5):321-327. crossref(new window)

Nelson E. The miseries of passive smoking. Human and Experimental Toxicology. 2001;20(2):61-83. crossref(new window)

Wald NJ, Boreham J, Bailey A, Ritchie C, Haddow JE, Knight G. Urinary cotinine as marker of breathing other people's tobacco smoke. Lancet. 1984;1:230-231.

Kim MJ, Kim CH, Kim YH, Kang JH. Relationship between passive smoke and urinary cotinine level. Journal of the Korean Academy of Family Medicine. 2007;28:379-382.

Ministry of Health and Welfare. Framework convention on tobacco control (FCTC): thorough implementation of the way to developed countries, non-smoking [Internet]. Seoul: Ministry of Health and Welfare, 2011 [cited 2015 Feb 2]. Available from:

Gottlieb NH, Eriksen MP, Lovato CY, Weinstein RP, Green LW. Impact of a restrictive worksite smoking policy on smoking behavior, attitudes and norms. Journal of Occupational Medicine. 1990;32:16-23. crossref(new window)

Germain D, Wakefield M, Durkin S. Non-smokers' responses when smokers light up: A population-based study. Preventive Medicine. 2007;45(1):21-25. crossref(new window)

Kim EK, Choo J. The health belief model and assertive behavior of asking smokers not to smoke among college students. Korean Journal of Health Promotion. 2011;11(3):160-168.

Barnoya J, Glantz SA. Cardiovascular effects of secondhand smoke nearly as large as smoking. Circulation. 2005;111:2684-2698. crossref(new window)

Choo J, Kim EK. Application of the ASE model to the assertive behavior of non-smoking college students under secondhand smoke exposure. Journal of Korean Academy of Community Health Nursing. 2011;22(1):1-10. crossref(new window)

Kim MS, Kim YH. A study on the assertive behavior among non-smoking college students under secondhand smoke exposure. Journal of the Korea Academia-Industrial Cooperation Society. 2012;13(11):5187-5195. crossref(new window)

Pender NJ. Health promotion in nursing practice. 3rd ed. Stamford, CT: Appleton and Lange; 1996. p. 1-320.

Hughes SC, Corcos IA, Hofstetter CR, Hovell MF, Seo DC, Irvin VL, et al. Secondhand smoke exposure among nonsmoking adults in Seoul, Korea. Asian Pacific Journal of Cancer Prevention. 2008;9:247-252.

Helgason AR, Lund KE. Environmental tobacco smoke exposure of young children-attitudes and health-risk awareness in the Nordic countries. Nicotine and Tobacco Research. 2001;3(4):341-345. crossref(new window)

Lund KE, Helgason AR. Environmental tobacco smoke in Norwegian homes, 1995 and 2001: Changes in children's exposure and parents attitudes and health risk awareness. European Journal of Public Health. 2005;15(2):123-127. crossref(new window)

Wang W, Herting JR, Tung Y. Adolescents' avoidance of secondhand smoke exposure: Model testing. Western Journal of Nursing Research. 2008;30(7):836-851. crossref(new window)

Yang L, Tong EK, Mao Z, Hu TW, Lee AH. A clustered randomized controlled trial to reduce secondhand smoke exposure among non-smoking pregnant women in Sichuan province, China. Nicotine and Tobacco Research Advance. 2015. Forthcoming.

Lin PL, Huang HL, Lu KY, Chen T, Lin WT, Lee CH, et al. Second-hand smoke exposure and the factors associated with avoidance behavior among the mothers of pre-school children: a school-based cross-sectional study. BioMed Central Public Health. 2010;10:606. crossref(new window)

Shah RS, Cole JW. Smoking and stroke: the more you smoke the more you stroke. Expert Review of Cardiovascular Therapy. 2010;8(7):917-932. crossref(new window)