• Title, Summary, Keyword: Smoking Cessation Behaviors

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Determinants of Smoking-Cessation Behaviors in Female University Students (여대생의 금연행위에 영향을 미치는 요인에 관한 연구)

  • 김혜원
    • Journal of Korean Academy of Nursing
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    • v.29 no.1
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    • pp.48-60
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    • 1999
  • This study was done to determine the factors influencing smoking-cessation behavior in female university students. A total of 534 students participated in this cross sectional study by answering a questionnaire. The data collection was done between September 1 and October 31, 1997 The measurement tools used in this study were the self help change process scale (Cronbach's alpha=.9930 : developed by Oh & Kim, 1996) for smoking-cessation behaviors, the self efficacy scale(Cronbach's alpha=.8250 : developed by Sherer et al, 1982), the sex role acceptance scale (KR-20=.7757 : developed by Kim, 1991) and the social support scale(Cronbach's alpha=.9172 : developed by Park, 1985). The summarized results are follows : 1. The mean scores for smoking-cessation behaviors in smokers (N=150) was 91.72 that was considered a middle score compared to the total possible score of measurement tool (150.0). The mean score for smoking-cessation behaviors by smoking-cessation step showed significant different between the groups(F=11.71, p=.000). 2. The group with no experience in smoking(N=332) showed a high general self efficacy score (t=5.24, p=.000), and more openness to sex role acceptance(t=-2.15, p=.032) compared to the group with smoking experience (N=202). 3. General self efficacy, sex role acceptance, and social support were not different significantly between the groups according to the steps in smoking-cessation. 4. Significant factors influencing smoking-cessation behavior (total, sub concepts) were religion, sex role acceptance, social support, smoking duration, smoking attitude, time of smoking onset, amount of smoking, drinking, and perception of health status. 5. Smoking-cessation behaviors which explained 11% of the variance were smoking attitude, and smoking duration. In conclusion, this study identified factors influencing smoking-cessation behavior. Thereby it will help in the development of smoking-cessation intervention strategies. For future research, exploration other determinants of smoking cessation behaviors, evaluation of intervention efficiency, and comparative study by gender characteristics are needed.

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Effects of Smoking Motivation, Smoking Behavior, Stress, and Self-Efficacy for Smoking Cessation on Health Promoting Behaviors of College Students (금연 하고자 하는 대학생의 흡연동기, 흡연행동, 스트레스, 금연자기효능이 건강증진행위에 미치는 영향)

  • Kim, Heejeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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    • pp.189-196
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    • 2019
  • Purpose : The purpose of this study was to investigate the relationship between smoking status, stress, self-efficacy for smoking cessation and the health promoting behaviors of students who want to quit smoking. Methods : Data was collected in 2018 from 143 college students (101 males and 42 females) who were enrolled in the health clinic of N university. The average age was 21.95 years. Multiple regression analysis and Pearson's correlation coefficient were used to analyzed the factors affecting health promoting behavior and the correlations between variables. Results : There were statistically significant correlations between stress and the following factors: smoking motivation (r=.323, p<.001), smoking behavior (r=.329, p<.001), and health promoting behaviors (r=-.312, p=.006). There were statistically significant correlations between Self-efficacy for smoking cessation and following factors: smoking motivation (r=-.278, p<.01), smoking behaviors (r=-.313, p<.001), and stress (r=-.324, p<.001). Health promoting behaviors were negatively correlated with smoking motivation (r=-.345, p<.05), smoking behaviors (r=-.312, p<.01), and stress (r=-.265, p<.001). Self-efficacy for smoking cessation was positively correlated with health-promoting behaviors (r=.421, p<.001). Multiple regression analysis revealed that the following factors exert a significant influence on health promoting behaviors: smoking motivation (${\beta}=-.376$, p=.001), smoking behaviors (${\beta}=-.233$, p=.008), stress (${\beta}=-.278$, p=.006), and self-efficacy for smoking cessation (${\beta}=.403$, p=.000). Conclusion : The results of this study suggest that it is important to provide basic data for the development of a program for the health-promoting behaviors of university students who want to quit smoking a smoking cessation clinic at the university health clinic. However, since only some college students were included in the study, there are limitations in generalizing the results.

Effects of '5&6 Smoking Cessation Program' and 5-day Smoking Cessation Program' on adolescents' smoking behavior (5&6 금연프로그램과 5일 교실 금연프로그램의 청소년 금연효과)

  • Lim, Eun-Sun
    • Korean Journal of Health Education and Promotion
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    • v.27 no.2
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    • pp.95-108
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    • 2010
  • Objectives: The Purpose was to investigate the effects of the '5&6 smoking cessation program' and '5 days smoking cessation program' on the high school student's perception, urine cotinine, and smoking behaviors. Methods: This study was designed using nonequivalent control group pretest-posttest. The '5&6 smoking cessation program' was applied to the experimental group 1(28 students). The '5 days smoking cessation program' was applied to the experimental group 2(19 students). Control group was 53 students. Data was analyzed using descriptive statistics, $X^2$-test, Fisher's exact test, Independent-sample t-test, Paired t-test, ANOVA, Wilcoxon signed ranks test, Cronbach's coefficient alpha. Results: The '5&6 program' was significantly increased on smoking self-efficacy, stage of smoking cessation behavior change, Cons. for smoking and significantly decreased on daily smoking amount, urine cotinine level than control group. The '5 days program' was significantly decreased on urine cotinine level and Pros. for smoking than control group. The '5&6 program' was significantly increased on stage of smoking cessation behavior change than '5 days program'. Conclusion: This study showed that the '5&6 program and the '5 days program' are effective in adolescent's smoking cessation behaviors.

Development and Test of the Hypothetical Model to Explain Smoking Cessation Behaviors Based on Triandis상 Interpersonal Behavior Theory (Triandis의 인간상호간 행위이론 (The Theory of Interpersonal Behavior)을 적용한 금연행위 예측 모형)

  • 오현수
    • Journal of Korean Academy of Nursing
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    • v.32 no.1
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    • pp.16-27
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    • 2002
  • This study was conducted to develop and test the hypothetical model which explains smoking cessation behavior was established based on the Triandis' interpersonal behavior theory. Method: The data were collected from the 400 university student smokers enrolled in the universities located in Seoul and Kyung-In province. The study was analyzed by path analysis with LIESREL 8 program. Results: All of the fit statistics, except the Chi-square value, it showed the hypothetical model was well fitted to the data. Benefit, affect, and social influences related to smoking cessation behavior had significant direct effect on intention to smoking cessation as shown in the study of the hypothetical model. Perceived barrier and the physiologic arousal related to smoking cessation had significant direct effects on performing smoking cessation behavior, whereas numbers of previous attempts to quit smoking and intention to smoking cessation did not.

A study of the Stage of Change and Decisional balance : Exercise Acquisition, Smoking Cessation, Mammography Screening and Kegel's Exercise Acquisition in Korea (건강행위시행 변화단계에 따른 의사결정의 균형: 운동, 금연, 유방조영술 검진, 질회음근 강화운동을 중심으로)

  • Jang, Seong-Ok;Park, Yeong-Ju;Park, Chang-Seung;Im, Yeo-Jin
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1265-1278
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    • 2000
  • This study was carried out to assess the perception of decisional balance of Korean subjects about 4 health behaviors and to identify the influencing factor of decisional balance for exercise acquisition, smoking cessation, mammography screening and Kegel's exercise acquisition. All are representative health behaviors nurses can intervene in Korea based on the Transtheoretical model. Convenient samples of 2,484 subjects (191; exercise, 169; smoking cessation, 1903; mammography screening and 221; Kegel's exercise) were selected from cities and counties over 9 provinces throughout Korea, and the data was collected from January 1, 1999 to February 29, 2000. The research instrument were the Decisional Balance Measure for Exercise (Marcus & Owen., 1992), Smoking Cessation (Velicer et al., 1985), Mammography Screening (Rakowski et al.,1992) and Kegel Exercise (Lim, 1999) and Stage of Change Measure for Exercise (Marcus et al, 1992), Smoking Cessation (DiClemente et al., 1991), Mammography Screening (Rakowski et al.,1992) and Kegel's Exercise (Lim, 1999). The data was analyzed by the SAS Program. The results are as follows; 1. According to the stage of change measure, 2,484 subjects were distributed in each stage of change for four health behaviors: 1,233 subjects (49.8%), 745 subjects (30.2%), 113 subjects (4.7%), 156 subjects (6.5%), and 216 (8.7%) belonged to the pre- contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage. They were all series of stages of change in their efforts to do health behavior. 2. Factor analysis identified 3 factors (1 of Pros, 2 of Cons) for the exercise, 4 factors for smoking cessation (2 of Pros, 2 of Cons), 2 factors (1 of Pros, 1 of Cons) for the mammogram screening and 2 factors (1 of Pros, 1 of Cons) for Kegel's exercise of decisional balance. 3. The analysis of variance and multiple comparison analysis showed that for all 4 samples, the Cons of changing the problem behaviors outweighed the Pros for subjects who were in the pre- contemplation stage, The opposite was true for subjects in action and maintenance stage. 4. Through the discriminant analysis, it was found that one factor of Pros for exercise, one factor of Cons for smoking cessation, 1 factor of Cons for mammogram screening and one factor of Cons for Kegel's exercise were the more influencing factors, than others in discriminating the stages of change. Results are consistent with the applications of the Transtheoretical model, which have been used to understand how people change health behaviors. This results provide some evidence that subject's report of his/her health behavior corresponds to beliefs about usefulness of related health behaviors. The results of this study have implications for patients' health education and health intervention strategies. The findings of this study give useful information for nursing educators for 4 health behaviors, especially the factors relating to decision making in the different stages of change.

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Effects of '5&6 Smoking Cessation Program' on Perception, Behavior, and Physiology of high school smokers (5&6 금연프로그램이 흡연 고교생의 인지적, 행위적, 생리적 특성에 미치는 효과)

  • Lim, Eun-Sun;Lee, Chung-Yul;Lee, Young-Ja;Kim, Jung-Ae
    • Korean Journal of Health Education and Promotion
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    • v.24 no.4
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    • pp.115-130
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    • 2007
  • Purpose: The Purpose of this study was to investigate the effects of the '5&6 smoking cessation program - six classes in five weeks' on the high school students' perception and smoking behavior. Methods: The data collection was done from November to December, 2006. This study was designed using nonequivalent control group pretest - posttest. Experimental group had 24 students, control group had 41 students. The '5&6 smoking cessation program' was applied to the experimental group for two hours per session during five weeks. Data analysis was done using descriptive statistics, X2-test, Fisher's exact test, Independent-samples t-test, Paired t-test, Cronbach's coefficient alpha. Results: The experimental group showed significant increase on smoking self-efficacy, stage of smoking cessation behavior change and significant decrease on daily smoking amount, dependancy of nicotine, urine cotinine level than control group. But the experimental group was not significantly changed at self-awareness, Pros. for smoking and Cons. for smoking. Conclusion: In conclusion, the results of this study showed that the 5&6 smoking cessation program, which focuses on self-awareness, is effective in adolescent's smoking cessation behaviors.

The Effect of Motivational Counseling Program on the Knowledge and Attitude of Smoking Cessation and Smoking Cessation Behaviors of Middle School Students (동기강화상담 프로그램이 중학생의 금연지식, 금연태도 및 금연행위에 미치는 효과)

  • Shin, Eun-Sun;Kim, Soo-Jin
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.444-455
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    • 2016
  • The purpose of this study was to examine the effect of motivational counseling program for improving knowledge and attitude of smoking cessation and smoking cessation behaviors of middle school students. The research design was nonequivalent control group pre- and post-test design. The subjects were 42 third grade students of M and D middle school in G city (experiment group 21, control group 21). The treatment of this study, motivational counseling program was modified by author based on Lim(2010), developed by Valasquez(2001). The effects of this study were evaluated with the scales for smoking knowledge, smoking attitude, daily cigarette consumption, and the scales of stage of change. The data were analyzed with percentage and t-test using SPSS 21.0. The results of this study were summarized as follows: The experiment group who participated in the motivation counseling program had higher scores in knowledge(t=8.99, p=.000) and attitude(t=2.77, p=.008) of smoking cessation and stage of change(t=3.85, p=.000), and lesser daily cigarette consumption(t=-3.68, p=.001) than those of the control group. Based on these results, it was verified that the motivational counseling program may be effective in improving smoking cessation of middle school students. It is recommended that the motivational counseling program will be used as useful psychiatric nursing intervention for smoking prevention, smoking cessation, and mental health promotion for middle school students.

The Relationship between E-Cigarette Experience and Smoking Cessation Behavior among Current Smokers (우리나라 성인 흡연자의 전자담배 이용경험과 금연행태의 관련성)

  • Lee, Yoon Noh;Kim, Bokmi;Min, In Soon;Hahm, Myung-Il
    • Health Policy and Management
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    • v.27 no.4
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    • pp.276-283
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    • 2017
  • Background: Electronic cigarette (e-cigarette) has rapidly increased. Even though e-cigarettes are actually not smoking cessation alternative supplies, some people perceive them as smoking cessation alternative supplies. The purpose of this study is to identify the relationship between e-cigarette experiences and smoking cessation behaviors among Korean adults. Methods: Cross-sectional data was collected from 7,550 participants of Korea National Health and Nutrition Examination Survey in 2014. A total of 867 participants who were current smokers were enrolled in this study. Multi-variable logistic regression analysis were performed to identify the relationship between the smoking cessation behavior and the e-cigarette experience. Results: The e-cigarette experience rate of current smokers was 22.1%. The e-cigarette experience rate was higher in groups with the higher income, the higher education level, and the white collar jobs. Smokers with experience of smoking cessation (odds ratio [OR], 3.03; 95% confidence interval [CI], 1.67 to 5.76) and with intention to smoking cessation in the future (OR, 1.59; 95% CI, 1.05 to 2.43) were more likely to experience the e-cigarette. Especially, smokers who used smoking cessation alternative supplies were more likely to experience the e-cigarette than smokers who did not use it (OR, 2.87; 95% CI, 1.59 to 5.18). Conclusion: We confirmed that e-cigarette experiences were associated with smoking cessation experience, smoking cessation plan, and use of smoking cessation aid among smokers in Korea. Additional studies should be continued to confirm whether e-cigarette are continuously influencing the smoking cessation of current smokers in South Korea as one of the smoking cessation alternative supplies.

Social Determinants of Smoking Behavior: The Healthy Twin Study, Korea

  • Kim, Youn-Sik;Ko, Han-Soo;Yoon, Chang-Gyo;Lee, Dong-Hun;Sung, Joo-Hon
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.1
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    • pp.29-36
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    • 2012
  • Objectives: The purpose of this study was to identify any influence of socioeconomic status on smoking and smoking cessation in a situation where genetic factors are controlled. Methods: The sample for this study was 2502 members of the twins and families cohort who participated in the Korean Healthy Twins Study from 2005 to 2009. Groups of brothers or sisters, including twins and fraternal twins, were compared in terms of smoking and smoking cessation behaviors according to differences in socioeconomic status and gender. Results: In a situation with complete control of genetic factors, results showed that the daily smoking amount, cumulative smoking amount, and dependence on nicotine decreased with higher-status occupations, and the rate of smoking and amount of cumulative smoking decreased with higher levels of education. Regarding smoking cessation behavior, a higher level of education was associated with a lower smoking cessation rate, and no significant gender differences were found. Conclusions: Environmental factors had a stronger influence on smoking behavior than did genetic factors. Genetic factors had greater influence on smoking cessation than did environmental factors; however, this requires verification in further studies.

Influences of Tobacco-Related Knowledge on Awareness and Behavior towards Smoking

  • Park, Jinju;Lim, Min Kyung;Yun, E Hwa;Oh, Jin-Kyoung;Jeong, Bo Yoon;Cheon, Yejin;Lim, Sujin
    • Journal of Korean Medical Science
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    • v.33 no.47
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    • pp.302.1-303.10
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    • 2018
  • Background: A considerable amount of research has shown that knowledge and appropriate awareness are essential for encouraging positive behaviors and promoting health. In Korea, the roles that behavioral changes play in the prevention of cancer have been an important issue since the introduction of the 10 codes for cancer prevention in 2006. Thus, the present study investigated the associations of tobacco-related knowledge with awareness and attitudes towards positive smoking-cessation behaviors. Methods: The present study analyzed data from the 2010 national questionnaire survey (n = 1,006). This study evaluated sociodemographic characteristics, smoking status, self-rated health status, health-related interests, and the accuracy of 12 tobacco-related statements to determine knowledge level and to investigate its impact on awareness and behaviors related to smoking. These parameters were examined and staged using the Precaution Adoption Process Model. Results: A higher level of tobacco-related knowledge was significantly associated with a positive attitude towards smoking cessation (5-8 correct answers: odds ratio [OR], 2.53; 95% confidence interval [CI], 1.57-4.08; ${\geq}9$ correct answers: OR, 3.90; 95% CI, 2.22-6.82; reference: ${\leq}4$ correct answers). Interestingly, among current smokers, only those who correctly responded to ${\geq}9$ of 12 tobacco-related statements were significantly associated with a positive attitude towards smoking cessation. Conclusion: This study found that having a higher level of tobacco-related knowledge had a significant impact on positive attitudes towards smoking cessation. This suggests that there is a need to disseminate appropriate knowledge to the general population to encourage positive attitudes and promote healthful behaviors in terms of smoking.