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일부 농촌지역 청소연들의 흡연실태와 관련요인 연구

A Study on Smoking Status of Adolescent and Its Related Factors in a Rural Area

건양의대학술지 2005년 5권 1호 p.24 ~ 32
이근일, 나백주, 김건엽, 이무식, 심영빈, 송기철,
소속 상세정보
이근일 ( Lee Geun-Il ) - 건양대학교 보건복지대학원 보건학과
나백주 ( Na Baeg-Ju ) - 건양대학교 의과대학 예방의학교실
김건엽 ( Kim Keon-Yeop ) - 건양대학교 의과대학 예방의학교실
이무식 ( Lee Moo-Sik ) - 건양대학교 의과대학 예방의학교실
심영빈 ( Shim Young-Been ) - 건양대학교 보건복지대학원
송기철 ( Song Ki-Chul ) - 금산군 보건소

Abstract


Background: This study was conducted to investigate smoking status of adolescent and its related factors in a rural area and provide basic data on effective smoking prevention and cessation program in the future.

Method: The subjects in this study were 3,026 middle and high school students living in a rural area. We conducted a self-administered questionnaire survey in September, 2003. In a questionnaire, there were several items such general characteristics, trying to smoke or not, experience of more than one cigarette, currently regular smoking or not, cause of smoking, place of smoking, smoking status of family or friends, satisfaction for school life, grade, self-efficacy, knowledge & attitude toward smoking and so on.

Result: 1. Subjects who tried to smoke, smoked more than a cigarette and smoked regularly occupied 33.1%, 26.2% and 4.2% of total subjects. In high school subjects, subjects who tried to smoke, smoked more than a cigarette and smoked regularly occupied 41.4%, 36.6% and 10.4% of total subjects. A total of 169 male student(10.9%) and 44 female students(3.1%) were found to smoke regularly. 2. The mean age of initial smoking was 14.4 years old, and mean amount of smoking daily was 7.3 cigarettes per day. A simple curiosity was found to be the most frequent motivation in currently smoking adolescents. 3. Current smokers were found to have more family members or friends who smoked currently, have less satisfaction for school life, and have lower grade than non-smokers. In self-efficacy and knowledge toward smoking, there was no significant difference between current smokers and non-smokers. 4. In multiple logistic regression analysis, we found that gender, type of school(middle school, high school), smoking status of friends, satisfaction for school life, grade, attitude toward smoking, and parents attitude on smoking were significant variables.

Conclusion: Age of initial smoking in rural adolescents have lower and simple curiosity have made adolescents smoke, active smoking prevention and cessation programs in school should be implemented. In individual level, active consultation and education for smoking prevention and cessation should be applied to adolescents who have high risks of smoking. Diverse policy and programs for adolescent smoking prevention and cessation should be developed in level of school and community.

키워드

Adolescent;Smoking status;Rural area;Related factors

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