Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
권호 표지

Evaluation of the Effects of a Smoking Prevention Program for Korean High School Students

고등학생을 위한 학교 흡연예방 프로그램 효과 평가

  • 박순우 (대구가톨릭대학교 의과대학 예방의학교실) ;
  • 이주영 (대구가톨릭대학교 의과대학 예방의학교) ;
  • 박정한 (대구가톨릭대학교 의과대학 예방의학교실)
  • Published : 2004.03.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives： This study was performed to develop a smoking prevention program for Korean high school students, and to evaluate the effects of the program. Methods： A smoking prevention program, composed of five-session curriculum, was developed by modifying several smoking prevention and cessation programs based on the Social Influence Model. The program was applied to the freshmen of a technical high school. We surveyed with a questionnaire one week before education, one week after education, and two months after education. The number of participants for data analysis were 282(181 males, 101 females). Among those, 162(97 males, 65 females) students were allocated to the education group, and the other 120(84 males, 36 females) students were allocated to the control group. The effect of education was analyzed by multiple logistic regression analysis adjusted by potential confounders. Results： Among smokers, those who had education were more likely to quit smoking (OR＝2.99, 95% confidence interval(CI) 0.84-10.64), and to decrease smoking frequency(OR＝2.29, 95% CI 0.95-5.53) in borderline significance one week after education. However, the effect of education disappeared two months after education. The effect of education was significant(OR＝9.11, 95% CI 3.22-25.76) for the increase of smoking cessation intention one week after education, and it persisted until two months after education(OR＝2.94, 95% CI 1.18-7.35). Education was also a significant predictor(OR＝1.97, 95% CI 0.89-4.37) for the increase of smoking cessation stage one week after education and it persisted(OR＝6.39, 95% CI 2.42-16.86) after two months. Among non-smokers, those who had education were more likely to decrease smoking intention one week after education(OR＝4.71, 95% CI 1.63-13.58). However, the statistical significance of education disappeared two months after education. Conclusions： The results showed that the smoking prevention program developed in this study changed smoking behaviors immdeiately after education even though the effect did not persist. However, this program was successful in increasing smoking cessation intention and stage of smoking cessation among smokers.

Keywords

References

  1. 김금진. 흡연예방 교육에 의한 중학생 1학년생들의 흡연지식 및 행위 변화에 관한 연구. 경희대학교 교육대학원 석사학위 논문, 2000
  2. 김성원. 청소년 흡연예방을 위한 학교 및 지역사회 프로그램 개발. 1999년 건강증진연구사업 초록집. 보건복지부, 1999
  3. 김수영, 정영숙. 고등학생의 흡연예방교육 효과분석. 보건교육. 건강증진학회지 2003;20(2):81-94
  4. 김수정. 초등학교 흡연예방교육이 흡연에 대한 지식, 태도 및 행동에 미치는 영향. 연세대학교 보건대학원 석사학위 논문, 2001
  5. 노원환. 흡연예방교육에 의한 청소년들의 흡연에 대한 지식 및 태도변화와 흡연량의 감소 효과. 영남대학교 대학원 박사학위 논문, 2000
  6. 노정리. 남자 고등학생의 ‘사회적 영향을 강조한 흡연예방프로그램’의 효과. 연세대학교 교육대학원 석사학위 논문, 1996
  7. 문희자. 흡연예방교육이 5학년 초등학생의 흡연에 대한 지식과 태도에 미치는 영향. 경희대학교 교육대학원 석사학위 논문, 2002
  8. 서교순. 흡연예방교육이 초등학교 5,6학년 학생의 흡연에 대한 지식, 태도 및 자아존중에 미치는 영향. 전남대학교 교육대학원 석사학위 논문, 2001
  9. 성경림. 청소년을 위한 역할극과 강의식 교육의 흡연예방효과 비교. 연세대학교 보건대학원 석사학위 논문, 2001
  10. 세계금연총회. 세계금연총회 자료집. 2000년 8월
  11. 신영숙. 초등학생 흡연예방 교육프로그램의 개발 및 효과-6학년을 대상으로-. 안동대학교 교육대학원 석사학위 논문, 2000
  12. 연세대학교 보건대학원 국민건강증진연구소, 한국금연운동협의회. 전국 청소년 흡연 실태조사: 1988-2000년. 2000년 11월
  13. 이은혜. 초등학생을 위한 흡연예방교육의 개발 및 효과. 삼육대학교 대학원 석사학위 논문, 2000
  14. 황라일. 흡연예방교육 효과에 관한 연구-중학생을 대상으로-. 고려대학교 대학원 석사학위 논문, 1998
  15. American Lung Association. N-O-T: Not On Tobacco-the premier teen smoking cessation program. American Lung Association, 2000
  16. Botvin GJ. Life Skills Training: promoting health and personal development. Princeton Health Press, 2000
  17. CDC(Centers for Disease Control and Prevention). Guidelines for school health programs to prevent tobacco use and addiction. Morb Mortal Wkly Rep 1994;43:No.RR-2
  18. CDC(Centers for Disease Control and Prevention). Projected smoking-related deaths among youth-United States. Morb Mortal Wkly Rep 1996;45:971-974
  19. Everette SA, Warren CW, Sharp D, Kann L, et al. Initiation of cigarette smoking and subsequent smoking behavior among U.S. high school students. Prev Med 1999;29:327-333 https://doi.org/10.1006/pmed.1999.0560
  20. Glanz K, Lewis FM, Rimer BK(eds). Health behavior and health education. Jossey-Bass Publishers, 1997
  21. Luepker RV, Murray DM, Perry CI. The Minnesota smoking prevention program: a curriculum for ages 11-15. The University of Minnesota School of Public Health, 1997
  22. Lynam DR, Milich R, Zimmerman R, Novak SP, et al. Project DARE: no effects at 10-year follow-up. J Consult Clin Psychol 1999;67:590-593 https://doi.org/10.1037/0022-006X.67.4.590
  23. Menard S. Applied logistic regression analysis. Sage Publication, 1995
  24. Pendell WK. Helping teens stop using tobacco: a research-based tobacco cessation program for ages 12-18. Tobacco awareness program(TAP). Community Intervention Inc., 2000a
  25. Pendell WK. Intervening with teen tobacco users: a research-based program for ages 12-18. Tobacco education group(TEG). Community Intervention Inc., 2000b
  26. Project TNT Staff. Project T.N.T.: Towards No Tobacco Use. Institute for Health Promotion and Disease Prevention Research, University of Southern California. ETR Associate, 1998
  27. Rooney BL, Murray DM. A meta-analysis of smoking prevention programs after adjustment for errors in the unit of analysis. Health Educ Q 1996;23:48-64 https://doi.org/10.1177/109019819602300104
  28. Sussman S, Dent CW, Burton D, Stacy AW, Flay BR. Developing school-based tobacco use prevention and cessation programs. Sage Publications, 1995
  29. Sussman S, Lichtman K, Ritt A, Pallonen UE. Effects of thirty-four adolescent tobacco use cessation and prevention trials on regular users of tobacco products. Subst Use Misuse. 1999;34:1469-1503 https://doi.org/10.3109/10826089909039411
  30. Sussman S. School-based tobacco use prevention and cessation: Where are we going? AM J Health Behav. 2001;25(3):191-199 https://doi.org/10.5993/AJHB.25.3.5
  31. Thun MJ, Day-Lally CA, Calle EE, Flanders WD, Heath CW Jr. Excess mortality amog cigarette smokers: changes in a 20-year interval. Am J Public Health 1995;85:1223-1230 https://doi.org/10.2105/AJPH.85.9.1223
  32. Torabi MR, Bailey WJ, Majd-Jabbari M. Cigarette smoking as a predictor of alcohol and other drug use by children and adolescents: evidence of the 'gateway drug effect'. J Sch Health 1993;63:302-306 https://doi.org/10.1111/j.1746-1561.1993.tb06150.x
  33. USDHHS(U.S. Department of Health and Human Services). Preventing Tobacco Use Among Young People: A Report of the Surgeon General. Atlanta, Georgia:U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 1994
  34. WHO. Tobacco or Health: a Global Status Report. World Health Organization, 1997