Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

Factors Affecting Re-smoking in Male Workers

남성 근로자의 재흡연에 관련된 요인

  • Yang, Jin-Hoon (Department of Preventive Medicine, School of Medicine, Kyungpook National University and Heath Promotion Research Center) ;
  • Ha, Hee-Sook (Graduate School of Public Health, Kyungpook National University) ;
  • Lim, Ji-Seun (Department of Preventive Medicine, School of Medicine, Kyungpook National University and Heath Promotion Research Center) ;
  • Kang, Yune-Sik (Department of Preventive Medicine, School of Medicine, Gyeongsang National University) ;
  • Lee, Duk-Hee (Department of Preventive Medicine, School of Medicine, Kyungpook National University and Heath Promotion Research Center) ;
  • Chun, Byung-Yeol (Department of Preventive Medicine, School of Medicine, Kyungpook National University and Heath Promotion Research Center) ;
  • Kam, Sin (Department of Preventive Medicine, School of Medicine, Kyungpook National University and Heath Promotion Research Center)
  • 양진훈 (경북대학교 의과대학 예방의학교실 및 건강증진연구소) ;
  • 하희숙 (경북대학교 보건대학원) ;
  • 임지선 (경북대학교 의과대학 예방의학교실 및 건강증진연구소) ;
  • 강윤식 (경상대학교 의과대학 예방의학교실) ;
  • 이덕희 (경북대학교 의과대학 예방의학교실 및 건강증진연구소) ;
  • 천병렬 (경북대학교 의과대학 예방의학교실 및 건강증진연구소) ;
  • 감신 (경북대학교 의과대학 예방의학교실 및 건강증진연구소)
  • Published : 2005.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study was performed to examine the factors affecting re-smoking in male workers. Methods: A self-administrated questionnaire survey was conducted during April 2003 to examine the smoking state of 1,154 employees of a company that launched a smoking cessation campaign in1998. Five hundred and eighty seven persons, who had stopped smoking for at least one week, were selected as the final study subjects. This study collected data on smoking cessation success or failure for 6 months, and looked at the factors having an effect on re-smoking within this period. This study employed the Health Belief Model as its theoretical basis. Results: The re-smoking rate of the 587 study subjects who had stopped smoking for at least one week was 44.8% within the 6 month period. In a simple analysis, the re-smoking rates were higher in workers with a low age, on day and night shifts, blue collar, of a low rank, where this was their second attempt at smoking cessation and for those with a shorter job duration (p<0.05). Of the cues to action variables in the Heath Belief Model, re-smoking was significantly related with the perceived susceptibility factor, economic advantages of smoking cessation among the perceived benefits factor, the degree of cessation trial's barrier of the perceived barriers factor, smoking symptom experience, recognition of the degree of harmfulness of environmental tobacco smoke and the existence of chronic disease due to smoking (p<0.05). In the multiple logistic regression analysis for re-smoking, the significant variables were age, perceived susceptibility for disease, economic advantages due to smoking cessation, the perceived barrier for smoking cessation, recognition on the degree of harmfulness of environmental tobacco smoke, the existence of chronic disease due to smoking and the number of attempts at smoking cessation (p<0.05). Conclusion: From the result of this study, for an effective smoking ban policy within the work place, health education that improves the knowledge of the adverse health effects of smoking and the harmfulness of environmental tobacco smoke will be required, as well as counter plans to reduce the barriers for smoking cessation.

Keywords

References

  1. WHO. Tobacco or health. Geneva; 1997
  2. 한국금연운동협의회. 흡연과 건강. 사단법인 한국금연운동협의회;2000
  3. Norman H, Marry S, Judith O, Gregory G. Baseline factors associated with smoking cessation and relapse. Prev Med 1991: 20: 590-601 https://doi.org/10.1016/0091-7435(91)90057-B
  4. Lenox A. Determinants of outcome in smoking cessation. Br J Gen Pract 1992: 42: 247-252
  5. Won YI, Jeon TH, Lee DS. Oh SW, Choi GH, Yoo TW, Huh BY. Baseline factors associaed with smoking cessation. J Korean Acad Fam Med 1992: 13(11): 862-868 (Korean)
  6. KIm MK. Jin CK, Kim YJ, Cho BM. The disease related factors affecting cessation of smoking, J Korean Acad Fam Med 1995; 16(12): 880-890 (Korean)
  7. Kim AK. Thc study of the process of smoking cessation in adults. J Korean Acad Nurs 1997; 28(2): 319-328 (Korean)
  8. Son JH, Kim SA, Kam S, Yeh MH, Park KS, Oh HS. Factors related to the intention of participation in a worksite smoking cessation program. Korean J Prev Med 1999; 32(3): 297-305 (Korean)
  9. Ha MH, Lee DH. Predictors of quitting smoking: results of worksite smoking cessation campaign of a steel manufacturing industry, Korean J Occup Environ Med 2000; 12(2): 170-178 (Korean)
  10. Kim EM. Intention of smoking cessation in high school smokers and its related factors [dissertation]. Korea: Kyungpook National Univ.; 2001 (Korean)
  11. Kim CH. Seo HG. The factors associated with success of smoking cessation at smoking-cessation clinic. J Korean Acad Fam Med 2001;22(11): 1603-1611 (Korean)
  12. Hunt WA, Besplace DA. An evaluation of current methods of modifying smoking behavior. J Clin Psychol 1974; 30: 431-438 https://doi.org/10.1002/1097-4679(197410)30:4<431::AID-JCLP2270300402>3.0.CO;2-5
  13. Lando HA, MaGovern PM. Three-year data on a behavioral treatment for smoking: A follow up note. Addict Behav 1981; 7: 177-181
  14. Lichtenstein E. The smoking problem: a behavioral perspective, J Consult Clin Psychol 1982; 50: 806-819
  15. Rosenstock IM. Historical origins of the health belief model. In: Becker IM. The health belief model and personal behavior. Charles B. Slack Inc.; 1974. p. 1-8
  16. Strecher VJ, Champion VL, Rosenstock IM. The health belief model and personal behavior. In: Gochman DS. Handbook of health behavior research(I): Personal and social determinants. New York: Plenium Press; 1997. p.71-91
  17. Duncan CL, Cummings SR, Hudes ES, Zahnd E, Coates TJ. Quitting smoking reasons for quitting and predictors of cessation among medical patents, J Gen Intern Med 1992; 7(4): 398-404 https://doi.org/10.1007/BF02599155
  18. 남정자, 최정수, 김태정, 계훈방. 한국인의 보건의식행태-1995년도 국민건강 및 보건의식행태조사. 한국보건사회연구원; 1995,(65-85쪽)
  19. Klesges RC, Cigrang J, Glasgow RE. Work site smoking modfication programs: a state-of-art review and direction for future research. Curr Psychol Res Rev 1987; 6: 26-56 https://doi.org/10.1007/BF02686634
  20. Kotin P, Gaul LA. Smoking in the workplace: a hazard Ignored. Am J Public Health 1980: 70: 575-576 https://doi.org/10.2105/AJPH.70.6.575
  21. Kabat G, Wynder E. Detenninants of quitting smoking. Am J Public Health 1987; 77; 1301-1305 https://doi.org/10.2105/AJPH.77.10.1301
  22. Jean CR, Cummings KM, Zielenzny M, O' Shea R. Patterns and predictors of smoking cessation among users of a telephone hotline. Public Health Reports Hvattsville 1993: 108(6): 772-778
  23. 예방의학과 공중보건편집위원회. 예방의학과 공중보건. 계축문화사; 2001, (546-550쪽)
  24. USDHHS. The health consequenees of involuntary smoking: A report of the surgeon general. US Govemment Printing Office; 1986
  25. Cummings KM. Sciandra R, Pechacek T, Lynn WR, Corle D. Public attitude regarding limits on public smoking and regulation of tobacco sales and advertising: 10 U.S. communities, 1989. MMWR 1991;40: 344-353
  26. Fagerstrom KO. Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addict Behav 1978; 3: 235-241 https://doi.org/10.1016/0306-4603(78)90024-2