Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Development of Health Communication Strategies for Health Behavior Change: Application of Social Ecological Models to Smoking Cessation Intervention

건강행동 변화를 위한 보건 커뮤니케이션 전략 개발: 금연을 위한 생태학적 접근전략의 적용

  • Kim, Hye-Kyeong (Health Promotion Research Institute, Korea Association of Health Promotion)
  • 김혜경 (한국건강관리협회 건강증진연구소)
  • Received : 2010.11.24
  • Accepted : 2010.12.11
  • Published : 2010.12.30
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Abstract

Objectives: The aim of this study was to examine factors related to smoking behavior, and to develop multilevel communication strategies for smoking cessation. Methods: This paper reviewed theories and empirical findings with currents ecological models to develop communication strategies. Theory comparison was also performed to identify important mediators in the process of smoking cessation. Results: Factors that have been identified to influence smoking behavior ranges from individual perception, attitudes and self efficacy toward smoking to organizational norms, regulations, community capacity, media advocacy and public smoking regulation policy. In order to address these multi-level determinants of smoking behavior, objectives and strategies for smoking cessation intervention were developed utilizing ecological perspectives to cover intrapersonal, interpersonal(mainly family member and peers), organizational and community/public policy level factors. Conclusion: Multilevel approaches have advanced the existing knowledge on determinants of health behaviors. New direction of research focusing on testing multilevel intervention approaches should be expanded to inform the efficacy of applying social ecological models to health behavior change process.

Keywords

References

  1. 김명, 김혜경, 김영복 등. 각급학교를 통한 건강증진사업 추진전략과 프로그램 개발. 이화여자대학교․건강증진기금사업지원단, 2005.
  2. 김영복, 김혜경, 김명. 국민건강증진사업의 효율성 증대를 위한 지역사회 보건교육의 추진방향. 보건과 사회과학. 2003;14:5-28.
  3. 김혜경. 범이론적모형에 근거한 성인의 건강증진 실천행위에 대한 분석. 이화여자대학교 박사학위논문, 2004.
  4. 김혜경, 권은주, 문순영. 건강검진 고객의 건강상담 요구도 분석. 한국건강관리협회 연구보고서, 2007.
  5. 김혜경, 조선, 현성민, 권은주, 박지연. 2008년도 성인금연교육사업 평가. 한국건강관리협회 연구보고서, 2009.
  6. 김혜경, 윤청하, 이은희 등 취약지역 빈곤아동을 위한 건강증진 프로그램 개발. 한국건강관리협회․건강증진사업지원단, 2007.
  7. 질병관리본부. 2009년 지역사회건강조사결과. 2010.
  8. Bartholomew LK, Parcel GS, Kok G, Gottlieb NH. Planning health promotion program: An intervention mapping approach. Jossey-Bass, 2006.
  9. Browning C, Thomas SA, Behavioral Change: An evidence-based handbook for social and public health. Elsevier, 2005.
  10. Centers for Disease Control and Prevention. Tobacco use among adults-United States, 2005. MMWR Morbidity and Mortality Weekly Report 2006;55(42):1145-1148.
  11. Cohen DA, Scribner RA, Farley TA. A structural model of health behavior: A pragmatic approach to explain and influence health behaviors at the population level. Preventive Medicine 2000;30:146-154. https://doi.org/10.1006/pmed.1999.0609
  12. Fisher EB et al. Cigarette smoking in Health Behavior Handbook. American Psychological Association, 2004.
  13. Glass TA, McAtee MJ. Behavioral science at the crossroads in public health: Extending horizons, envisioning the future. Social Science & Medicine 2006;62(7):1650-1671. https://doi.org/10.1016/j.socscimed.2005.08.044
  14. Glanz K, Rimer BK, Viswanath K. Health Behavior and Health Education. Jossey-Bass Publishers, 2008.
  15. Green J. The role of theory in evidence-based health promotion practice. Health Education Research 2000;15:125-129. https://doi.org/10.1093/her/15.2.125
  16. Leatherdale ST et al. A multilevel analysis examining how smoking friends, parents, and older students in the school environment are risk factors for susceptibility to smoking among non smoking elementary school youth. Preventive Science 2006;7:397-402. https://doi.org/10.1007/s11121-006-0049-y
  17. McKenzie JF, Neiger BL. Thackeray S. Planning, implementing, and evaluating health promotion program. Pearson, 2009.
  18. Mille WR, Rollnick S. Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford Press, 1991.
  19. Ory MG, Jordan PJ, Bazzarre T. The Behavior Change Consortium: Setting the stage for a new century of health behavior change research Health Education Research 2002;17(5): 500-511. https://doi.org/10.1093/her/17.5.500
  20. Pellmar TC, Brandt EN, Baird MA. Health and Behavior: The Interplay of Biological, Behavioral, and Social Influences. American Journal of Health Promotion 2002;16(4);206-219. https://doi.org/10.4278/0890-1171-16.4.206
  21. Perry CL. Creating health behavior change: How to develop community-wide programs for youth. SAGE Publication, 1999.
  22. Prochaska JO, DiClemente CC. Stages and process of self-change in smoking: Towards an integrative model of change. Journal of Consulting and Clinical Psychology 1983;51: 390-395.
  23. Shumaker SA, Schron EB, Ockene JK, McBee WL. The Handbook of Health Behavior Change. Springer Publishing Company, 1998.
  24. Siegel M. The effectiveness of state-level tobacco control interventions: A review of program implementation and behavioral outcomes. Annual Review of Public Health 2002;23:45-71. https://doi.org/10.1146/annurev.publhealth.23.092601.095916
  25. Sorenson JR, Steckler A. Improving the health of the public: a behavioral-change perspective. Health Education Research 2002;17(5):493-494. https://doi.org/10.1093/her/17.5.493
  26. Wiium N, Wold B. An ecological system approach to adolescent smoking behavior. Journal of Youth Adolescence 2009;38: 1351-1363. https://doi.org/10.1007/s10964-008-9349-9
  27. Wilcox P. An ecological approach to understanding youth smoking trajectories: Problems and prospects. Addiction 2003;98 (suppl1):57-77.