Purpose
A tobacco-free campus (TFC) is the most advanced tobacco-control policy for college campuses, but it has rarely been explored in Korea. This study aimed to explore Korean college students’ attitudes toward TFC and related factors.
Methods
This cross-sectional descriptive study enrolled college students who were taking an elective course on smoking cessation and a healthy lifestyle at a university located in Incheon, Korea. Data were collected from March 1 to December 31, 2019 using a structured questionnaire, and study participants were recruited using convenience sampling.
Results
Data on 309 college students were analyzed. Of those participants, 6.1% supported the TFC policy. Multiple logistic regression analysis showed that female gender (adjusted odds ratio [aOR]=5.80, 95% confidence interval [CI]=1.47-22.95), taking the course to quit smoking oneself (aOR=11.03, 95% CI=1.04-117.05), anxiety in the past month (aOR=4.27, 95% CI=1.06-17.31), and being a current smoker (aOR=0.06, 95% CI=0.01-0.70) were statistically significant independent predictors of TFC support.
Conclusion
Women, students taking the course to quit smoking themselves, nonsmokers, and students who felt anxious in the past month were more likely to support TFC. Further research with more representative samples is required to examine the characteristics of people who favor TFC.

Citations

• What are the effects of smoke-free and tobacco-free university campus policies, and how can they be assessed? A systematic review
  Etienne Gnonlonfin, Diane Geindreau, Karine Gallopel-Morvan
  Journal of Epidemiology and Population Health.2024; 72(2): 202520.     CrossRef
• Tobacco-free university campus policies: A systematic review
  Diane Geindreau, Anne Girault, Karine Gallopel-Morvan
  Journal of American College Health.2024; : 1.     CrossRef

Purpose
This study investigated the factors that influence depression in adolescents diagnosed with asthma in South Korea, providing basic data supporting efforts to improve adolescents' mental health.
Methods
Multiple regression analysis was conducted on 4,020 subjects who had been diagnosed with lifelong asthma among the 57,303 respondents to the 15th Korea Youth Risk Behaviour Web-Based Survey from 2019.
Results
The participants were more likely to have depression if they were female, in middle school, their academic achievement was poor, they were drinkers or smokers, if they felt a very high amount of stress, and if they experienced very inadequate recovery from fatigue. Adolescents with asthma were 9.00 times more likely to experience depression when they felt a very high amount of stress (95% confidence interval [CI]= 5.51-14.69, p<.001) than when they felt no stress.
Conclusion
Given these factors, measures to improve the mental health of adolescents should be developed and expanded, especially to decrease their stress levels. A separate program that is different from the school's regular health curriculum should be developed to manage the stress levels of adolescents with asthma, such as an after-school program or a program conducted at a local community centre.

Citations

• Changes in Daily life due to the COVID-19 Pandemic and Mental Health Status in Korean Adolescents
  Taeseok Kang, Sangjin Kim, Eunseo Kim, Jinhyeong Kim, Jihoon Yoon, Donggeun Lee, Jeesoo Lee, Mi Ah Han
  Psychiatric Quarterly.2024; 95(3): 469.     CrossRef

Purpose
This meta-analysis aimed to analyze the effects of smoking prevention programs for young adolescents at early smoking stages to identify the appropriate characteristics of prevention programs for this population.
Methods
Searches of health-related databases and Google Scholar were conducted, and 23 randomized studies were included in the analysis. The main outcome variable was smoking behavior. The analysis was conducted using Comprehensive Meta-Analysis software (version 3.0).
Results
Smoking prevention programs significantly reduced smoking behaviors (OR=0.85, 95% CI=0.77~0.93). School-based programs (OR=0.79, 95% CI=0.75~0.83), programs by trained teachers or educators (OR=0.77, 95% CI=0.71~0.83), high-intensity programs (OR=0.82, 95% CI=0.75~0.91), and programs in an in-school setting (OR=0.82, 95% CI=0.74~0.90) had the most significant effect on reducing smoking behavior.
Conclusion
For young adolescents, smoking prevention programs are most effective when they are school-based or highintensity programs, and when conducted by teachers or educators with proper training. Further studies are required since there was insufficient research to explore the effect of web-based programs or family-centered programs on adolescent smokers.

Citations

• A cluster randomized trial comparing photoaging app and school based educational intervention for tobacco use prevention in adolescents
  Tamadhir Al-Mahrouqi, Fida Al-Ghailani, Maryam Al-Maqbali, Maather Al Saidi, Gowda Parameshwara Prashanth
  Scientific Reports.2025;[Epub]     CrossRef
• Latent Structure of Past 12-Month Tobacco Use in Wave 6 of the Population Assessment of Tobacco and Health: Examining for Differential Substructure by Generational Status
  James S. Clifford, Ronaldo T. Williams, Caitlyn Hall, Fernanda Moya Quezada, Courtney T. Blondino
  Substance Use & Misuse.2025; 60(8): 1173.     CrossRef
• Co-design of the ‘OurFutures Vaping’ programme: a school-based eHealth intervention to prevent e-cigarette use
  Lauren A Gardner, Amy-Leigh Rowe, Emily Stockings, Lyra Egan, Annabelle Hawkins, Kathleen Blackburn, Maree Teesson, Katrina E Champion, Nicola C Newton
  Health Promotion International.2025;[Epub]     CrossRef
• Tobacco smoking, second‐hand smoking exposure in relation to psychotic‐like experiences in adolescents
  Dongfang Wang, Zijuan Ma, Yunge Fan, Huilin Chen, Meng Sun, Fang Fan
  Early Intervention in Psychiatry.2024; 18(2): 102.     CrossRef
• Adolescent’s explicit and implicit cigarette cognitions predict experimentation with both cigarettes and e-cigarettes
  Christopher Cappelli, James Russell Pike, Bin Xie, Alyssa Jenna Michaels, Alan W. Stacy
  The American Journal of Drug and Alcohol Abuse.2024; 50(3): 401.     CrossRef
• Tobacco cessation, anti-tobacco education, and smoke-free schools: Findings from the Global Youth Tobacco Survey
  Willie Rajvong, Yelena Tarasenko, Angela Ciobanu
  Tobacco Prevention & Cessation.2024; 10(November): 1.     CrossRef
• Determinants of ever smoking and active smoking among school-aged children in Jeddah
  Ahlam Mazi
  Journal of Taibah University Medical Sciences.2023; 18(5): 1124.     CrossRef
• A Study on the Factors Influencing Smoking in Multicultural Youths in Korea
  Jin-Hee Park, Mi-Jin Kim, Hee-Joo Lee
  Healthcare.2023; 11(10): 1437.     CrossRef
• Comparisons between young adult waterpipe smokers and nonsmokers’ reactions to pictorial health warning labels in Lebanon: a randomized crossover experimental study
  R Jebai, T Asfar, R Nakkash, S Chehab, M Schmidt, W Wu, Z Bursac, W Maziak
  Health Education Research.2023; 38(6): 537.     CrossRef
• Prevention of tobacco use in an adolescent population through a multi-personal intervention model
  Francisco Carrión-Valero, Joan Antoni Ribera-Osca, Jose M Martin-Moreno, Alejandro Martin-Gorgojo
  Tobacco Prevention & Cessation.2023; 9(December): 1.     CrossRef

Purpose
This study aimed to identify psychosocial factors associated with smoking cessation attempts among Korean high school students who engage in intermittent and light smoking.
Methods
Cross-sectional secondary data derived from the 2018 Korea Youth Risk Behavior Web-Based Survey were analyzed within the framework of the biopsychosocial model. The sample comprised 829 high school students who reported current intermittent and light smoking, which was defined as cigarette smoking on 1~29 days in a 30-day period and no more than 10 cigarettes per day. Purposeful selection logistic regression analysis was performed.
Results
In total, 71.7% (n=586) of the respondents had tried to stop smoking during the past 12 months. The main result was that respondents who had viewed an anti-smoking advertisement in the past year significantly more smoking cessation attempts than those who had not (adjusted odds ratio=2.59; 95% confidence interval=1.45~4.62, p=.001).
Conclusion
To encourage smoking cessation attempts among high school students who engage in intermittent and light smoking, healthcare providers, including school and community nurses, should develop effective interventions using anti-smoking advertisements tailored to adolescents’ interests and developmental stage.

Purpose
We aimed to identify associations between the frequency of electronic cigarette (e-cigarette) use and smoking-related characteristics among adolescent smokers.
Methods
We used data from the 14th Korea Youth Risk Behavior Survey. The participants were 3,722 smokers who had smoked cigarettes on at least one day during the past 30 days. The frequency of e-cigarette use was defined as the number of days that participants used e-cigarettes during the past 30 days, and was divided into four categories: 0, 1~2, 3~9, and≥10 days. We used the x² test and multinomial logistic regression to examine the associations between the frequency of e-cigarette use and smoking-related characteristics.
Results
Those who attempted to quit smoking, had used a heated tobacco product (HTP) at least once, or initiated e-cigarette use before middle school were more likely to use e-cigarettes for 3~9 days in the past 30 days. More frequent e-cigarette use (≥10 days) was associated with a higher frequency and greater amount of cigarette use, lifetime HTP use, and earlier initiation of e-cigarette use.
Conclusion
Smoking-related characteristics differed by the frequency of e-cigarette use. Therefore, intervention programs targeting adolescent smokers should consider differences in smoking-related characteristics based on the frequency of e-cigarette use.

Citations

• Factors influencing suicidal ideation among female adolescents with smoking experience: A cross-sectional study using National Big Data
  Hyeongyeong Yoon
  Journal of Pediatric Nursing.2025; 80: e104.     CrossRef
• Examining suicidality and substance use among Korean adolescents: a latent class analysis study
  Serim Lee, Jinyung Kim
  Asia Pacific Journal of Social Work and Developmen.2025; : 1.     CrossRef
• Associations between the Frequency and Quantity of Heated Tobacco Product Use and Smoking Characteristics among Korean Smoking Adolescents
  Haein Lee, Bo Gyeong Lee
  Journal of Korean Academy of Nursing.2023; 53(2): 155.     CrossRef
• Dietary Lifestyle Status of Adolescents: Analysis of Large-Scale Survey Data in Korea
  Soo Jin Lee, Ho Kyung Ryu
  Journal of the Korean Society of Food Science and .2021; 50(1): 95.     CrossRef

Purpose
This study analyzes the effects of smoking behaviors of women of reproductive ages in terms of maternal conditions and conditions arising during the perinatal period in Korea.
Methods
We used the National Health Insurance Corporation's medical panel data. Subjects included 382 individuals suffering from maternal conditions and conditions arising during the perinatal period from 2013 to 2014. A t-test was used to analyze the individual differences between maternal conditions and conditions arising during the perinatal period-A hierarchical regression analysis was performed in two steps to measure the effects of smoking behaviors on diseases.
Results
The amount and duration of smoking are significant factors causing maternal conditions and conditions arising during the perinatal period. In the regression analysis, the explanatory power of model was significantly increased by adding smoking behavior to the maternal conditions and conditions arising during the perinatal period. Smoking behavior during pregnancy displayed a significant influence on diseases.
Conclusion
Results of this study showed that the effects of smoking behavior on maternal conditions and conditions arising during the perinatal period were significant. Therefore it is necessary to develop a smoking cessation education program for pregnant women in Korea.

Citations

• The Effect of Smoking on Salivary Calcium Levels, Calcium Intake, and Bleeding on Probing in Female
  Sri Tjahajawati, Anggun Rafisa, Endah Ayu Lestari, Boonlert Kukiattrakoon
  International Journal of Dentistry.2021; 2021: 1.     CrossRef

Purpose
Smoking during pregnancy contributes to the risk of negative health outcomes in mothers and babies. The purposes of this study were to review the harmful effects of maternal smoking during pregnancy on fetal and child development, to discuss if maternal smoking should be criminalized as a form of child abuse, and to explore advocating for fetal rights.
Methods
A variety of published literature and legal documents including the Korean constitution, criminal laws, and children’s welfare laws were reviewed and critically analyzed.
Results
Women who smoke during pregnancy are more likely to experience abortion related to placental dysfunction. Their unborn risk premature birth, fetal growth restriction, low birth weight, neurobehavioral disturbances, and/or other complications and newborn babies are also at risk for complications. The advocates for fetal rights can assert that maternal smoking should be regarded as a crime.
Conclusion
Findings show that maternal smoking during pregnancy is a major risk factor for many adverse pregnancy outcomes. Effective strategies and health policies for smoking cessation during pregnancy are required to protect pregnant women and their babies.

Citations

• Risk Factors for Preterm Birth in Advanced Maternal Age
  권은진, 조안젤라, 국내 조산 레지스트리 그룹, 박미혜, 김영주, 이경주, 박선화
  JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHIL.2018; 22(2): 106.     CrossRef
• Does wastewater discharge have relations with increase of Turner syndrome and Down syndrome?
  Intae Choi
  Environmental Health and Toxicology.2017; 32: e2017012.     CrossRef

PURPOSE
The purpose of this study was to identify the effects of an empowerment program on nicotine dependency, temptation, self-esteem, and depression for adolescents who smoke.
METHODS
The study design was a quasi-experimental study with a nonequivalent control group, pre-post design. The participants were 49 adolescents who smoked. Twenty-six adolescents were assigned to the experimental group and 23 to the control group. The intervention was conducted twice a week for 6 weeks. Chi-square test, t-test, paired-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data.
RESULTS
After program, scores for self-esteem (t=5.560, p=.014), were significantly higher and scores for depression (t=-2.111, p=.040) were significantly lower for adolescents in the experimental group compared to adolescents in the control group.
CONCLUSION
The finding indicate that the empowerment group training program was effective in improving self-esteem, and decreasing depression and could be considered as a positive program for smoking cessation for adolescents who smoke.

Citations

• Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys
  Jung Hee Kim, Yeon Hee Choi
  Journal of Korean Academy of Nursing.2017; 47(2): 164.     CrossRef
• Affecting Nicotine Dependence of Social Psychological Variables in Smoking middle school
  Young-Mun Cho, Mi-Young Woo
  Journal of Digital Convergence.2016; 14(2): 295.     CrossRef
• Efficacy of Smoking Cessation and Prevention Programs by Intervention Methods: A Systematic Review of Published Studies in Korean Journals during Recent 3 Years
  Hye Kyeong Kim, Ji Yeon Park, Eun Joo Kwon, Seung Hee Choi, Han-Ik Cho
  Korean Journal of Health Education and Promotion.2013; 30(5): 61.     CrossRef
• Pathway Analysis on the Influence of Health Promoting Behavior(HPB) and Depression Cognitive Scale(DCS) on Smoking Cessation Thoughts and Intention to Quit Smoking of College Students who Smoke
  Hee-Jeong Kim, Se-Jin Ju, Gyeong-Suk Kim, Mi-Ok Kim, Yu Mi, Jeong-Hyeon Choi
  Journal of the Korea Academia-Industrial cooperati.2013; 14(4): 1830.     CrossRef

PURPOSE
This study was done to identify the significance of smoking experiences in high school girls, and to define essential structures of the experience.
METHODS
A phenomenological approach was used for this study. Data were collected using in-depth interviews. Study participants were 8 high school girls who had experience with smoking. The method proposed by Giorgi (1985) was used to guide the process of data analysis.
RESULTS
Themes which emerged from the data were: 'Beginning to smoke affected by surroundings', 'Self intention to begin smoking', 'Stimulated smoking drive (appetite)', 'Giving emotional comfort', 'Mood of overlooking teenagers' smoking', 'Smoking dead zone', 'Knowing that smoking is not suitable', 'Habitual smoking', 'Prejudice against women smoking', and 'Admitting that women smoke'.
CONCLUSION
The findings provide an understanding of the smoking experience by high school girls and indicate that in order to develop the most effective nursing interventions to help female adolescents stop smoking, consideration needs to be given to the developmental stage of high school students.

Citations

• Unhealthy Weight Control Behaviors according to the Status of Combustible Cigarette and Noncombustible Nicotine or Tobacco Product Use among Korean Adolescents with Experience Attempting to Reduce or Maintain Their Body Weight: The 15th Korea Youth Risk B
  A Ra Bong, Young Gyu Cho, Hyun Ah Park, Kyo Woon Kim
  Korean Journal of Family Medicine.2024; 45(4): 223.     CrossRef
• Smoking and Smoking Cessation in Women
  Sang Keun Hahm, Hyeon Suk Kim, Eon Sook Lee
  Journal of the Korean Society for Research on Nico.2022; 13(2): 35.     CrossRef
• Sex Differences in Multilevel Factors of Smoking Experimentation and Age of Initiation in Korean Adolescents
  Eun-Mi Kim, Eunhee Park, Heejung Kim
  The Journal of School Nursing.2020; 36(5): 348.     CrossRef
• Mahasiswi perokok: Studi fenomenologi tentang perempuan perokok di kampus
  Fauzi Maulana Rizky Akbar
  Jurnal Sosiologi Dialektika.2020; 15(1): 33.     CrossRef

PURPOSE
The purpose of this study was to identify the relationship of knowledge and attitude to temptation toward cigarette smoking in adolescents. METHODS: A survey was conducted using a 52-item questionnaire in 2 high school settings. Descriptive statistics, t-tests, ANOVA, post hoc analysis and Pearson correlation coefficients were used with SPSS WIN version 14.0 to analyze the data. RESULTS: There were significant differences in attitude toward smoking and smoking temptation depending on gender, academic performance, religion, current smoking status, parental responses toward smoking, initiation of smoking, and the number of friends who smoke (p<.001). The level of smoking knowledge was not related to any of general characteristics as well as attitude toward smoking and smoking temptation. However, negative attitude toward smoking was moderately correlated with reduced smoking temptation (r=-.608, p<.001). CONCLUSION: Adolescents' attitude toward smoking and coping ability against smoking temptation were influenced by various factors related to smoking behavior and social situations, rather than by the level of smoking knowledge. In order to develop an effective smoking prevention and cessation program for adolescents, various strategies to change attitudes toward smoking should be included.

Citations

• Structural Equation Modeling on Smoking Cessation Intention in Male Technical High School Students
  Eun Su Do, Eunsuk Choi
  Journal of Korean Academy of Nursing.2017; 47(2): 211.     CrossRef
• Attitude, Knowlege, and Social Influence as Factors of Smoking Intention among Nonsmoking Middle School Students
  Young Sook Seo, Young Im Kim, Chang Hyun Lee
  Journal of the Korean Society of School Health.2016; 29(2): 81.     CrossRef
• Alcohol and tobacco use among South Korean adolescents: An ecological review of the literature
  Jun Sung Hong, Na Youn Lee, Andrew Grogan-Kaylor, Hui Huang
  Children and Youth Services Review.2011; 33(7): 1120.     CrossRef

PURPOSE
In this study an examination was done of the effects of a adolescent smoking cessation motivational program on smoking temptation, internal motivation, stage of smoking cessation and quit rate. The study was done with a nonequivalent control group pretest-posttest design.
METHODS
Participants in the experimental group were adolescents who smoked and were referred to the program by their high school teachers. They participated in the smoking cessation motivational program for 60 minutes per session, once or twice a week for six weeks. Participants in the control group were selected from the same age group within the school and the program was provided after the posttest was completed. t-test, Mann-Whitney test, and chi2-test were used to analyze data.
RESULTS
The level of smoking temptation, internal motivation and stage of smoking cessation had significant change in comparison to the pretest whereas the control group did not exhibit these changes.
CONCLUSION
The results of the study indicate that a smoking cessation motivational program for adolescents is an effective strategy to increase smoking cessation motivation in adolescents, and can be utilized as an effective intervention for adolescents who smoke.

Citations

• A Self-Reflection Program for Smoking Cessation in Adolescents: A Phenomenological Study
  Inok Sim, Eunjeong Hwang, Bora Sin
  International Journal of Environmental Research an.2020; 17(3): 1085.     CrossRef
• The Effects of Socio-Economic Status on Smoking Cessation Plans in Smokers
  Mi-Jin Gong, Yong-Woo Shim
  The Korean Journal of Health Service Management.2018; 12(2): 135.     CrossRef
• Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys
  Jung Hee Kim, Yeon Hee Choi
  Journal of Korean Academy of Nursing.2017; 47(2): 164.     CrossRef
• School Nurses’ Management for Children and Adolescents with Diabetes
  Heesook Kang, Youngmee Ahn, Ji Eun Lee, Min Sohn
  Child Health Nursing Research.2015; 21(2): 176.     CrossRef
• Influence of Smoker Image Perceived Cigarette Advertising on Intention of Adulthood Smoking Among Highschool Students
  Goo-Churl Jeong
  The Journal of the Korea Contents Association.2014; 14(12): 785.     CrossRef
• Efficacy of Smoking Cessation and Prevention Programs by Intervention Methods: A Systematic Review of Published Studies in Korean Journals during Recent 3 Years
  Hye Kyeong Kim, Ji Yeon Park, Eun Joo Kwon, Seung Hee Choi, Han-Ik Cho
  Korean Journal of Health Education and Promotion.2013; 30(5): 61.     CrossRef

PURPOSE
This study was done to examine the effects of a smoking prevention program on primary school students.
METHOD
The design for this study was a nonequivalent quasi-experimental control group pretest-posttest. The smoking prevention program was provided to grade 5 and 6 students selected from two schools in Jecheon.The experimental group consisted of 72 students and the control group, 73 students. A smoking prevention program composed of smoking prevention education (once a week for 40 minutes over a period of 8 weeks) and supportive environment for smoking prevention was developed by modifying several smoking prevention programs. The research was conducted from May 15 to October 10, 2003.
RESULT
1) After completion of the smoking prevention program, the mean scores for knowledge about smoking, attitude to smoking, and intention toward non-smoking were not significantly different between the experimental group and the control group.
CONCLUSIONS
To affectively achieve the aims of a smoking prevention program, the effectiveness of the program should not be measured over the short term only. Long-term tracking of students educated in the program, to identify the rate of those who later become smokers needs to be done.

PURPOSE
The purpose of this study was to identify the experience of smoking cessation in middle and high school students who smoked or were ex-smokers.
METHOD
Data were collected through focus group interviews with 3 groups (15 students), and were analyzed according to the analytic method of Morgan (1998) and Krueger (1998).
RESULTS
Six categories were identified. They included reasons to quit smoking, efforts to maintain smoking cessation, lures to start smoking again, improved self-esteem after overcome temptations, frustration following repeated failures in attempts to quit smoking and suggestions to help maintain smoking cessation. Through these results, it was found that reasons for quitting smoking were different from those of adults, strategies to maintain smoking cessation were limited and repeated failure in attempts to quit smoking led students to give up attempting to quit smoking.
CONCLUSION
A high percentage of adolescent smokers want to quit but are unsuccessful in doing so. Considering the results of our analysis, smoking cessation programs and strategies should be carefully developed to be more effective in help adolescents quit smoking and maintain smoking cessation.

PURPOSE
This study was designed to identify the factors affecting the experience of smoking in middle school girls. A comprehensive analysis of individual and family factors was used.
METHOD
The students in this descriptive survey on causal relations were 433 girls enrolled in middle schools selected by convenience sampling. The data were collected in November-December 2003 and logistic regression analysis was used to build a forecast model. FINDINGS: The findings showed the following, 1) Individual factors such as grade, alcohol consumption, sexual experience and the frequency of exposure to pornographic materials, and 2) family factors such as parental living arrangement were significant factors.
CONCLUSION
AND RECOMMENDATION: The experience of smoking among Korean middle school girls was associated not only with individual factors, but also with family factors, which exert a strong influence on health behavior. There is therefore a need for school-based smoking prevention programs, which deal comprehensively with these factors that influence smoking. It is recommended that a program be developed that will help to control the variables identified in this study along with follow-up study to verify the model.

PURPOSE
To investigate the prevalence of smoking behavior among elementary students which may serve as basic data for developing a smoking prevention program.
METHOD
Questionnaires were given to 734 fourth, fifth, and sixth graders in five elementary schools in U county, North Chungcheong Province. Data were collected from 8 to 20 December, 2003; and analyzed using SPSS/PC for descriptive and chi-square statistics.
RESULTS
Of these students, 19.9% reported that they had smoked and 0.8% answered they are current smokers. They reported that the first smoking started during third grade (26.0%), at their homes (38.4%), and out of curiosity (74.0%). They reported severe coughing when they first smoked (56.2%). Smoking experiences were significantly related to grade, gender, and academic performance. Similarly, environmental characteristics such as residential area, parental status, father's job, parental attention, home atmosphere, and smoking siblings or friends were significantly related to smoking behavior. Among non-smokers, 86.4% intended not to smoke and 1.4% would like to smoke in the future.
CONCLUSION
Certain school and environmental characteristics were associated with smoking experimentation. Therefore teachers and parents should use this information to develop and guide smoking prevention programs.

PURPOSE
To investigate and compare the knowledge and attitude about smoking of the elementary students according to anti-smoking education.
METHOD
A descriptive comparative study design was used. A total 2,000 of the 4th, 5th and 6th grade of elementary students classified into education and non-education groups according to their anti-smoking education. Knowledge and attitude about smoking were measured by the constructed questionnaire.
RESULTS
1) Students' knowledge about smoking were 11.50point on average with highest score being 20. The knowledge of the education group was significantly higher than those of non-education group. No significant differences were observed according to grade or sex. 2) Students' attitude toward smoking were negative with the mean score 31.70. No significant differences were observed according to anti-smoking education, while students in higher grades and male showed significant favorable attitude toward smoking. 3) Among the students of respondents, 5.3% answered they had the experience of smoking. The smoking experience of the education group was significantly higher than those of non-education group. 96.0% of the students would not smoking in the future. No significant differences were observed according to anti-smoking education.
CONCLUSION
The results suggested that a systematic strategy required to lead desirable attitude and behavior about smoking of students.

PURPOSE
This study was to investigate the smoking related social influence, refusal skill and nonsmoking related self-efficacy among adolescents.
METHOD
The subject for this study consisted of 3,000 students of middle and high school located in Chonbuk province. The data were collected by self-report questionnaire from Aguest 19 to September 14, 2002.
RESULT
The smoking rate was 3.3% in middle school students and 13.6% in high school students. The subject have had 61.1% of family members, 42.7% of same sex friends, 39.4% of object sex friend, 64.9% of peer group and 85.9% of teachers were being smoke. The smoking related social influence and smoking status showed significant relationship; current smokers' smoking related social influence level was much higher than former and never smoker. Friends', teachers' and family members' influences were important to adolescents' smoking. Adolescents had social influence made by many smokers. 27.7% of subject were suggested to smoke by near people, 40.4% of which them were smoked or tried to smoke. The mean refusal skill score of subject was 39.13 points per hundred. Adolescents have showed very low level of refusal skill to smoke. Current smokers' refusal skill level was significantly lower than former and never smoker. The mean average nonsmoking related self-efficacy score of current smoker was 44.46 percents per hundred, it showed that current smoker had very low level of self-efficacy to ceasing smoke.
CONCLUSION
For the purpose of adolescents smoking prevention and ceasing, the educational program must designed to reduce smoking related social influence, to promote the refusal skill and nonsmoking related self-efficacy.

PURPOSE
This study is to investigate the smoking experience and its related factors among adolescence.
METHOD
The subject for this study consisted of 2711 students of middle, high school located in youngam-koon, chonnam. The data were collected by an anonymous questionnaire during the period from March. 1, 2001 to June. 20, 2001.
RESULT
The frequency of cigaret smoker was 8%. The frequency of smoker in the high school was higher than that of smokers at the middle school. The motivation of smoking was curiosity and solicitation by friends, and the level of smoking was on average less than 10 cigarettes a day. The 72.2% of smokers started during the middle school period. Students who smoke had more positive attitude toward smoking than students who don't smoke. There were significant differences in there knowledge about the harmful effect of smoking between nonsmoker and smoker. Most smoking students thought that nonsmoking education is necessary for adolescents, even though they don't want to quit the smoking. The frequency of smoker was different between genders.
CONCLUSION
An understanding of the characteristics of smoking of adolescence may provide guidance for preventive interventions with adolescents.

This study was done to provide basic data to develop smoking prevention and non-smoking education program. Questionnaire were collected from 438 male, 474 female middle school students at Chunchon, Kwangwon-do from Sep 2, 2000 to Feb 28, 2001. The Questionnaire used to measure subjects' knowledge and attitude about smoking was Guideline for the content of tobacco smoking surveys of the general population by WHO. The collected data were analyzed by SPSS-Win program. The results were as follows. 1.The average score of knowledge about smoking of subjects was 57.01 on the basis of 100. 2. The average score of attitude about smoking of subjects was 63.54 on the basis of 100. 3.In knowledge about smoking, there were statistically significant difference according to subjects' grade(F=3.218, p=.041), thinking about smoking behavior(F=3.424, p=.017), harmfulness of smoking(F=17.202, p=.000), present drinking(F=3.555, p=.029) and in attitude about smoking, there were statisti cally significant difference according to subjects' grade(F=20.520, p=.000), sex(t= -5.073, p=.000), mother's smoking(t= -2.405, p=.035), brother's smoking(t= -5.022, p=.000), mother's schooling(F= 3.730, p=.024), having smoking friend or not (t=-9.357, p=.000), subjects' smoking experience (t=-12.363, p=.000), present smoking(F= 76.643, p=.000), quantity of smoking(F= 6.808, p=.001), period of stop smoking(F= 4.685, p=.004), beginning time of smoking (F=2.286, p=.049), thinking about smoking behavior(F=17.933, p=.000), harmfulness of smoking(F=58.360, p=.000), present drinking (F=58.071, p=.000). 4. There were significant relationship between subjects' knowledge and attitude about smoking(r=.469, p=.000).

This study was conducted to investigate correlation theory of planned behavior, self efficacy and health locus of control about smoking cessation behavior for university student. We sampled 204 university student smokers using questionnaires and analyzed the data using Pearson correlation coefficient. The results of this study were as follows : 1. There were significant positive correlation between theory of planned behavior(intention : r=.215, p=.005, attitude : r=.160, p=.025, perceived behavior control : r=.298, p=.000) and self efficacy. 2. There were significant positive correlation between theory of planned behavior(attitude : r=.228, p=.002) and internal health locus of control. There were significant positive correlation between theory of planned behavior(attitude : r=.203, p=.004, subjective norm : r=.141, p=.047) and external health locus of control. There were significant negative correlation between theory of planned behavior(perceived behavior control : r=-.152, p=.034) and accidental health locus of control. This study has shown a correlation between theory of planned behavior and self efficacy and health locus of control. As a result of these findings, I suggest to develop the intervention program for smoking cessation.

In order to provide a desirable direction for the health education on preventing smoking of elementary school students, by understanding the views held by elementary school teachers on smoking prevention education, 529 teachers at elementary schools located in Seoul were responded by constructed questionnaires during the period of Nov. 15 to Dec. 18 1999. The results of the survey analysis were as follows: 1. 91.9% of the respondents said that schools should offer education programs on preventing smoking, and this view was more strongly shared by teachers with religions than non-religious ones. 2.37.6% of teachers responded that the education should start with 4th-5th graders, while 36.0% opted for 6th grades. With regard to the appropriate class in providing such education, 41.1% selected physical education (PE), followed by extracurricular activity class with 28.8%, 45.1% of the respondents said discussion would be the most effective education method, while 39.9% recommended using experiments. fall in diseases and growth and developmental defect were pointed out as the most interesting topic for students by 33.2% and 28.1% of the surveyed, respectively. As for the most effective media for education, 57.2% recommended video, followed by computer games(19.2%) and cartoons (20.0%). 64.1% of the teachers picked school nurses as the most appropriate person in carrying out the education. The results of the finding show that it would be most desirable to provide health education on preventing smoking to senior elementary schoolers during the PE or extracurricular activity class by school nurses. The program would be structured to first show video clips on growth and developmental defect or fall in diseases resulting from smoking and to have discussions or experiments on related matters.

The purpose of this study was to investigate the actual state of and the factors in relation to drinking and smoking of elementary school. The subject for this study consisted of 604 students of six elementary schools located in Pusan. The data were collected by using a anonymous questionnaire during the period from Nov. 1, 1998 to Nov. 15, 1998. The results of this study are summarized as follows. 1. The rate of drinking of the whole respondents was 20.7% (male 25.4%, female 15.6%), the rate of smoking was 8.1%(male 11.7%, female 4.2%). The user of drink and cigarets together showed 5.6%. 2. The school year of the first drinking and smoking was most at the 5th grade in elementary school(drinking 24.8%, smoking 20.4%). The motivation of beginning drinking and smoking was curiosity for the most part(32.0%, 61.2%). As to a way to get drink and cigarets, using a thing in the house' was most(82.2%). As to a used place, their own home or their friends' home showed 32.2% for the most part. Companion was mostly alone(84.0%). 3. Those who had experience of drinking and smoking took more positive attitude toward drinker and smoker, were more hospitable to exhortation to drinking and smoking, and were more positive about the late intention of drinking and smoking, but his desire for health education was lower than not. And he showed overlooking or keeping step with his friend's drinking and smoking. 4. In the results so far investigated difference of drinking and smoking according to a general tendency of respondents. The experience of drinking was related to sex distinction (P=0.003) and the marital status of parents (P=0.001). And the experience of smoking had relation to sex distinction(P=0.001), the marital status of parents(P=0.001), the parent's attitude of bring up(P=0.020) and making use of leisure (P=0.029)(P < .05).

Cigarette smoking has been identified as the single most important source of preventable morbidity and mortality. Smoking behavior varies each individual, so individuality & subjectivity of smoking behavior must be specially focused upon to understand smoking behavior. The purpose of this study was to find attitudes of university students in the prediction of smoking behavior. Q-Methodological method was used as a research design and data were collected during the period from Jan. 1, 1997 to Feb. 28, 1998. As the research method, Q-statements were collected through in-depth interviews and a literature review. For the study 33 Q-statements were selected. There were 45 university students as subjects for the research. The 45 university students sorted the 33 statements using the principle of Forced Normal Distribution. The principle of Forced Normal Distribution, which has nine scales to measure the individual opinions, Pc Quanl program was used for analysis and Q-factors were analyzed by using principal component analysis. According to the results of this study, there were four categories of opinion about the smoking behavior in university students. The first type is seeking the habitual dependency: The second type is seeking the stress relief: The third type is seeking the active disapproval: The fourth type is seeking the self control. As a result, The meaning of the smoking behavior is affected by perceived subjective experience, so we need to understand each persons meaning of the smoking behavior and to develop appropriate nursing interventions based on the typology of smoking behavior. Finally, The result of the study will provide basic data for smoking prevention and cessation program.

PURPOSE
This study was done to identify the relationship between smoking, drinking and safety behavior in middle and high school students in one Korean province, North Cholla.
METHOD
The study sample included 1,327 randomly selected middle and high school students from S-Gun area in Chonbuk Province. The data were collected using an anonymous questionnaire developed by the Ministry of Health and Welfare (2005). The data were analyzed using the SPSSWIN 15.0 program.
RESULTS
The smoking rate in the middle and high school students was 6.9%, and the drinking rate was 24.9%. The rate for seatbelt use was 49.3%, for drunk driving, 8.8%, and for riding in car driven by a drunk driver, 24.0%. The rates for seatbelt use, for drunk driving, and for riding in a drunk driver were higher in smokers and drinkers than in non-smokers and non-drinkers(p<.05).
CONCLUSION
The smoking and drinking status of the adolescents was correlated with their safety behavior practices as they relate to seatbelt use, drunk driving, and for riding in car driven by a drunk driver. Therefore, an elementary school level program to curb student smoking and alcohol consumption is needed to prevent smoking and alcohol consumption in middle and high school students and contribute to improvement in their safety behavior practices.

PURPOSE
Because it is important to prevent adolescents from becoming involved in smoking, this study was done to explore important factors influencing cigarette use and the increase in smoking frequency.
METHOD
For this study the Korea Youth Panel Survey (KYPS) was analyzed. Because the KYPS is longitudinal, a fixed effect regression method was used to control for the effects of time-independent factors. More specifically, a logistic regression was used to explore factors affecting cigarette use, and a Poisson regression was used to explore smoking frequency.
RESULT
As the adolescents got older, the number of male adolescents who tried smoking increased, while the number of female adolescents who tried smoking decreased. Also, the frequency of cigarette use among male and female smokers increased over time. Significant factors affecting cigarette use were friends who smoked, delinquent behavior, and loneliness at schools. Important factors affecting the increase in smoking frequency were grade (e.g., the 2nd- and 3rd-year of middle school), friends who smoked, delinquent behavior, monthly pocket money, expectation for the highest level of education, and attack tendency.
CONCLUSIONS
To solve the problems linked to adolescent smoking, it is critical to develop intervention programs that target specific homogeneous subgroups of smokers, and that take into consideration gender difference in smoking and factors affecting levels of smoking behavior.

PURPOSE
This study examined the awareness and attitudes of parents of 5th and 6th graders toward own children smoking.
METHOD
The participants were 766 parents of 5th and 6th graders in 11 elementary schools located in J city. Data were collected through questionnaires, which were constructed to include parents' recognition of harms to their own children cause by smoking, factors which influence their children to smoke, and parental supportive strategies to prevent smoking.
RESULT
The percentage of parents who answered that they did not know if their children were smoking was 94.8%, while the percentage of parents who answered that they knew that their children were smoking was 3.5%. Only 30% of parents had actually spoken with their children about the dangers of smoking. The mean parental recognition of the dangers of smoking was 3.16 points. Parental strategy for preventing and prohibiting smoking with the higher mean scores included forbidding children from entering bars and nightclubs which had the highest scores at 3.55 points; forbidding the sale of cigarettes to children was next at 3.54 points.
CONCLUSION
To prevent children from smoking, the role and attitude of parents is crucial. But the study results show that the role of parental guidance in preventing underage smoking was insufficient and under appreciated. Therefore, more systematic educational programs on preventing underage smoking are essential for parents.