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Journal of the Korean Academy of Family Medicine 1999;20(4):358-367.
Published online April 1, 1999.
Smoking status of among students two colleges and their familial influence on the continuation of smoking.
Chang Geun Jeong, Yun Ji Lee, Young Sun Kim, Ki Heum Park, Nak Jin Sung
Department of Family Medicine, Medical College, Dongkuk University, Korea.
2 개 전문 대학생에서 흡연여부와 흡연지속에 끼친 가족의 영향
박기흠, 성낙진, 정창근, 이윤지, 김영선
Abstract
Background
: Current research indicates that smoking among young adults tends to persist into later life. Furthermore, numerous studies have proven the harmful effects of female smoking on their offspring. These trends have produced a wide variety of(social, medical and economic) problems. This study is aimed at obtaining basic information to help prevent potential smokers from trying their first cigarette as well as to instruct to stop smoking. This study involves the following:1) investigating general factors affecting the smoking status of college students in addition to the deterents to smoking b) seeking to understand the familial influence on smoking status c) researching how smokers, exsmokers and nonsmokers perceive their familial influence on their smoking status.

Methods : In June 1998, a self-administered questionnaire was distributed to 800 students of two junior colleges by random sampling in Po'hang. 720 were returned and 642 displayed adequate responses. The questionnaires were analyzed using SPSS and EXCEL software.

Results : Among the total of 642 subjects studied, 220 were males(34.3%) and 422 females(65.7%). Of the male subjects 149(67%) were smokers, 64(21%) were ex-smokers and 25(11.3%) were non-smokers. Of the female subjects 22(5.2%) were smokers, 399(92.9%) were ex-smokers and 11(2.6%) were non-smokers. The number of cigarettes smoked per day was as follows:79 subjects(46.2%) smoked 10-20 cigarettes, 55(33.2%) smoked less than 10 and 37(21.6%) smoked more than a pack of cigarette. When considering the related factors which affect student smoking, it is evident that there is a growing tendency toward smoking among male students when they have close friends who are smokers and who consume alcohol on a weekly basis. About the motives of smoking, there was a significant difference between the following two cases. Those(36.2%) who successfully quit smoking had started to smoke through solicitation by friends, but only 2.7% were successful if they had started to smoke to relieve stress. When it comes to the influence of familial factors on successful versus unsuccessful attempts to quit smoking, the status of family smokers, whether or not smokers made their habit obvious to family members an whether or not the family allowed smoking did not have any noticeable statistical difference between continuation of smoking and smoking cessation. However there was an obvious difference among ex-smokers, non-smokers and smokers when they responded as to whether or not their family had an effect on smoking status and smoking cessation: ex-smokers(38.4%), non-smokers(30.6%) and smokers(17.0%).

Conclusion : In the light of the related factors attributed to the continuation of smoking in this study, it was revealed that there was a higher possibility of current smoking when the subjects were a male and have close friends who smoked and had a higher of average alcohol consumption. This study also indicated that the continued smoking rate was higher among individuals who started smoking because of stress than those who began smoking as a result of peer pressure. There was no significant relationship between smoking status and familial influence on smoking cessation between smokers an ex-smokers, but ex-smokers and non-smokers had more awarness of familial influence than smokers.
초록
연구배경 : 젊은 층의 흡연은 장기간 계속될 수 있기에 건강에 큰 영향을 미친다. 그래서 대학생에서의 흡연과 금연에 영향을 주는 일반적 요인을 알아보고 흡연과 금연에 끼친 가족의 영향과, 흡연자, 비흡연자, 금연자가 가족의 영향에 대해 어떻게 인식하는가에 대해 파악하여 흡연시도의 예방과 금연지도에 도움이 될 자료를 얻기 위해 본 연구를 시행하였다.

방법 : 1998년 6월 저자가 임의로 선정한 포항시 소재 2개 전문 대학교에서 미리 작성한 자가 기입식 설문지 800부를 배부하여 720부를 회수하였으며 분석 가능한 642부의 자료를 대상으로 결과를 부호화 하여 전산 처리하였다.

결과 : 조사 대상자 642명 중 남학생이 220명(34.3%), 여학생이 422명(65.7%)이었다. 남학생 중 흡연자는 149명(67.7%), 비흡연자 46명(21.0%), 금연자가 25명(11.3%)이었고, 여학생 중에서 흡연자는 22명(5.2%), 비흡연자 389명(92.9%), 금연자가 11명(2.6%)이었다. 흡연에 영향을 미치는 요소를 살펴보면 학생들의 흡연은 여자보다 남자에서, 친한 친구 중 흡연자가 많을수록, 1주 동안 음주횟수가 많을수록 흡연하는 경향이 높았다. 흡연동기에서 친구의 권유로 흡연을 시작한 경우 36.2%가 금연에 성공하였고 스트레스 해소 목적으로 흡연을 시작한 경우 2.7%만이 금연에 성공하여 유의한 차이를 보였다. 흡연 시작 시기의 가족 요인에 따른 흡연 지속과 금연에 대한 영향에서 흡연 시작 시기에 가족 중 흡연자 여부, 흡연자가 가족 앞에서의 흡연 여부, 본인의 흡연을 가족이 용납하였는지의 여부에 따른 흡연 지속과 금연에서의 통제적 차이는 없었다. 하지만 흡연자, 금연자, 비흡연자에서 흡연여부와 금연에 끼친 가족의 영향에서 비흡연자는 167명(38.4%), 금연자는 11명(30.6%), 흡연자는 28명(17.0%)이 영향을 주었다고 대답하여 유의한 차이를 보였다.

결론 : 본 연구에서 흡연 지속과 관련된 요소 중 남자일수록, 친한 친구 중 흡연자가 많을수록, 음주 횟수가 많을수록 현재 흡연의 가능성이 높았다. 또한 스트레스 때문에 흡연을 시작한 경우는 친구의 권유로 시작한 경우보다 흡연 지속률이 높았다. 흡연자나 비흡연자에서 흡연여부와 금연에 미친 가족의 영향은 유의성이 없었지만 비흡연자, 금연자에서 흡연자보다 가족의 영향에 대한 인식도는 더 높았다.
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