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Journal of the Korean Academy of Family Medicine 1995;16(2):157-171.
Published online February 1, 1995.
Smoking Habits and Factors assoeiated with Smoking and Smoking Cessation of Korean Medical Students.
Yun Jun Yang, Hong Gwan Seo, Jee Ho Choi
우리나라 의과대학생의 흡연실태 및 흡연과 금연에 영향을 미치는 요소
양윤준, 서홍관, 최지호
연세대학교의과대학 가정의학교실
Abstract
Background
: When Medical students become medical doctors, they should take an active role against smoking. So ti is relevant to have information on their smoking havits and factors associated with smoking and smoking cessation. Medical students in Korea were surveyed to determine their smoking habits and factors associated with smoking and smoking cessation.

Methods : In November 1993 an anonymous self-report questionnaire was distributed to medical students of 9 Korean medical schools requestion data on their class year, sex, religion, alcoholic drinks, exercise, smoking status, smoking statuses of their parents, number out of their five best frends who smoke, and allowance. Smokers were asked when they started smoking and the motivation to do so, the amount duration of smoking, their Fagerstorm score, whether they tried to quit smoking, and if so, whether they quit smoking.

Results : The resoponse rate was 53.1% of the respondents, 55.6% were current smokers, 3.0% were ex-smokers and 41.0% were non-smokers among males, while 3.2% were current smokers and 96.9% were non-smokers among females. The variables positively associated with smoking included class year, alcohol, allowance, and the number out of five best friends who smoke ; sex and religion were also associated with smoking.
The variable positively associated with smoing cessation trials was the duraton of smoking ; there was a negative association with alcohol, the number of cigarettes smoked daily ; the motivation for smoking is also associated with smoking cessation trials. The variable positively associated with smoking cessation was class year ; there was a negative association with the number out of five best friends who smoke, duration of smoking, and Fagerstorm score.

Conclusion : The modifiable variables associated with smoking or smoking cessation of medical students included the number out of five best friends who smoke, alcohol and duration of smoking.
초록
연구배경 : 의과대학생은 의사가 되어서 금연에 있어 적극적인 역할을 하여야 한다. 그러므로 의과대학생의 흡연실태와 흡연 및 금연에 영향을 미치는 요소를 알아보는 것은 매우 적절한 일이다. 우리나라 의과대학생의 흡연실태와 금연 및 흡연에 영향을 주는 요소를 알아보기 위해 설문조사를 실시하였다.

방법 : 1993년 11월 9개 의과대학 학생 4,723명에게 설문지를 배부하여 설문에 응답한 2,507명 가운데 분석이 가능한 2,351명(남자 2,002명, 여자 349명)을 대상으로 그 결과를 분석하였다. 학년, 성별, 종교, 음주횟수, 운동횟수, 용돈, 부모님의 흡연 유무, 가장친한 친구들의 흡연상태 등에 대해 조사를 하고 흡연경험여부, 흡연시작시기, 흡연동기, 흡연량, 흡연기간, Fagerstorm점수, 금연시도여부, 금연시도이유, 금연성공여부, 금연실패이유 등을 조사하였다.

결과 : 설문 응답율은 53.1%였다. 의과대학 학생의 흡연양상을 보면 흡연자 1,120명(47.6%), 과거흡연자 72명(3.6%), 비흡연자 821명(42.1%)이었고 여자는 흡연자 11명(3.2%), 비흡연자 338명(96.8%)이었다. 흡연에 영향을 미치는 요소를 살펴보면 학생들의 흡연은 남자에서, 가장 친한 친구 중 담배 피우는 친구가 많을수록, 술을 많이 마실수록, 용돈이 많을수록, 학년이 올라갈수록 흡연하는 경향이 높았고(P<0.01) 종교와 관련이 있었다(P<0.05).
흡연경험자 1,152명 가운데 756명이 금연을 시도(65.6%)하였으며 금연을 시도한 747명중 72명이 금연에 성공하였다(9.6%). 흡연경험자 중 음주횟수가 적을수록, 흡연기간이 길수록(P<0.05), 1일 흡연량이 적을수록 금연을 시도하는 경향이 있었고, 흡연동기에 따라 금연시도에 차이가 있었다(P<0.01). 금연을 시도한 경우 친한 친구 5명 중 흡연하는 친구가 적을수록(P<0.05), 학년이 높을수록, 흡연기간이 짧을수록, Fagerstorm점수가 낮을 경우 금연에 성공을 하였다(P<0.01).

결론 : 의과대학생의 흡연과 금연 성공에 영향을 미치는 요소중 교정이 가능한 변수는 친구중 흡연자 수, 음주량, 흡연기간이었다.


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