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.
청소년의 흡연행동과 관련된 사회화과정에 있어 무엇이 청소년 흡연에 대한 중요한 예측요인인가?
부모나 선생님과 같은 영향력 있는 어른의 흡연여부
청소년의 흡연행동과 관련된 사회화과정에서 부모와 선생님의 영향은 특히 중요하다. 우선 부모나 선생님과 같은 영향력 있는 어른의 흡연여부가 청소년의 흡연에 대한 중요한 예측요인이 된다. 그러나 사회화 과정은 실제 부모가 흡연하는 것을 관찰하는 것 이상의 차원에서 발생되는 것으로 흡연이 얼마나 보편적인 행동인지, 사회적으로 용인되는 행동인지, 그리고 흡연이 개인적 그리고 사회적으로 어떠한 결과를 가져오게 되는지에 대한 인식에 영향을 주게 된다.
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