[논문]범이론적 모델에 근거한 한국 대학생의 금연행위 관련 요인

Paek, Kyung-Shin; Riley, Tracy A.

범이론적 모델에 근거한 한국 대학생의 금연행위 관련 요인
Factors Associated with the Smoking Cessation Behavior according to the Transtheoretical Model in Korean College Students 원문보기

保健敎育健康增進學會誌 = Korean journal of health education and promotion, v.27 no.5, 2010년, pp.27 - 39

Paek, Kyung-Shin (Department of Nursing, Semyung University) , Riley, Tracy A. (College of Nursing, Akron University)

초록
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목적: 본 연구는 대학생의 금연행위 변화단계를 설명하는데 있어 범이론적 모델 구성요소들의 기여정도를 조사하고 범이론적 모델에 근거한 대학생의 금연행위와 관련된 요인을 파악하기 위해 시행되었다. 방법: 연구대상자는 일반교양 과목을 수강하는 334명의 대학생으로 자가보고식 설문을 통해 범이론적 모델의 구성요소인 금연행위 변화단계, 자기효능감, 의사결정균형 및 변화과정 등의 자료를 수집하였다. 결과: 금연행위 변화 5단계에 따라 자기효능감, 의사결정균형 및 변화과정에서 유의한 차이가 있었고 자기효능감은 금연행위와 관련된 가장 중요한 요인으로 나타났다. 결론: 대학생의 금연 유도를 높이기 위해 범이론적 모델를 적용하는 것이 유용함을 확인하였고 금연행위 변화단계를 고려한 개별화된 프로그램의 개발이 필요하며 특히 대학생의 금연 자기효능감을 증진시킬 수 있는 전략이 요구된다.

Abstract ▼ AI-Helper

Objectives: The purposes of this study were to examine the contribution of each of the Transtheoretical Model components in explaining stages of smoking cessation and to identify factors associated with the smoking cessation behavior among Korean college students. Methods: The participants for this study were 334 undergraduate students who enrolled in general education courses. Self-report surveys were distributed and returned. The survey variables comprised the stages of change for smoking cessation, self-efficacy, decisional balances and processes of change in smoking cessation. Results: Significant differences were noted in the five stages of change for self-efficacy, decisional balance, and the processes of change. The strongest factor associated with the smoking cessation behavior was self-efficacy. Conclusion: Study findings indicate application of the Transtheoretical Model may be useful to enhance future smoking cessation efforts in college students. The strategies to enhance smoking cessation self-eficacy in college students will be an important intervention component in future studies.

주제어

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문제 정의

This study sought to examine Transtheoretical Model constructs as predictors of smoking cessation in Korean college students. Participants self-identified their smoking status; of those returning the survey approximately 66.
Using the TTM as the conceptual foundation for scholarly inquiry can facilitate comparison and evaluation of this study and future research findings in diverse populations. Thus, the primary purpose of this study was to examine the Transtheoretical Model of Behavior Change (TTM) relevant to smoking cessation in Korean college students. The specific aims were to (1) identify the stages of change for smoking cessation behavior, and (2) examine participants characteristics, selfefficacy, decisional balance, and the process of change by the stages of change for smoking cessation, and (3) evaluate TTM factors related to smoking cessation behavior in Korean college students.

제안 방법

, Chicago, IL). Data were analyzed descriptively to examine characteristics of the participants, study variables, and assumptions necessary for parametric analyses. Chi-square tests were performed to examine general and smoking-related characteristics of the participants by smoking cessation stages of change.
Post hoc analyses were conducted with the Scheffe comparison as needed. Finally, logistic regression was performed to identify factors associated with the smoking cessation for current and former smokers.
Like their global counterparts, smoking in this population is high. Limitations to this study include the cross-sectional design, the use of self-reported smoking behavior and readiness to quit, and use of a convenience sample. While the predictors of smoking behavior were evaluated, additional variables related to smoking behavior were not collected.
Thus, the primary purpose of this study was to examine the Transtheoretical Model of Behavior Change (TTM) relevant to smoking cessation in Korean college students. The specific aims were to (1) identify the stages of change for smoking cessation behavior, and (2) examine participants characteristics, selfefficacy, decisional balance, and the process of change by the stages of change for smoking cessation, and (3) evaluate TTM factors related to smoking cessation behavior in Korean college students.

대상 데이터

2%). Among them, 334 students (66.5%) selfidentified as current or ex-smokers and were used to comprise the sample for this study. This sample size was sufficient to determine significant differences with a power of .
Substantial research documents the descriptive and predictive usefulness of the Transtheoretical Model across behaviors and populations. Essential tenets of the model were found in this sample of Korean college students who smoked. Findings of students adopting smoking behavior while in college are alarming for the international nursing community.
Following appropriate University approval, undergraduate students enrolled in general education courses at a university in Jecheon, Chungbuk, Korea were invited to participate in the study. Approximately 2.
Four-year colleges in Korea are classified by size of enrollment, college types, competitiveness and districts. One medium-sized (an enrollment of 8,000) and middle-ranking university from Chungbuk province was selected for participation in the study. Ten classes from one university were randomly selected with enrollments of 7,650 for 153 classes.
1 million students were enrolled in over 197 four-year colleges and universities nationwide in Korea (Ministry of Education, Science & Technology, 2008). The sample used for the study consisted of 502 university students from one university in Jecheon. Four-year colleges in Korea are classified by size of enrollment, college types, competitiveness and districts.

데이터처리

Analysis of variance (ANOVA) was used to examine stage of change differences in self-efficacy, decisional balance, and the processes of change. Post hoc analyses (Scheffe test) were conducted to evaluate significant differences with comparisons as needed.

이론/모형

Variables espoused by the TTM as predictive of behavior were collected with standardized measures as noted below. A questionnaire developed by Ham (2007) was used and it was pilot tested for this study. The survey was entirely in Korean and all measures had been previously used with a Korean sample (Ham, 2007).
The single-item stage of change algorithm was used to determine readiness for smoking cessation. Those with a positive smoking history (N=334) were asked about current smoking status (active or not) and intention to quit.

성능/효과

Results of the analysis indicated that the predictor most strongly associated with smoking cessation was self-efficacy (odds ratio: 3.11, p=.00).Other predictors associated with quitting smoking included self-liberation (odds ratio: 3.

후속연구

It seems to reflect that college students do not use actively stimulus control of processes of change. Future research should attempt to examine the way of increasing stimulus control to facilitate progress from precontemplation to maintenance.

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