자기통제문제와 금연
Self-Control Problems and Quitting Smoking
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초록
본 연구에서는 2005년 국민건강영양조사 자료를 이용하여 흡연관련변수와 금연성공 및 미래 금연의사와의 관계를 통해 흡연자의 자기통제문제를 식별하고 흡연자의 금연 의사결정에서 자기통제문제가 가지는 의미를 도출하였다. 금연시도-금연성공의 2단계 금연결정모형과 미래 금연의사모형에 대한 추정결과에 의하면 자기의지로 금연을 시도하는 경우가 금연보조수단의 도움을 받는 경우보다 실제 금연성공확률이 높고 향후 6개월 내 금연의사 가능성도 높은 것으로 나타났다. 미래의 잠재적 흡연비용보다는 경제적 사정과 건강 악화와 같은 실제적인 비용부담에 직면하는 경우에 흡연자가 보다 더 적극적으로 금연할 의사를 보이지만 실제 금연성공 가능성은 경제적 사정을 금연이유로 가질 때 가장 낮았고 외부적인 요인을 금연이유로 가질 때가 가장 높았다. 이러한 결과들은 금연성공률을 높이기 위해서는 금연시도에 따른 고통을 줄여주는 금연보조수단을 장려하는 것 보다는 흡연규제정책의 강화와 외부적 압력을 통해 자기통제문제를 가진 흡연자를 금연에 참여하도록 유도하는 것이 보다 유용할 것임을 시사한다.
Abstract
This paper identifies self-control problems in smoking through the relationship between smoking related variables and quit success and future quit intentions and derives the implications of self-control problems on quitting decisions by using 2005 national health and nutrition survey data. Estimation results for the quit success model and the quit intention model show that smokers who use self-will as a quitting method are more likely to succeed in quitting smoking and to intend to quit smoking in near future than those who use quitting aides. Smokers who consider current health and economic problems due to smoking are more likely to quit smoking within 6 months than those who consider potential health effects. However, smokers who attempt to quit smoking due to external pressures are the most likely to succeed in quitting smoking. These results imply that increasing smoking regulations and promoting external pressures which help smokers with self-control problems are important in improving quit success.
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