The Korean Prediction Model for Adolescents’ Future Smoking Intentions
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초록
Objectives: The purpose of this study was to develop a prediction model for future smoking intention among Korean adolescents aged 13 to 15 in order to identify the high risk group exposed to future smoking. Methods: The data was collected from a total of 5940 students who participated in a self-administrated questionnaire of a cross-sectional school-based survey, the 2004 Korea Global Youth Tobacco Survey. Chi-square tests and logistic regression analyses were carried out to identify the relevant determinants associated with intentions of adolescents’ future smoking. Receiver Operation Characteristic (ROC) assessment was applied to evaluate the explanation level of the developed prediction model. Results: 8.4% of male and 7.2% of female participants show their intentions of future smoking. Among non-smoking adolescents; who have past smoking experience [odds ratio (OR) 2.73; 95% confidence interval (CI) 1.92- 3.88]; who have intentions of smoking when close friends offer a cigarette (OR 31.47; 95% CI = 21.50 - 46.05); and who have friends that are mostly smokers (OR 5.27; 95% CI = 2.85 - 9.74) are more likely to be smokers in the future. The prediction model developed from this study consists of five determinants; past smoking experience; parents smoking status; friends smoking status; ownership of a product with a cigarette brand logo; and intentions of smoking from close friends’ cigarette offer. The area under the ROC curve was 0.8744 (95% CI=0.85 - 0.90) for current non-smokers. Conclusions: For efficiency, school-based smoking prevention programs need to be designed to target the high risk group exposed to future smoking through the prediction model developed by the study, instead of implementing the programs for all the students.
Abstract
Objectives: The purpose of this study was to develop a prediction model for future smoking intention among Korean adolescents aged 13 to 15 in order to identify the high risk group exposed to future smoking. Methods: The data was collected from a total of 5940 students who participated in a self-administrated questionnaire of a cross-sectional school-based survey, the 2004 Korea Global Youth Tobacco Survey. Chi-square tests and logistic regression analyses were carried out to identify the relevant determinants associated with intentions of adolescents’ future smoking. Receiver Operation Characteristic (ROC) assessment was applied to evaluate the explanation level of the developed prediction model. Results: 8.4% of male and 7.2% of female participants show their intentions of future smoking. Among non-smoking adolescents; who have past smoking experience [odds ratio (OR) 2.73; 95% confidence interval (CI) 1.92- 3.88]; who have intentions of smoking when close friends offer a cigarette (OR 31.47; 95% CI = 21.50 - 46.05); and who have friends that are mostly smokers (OR 5.27; 95% CI = 2.85 - 9.74) are more likely to be smokers in the future. The prediction model developed from this study consists of five determinants; past smoking experience; parents smoking status; friends smoking status; ownership of a product with a cigarette brand logo; and intentions of smoking from close friends’ cigarette offer. The area under the ROC curve was 0.8744 (95% CI=0.85 - 0.90) for current non-smokers. Conclusions: For efficiency, school-based smoking prevention programs need to be designed to target the high risk group exposed to future smoking through the prediction model developed by the study, instead of implementing the programs for all the students.
참고문헌 (31)
- 장진영, "우리나라 중학생의 흡연실태와 관련 요인 분석", 한국학교보건학회지, 19(2), pp.75~88 (2006), 한국학교보건학회
- The Korean Association of Smoking and Health, "2008 Smoking Prevalence of the Korean Middle School and High School Students" (2008), The Korean Association of Smoking and Health
- Gallup Korea, "Survey on the Smoking Prevalence Among Adolescents" (2008), Gallup Korea
- Reducing the Health Consequences of Smoking, "U.S.Department of Health and Human Services", a Report of the Surgeon General. U.S. Government Printing Office, ~ (1989)
- Centers for Disease Control and Prevention, "Projected smoking-related deaths among youth--United States", MMWR Morb Mortal Wkly Rep, 45(44), pp.971~974 (1996)
- Graunbaum JA, "Youth risk behavior surveillance: National Alternative High School Youth Behavior Survey, United States, 1998", J Sch Health, 70(1), pp.5~17 (2000)
- Miller JW, "Binge drinking and associated health risk behaviors among high school students", Pediatrics, 119(1), pp.76~85 (2007)
- Fritz DJ, "Adolescent smoking cessation: how effective have we been?", J Pediartr Nurs, 15(5), pp.299~306 (2000)
- Park E, "School-based smoking prevention programs for adolescents in South Korea: a systematic review", Health Educ Res, 21(3), pp.407~415 (2006)
- Markham WA, "What determines future smoking intentions of 12- to 13-year-old UK African-Caribbean, Indian, Pakistani and white young people?", Health Educ Res, 19(1), pp.15~28 (2004)
- Warren CW, "Tobacco use by youth: a surveillance report from the Global Youth Tobacco Survey project", Bull World Health Organ, 78(7), pp.868~876 (2000)
- Global Tobacco Surveillance System Collaborating Group, "Global Tobacco Surveillance System(GTSS): purpose, production and Potential", J Sch Health, 75(1), pp.15~24 (2005)
- Kemppainen U, "Environmental factors as predictors of smoking among ninth-grade adolescents in Pitkäranta (Russian Karelia) and in eastern Finland", Res Nurs Heatlh, 29(6), pp.543~555 (2006)
- Rice VH, "Predictors of Arab American Adolescent Tobacco Use", Merrill Palmer Q, 52(2), pp.327~342 (2006)
- Miller CH, "Identifying principal risk factors for the initiation of adolescent smoking behaviors: the significance of psychological reactance", Health Commun, 19(3), pp.241~252 (2006)
- Zhang L, "A cross-sectional study of smoking risk factors in junior high school students in Henan, China", Southeast Asian J Trop Med Public Health, 36(6), pp.1580~1584 (2005)
- Dalton MA, "Parental rules and monitoring of children’s movie viewing associated with children’s risk for smoking and drinking", Pediatrics, 118(5), pp.1932~1942 (2006)
- 김현철, "우리나라 중고등학교 청소년의 성별 및 학교 종류별 흡연 결정요인", 예방의학회지, 39(5), pp.379~388 (2006), 대한예방의학회
- Distefan JM, "Do movie stars encourage adolescents to start smoking? Evidence from California", Prev Med, 28(1), pp.1~11 (1999)
- Bricker JB, "Close friends’, parents’and older siblings’ smoking: reevaluating their influence on children’s smoking", Nicotine Tob Res, 8(2), pp.217~226 (2006)
- Sargent JD, "Effect of seeing tobacco use in films on trying smoking among adolescents: cross sectional study", BMJ, 323(7326), pp.1394~1397 (2001)
- Sargent JD, "Smoking in films and impact on adolescent smoking: with special reference to European adolescents", Minerva Pediatr, 58(1), pp.27~45 (2006)
- Dalton MA, "Relation between parental restrictions on movies and adolescent use of tobacco and alchohol", Eff Clin Pract, 5(1), pp.1~10 (2002)
- Thompson EM, "Cigarettes and cinema: does parental restriction of R-rated movie viewing reduce adolescent smoking susceptibility?", J Adolesc Health, 40(2), pp.e1~181 (2007)
- Sargent JD, "Cigarette promotional items in public schools", Arch Pediatr Adolesc Med, 151(12), pp.1189~1196 (1997)
- Sargent JD, "Exposure to cigarette promotions and smoking uptake in adolescents: evidence of a dose-response relation", Tob Control, 9(2), pp.163~168 (2000)
- Sargent JD, "Effect of cigarette promotions on smoking uptake among adolescents", Prev Med, 30(4), pp.320~327 (2000)
- Sargent JD, "Does parental disapproval of smoking prevent adolescents from becoming established smokers?", Pediatrics, 108(6), pp.1256~1262 (2001)
- Conley Thomson C, "Household smoking bans and adolescents’ perceived prevalence of smoking and social acceptability of smoking", Prev Med, 41(2), pp.349~356 (2005)
- De Vries H, "Parents’ and friends’ smoking status as predictors of smoking onset: findings from six European countries", Health Educ Res, 18(5), pp.627~636 (2003)
- Rissel C, "Factors associated with delayed tobacco uptake among Vietnamese", Asian and Arabic youth in Sydney, NSW, 2000, pp.24(1), 22~28