Kim Hyuncheol, Kim Eun-kyong, Choi Eun-Sil, Kim Yu-Jeong, Lee Hyun-Ju, Kim Jong-Ju, Jang Hyung-Suk, Shim Kyung-Seon, Jeon Sang-Nam, Kang Yo-Han, Kang Hyunseok, Oh Juwhan, Cho Kung Sook, Kwon Soonman
Graduate School of Public Health, Seoul National University.
J Prev Med Public Health. 2006 Sep;39(5):379-88.
This study assessed the influences of various factors that are related to youth smoking such as gender, age and type of school, and we wanted to provide supporting data for tailored and effective policy initiatives to reduce adolescent smoking.
A self-report survey was conducted on 14,910 teen-age students who were selected based on the nationwide distribution of students in large and small cities and counties, the gender ratio of the students and the ratio of students attending various type of school at 38 middle and high schools in six representative areas of each province. The survey was handled and managed by a health education teacher at each school. Binary and multinomial logistic regression was used in the analyses.
Smoking by adolescents was associated with gender, age and even height. Male high school students tended to smoke more than female high school students, but this differences was not significant for middle school students. The older the adolescents were, the more likely that they smoked, except for the female high school students. Height was meaningful for all adolescents, except for the boys at the vocational high schools. Monthly allowance was significant for all adolescents. School factors such as type of school and the students' school performance were also crucial factors. Attending a vocational high school was strongly related to smoking, especially for girls. Students' school performance and the perceived level of stress were strongly associated with smoking, especially for boys. Home factors such as the relationship with parents and conversation time with family members were closely related to smoking behavior. Knowledge about the health hazard of smoking was also found to be strongly related to adolescent smoking.
In conclusion, demographic factors, school factors, home surroundings and the perception on the harmfulness of smoking are strongly related to adolescent smoking behavior, but these differ from gender and type of school.
本研究评估了与青少年吸烟相关的各种因素的影响，如性别、年龄和学校类型，我们希望为制定针对性强且有效的减少青少年吸烟政策举措提供支持数据。
对14910名青少年学生进行了一项自填式调查，这些学生是根据每个省份六个代表性地区38所初中和高中学生在全国大中小城市及县的分布、学生性别比例以及就读各类学校的学生比例选取的。调查由各学校的健康教育教师负责处理和管理。分析中使用了二元和多项逻辑回归。
青少年吸烟与性别、年龄甚至身高有关。高中男生比高中女生吸烟更频繁，但这种差异在初中生中不显著。除了高中女生外，青少年年龄越大，吸烟的可能性就越大。身高对所有青少年都有意义，但职业高中的男生除外。每月零花钱对所有青少年都有显著影响。学校类型和学生学业成绩等学校因素也是关键因素。就读职业高中与吸烟密切相关，尤其是对女生。学生的学业成绩和感知到的压力水平与吸烟密切相关，尤其是对男生。与父母的关系和与家庭成员的交谈时间等家庭因素与吸烟行为密切相关。还发现对吸烟健康危害的认知与青少年吸烟密切相关。
总之，人口统计学因素、学校因素、家庭环境以及对吸烟危害的认知与青少年吸烟行为密切相关，但这些因素因性别和学校类型而异。
