Department of Nursing, Wonkwang University, Iksan, Republic of Korea.
College of Nursing, Woosuk University, Jeonju, Republic of Korea.
Front Public Health. 2024 Jul 16;12:1399478. doi: 10.3389/fpubh.2024.1399478. eCollection 2024.
Previous studies on adolescent smoking cessation behavior based on the transtheoretical model have primarily focused on the development of cessation programs. Attempting to quit smoking is a prerequisite for executing smoking cessation. Appropriate methods must be selected based on the characteristics and intentions of individuals to increase smokers' satisfaction and success rates in quitting. Therefore, this study aimed to identify changing processes influencing the stages of change associated with successful smoking cessation among adolescents and examined the related factors. This descriptive study explored a transtheoretical model of different stages of changes in smoking cessation behavior among adolescent smokers.
The participants included 237 middle and high school students in South Korea. We examined the differences in stages of changes in smoking cessation behaviors based on general characteristics, smoking-related characteristics, smoking cessation change processes (cognitive and behavioral), smoking decisional balance (pros and cons of smoking), and self-efficacy.
The probability of reaching the preparation stage of smoking cessation was significantly lower among participants who did not know their father's educational level than among those who knew their father's educational level. Conversely, this probability was significantly higher among participants whose mothers had a college or higher education level and those who did not know their mother's educational level than in those whose mothers had a high school or lower education level.
These findings indicated that parental education is a significant predictor of the preparation stage of smoking cessation, highlighting the importance of the family environment in facilitating smoking cessation among adolescents. Accordingly, communication and support at home could help reinforce adolescents' determination to quit smoking and make relevant plans. Thus, smoking cessation support should stress the need to enhance communication at home.
基于跨理论模型的青少年戒烟行为研究主要集中在戒烟计划的制定上。尝试戒烟是执行戒烟的前提。必须根据个人的特点和意图选择适当的方法，以提高吸烟者戒烟的满意度和成功率。因此，本研究旨在确定影响与青少年成功戒烟相关的变化过程的阶段，并研究相关因素。本描述性研究探讨了青少年吸烟者戒烟行为不同变化阶段的跨理论模型。
参与者包括韩国的 237 名中学生和高中生。我们根据一般特征、吸烟相关特征、戒烟变化过程（认知和行为）、吸烟决策平衡（吸烟的利弊）和自我效能来检查戒烟行为变化阶段的差异。
不知道父亲教育水平的参与者达到戒烟准备阶段的可能性明显低于知道父亲教育水平的参与者。相反，母亲受过大学或更高教育水平且不知道母亲教育水平的参与者的可能性明显高于母亲受过高中或以下教育水平的参与者。
这些发现表明，父母教育是戒烟准备阶段的重要预测因素，强调了家庭环境在促进青少年戒烟方面的重要性。因此，家庭中的沟通和支持可以帮助加强青少年戒烟的决心并制定相关计划。因此，戒烟支持应强调加强家庭沟通的必要性。
