초록

연구배경: 청소년기의 건강행태는 성인기의 건강생활습관에 영향을 미친다. 흡연과 같은 불건강행태는 가족구성원, 친구, 선생님 등 주변관계에서 습득될 수 있다. 가정 내 간접흡연 경험, 친한 친구의 흡연과 같은 환경적 요인이 주된 흡연 건강위험요인 중 하나이다. 연구목적: 가족구조, 가정 내 간접흡연 경험, 친한 친구의 흡연, 청소년 흡연 경험 간의 관련성을 파악하고자한다. 연구방법: 연구자료는 제14차(2018년) 청소년 건강행태조사를 활용하였다. 연구대상자는 총 60,040명 이었으며, 연구변수로 가족구조, 가정 내 간접흡연 경험, 친한 친구 흡연 여부, 평생 흡연 경험을 사용하였다. 흡연경험과 관련요인을 분석하기 위해 빈도분석, 교차분석, 다중로지스틱회귀분석을 실시하였다. 연구결과: 남학생의 경우, 계부모와 거주하는 경우가 양부모와 거주하는 경우에 비해 교차비가 높았으며(교차비: 1.61, 신뢰구간: 1.04, 2.47), 가정 내 간접흡연 경험이 있는 경우가 흡연 가능성이 높았고(교차비: 1.28, 신뢰구간: 1.19, 1.38), 친한 친구가 흡연하는 경우 교차비가 높았다(교차비: 3.59, 신뢰구간: 3.32, 3.89). 여학생의 경우, 부모와 함께 거주하지 않은 경우가 그렇지 않은 경우에 비해 교차비가 높았고(교차비: 1.57, 신뢰구간: 1.11, 2.24), 가정 내 간접흡연 경험이 있으면 흡연 가능성이 높았으며(교차비: 1.28, 신뢰구간: 1.15, 1.42), 친한 친구 중에 흡연하는 친구가 있으면 교차비가 높았다(교차비: 6.61, 신뢰구간: 5.87, 7.43). 결론: 양부모와 거주하지 않고, 가정 내 간접흡연자가 있고, 친한 친구가 흡연을 하면 그렇지 않은 경우에 비해 흡연을 할 가능성이 높았다. 건강증진프로그램과 금연프로그램을 개발할 때 환경적 요인들을 고려하여 기획해야한다.

키워드

가족구조, 가정 내 간접흡연 경험, 친한 친구 흡연, 흡연 경험

참고문헌(62)open

  1. [기타] World Health Organization / 2017 / Tobacco / Fact sheet

  2. [보고서] US Department of Human Health Service / 2004 / A Report of the Surgeon General, The health consequences of smoking

  3. [학술지] Hoffman, B.R / 2006 / Peer influences on adolescent cigarette smoking: a theoretical review of the literature / Substance Use 41 : 103 ~ 155

  4. [학술지] 소은선 / 2015 / Factors Associated with Early Smoking Initiation among Korean Adolescents / Asian Nursing Research 9 (2) : 115 ~ 119

  5. [보고서] US Department of Human Health Service / 1994 / A Report of the Surgeon General, Preventing tobacco use among young people

  6. [보고서] World Health Organization / 2013 / Global action plan for the prevention and control of NCDs 2013-2020

  7. [보고서] 질병관리본부 / 2018 / 만성질환 현황과 이슈

  8. [보고서] 질병관리본부 / 2017 / 청소년건강행태조사

  9. [학술지] Azagva S / 2015 / A comparison of adolescent smoking initiation measures on predicting future smoking behavior / Preventive Medicine Reports 2 : 174 ~ 177

  10. [학술지] Wiencke JK / 2002 / Teen smoking, field cancerization and a 'critical period' hypothesis for lung cancer susceptibility / Environmental Health Perspectives 110 (6) : 555 ~ 558

  11. [단행본] Cohen, Stanley / 1972 / Folk Devils and Moral Panics / MacGibbon and Kee

  12. [학술지] 박상희 / 2011 / Smoking and adolescent health / Clinical and Experimental Pediatrics 54 (10) : 401 ~ 404

  13. [학술지] Alexander C / 2001 / Peers, schools, and adolescent cigarette smoking / J Adolesc Health 29 : 22 ~ 30

  14. [학술지] Kobus K / 2003 / Peers and adolescent smoking / Addiction 98 : 37 ~ 55

  15. [학술지] Ledoux S / 2002 / Family structure, parent-child relationships, and alcohol and other drug use among teenagers in France and the United Kingdom / Alcohol & Alcoholism 37 : 52 ~ 60

  16. [학술지] Upchurch DM / 1999 / Neighborhood and family contexts of adolescent sexual activity / Journal of Marriage and the Family 61 (4) : 920 ~ 933

  17. [보고서] Fagan PF / 2012 / The Effects of Divorce on Children

  18. [학술지] Eisenberg ME / 2002 / Adolescent smoking behavior / American Journal of Preventive Medicine 25 (2) : 122 ~ 128

  19. [단행본] Bandura, A / 1977 / Social Learning Theory / Prentice-Hall

  20. [학술지] Guo J / 2000 / Developmental pathways to alcohol abuse and dependence in young adulthood / journal of Studies on Alcohol 61 (6) : 799 ~ 808

  21. [학술지] Aquilino WS / 2001 / Long-term effects of parenting practices during adolescence on well-beings outcomes in young adulthood / Journal of Family Issues 22 : 289 ~ 308

  22. [학술지] Sailesh M / 2005 / Access to pocket money and low educational performance predict tobacco use among adolescent boys in kerala / India Prev Med 41 (2) : 685 ~ 692

  23. [단행본] Glanz K / 2002 / Theory, Research and Practice / Jossey-Bass

  24. [학술지] McLeroy KR / 1988 / An ecological perspective on health promotion programs / Health Education & Behavior 15 (4) : 351 ~ 377

  25. [학술지] Gritz ER / 2003 / Predictors of susceptibility to smoking and ever smoking: a longitudinal study in a triethnic sample of adolescents / Nicotine & Tobacco Research 5 (4) : 493 ~ 506

  26. [학술지] Kegler MC / 2002 / An exploration of family influences on smoking among ethnically diverse adolescents / Health education & behavior 29 (4) : 473 ~ 490

  27. [학술지] Goldade K / 2012 / Multilevel predictors of smoking initiation among adolescents: findings from the Minnesota Adolescent Community Cohort (MACC) study / Preventive medicine 54 (3) : 242 ~ 246

  28. [학술지] Pickett KE / 2001 / Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review / Journal of epidemiology and community health 55 (2) : 111 ~ 122

  29. [학술지] Lando HA / 2005 / The landscape in global tobacco control research: a guide to gaining a foothold / American Journal of Public Health 95 (6) : 939

  30. [학술지] Siegel M / 2008 / Local restaurant smoking regulations and the adolescent smoking initiation process: results of a multilevel contextual analysis among Massachusetts youth / Archives of pediatrics & adolescent medicine 162 (5) : 477 ~ 483

  31. [학술지] Bellatorre A / 2015 / The influence of the social environment on youth smoking status / Prev Med 81 : 309 ~ 313

  32. [학술지] 김은영 / 2013 / 고등학생의 전자담배와 일반담배의 흡연행태비교 / 대한보건연구 39 (2) : 117 ~ 128

  33. [학술지] 이윤경 / 2018 / 우리나라 흡연경험이 있는 청소년의 흡연유형 관련요인: 제11차 청소년건강행태온라인조사 / 한국산학기술학회논문지 19 (2) : 155 ~ 163

  34. [단행본] Edelman C / 2010 / Health promotion throughout the life span / Mosby : 546 ~ 552

  35. [단행본] 홍봉선 / 2007 / 청소년복지론 / 공동체

  36. [학술지] Kwak YH / 2011 / A Study on Factors of family and friends Influencing on the youth smoking / Journal of Transactional Analysis & Counseling 1 (1) : 47 ~ 71

  37. [학술지] Huang GC / 2013 / Peer influence: The impact of online and offline friendship networks on adolescent smoking and alcohol use / Journal of Adolescent Health 54 : 508 ~ 514

  38. [학술지] Clark W / 1996 / Youth smoking in Canada / Canadian Society Trends 43 : 2 ~ 6

  39. [학술지] Clark DB / 1997 / Traumas and other adverse life events in adolescents with alcohol abuse and dependence / Journal of the American Academy of Child and Adolescent Psychiatry 36 (12) : 1744 ~ 1751

  40. [학술지] Clark PI / 1999 / Anti-tobacco socialization in homes of African-American and white parents, and smoking and nonsmoking parents / Journal of Adolescent Health 24 (5) : 329 ~ 339

  41. [학술지] Mcdermott D / 1984 / The relationship of parental drug use and parents attitude concerning adolescent drug use to adolescent drug use / Adolescence 19 (73) : 89 ~ 97

  42. [학술지] Pederson LL / 1997 / Are psychosocial factors related to smoking in grade-6 students? / Addict Behav 22 (2) : 169 ~ 181

  43. [학술지] Kandel DB / 1987 / Processes of adolescent socialization by parents and peers / International Journal of Addiction 22 (4) : 319 ~ 342

  44. [학술지] Beck KH / 1995 / A survey of parent attitudes and practices regarding underage drinking / Journal of Youth and Adolescence 24 (3) : 315 ~ 344

  45. [학술지] Chassin L / 1996 / The natural history of cigarette smoking from adolescence to adulthood. Demographic predictors of continuity and change / Health Psychology 15 (6) : 478 ~ 484

  46. [학술지] Griesbach D / 2003 / Adolescent smoking and family structure in Europe / Social Science & Medicine 56 : 42 ~ 52

  47. [기타] Statistics Korea / 2018 / Korean statistical information service

  48. [학술지] Demo DH / 1996 / Family structure, family process, and adolescent wellbeing / Journal of Research on Adolescence 6 : 457 ~ 488

  49. [학술지] Barrett AE / 2006 / Family structure and substance use problems in adolescence and early adulthood:Examining explanations for the relationship / Addiction 101 : 209 ~ 220

  50. [학술지] Du Y / 2015 / The association between family structure and adolescent smoking among multicultural students in Hawaii / Prev Med Rep 2 : 206 ~ 212

  51. [학술지] Otten R / 2007 / Parental smoking and adolescent smoking stages: The role of parents’ current and former smoking, and family structure / Journal of behavioral medicine 30 : 143 ~ 154

  52. [학술지] Veeranki SP / 2015 / Secondhand smoke exposure among never-smoking youth in 168 countries / J Adolesc Health 56 : 167 ~ 173

  53. [보고서] US Department of Health Human Services / 2006 / The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General

  54. [학술지] Gold DR / 1996 / Effects of cigarette smoking on lung function in adolescent boys and girls / N Engl J Med 335 : 931 ~ 937

  55. [학술지] Brunst KJ / 2012 / Unraveling the relationship between aeroallergen sensitization, gender, second-hand smoke exposure, and impaired lung function / Allergy Immunol 23 : 479 ~ 487

  56. [학술지] Mak KK / 2012 / Smoking of parents and best friend-independent and combined effects on adolescent smoking and intention to initiate and quit smoking / Nicotine & Tobacco Research 14 (9) : 1057 ~ 1064

  57. [기타] World Health Organization / 2008 / MPOWER: A policy Package to Reverse the Tobacco Epidemic

  58. [학술지] Winickoff JP / 2010 / Regulation of smoking in public housing / N Engl J Med 362 : 2319 ~ 2325

  59. [학술지] Simons-Morton BG / 2010 / Recent findings on peer group influences on adolescetn smoking / J Prim Prev 31 (4) : 191 ~ 208

  60. [학술지] 김명식 / 2006 / 흡연 청소년을 위한 인지행동 및 행동주의 금연 프로그램의 효과 연구 / Korean Journal of Clinical Psychology 25 (1) : 1 ~ 23

  61. [보고서] Tennekoon V / 2013 / Bias in measuring smoking behavior

  62. [학술지] Rebagliato M / 2002 / Validation of self reported smoking / J Epidemiol Community Health 56 : 163 ~ 164