Abstract

• Purpose
  The purpose of this study was to identify the stage of change of smoking cessation behavior and investigate factors associated with the stage of smoking cessation behavior according to the transtheoretical model.
• Methods
  The participants, 297 smokers & quitters were selected by a stratified random sampling from 127 high school sophomore students in B city. Data were collected from April 6th to 16th, in 2002 using the structured self-report questionnaire.
• Results
  The subjects were distributed in each stage of change of smoking cessation behavior: there were 46 subjects (15.5%) in precontemplation, 73 subjects (24.6%) in contemplation, 67 subjects(22.3%) in preparation, 56 subjects (18.5%) in action, 55 subjects (18.5%) in maintenance. Compared to the precontemplation and contemplation, people in preparation tended to smoke daily more and smoked for a shorter time, and as precontemplation progressed to the maintenance, past 1 year smoking cessation frequency increased and friends smoking decreased. Smoking onset age was the earliest in preparation, and the latest in maintenance. Helping relationships and self relationships are used a lot in precontemplation and also in contemplation. In preparation, self liberation and helping relationships are used a lot, in action, self liberation and helping relationships, and in maintenance, self liberation and environmental reevaluation. At each stage, the score of negative affect situation was the highest, but the one of negative affect situation, positive social situation, habitual strength, weight control decreased as precontemplation progressed to the maintenance. While the score of social pros and coping pros decreased with increasing stage, the one of cons tended to increase. Through stepwise discriminant analysis, it was found that social pros, smoking onset age, delf-libration were the most influencing powers among factors associated with the stages of smoking cessation behavior.
• Conclusions
  This study suggested that, in developing an effective smoking cessation intervention for adolescents, all the stage of a client's cessation had to be assessed prior to applying intervention programs. In addition, the results of this study will become a pillar of smoking cessation program planning and application.
• Keywords: Adolescent; Smoking cessation; Transtheoretical model

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REFERENCES

Citations

Citations to this article as recorded by  

• Prevalences of Stages of Change for Smoking Cessation in Adolescents and Associated Factors: Systematic Review and Meta-Analysis
  Leonardo Essado Rios, Álex Moreira Herval, Raquel Conceição Ferreira, Maria do Carmo Matias Freire
  Journal of Adolescent Health.2019; 64(2): 149.     CrossRef
• Effects of an Empowerment Program on Nicotine Dependency, Temptation, Self-esteem, Depression in Adolescents Who Smoke
  Nam-Hee Park
  Journal of Korean Academy of Child Health Nursing.2012; 18(1): 1.     CrossRef
• Factors Associated with the Preparation Stage to Quit Smoking among College Smokers
  Kyung-Shin Paek, Young-Sook Kwon
  Journal of Korean Academy of Community Health Nursing.2011; 22(2): 173.     CrossRef