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KMID : 0892720070110020197
Journal of the Korean Society of Maternal and Child Health
2007 Volume.11 No. 2 p.197 ~ p.210
Smoking Experience and Related Factors Among Elementary Students in a Metropolitan City in Korean by Design-Based Analysis
Park Soon-Woo

Kim Jong-Yeon
Abstract
Objectives: The purpose of this study was to explore factor associated with smoking experience among elementary school children in a metropolitan city in Korea.

Methods: All the elementary schools in Daegu city were stratified by region, and then schools as a primary sampling units (PSU) were selected by probability proportional to size (PPS) sampling. One class per grade was sampled randomly from 5th and 6th grade in a sampled schools from October to December in 2004. The students completed a standardized self-administered questionnaire anonymously. The total number of 1.791 respondents was included in the final analysis. Simple and multiple logistic regression were conducted with STATA 9.0 by design-based analysis considering strata variable, PSU, and sampling weight.

Results: The overall prevalence of smoking experience was 13.8%, and prevalence rates among male and female wre 18.0%, and 8.7%, respectively. Among those who had smoking experience, 29.9% experienced before admission to elementary school. The most common motivation for first smoking was curiosity (55.7%), and the next was offers from adults including father (12.1%). The major sources of cigarette acquisition on first smoking experience were stealing or picking up the cigarette or butt in home (38.0%), getting from adults (22.4%). The multiple logistic regression showed that those who were more likely to have experience smoking were male gender (OR=2.26. p£¼0.001), estimated peer smoking prevalence of three or more among ten (OR=2.64, p£¼0.001), having smoking friends (OR=1.87, p£¼0.05), middle (OR=1.81, p£¼0.001) or lower (OR=2.20, p£¼0.001) academic performance, lower family economic status (OR=1.83. p£¼0.1), no interest in (OR=1.58, p£¼0.1) or having good image to(OR=3.18, p£¼0.05) peer smoking. having higher (OR=1.82, p£¼0.05) or extremely high (OR=2.87, p£¼0.01) stress. Those who had experience smoking had other undesirable health behaviors, and had positive attitude toward smoking.

Conclusion: The results of this study suggest the smoking prevention education should be applied to young elementary students, and the education and campaign for parents and family member is also necessary.
KEYWORD
elementary student, smoking experience, design-based analysis, risk factor
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