KMID : 1231220230140030110
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Journal of the Korean Society for Research on Nicotine and Tobacco 2023 Volume.14 No. 3 p.110 ~ p.117
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Mediation of Smoking Abstinence Self-Efficacy on the Association between Nicotine Dependence and the Intention to Quit Smoking
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Jee Yong-Ho
Kim Gyu-Ri Ryu Mi-Kyung Cho Sung-il
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Abstract
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Background: Although smoking abstinence self-efficacy (SASE) has been reported to have positive effects on the intention to quit smoking, previous studies fail to provide adequate coverage on the issue, especially among Korean young adults. Therefore, our study aimed to assess the mediation of SASE on the association between nicotine dependence (ND) and the intention to quit smoking.
Methods: Cross-sectional data designed to investigate the smoking behavior among 2,500 Korean young adults, 20-29 years in age, were proportionally recruited with respect to sex, age, region, and smoking status, in September 2017. We used Velicer¡¯s survey to assess SASE. Structural equation modeling was used to estimate the mediating role of smoking self-efficacy on the relationship between ND and the intention to quit smoking.
Results: Higher ND was associated with lower intention to quit smoking in the future (OR=0.94; BC bootstrap 95%; CI 0.893-0.977). ND had a significantly inverse correlation with the intention to quit smoking (OR=0.954; BC bootstrap 95%; CI 0.936-0.971). The total effect was found to be significant (OR=0.893; BC bootstrap 95%; CI 0.856-0.928, P<0.001).
Conclusion: Our study indicated that SASE had a partial mediating effect on the association between ND and the intention to quit smoking cessation. Therefore, smoking interventions for young adults should consider the mediation effect of SASE in order to design more effective smoking control interventions for those with high nicotine dependency.
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KEYWORD
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Nicotine dependency, Smoking abstinence self-efficacy, Intention to quit smoking, Factor analysis, Structural equation modeling
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