Factors Associated with the Preparation Stage to Quit Smoking among College Smokers

Article information

Res Community Public Health Nurs. 2011;22(2):173-183
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2011.22.2.173
1Associate Professor, Department of Nursing, Semyung University, Korea.
2Full-time Lecturer, Department of Nursing, Joongbu University, Korea.
Address reprint requests to: Paek, Kyung-Shin, Department of Nursing, Semyung University, 579 Sinwoul-dong, Jecheon 390-711, Korea. Tel: 82-43-649-1353, Fax: 82-43-649-7052, kspaek@semyung.ac.kr
Received 2011 April 27; Revised 2011 June 08; Accepted 2011 June 09.

Abstract

Purpose

This study was to compare the Transtheoretical Model components according to the stage of change in smoking cessation behavior and identify factors associated with preparation to quit smoking among college smokers.

Methods

Data were collected from 224 undergraduate students using the self-report questionnaire. The survey variables comprised the stage of change in smoking cessation, self-efficacy, and decisional balance and process of change in smoking cessation.

Results

There were significant differences in self-efficacy, cons of smoking, and the process of change according to the stage of change in smoking cessation behavior. Cons of smoking and self liberation were significant factors related to the preparation stage of smoking cessation.

Conclusion

Strategies to enhance cons of smoking and self liberation in college smokers will be an important intervention component to prepare and plan smoking cessation in future studies.

References

1. Ahn OH, Yeun E, Kwon SB, Chung HK, Ryu E. Predictive factors of aspects of the transtheoretical model on smoking cessation in a rural community. J Korean Acad Nurs 2005;35(7):1285–1294.
2. Chang SO, Kim EJ, Kil SY, Seomun GA, Lee SJ. Influential Variables on Intention and Action to Quit Smoking between Adolescent Smokers and Adult Smokers-Based on the Transtheoretical Model. J Korean Acad Nurs 2005;35(7):1410–1419.
3. Froelicher ES, Kozuki Y. Theoretical applications of smoking cessation interventions to individuals with medical conditions: Women's initiative for nonsmoking (WINS)-Part III. Int J Nurs Stud 2002;39(1):1–15.
4. Gil KM, Schrop SL, Kline SC, Kimble EA, McCord GM, McCormick KF, et al. Stages of change analysis of smokers attending clinics for the medically underserved. J Fam Pract 2002;12. 51(12):1018. Retrieved April 6, 2011, from http://www.jfponline.com/Pages.asp?AID=1351&issue=December%202002&UID=.
5. Ham OK. Stages and processes of smoking cessation among adolescents. West J Nurs Res 2007;29(3):301–315.
6. Hazen DA, Mannino DM, Clayton R. Gender specific differences in the pros and cons of smoking among current smokers in Eastern Kentucky: Implications for future smoking cessation interventions. Int J Environ Res Public Health 2008;5(4):230–242.
7. Hoeppner BB, Veliver WF, Redding CA, Rossi JS, Prochaska JO, Pallonen UE, et al. Psychometric evaluation of the smoking cessation processes of change scale in an adolescent sample. Addict Behav 2006;31(8):1363–1372.
8. Kim MY, Suh SL, Ham OK. Stages and processes of smoking cessation among high school students in rural community. J Korean Acad Community Health Nurs 2007;18(3):431–440.
9. Kim SJ, Moon SY, Han KS. The actual condition of smoking among university students. J Korean Community Nurs 2002;13(1):147–160.
10. Kim YH. Adolescents' smoking behavior and its relationships with psychological constructs based on transtheoretical model: A cross-sectional survey. Int J Nurs Stud 2006;43(4):439–446.
11. Korean Association of Smoking & Health. The prevalence of smoking among Korean adults in 2010 2010. Retrieved March 28, 2010. from http://www.kash.or.kr/user_new/main.asp.
12. Lee HS. A study on evaluation of effects of juvenile smoking cessation program applied by transtheoretical model Busan: Inje University; 2004. Unpublished doctoral dissertation.
13. Macnee CL, McCabe S. The transtheoretical model of behavior change and smokers in Southern Appalachia. Nurs Res 2004;53(4):243–250.
14. Oh HS, Kim YR. Changing mechanisms corresponding to the changing stages of smoking cessation. J Nurs Acad Soc 1996;26(4):820–832.
15. Oh HS, Kim YR. Factor Analysis on Behavior Change Mechanisms in Self-help Smoking Cessation. J Nurs Acad Soc 1996;26(3):678–687.
16. Oh HS, Kim YR. Exploratory study on developing model for smoking cessation process. J Nurs Acad Soc 1997;27(1):71–82.
17. Otsuki M, Tinsley BJ, Chao RK, Unger JB. An ecological perspective on smoking among Asian American college students: The roles of social smoking and smoking motives. Psychol Addict Behav 2008;22(4):514–523.
18. Pallonen UE. Transtheoretical measure for adolescent and adult smoker: Similarities and differences. Prev Med 1998;27(5 Pt 3):A29–A38.
19. Park NH, Kim JS, Lee YM. Factors associated with the stage of change of smoking cessation behavior in adolescents. J Korean Acad Nurs 2003;33(8):1101–1110.
20. Preston DB, Greene GW, Irwin PA. An assessment of college health nursing practice: A wellness perspective. J Community Health Nurs 1990;7(2):97–104.
21. Prochaska JO, DiClemente CC. Stages and process of self-change of smoking: Toward and integrative model of change. J Consult Clin Psychol 1983;51(3):390–395.
22. Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot 1997;12(1):38–48.
23. Prochaska JO, Velicer WF, Diclemente CC, Fava JL. Measuring the processes of change: Applications to the cessation of smoking. J Consult Clin Psychol 1988;56(4):520–528.
24. Prochaska JO, Velicer WF, Rossi JS, Goldstein MG, Marcus BH, et al. Stages of change and decisional balance for 12 problem behavior. Health Psychol 1994;13(1):39–46.
25. Rigotti NA, Moran SE, Wechsler H. US college students' exposure to tobacco promotions: Prevalence and association with tobacco use. Am J Public Health 2005;95(1):138–144.
26. Schüz B, Sniehotta FF, Mallach N, Wiedemann AU, Schwarzer R. Predicting transitions from preintentional, intentional and actional stages of change. Health Educ Res 2009;24(1):64–75.
27. Shin SR, Linda S, Leda D. Tobacco-related education in graduate, baccalaureate and associate degree programs in Korea. J Korean Acad Nurs 2003;33(2):256–264.
28. Son HM. Differences in Processes of Change, Decisional Balance, and Temptation Across the Stages of Change for Smoking Cessation. J Korean Acad Nurs 2005;35(5):904–913.
29. Waters K, Harris K, Hall S, Nazir N, Waigandt A. Characteristics of social smoking among college students. J Am Coll Health 2006;55(3):133–139.
30. Yalçinkaya-Alkar O, Karanci AN. What are the differences in decisional balance and self-efficacy between Turkish smokers in different stages of change? Addict Behav 2007;32(4):836–849.

Article information Continued

Table 1

General Characteristics of the Participants by Stage of Change (N=224)

Table 1

Fisher's exact test.

Table 2

Smoking-related Characteristics of the Participants by Stage of Change (N=224)

Table 2

Fisher's exact test.

Table 3

Mean Differences of the TTM Variables Based on Stage of Change (N=224)

Table 3

Table 4

Logistic Regression Analysis for Variables related to Stage of Change (N=224)

Table 4

Stage of change was coded as precontemplation & contemplation (0) vs. preparation (1); Cigarettes per day was coded as above 1 pack (0) vs. less 1 pack (1)