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Journal of the Korean Academy of Family Medicine 2005;26(3):138-144.
Published online March 10, 2005.
The Association between Adolescent Smoking and Family Function.
Hwi Kon Lee, Hwan Sik Hwang, Hoon Ki Park, Jung Kwon Lee
1Department of Family Medicine, Hanyang University Hospital, Korea. fmhwang@hanyang.ac.kr
2Department of Family Medicine, Samsung Medical Center, Korea.
청소년 흡연과 가족기능의 관련성
이휘곤,황환식,박훈기,이정권
1
2
Abstract
Background
: Recently, adolescent smoking has become one of the most serious problems in our society. In this study, we surveyed smoking status, family function by Korean family function assessment tool, history of abuse, and others to know the factors associated with smoking for high school students.

Methods : In May 2001, a total of 1,033 students from 2 male and 2 female general high schools located in Seoul were assessed with self-completing questionnaire. Among the total, there were 502 male and 533 female students.

Results : The percentage of male smokers was 27.7% and that of female smokers was 14.5%. The percentage of smokers was significantly higher in students with a history of physical abuse, psychological abuse or negligence (only in males) than in students without them. The family function score of the smokers was 127.3±20.3 and that of the non-smokers was 140.3±21.0 in males. The family function score of the smokers was 121.5±17.45 and that of the non-smokers was 140.9±22.1 in females. The family function score of the smokers was significantly lower than that of the non-smokers in males and females. In 6 factors (supportiveness, alienation, closeness, roles, sociality, authority (only in males)) each family function score of the smokers was significantly lower than that of the non-smokers in males and females.

Conclusion : Adolescent smoking was associated with family function and history of abuse (physical, psychological and negligence (only in males)).
Key Words: adolescent smoking, family function, history of abuse
초록
연구배경 : 최근에 청소년 흡연이 우리 사회에 심각한 문제로 대두되고 있는 가운데 그들의 가족기능 및 학대 과거력과 청소년 흡연율의 연관성에 대해 알아보고 그 근본적 대비책을 알아보기 위해 이 연구를 실시하였다.

방법 : 2001년 5월 서울 소재 2개의 주간 인문계 남자 고등학교와 2개의 여자 고등학교를 선정해 무기명 자기기입식 설문 조사를 실시한 후 이 가운데 설문에 성실히 응답한 1,033명을 연구 대상으로 하였다.

결과 : 신체학대, 정서학대 및 남학생의 경우 방임의 과거력이 평생에 1~3번 이하로 있었던 학생들이 평생에 1~3번보다 많은 과거력이 있었던 학생들보다 흡연자의 비율이 유의하게 낮았다(P<0.05). 한국형 가족기능평가(청소년용)에서의 총 점수는 흡연 남학생들과 비흡연 남학생들과의 평균점수가 각각 127.4±20.3과 140.3±21.0이었고, 흡연 여학생들과 비흡연 여학생들은 각각 121.5±17.5와 140.9±22.1로서 유의한 차이가 있었다(P<0.01). 남녀 모두에서 흡연 학생이 비흡연 학생보다 가족기능이 더 나쁜 것으로 나타났다.

결론 : 청소년 가정의 가족기능을 바로 아는 것은 청소년 흡연 예방에 도움을 줄 것으로 생각하며, 청소년 흡연의 예방을 위해서는 가족의 기능을 높이기 위한 프로그램의 개발이 필요하다.
중심 단어: 청소년 흡연, 가족기능, 학대의 과거력


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