Factors Affecting Smoking Behavior Among Vocational College Students
Keywords:
Neuman systems model, Smoking behavior, Vocational college studentsAbstract
Smoking behavior arises from various factors, including intrapersonal, interpersonal, and extrapersonal factors. Understanding the factors affecting smoking behavior serves as a preventive measure and helps reduce the number of new smokers. This research employed a cross-sectional analytical approach with the objective of examining factors affecting cigarette smoking behavior among vocational college students, based on the environment concept of Neuman's Systems Model. The sample consists of 232 participants aged 18 and above, selected through a multistage random sampling process, with participants chosen using a stratified sampling method based on academic year and major for the first stage and subsequently, a simple random sampling method. The research utilized questionnaires on intrapersonal, interpersonal, and extrapersonal factors related to smoking behavior. The tool's quality was assessed by three qualified experts, yielding content validity indices of .97, 1.0, .96, and 1.0, respectively, and reliability was confirmed by Cronbach's alpha coefficients of .93, .94, .95, and .81, respectively. Data were analyzed using descriptive statistic and stepwise multiple regression.
The research findings revealed that five factors significantly impact the smoking behavior of vocational college students: intrapersonal factors, including self-perceived quitting ability (β = -.23, p < .05); interpersonal factors, such as the influence of smoking peers (β = .26, p < .05) and family nurturing patterns (β = -.38, p < .05); and extrapersonal factors, including societal attitudes toward smoking (β = .30, p < .05) and anti-smoking campaigns (β = .23, p < .05). The multiple correlation coefficient indicated a significant collective impact of these factors on smoking behavior (r = .258, p < .05), predicting 6.7% of the variance (R2 = 0.67, p < .05).
In conclusion, the study demonstrated that factors based on the environment concept of Neuman's Systems Model significantly influence cigarette smoking behavior among vocational college students. Therefore, the development of smoking cessation interventions program should consider all five identified factors for effective implementation.
References
Jafari, A., Mahdizadeh, M., Peyman, N., Gholian‑Aval, M., & Tehrani, H. (2022). Exploration the role of social, cultural and environmental factors in tendency of female adolescents to smoking based on the qualitative content analysis. BMC Women’s Health, 22(38), 1-8. https://doi.org/10.1186/s12905-022-01617-0
Jankaew, J., Homsin, P., & Srisuriyawet, R. (2015). Factors related to smoking initiation among male students in lower secondary schools, Pathum Tani. Journal of Nursing Science Chulalongkorn University, 27(2), 99-108. (in Thai)
Junnual, N., & Wilasri, S. (2017). The application of self-efficacy theory in achieving smoking behavior change among police officers at Chaiyaphum police station. The Journal of Baromarajonani College of Nusing, Nakhonratchasima, 23(1), 44-58. (in Thai)
Kason, N., Sanehanurak, P., Janwarapot, W., Tabtim, W., & Deemek, P. (2017, December 22). Knowledge and smoking behavior of male student Kamphaeng Phet Technical College. [the 4th Kamphaeng Phet Rajabhat University National Conference], Research Institute, Kamphaeng Phet University. (in Thai)
Kantawang, S. (2008). The Neuman systems model: Application in nursing practice. Faculty of Nursing, Chiang Mai University. (in Thai)
Khasemophas, D., & Rojanaprasert, P. (2015). Effects of family participation model for smoking cessation in Thai family. Thai Journal of Cardio-Thoracic Nursing, 26(2), 81-93. (in Thai)
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607-610. https://psycnet.apa.org/record/1971-03263-001
Lapi-e, A., Saksung, A., Tumsuwan, P., Nunkliang, S., Yunu, H., & Chaichana, S. (2017). Relation of perception and the influence of media affect to behavior modification change smoking of youth at vocational level in the three Southernmost provinces. Public Health & Health Laws Journal, 3(3), 322-341. (in Thai)
Leeviroj, P., Ngowtrakul, B., & Koolkaew, D. (2019). Factors affecting smoking behavior of out-of school adolescents and the effectiveness of development program of cognitive behavior therapy to reducing smoking behavior. University of the Thai Chamber of Commerce Journal Humanities and Social Sciences, 37(4), 75–91. (in Thai)
Loysamut, S. (2019). Tobacco business marketing strategies: New tobacco products & social media. TRC Research Update, 11(1), 10-14. (in Thai)
National Statistical Office Ministry of Digital Economy and Society. (2021). The 2021 health behavior of population survey. Statistical Forecasting Division, National Statistical Office. (in Thai)
Neuman, B., & Fawcett, J. (2011). The Neuman systems model (5th ed.). Pearson.
Onmoy, P., Buarueang, A., Paponngam, C., Janrangrueang, T., Laonoi, N., & Boonrawd, A. (2022). Factors associated with electronic cigarette smoking behaviors of adolescents in Uttaradit Province, Thailand. Journal of Health Science, 31(2), 197-205. (in Thai)
Pichai, P., & Rungchamrus, J. (2015). Alternative approaches to development of a program for smoking cessation among adolescent. Journal of Humanities and Social Sciences Thonburi University, 9(19), 158-169. (in Thai)
Ruanphet, K. (2021). Factors related to electric smoking among male vocational students in Buriram Province. [Unpublished master’s thesis]. Burapha University.
Sanedhanavajara, P. (2019). Smoking behavior of students of Eastern College of Technology (E. TECH). [Unpublished master's thesis]. Burapha University.
Seehawong, S., & Deedoangpan, S. (2017). The correlated between parenting styles and risk behaviors in adolescents. Journal of Science and Technology Ubon Ratchathani University, 19(3), 164-172. (in Thai)
Srisaeng, P. (2014). Theories and concepts related to nursing. KKUPrinting House.
Tobacco Control Research and knowledge Management Center (TRC). (2021). Quit smoking. TRC Research Update, 13(2), 1-43. (in Thai)
Trakunkarn, K., & Siripoekaew, W. (2021). Design of campaign for smoking free areas in the Roi Et Rajabhat University. Mahasarakham Hospital Journal, 18(3), 15-25. (in Thai)
Usaha, J., Gunvihok, T., Julasereekul, S., & Haruhanpong, V. (2015). Meta synthesis of preventive factors for cigarette smoking among Thai youths. Disease Control Journal, 41(4), 271-284. (in Thai)
Voraaroon, O., Khajornchaikul, P., Prutipinyo, C., Taechaboonsermsak, P., & Pitikultang, S. (2017). Factors related to smoking self-control among lower secondary school students, Suphanburi Province. The Public Health Journal of Burapha University, 12(2), 75-85. (in Thai)
Wattanawilai, C., & Rakpuangchon, W. (2018). Smoking motivation and non-smoking intention among boy students with a smoking family member. The Journal of Faculty of Nursing, Burapha University, 26(1), 20-28. (in Thai)
Wiangkamon, S., Homsin, P., & Srisuriyawet, R. (2017). Life assets and factors related to early smoking stage among male upper primary school students, Kalasin Province. Journal of Public Health Nursing, 31(29), 91-108. (in Thai)
World Health Organization. (2021). WHO report on the global tobacco epidemic 2021: Addressing new and emerging products. https://www.who.int/publications/i/item/9789240032095
Yeepoo, C., Kongthong, U., & Sriherun, B. (2018). The development of a learning activity model for reducing and stop smoking behavior of drug addiction for children and adolescent patients. Valaya Alongkorn Review (Humanities and Social Science), 8(1), 131-146. (in Thai)
Yeunyow, T., Soamun, N., & Duangsomsa, N. (2020). Health status, attitudes towards, smoking, and smoking behavior among client’s outpatient department of community hospital in the lower Northeastern part of Thailand. Medical Journal of Srisaket Surin Burirum Hospitals, 35(2), 359-372. (in Thai)
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