Decreased Smoking Rates and Scores in Kano Test for Social Nicotine Dependence in Schoolteachers Undergoing Annual Health Check-up: Association with Smoke-free School Premises

DOI Web Site 12 References
  • Taniguchi Haruko
    Health Administration Department, JR Sapporo Hospital Hokkaido Prefectural Faculty Examination Center KTSND working group in Research Group on Smoke-Free Psychology
  • Tanaka Hiroshi
    Third Department of Internal Medicine, Sapporo Medical University School of Medicine
  • Yoshii Chiharu
    Department of Respiratory Medicine, Wakamatsu Hospital of University of Occupational and Environmental Health KTSND working group in Research Group on Smoke-Free Psychology
  • Kano Masato
    Department of Internal Medicine, Shinnakagawa Hospital KTSND working group in Research Group on Smoke-Free Psychology
  • Shimizu Takahiro
    Chibana Clinic Health Care Center KTSND working group in Research Group on Smoke-Free Psychology
  • Inagaki Koji
    Department of Dental Hygiene, Aichi-Gakuin Junior College KTSND working group in Research Group on Smoke-Free Psychology
  • Takahashi Hiroki
    Third Department of Internal Medicine, Sapporo Medical University School of Medicine

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Other Title
  • 人間ドック受診教職員の喫煙状況と加濃式社会的ニコチン依存度の変化 -学校敷地内禁煙との関連の検討-
  • ニンゲン ドック ジュシン キョウショクイン ノ キツエン ジョウキョウ ト カノウシキ シャカイテキ ニコチン イソンド ノ ヘンカ : ガッコウ シキチナイ キンエン ト ノ カンレン ノ ケントウ

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Abstract

Objective: The aim of this study was to promote smoking cessation in school education. We conducted a questionnaire survey of teachers to determine changes in smoking rates and awareness regarding smoking in pace with the gradual spread of smoke-free school premises.<br>Methods: The Kano Test for Social Nicotine Dependence (KTSND; maximum score 30) was given to schoolteachers who had undergone periodic health check-ups in 2005, 2006, and 2007. In 2006 only, we included the questions: (1) Have you lectured students on the disadvantages of smoking? and (2) How effective is the smoking ban in your school?<br>Results: The smoking rates for male teachers in the 3 consecutive years were 31.3%, 34.8%, and 26.6%, respectively, with the lowest rate in the third year. Those for female teachers were 8.6%, 10.5%, and 10.5% respectively, showing that the rate was consistently higher in the second and third years. For teachers who smoked, the KTSND scores for men were 17.9 ± 4.6, 17.2 ± 4.9, and 16.8 ± 4.9 respectively, and thus the lowest scores werein the third year. In contrast, those for women were 14.3 ± 3.0, 12.9 ± 2.8, and 15.0 ± 2.8 respectively, with scores highest in the third year. Among non-smoking male teachers, the KTSND score (14.2 ± 5.7) for those who worked in schools where smoking was permitted was significantly (p = 0.012) higher than that for those who worked in smoke-free school buildings (9.9 ± 5.3) and school premises (10.8 ± 6.7). In other words, non-smoking teachers working in schools where smoking was permitted had a psychological tendency to accept smoking. However, this tendency was not observed in current smokers and ex-smokers among male teachers. Interestingly, in the case of male teachers who lectured their students on the disadvantages of smoking, the KTSND score decreased in both current smokers (p = 0.034) and ex-smokers (p = 0.009), suggesting that lecturing on this topic may have made them more aware of the harmful effects of smoking.<br>Conclusion: The smoking ban in school premises and lecturing students on the disadvantages of smoking resulted in changing the awareness of schoolteachers regarding smoking and affected their smoking habit.

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