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Mediation of Smoking Abstinence Self-Efficacy on the Association between Nicotine Dependence and the Intention to Quit Smoking
J Korean Soc Res Nicotine Tob 2023; 14(3): 110-117
Published online September 30, 2023
© 2023 The Korean Society for Research on Nicotine and Tobacco.

Yongho Jee1*, Gyu Ri Kim2, Mikyung Ryu3, Sung-il Cho4

1Advanced Biomedical Research Institute, Ewha Womans University Seoul Hospital, Seoul, 2Hanam Sungshim Hospital, Gwangju, 3Genetic Epidemiology Research Institute, Basgenbio, Co. Seoul, 4Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Korea
Correspondence to: *지용호
이화여자대학교 의과대학 부속서울병원
E-mail: jyongho51@gmail.com
ORCID: https://orcid.org/0000-0003-0365-8302
Received September 1, 2023; Revised September 21, 2023; Accepted September 22, 2023.
This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, dis-tribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
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.
Keywords : Nicotine dependency; Smoking abstinence self-efficacy; Intention to quit smoking; Factor analysis; Structural equation modeling
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