흡연 행동을 설명하는 심리학적 모형의 개발 : 건강 신념과 계획된 행동 모형의 비교를 통한 대안적 모형의 탐색 = Psychological Model exploration for Explaining Smoking Behavior : A Comparative Study of the Health Belief Model and the Theory of Planned Behavior

다국어 초록 (Multilingual Abstract)

In recent years a growing number of people have become health-conscious in Korea. In particular, people are now largely aware of the importance of psychological processes expected to take place along with their past and potential health-related experiences as being reflected in the rates of diseases and deaths.
The purpose of this study was to investigate smoking behavior by comparing the health belief model (Becker, Haefner와 Maiman, 1977) with the theory of planned behavior (Fishbein과 Ajzen, 1975; Ajzen, 1991). Respondents were 377 smoking adults(79 women, 298 men). They were asked to complete a questionnaire to examine theoretical constructs smoking behavior and to conduct the Fagerstrom Test for Nicotine Dependence. The data was analyzed to measure reliability and validity of each of component of the models. AMOS 4.0 was used to analyze goodness of fit of models. Main findings of this study are as follows: fit indices of Health belief Model were CFI=.93, NNFI=.92, RMSEA=.09, ECVI=7.94 and theory of planned behavior were CFI=.95 NNFI=.94, RMSEA=.08, ECVI=4.43; Fit indices of modified theory of planned behavior with habit produce CFI=.95, NNFI=.94, RMSEA=.08, ECVI=5.63. Based on these results, it was concluded that smoking behavior is accounted for better by the theory of planned behavior than health belief model.
The implication of the results is important in light of the habit components. It is likely that the reliance to nicotine would hardly be overcome once habituated, and it is suggested that the importance of non-smoking must be educated, starting in elementary schools.

목차 (Table of Contents)

• 목차 = ⅰ
• ABSTRACT = ⅳ
• I. 서론 = 1
• II. 흡연 행동을 설명하는 심리학적 이론= 7
• 1. 건강 신념 모형(Health Belief Model, HBM) = 7
• 2. 계획된 행동 이론 (The Theory of Planned Behavior, TPB) = 12
• III. 방법 및 절차 = 20
• 1. 참가자 = 20
• 2. 구성개념 측정도구 = 20
• 3. 분석방법 = 26
• IV. 결과 = 27
• 1. 흡연에 대한 건강 신념 모형의 공변량 구조분석 = 27
• 2. 흡연에 대한 계획된 행동 모형의 공변량 구조분석 = 28
• 3. 흡연에 대한 수정된 계획된 행동 이론 모형의 공변량 구조분석 = 29
• 4. 건강 신념 모형과 계획된 행동 모형 및 수정된 계획된 행동 모형의 부합도 비교 = 30
• V. 논의 = 32
• 참고 문헌 = 34
• 부록 = 40