J Korean Acad Community Health Nurs.  2011 Mar;22(1):1-10. 10.12799/jkachn.2011.22.1.1.

Application of the ASE Model to the Assertive Behavior of Non-smoking College Students Under Secondhand Smoke Exposure

• Choo J
• Kim EK

• KMID: 2292860
• DOI: http://doi.org/10.12799/jkachn.2011.22.1.1

Abstract

PURPOSE
The present study was to apply the Attitudes-Social influence-Efficacy (ASE) model in order to identify factors associated with the assertive behavior of non-smoking college students when they are exposed to secondhand smokes in Korea.
METHODS
Data were collected from non-smoking college students (N=1,656, 76.6% female) at two universities in Seoul and Gyeonggi-do. The main outcome measure was the assertive behavior. ASE factors such as attitudes toward being assertive, social influences, and self-efficacy as well as socio-demographic, health- related, and smoking-related factors were self-administrated.
RESULTS
The mean of the assertive behavior (range 1~5 points) was 2.23; 37.6% was not at all assertive, while 4.3% was always assertive. Higher assertiveness was significantly correlated with a higher level of positive attitude, social influence and self-efficacy (p<.05 for all). Stepwise multiple regression analyses showed that the social influence was the strongest factor associated with the assertive behavior (beta=0.430, p<.001, R2=.246), followed by self-efficacy, motive to assertiveness, having any family member who had diseases, and male gender. These factors explained the assertive behavior by 39.7%.
CONCLUSION
The ASE model may explain the assertive behavior of non-smoking college students under secondhand smoke exposure. Social influence and self-efficacy were significant factors associated with their assertive behavior.

Keyword

Secondhand smoke; Assertiveness; Attitude; Social behavior; Self-efficacy

MeSH Terms

Assertiveness
Gyeonggi-do
Humans
Korea
Male
Outcome Assessment (Health Care)
Seoul
Social Behavior
Tobacco Smoke Pollution*
Tobacco Smoke Pollution