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Abstract：
BACKGROUND: Numerous studies of school-based smoking prevention programs (SSPPs) exist; however, most have been conducted from the students\' perspective, and insufficient research has explored teachers\' perceptions. Our study aimed to identify factors affecting overall satisfaction and operational status from the perspective of teachers participating in the SSPP.
METHODS: This is a cross-sectional study analyzing data from a survey regarding the operation of an SSPP conducted by the Korea Health Promotion Institute in 2022. The study sample comprised 669 teachers involved in the SSPP: 215 from elementary schools, 212 from middle schools, and 242 from high schools. To identify factors influencing teachers\' overall satisfaction, independent variables were categorized into three types of factors: personal, school, and teacher perceptions. Multiple linear regression analysis was performed for each factor to test the independent association.
RESULTS: For elementary school teachers, as the necessity of smoking prevention and cessation education (β=0.292; 95% CI: 0.182-0.382) increased, the overall satisfaction with the operation of the SSPP significantly improved. Similarly, for middle school teachers, as the necessity of smoking prevention and cessation education (β=0.231; 95% CI: 0.104-0.336) increased, the overall satisfaction significantly improved. Conversely, for high school teachers, the effectiveness (β=0.347; 95% CI: 0.184-0.520) was the variable that significantly improved overall satisfaction with the SSPP operation. The variables affecting teacher satisfaction across all school levels were the necessity of smoking prevention and cessation education, the effectiveness of the SSPP, and its impact on smoking cessation among smoking students, all of which belonged to the teacher perceptions factor.
CONCLUSIONS: Smoking education in schools requires teachers to play a crucial role. Among participating teachers, overall satisfaction with SSPP operations and the influencing factors differed according to school level, highlighting the importance of careful consideration to establish a more effective operational environment tailored to each school level.
METHODS: This is a cross-sectional study analyzing data from a survey regarding the operation of an SSPP conducted by the Korea Health Promotion Institute in 2022. The study sample comprised 669 teachers involved in the SSPP: 215 from elementary schools, 212 from middle schools, and 242 from high schools. To identify factors influencing teachers\' overall satisfaction, independent variables were categorized into three types of factors: personal, school, and teacher perceptions. Multiple linear regression analysis was performed for each factor to test the independent association.
RESULTS: For elementary school teachers, as the necessity of smoking prevention and cessation education (β=0.292; 95% CI: 0.182-0.382) increased, the overall satisfaction with the operation of the SSPP significantly improved. Similarly, for middle school teachers, as the necessity of smoking prevention and cessation education (β=0.231; 95% CI: 0.104-0.336) increased, the overall satisfaction significantly improved. Conversely, for high school teachers, the effectiveness (β=0.347; 95% CI: 0.184-0.520) was the variable that significantly improved overall satisfaction with the SSPP operation. The variables affecting teacher satisfaction across all school levels were the necessity of smoking prevention and cessation education, the effectiveness of the SSPP, and its impact on smoking cessation among smoking students, all of which belonged to the teacher perceptions factor.
CONCLUSIONS: Smoking education in schools requires teachers to play a crucial role. Among participating teachers, overall satisfaction with SSPP operations and the influencing factors differed according to school level, highlighting the importance of careful consideration to establish a more effective operational environment tailored to each school level.
摘要：
背景：存在许多以学校为基础的吸烟预防计划（SSPP）的研究；但是，大多数都是从学生的角度进行的，和不足的研究探索教师的看法。我们的研究旨在从参与SSPP的教师的角度确定影响总体满意度和运营状态的因素。
方法：这是一项横断面研究，分析了韩国健康促进研究所于2022年进行的SSPP操作调查数据。研究样本包括参与SSPP的669名教师：215名来自小学，212来自中学，和高中242人。找出影响教师总体满意度的因素，独立变量分为三种类型的因素：个人，学校,和老师的看法。对各因素进行多元线性回归分析以检验其独立关联。
结果：对于小学教师，随着吸烟预防和戒烟教育的必要性（β=0.292；95％CI：0.182-0.382）的增加，对SSPP操作的总体满意度明显提高。同样，对于中学教师来说，随着吸烟预防和戒烟教育的必要性（β=0.231；95％CI：0.104-0.336）的增加，总体满意度明显提高。相反，对于高中老师来说，有效性（β=0.347;95％CI：0.184-0.520）是显着提高SSPP操作总体满意度的变量。影响所有学校各级教师满意度的变量是预防吸烟和戒烟教育的必要性，SSPP的有效性，以及它对吸烟学生戒烟的影响，所有这些都属于教师的感知因素。
结论：学校的吸烟教育要求教师发挥关键作用。在参与教师中，对SSPP操作的总体满意度和影响因素因学校水平而异，强调必须认真考虑，以建立适合每个学校级别的更有效的运营环境。
方法：这是一项横断面研究，分析了韩国健康促进研究所于2022年进行的SSPP操作调查数据。研究样本包括参与SSPP的669名教师：215名来自小学，212来自中学，和高中242人。找出影响教师总体满意度的因素，独立变量分为三种类型的因素：个人，学校,和老师的看法。对各因素进行多元线性回归分析以检验其独立关联。
结果：对于小学教师，随着吸烟预防和戒烟教育的必要性（β=0.292；95％CI：0.182-0.382）的增加，对SSPP操作的总体满意度明显提高。同样，对于中学教师来说，随着吸烟预防和戒烟教育的必要性（β=0.231；95％CI：0.104-0.336）的增加，总体满意度明显提高。相反，对于高中老师来说，有效性（β=0.347;95％CI：0.184-0.520）是显着提高SSPP操作总体满意度的变量。影响所有学校各级教师满意度的变量是预防吸烟和戒烟教育的必要性，SSPP的有效性，以及它对吸烟学生戒烟的影响，所有这些都属于教师的感知因素。
结论：学校的吸烟教育要求教师发挥关键作用。在参与教师中，对SSPP操作的总体满意度和影响因素因学校水平而异，强调必须认真考虑，以建立适合每个学校级别的更有效的运营环境。
