Purpose: The study were to identify difference in self-efficacy according to perceived health status in male smokers. Methods: The subjects were 138 male smoker in Seoul and Incheon. The data was collected using structured questionnaires from ninth of July to 16th of August in 2007. The data was analyzed by descriptive statistics and ANOVA with SPSS 14.0. Result: Participants showed that a high level of total self-efficacy score $3.40{pm}.43$, general self-efficacy score $3.39{pm}.46$, social self-efficacy score $3.44{pm}.55$. There were significant difference total self-efficacy and general self-efficacy in accordance with perceived health status. But there were no significant difference social self-efficacy in accordance with perceived health status. With the result of this study, the subjects smoked $14.48{pm}11.04$ years and 90.4% of the subjects were highly perceived that the health status of oneself above of moderate state and self-efficacy score. Conclusion: Therefore raising a perception about smoking dangerous, the prohibition of smoking program development which emphasizes the noxiousness of smoking for must precede, recognizes the necessity of prohibition of smoking and prohibition of smoking decision in one smoker comes to seem with the fact that own effect increase program for a prohibition of smoking maintenance.