Asian Pacific Journal of Cancer Prevention

  • 제17권2호
  • /
  • Pages.527-533
  • /
  • 2016
  • /
  • 1513-7368(pISSN)
  • /
  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
권호 표지
DOI QR코드

DOI QR Code

Rethinking Anti-tobacco Health Education in an Eastern Mediterranean Country with Growing Tobacco Use

  • Obeidat, NA (Cancer Control Office, King Hussein Cancer Center) ;
  • Ayub, HS (Cancer Control Office, King Hussein Cancer Center) ;
  • Shtaiwi, AS (Cancer Control Office, King Hussein Cancer Center) ;
  • Hawari, FI (Cancer Control Office, King Hussein Cancer Center)
  • 발행 : 2016.03.07
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: In Jordan, a developing country with a high tobacco burden and where roughly 40% of cancers are tobacco-related, limited knowledge exists on public awareness regarding tobacco. This is a hindrance for experts seeking to strengthen anti-tobacco health promotion and counter growing tobacco use. We sought to evaluate public awareness regarding tobacco; to gauge exposure to anti-tobacco public messages; and to draw attention to the lay public's informational needs. Materials and Methods: A cross-sectional survey of lay public in the capital, Amman, capturing knowledge regarding tobacco harms and anti-tobacco laws, perceptions regarding tobacco use and control, and exposure to and recall of anti-tobacco messages, was conducted. Statistics on perceptions were generated and analyzed by smoking status and sociodemographic factors. Multivariate regression was performed to estimate independent associations of smoking and sociodemographic factors with knowledge. Results: Of 1,169 respondents, 17.8% could recall specific anti-tobacco messages. With regard to knowledge, despite high proportions of respondents exhibiting knowledge for individual statements regarding tobacco health harms, variables capturing breadth of knowledge showed that much lower proportions could correctly identify all the listed health harms of tobacco, and all listed Jordanian anti-tobacco regulations (47.5% and 36.2%, respectively). On multivariate analysis, breadth of knowledge varied by smoking status, age and educational level. Conclusions: There is need for more salient, evocative and multi-faceted anti-tobacco messages in Jordan, tailored to subgroups, given detected variability in knowledge across smoking status and sociodemographic characteristics.

키워드

참고문헌

  1. Ahmad MM, Dardas LA, Ahmad H (2014). Cancer prevention and care: a national sample from Jordan. J Cancer Educ.
  2. Al-Nsour M, Zindah M, Belbeisi A, et al (2012). Prevalence of selected chronic, noncommunicable disease risk factors in Jordan: results of the 2007 Jordan behavioral risk factor surveillance survey. Prev Chronic Dis, 9, 25.
  3. Centers for Disease Control and Prevention (2013). Centers for disease control and prevention, 2013. antismoking messages and intention to quit - 17 countries, 2008-2011. MMWR Morb Mortal Wkly Rep, 62, 417-22
  4. Centers for Disease Control and Prevention (2014). Centers for disease control and prevention. best practices for comprehensive tobacco control programs - 2014. Atlanta: U.S. Department of Health and Human Services, Centers For Disease Control and Prevention, National Center For Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014.
  5. Dar Ifta (2013). Dar Ifta, Jordan. Verdict concerning smoking and selling cigarettes
  6. Department of Health and Human Services and Centers for Disease Control and Prevention (2012). Department of Health and Human Services. Centers for Disease Control and Prevention. Question Inventory on Tobacco.
  7. Durkin S, Brennan E, Wakefield M (2012). Mass Media Campaigns to promote smoking cessation among adults: an integrative review. Tob Control, 21, 127-38. https://doi.org/10.1136/tobaccocontrol-2011-050345
  8. Evans KA, Sims M, Judge K, Gilmore A (2012). Assessing the knowledge of the potential harm to others caused by secondhand smoke and its impact on protective behaviours at home. J Public Health (Oxf), 34, 183-94. https://doi.org/10.1093/pubmed/fdr104
  9. Gharaibeh H, Haddad L, Alzyoud S, et al (2011). Knowledge, attitudes, and behavior in avoiding secondhand smoke exposure among non-smoking employed women with higher education in Jordan. Int J Environ Res Public Health, 8, 4207-19. https://doi.org/10.3390/ijerph8114207
  10. Gupta B, Kumar N (2014). A cross-country comparison of knowledge, attitudes and practices about tobacco use: findings from the global adult tobacco survey. Asian Pac J Cancer Prev, 15, 5035-42. https://doi.org/10.7314/APJCP.2014.15.12.5035
  11. Gutierrez K, Murphy-Hoefer R, Nelson DE (2006). Tobacco use prevention media campaigns: lessons learned from youth in nine countries. Atlanta: U.S. department of health and human services, centers for disease control and prevention, national center for chronic disease prevention and health promotion, office on smoking and health, 2006.
  12. Haddad L, Abu Baker N, El-Shahawy O, Al-Ali N, Shudayfat T (2013). Secondhand smoke exposure among young adults in a developing country - a Jordanian case. Subst Abuse Rehabil, 4, 45-53.
  13. Hammond, D, Tobacco Labelling and Packaging Toolkit, A Guide to FCTC Article 11, February 2009.
  14. Hawari FI, Bader RK, Beano HM, et al (2011). Perceptions of young Jordanian adults to proposed anti-tobacco pictorial warning labels. BMC Public Health, 11, 414. https://doi.org/10.1186/1471-2458-11-414
  15. ITC Project, World Health Organization and World Heart Federation, (2012). ITC project, world health organization, and world heart federation, april 2012. cardiovascular harms from tobacco use and secondhand smoke: Global gaps in awareness and implications for action. Waterloo, Ontario, Canada and Geneva, Switzerland.
  16. Jaghbir M, Shareif S, Ahram M (2014). Quitting smoking and utilization of smoking cessation services in Jordan: a population-based survey. East Mediterr Health J, 20, 538-46. https://doi.org/10.26719/2014.20.9.538
  17. Jaghbir M, Shareif S, Ahram M (2014). Pattern of cigarette and waterpipe smoking in the adult population of Jordan. East Mediterr Health J, 20, 529-37. https://doi.org/10.26719/2014.20.9.529
  18. Jordan National Cancer Registry Report (2011).
  19. Jordan Population and Family Health Survey (2009). Jordan population and family health survey 2009.
  20. Jordan Population and Family Health Survey (2012). Jordan population and family health survey 2012.
  21. King Hussein Cancer Foundation and Center and Jordanian Ministry of Health (2013). King hussein cancer foundation and center and Jordanian ministry of health, 2013. report on status quo of tobacco control in Jordan.
  22. Langley T, Lewis S, McNeill A, et al (2013). Characterizing tobacco control mass media campaigns in England. Addict, 108, 2001-8. https://doi.org/10.1111/add.12293
  23. Ma'ayeh (2003). Ma'ayeh, S.P. for world health organization, 2003. tobacco free initiative - success stories and lessons learnt: jordan: mass media campaign combating smoking requires serious commitment and not just words.
  24. Madanat HN, Barnes MD, Cole EC, Njord R (2009). Determining responsibility for smoking in society:accountability continuum for Jordanian college students and its implication on FCTC implementation. Int Q Community Health Educ, 30, 239-55. https://doi.org/10.2190/IQ.30.3.e
  25. Mokdad AH, Jaber S, Aziz MI, et al (2014). The state of health in the Arab world, 1990-2010: an analysis of the burden of diseases, injuries, and risk factors. Lancet, 383, 309-20. https://doi.org/10.1016/S0140-6736(13)62189-3
  26. Obeidat SR, Khabour OF, Alzoubi KH, et al (2014). Prevalence, social acceptance, and awareness of waterpipe smoking among dental university students: a cross sectional survey conducted in Jordan. BMC Res Notes, 7, 832. https://doi.org/10.1186/1756-0500-7-832
  27. Radwan GN, Emam AH, Maher KM, et al (2012). Public opinion on smoke-free policies among Egyptians. Int J Tuberc Lung Dis, 16, 1412-17. https://doi.org/10.5588/ijtld.12.0079
  28. Shoup JA (2006). Culture and customs of jordan: Greenwood Press.
  29. Siahpush M, McNeill A, Hammond D, Fong GT (2006). Socioeconomic and country variations in knowledge of health risks of tobacco smoking and toxic constituents of smoke: results from the 2002 international tobacco control (ITC) four country survey. Tob Control, 15, 65-70.
  30. Snyder LB, Hamilton MA, Mitchell EW, et al (2004). A metaanalysis of the effect of mediated health communication campaigns on behavior change in the United States. J Health Commun, 9, 71-96. https://doi.org/10.1080/10810730490271548
  31. Starr G, Rogers T, Schooley M, et al (2005). Key outcome indicators for evaluating comprehensive tobacco control programs. atlanta. GA Centers Disease Control Prev, 2005.
  32. World Health Organization (2013). WHO report on the global tobacco epidemic 2013: Enforcing bans on tobacco advertising, promotion and sponsorship.