Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Impact of the Utilization Gap of the Community-Based Smoking Cessation Programs on the Attempts for Quitting Smoking between Wonju and Chuncheon Citizen

원주시민과 춘천시민의 지역사회 내 금연프로그램 이용 격차가 금연 시도에 미치는 영향

  • Kyung-Yi Do (Department of Preventive Medicine, Yonsei University Wonju College of Medicine) ;
  • Kwang-Soo Lee (Department of Health Administration, The Graduate School Yonsei University) ;
  • Jae-Hwan Oh (Public Healthcare Planning & Evaluation Team, Center for Public Healthcare, National Medical Center) ;
  • Ji-Hae Park (Department of Health Administration, The Graduate School Yonsei University) ;
  • Yun-Ji Jeong (Department of Health Administration, The Graduate School Yonsei University) ;
  • Je-Gu Kang (Department of Health Administration, The Graduate School Yonsei University) ;
  • Sun-Young Yoon (Healthy Life Team, Division of Health Promotion, Wonju-City Public Health Center) ;
  • Chun-Bae Kim (Department of Preventive Medicine, Yonsei University Wonju College of Medicine)
  • 도경이 (연세대학교 원주의과대학 예방의학교실) ;
  • 이광수 (연세대학교 일반대학원 보건행정학과) ;
  • 오재환 (국립중앙의료원, 공공보건의료지원센터 공공의료기획평가팀) ;
  • 박지해 (연세대학교 일반대학원 보건행정학과) ;
  • 정윤지 (연세대학교 일반대학원 보건행정학과) ;
  • 강제구 (연세대학교 일반대학원 보건행정학과) ;
  • 윤선영 (강원특별자치도 원주시보건소 건강증진과) ;
  • 김춘배 (연세대학교 원주의과대학 예방의학교실)
  • Received : 2024.02.01
  • Accepted : 2024.03.20
  • Published : 2024.03.31
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Abstract

Objectives: This study aimed to explore whether there are differences in smoking status between two regions of Wonju-City and Chuncheon-City, Gangwon State, and to determine whether the experience of smoking cessation programs in the region affects quit attempts. Methods: The study design was a cross-sectional study in which adults aged 19 and older living in two cities were surveyed using a pre-developed mobile app to investigate social capital for smoking cessation, and a total of 600 citizens were participated, including 310 in Wonju-City and 290 in Chuncheon-City. The statistical analysis was conducted using chi-square test and logistic regression analysis. Results: Wonju-City had a higher prevalence of current smoking than Chuncheon-City. Among smoking cessation programs operated by local public health centers, Wonju-City had a lower odds ratio for experience with smoking cessation education than Chuncheon-City (OR=0.52, 95% CI=0.33 to 0.81). When examining the effect of smoking cessation program experience on quit attempts, in Wonju-City, citizens who had completed smoking cessation education and used a smoking cessation clinic were more likely to attempt to quit than those who had not (OR=2.31 and OR=2.29, respectively). In Chuncheon-City, citizens who were aware of smoking cessation support services were 2.26 times more likely to attempt to quit smoking than those who were not, but statistical significance was not reached due to the small sample size. Conclusion: Therefore, healthcare organizations in both regions should develop more practical intervention strategies to increase smokers' quit attempts, reduce smoking rates in the community, and address regional disparities.

이 연구는 강원도 원주시와 춘천시에 거주하고 있는 만 19세 이상 성인 600명을 대상으로 두 지역 간 흡연 상태에 차이가 있는지를 탐색하고, 지역 내 금연프로그램 경험이 금연 시도에 영향을 미치는지를 평가하였다. 연구결과 원주시는 춘천시보다 현재흡연율이 더 높고, 흡연기간은 더 길었으며, 흡연 시작 연령은 춘천시보다 더 낮았다. 원주시의 현재흡연율이 춘천시보다 더 높았음에도 불구하고 관할지역 내 보건소 등에서 운영하는 금연 교육프로그램의 이수 경험률이 원주지역에서 더 낮았고(OR=0.52, 95% CI=0.33~0.81), 금연클리닉의 이용률도 더 낮았지만 유의하지는 않았다. 지역 내 금연프로그램 경험이 금연 시도에 미치는 영향을 분석한 결과, 원주시는 금연교육 이수자와 금연클리닉 이용자가 그렇지 않은 대상자에 비해 각각 OR=2.31, OR=2.29로서 금연 시도 경험이 더 높았고, 춘천시의 경우도 금연지원서비스를 인지하고 있는 대상자의 금연 시도 경험이 그렇지 않은 대상자에 비해 OR=2.26배 더 높았다. 하지만 두 지역 모두 적은 표본수로 인하여 통계적 유의수준에 도달하지는 못하였다. 이 연구결과를 바탕으로 해당보건의료기관은 지역주민의 금연지원서비스에 대한 인식 제고와 흡연자의 금연 시도를 높이기 위한 지역 내 보다 실용성 있는 금연 교육프로그램을 개발하고 지역-밀착형 홍보로 접근성을 제고하여 현재흡연율의 지역 격차를 해소할 수 있는 중재전략을 마련할 필요가 있다.

Keywords

Acknowledgement

강원특별자치도 통합건강증진사업과 '건강격차 원인규명 및 해결방안 연구에 관한 사항'을 지원해 온 강원특별자치도청 복지보건국 보건식품안전과, 강원특별자치도 원주시보건소 및 춘천시보건소에 감사를 드립니다. 무엇보다도 2008년부터 지속적으로 지역사회건강조사사업에 참여하고 있는 원주시민 및 춘천시민, 그리고 이 설문조사에 응답하신 대상자 분들께 감사드립니다.

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