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Factors associated with success of smoking cessation for 6 months at smoking-cessation clinic of public health center in urban area  

Jun, Yong-Wook (Department of Preventive Medicine, College of Medicine, Chung-Ang University)
Ji, Nam-Ju (Department of Preventive Medicine, College of Medicine, Chung-Ang University)
Lee, Weon-Young (Department of Preventive Medicine, College of Medicine, Chung-Ang University)
Publication Information
Korean Journal of Health Education and Promotion / v.25, no.1, 2008 , pp. 25-38 More about this Journal
Abstract
Objectives: This study identified the factors associated with successful smoking cessation for 6 months at a smoking-cessation clinic of a public health center in an urban area. Methods: The subjects of this study were 670 visitors to the smoking cessation clinic of Dongjak-Gu public health center in Seoul, from September 6, 2005 to March 24, 2006. The 274 visitors of them responded to the questionnaire with registration, which contained the information related to the study except that of registered card for the clinic. A dependent variable was success or failure in smoking cessation during the 6 month-smoking cessation program, measured the status of smoking cessation in each week by self-report. Independent variable included demographic information, the characteristics in using the clinic, health status and smoking related behaviour, exposure to other smokers in daily life and motivation. Multiple logistic regression model was used to find the factors associated with success of smoking cessation. Results: The success rate in smoking cessation for 6 months was 33.6%. Five pretreatment characteristics were identified as univariate predictors of continuous abstinence. Finally, age, job, and practice oriented motivation were associated significantly with the success of smoking cessation for 6 months from a multiple logistic regression analysis. The lower socio-economic smokers such as people having lower literacy level, lower income people, unskilled workers, and recipients by Medical Assistant Program were more likely to fail in continuous abstinence for 6 months. Conclusions: In order to increase the success rate in smoking cessation clinics of public centers, counselors should activate self confidence and practice oriented motivation of participants for smoking cessation.
Keywords
Smoking cessation; Successful factor; Health center;
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1 보건복지부. 국가흡연예방 및 금연사업 안내. 서울: 보건복지부. 2005
2 보건복지부. 국가흡연예방 및 금연사업 안내. 서울: 보건복지부. 2006
3 이양수. 동기 이론에 관한 소고. 연세 행정논총 1991; 16: 78-97
4 한국금연운동협의회. 성인의 흡연율 조사. 한국금연운동협의회, 2002
5 Norman H, Mary S, Judlith O, Gregory G. Base-line Factors associated with smoking cessation and relapse. Preventive Medicine. 1991;20.:590-601   DOI   ScienceOn
6 Sussman S, Lichtman K, Dent C W. Use of Focus Groups for Adolescent Tobacco Use Cessation. Handbook of program development for health behavior research & practice. Thousand Oaks; Califonia, SAGE Publication, 2001
7 김미경, 진충권, 김윤진, 조병만. 금연에 영향을 미치는 질병요인. 가정의학회지. 1995;16(12): 880-90
8 Matheny KB, Weatherman KE. Predictors of Smoking Cessation and Maintenance. Clin Psychol. 1998;54(2):223-235   DOI   ScienceOn
9 박일환 등. 금연 프로그램에서 파트너 지지가 금연 효과에 미치는 영향에 대한 메타분석. 가정의학회지. 2002;23(3):301 -p.312
10 원영일, 전태희, 이동수, 오상우, 최지호, 유태우 등. 금연과 관련된 요인. 가정의학회지 1992; 13(11):862-8
11 신성례. 흡연청소년을 위한 자기조절 효능감 증진프로그램 개발 및 효과. 이화여대 박사학위논문. 1997
12 예방의학편집위원회, 예방의학과 공중보건, 서울:계축문화사 3판. 2002
13 심재윤, 한나영, 정유석, 유선미, 박일환. 금연클리닉에서 금연성공과 관련된 요인. 가정의학회지 2002;23(3):325-30
14 Holbrook JH. Nicotine addition. In: Harrison's principles of internal medicine. 14th ed. Columbus:McGraw-Hill, 1998:2516-9
15 Lichtenstein E, et al. Tobacco cessation interventions in health care settings: rationale, model, outcomes. Addict Behav. 1996;21(6):709-20   DOI   ScienceOn
16 조홍준. [2006 연중기획 함께 넘자, 양극화] 건강불평등사회-흡연이 계층을 가린다. 한겨례신문. 2006.1.27일자, 기획기사면
17 Curry S, Wagner EH, Grothaus LC. Intrinsic and Extrinsic Motivation for Smoking Cessation. J Consult Clin Psychol. 1990;58(3):310-316   DOI   ScienceOn
18 Richmond RL, Kehoe LA, Webster IW. Multivariate models for predicting abstention following intervention to stop smoking by general practitioners. Addition. 1993;88(8): 1127-1135   DOI   ScienceOn
19 Hammond EC, Horn D. Smoking and Death rate. J Am Med Association. 1958; l4:166-170
20 김철환, 서홍관. 금연클리닉을 방문한 흡연자의 금연 성공과 관련된 요인. 가정의학회지. 2001; 221(11):1603-8
21 송선희, 하은혜, 송동호. 성인 남성의 흡연과 관련된 심리 사회적 변인; 종합 병원 건강 증진 센터 내원자를 대상으로. 한국 심리학회지. 건강 2002; 7: 447-467
22 Andrews RL, Herne JT. Effects of Primary grades health curricculum Project on Student and Parents smoking attitudes and behavior. J School Health. 1984;l54(1):18-20
23 U.S.Department of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. Atlanta, Georgia:U.S.DHHS, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, office on Smoking and Health, 2000
24 McCuller WJ, Sussman S, Wapner M, Dent C, Weiss DJ. Motivation to quit as a mediator of tobacco cessation among at-risk youth. Addictive Behaviors. 2005;9:14-21