• 디지털융복합연구
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• 제12권1호
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• pp.445-455
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• 2014

본 연구는 보건소 금연클리닉의 신규등록자와 재등록자의 금연성공 요인을 비교분석하여, 향후 보건소 금연 사업의 효율성 제고를 위한 개선방안을 제안하고자 하였다. 연구자료는 2009년 7월 16일부터 2010년 7월 15일까지 전국 253개 보건소 금연클리닉에 등록하여 6개월 이상 서비스를 이용한 흡연자 319,908명이며, 재등록자와 신규등록자로 구분한 후, 6개월 금연성공여부를 종속변수로 하여 ${\chi}^2$검정과 t검정, 로지스틱 회귀분석을 실시하였다. 연구결과에 따르면 조사대상자들의 6개월 금연성공률은 재등록자(51.6%)가 신규등록자(48.7%) 보다 높게 나타났고, 금연성공에 영향을 미치는 공통적인 요인으로는 성, 연령, 사회보장유형, 거주지역, 하루 평균 흡연량, 처음 흡연연령, 니코틴 의존도, 서비스 내용 등이었다. 특히 보건소 금연클리닉에서 제공되는 서비스 내용 중 신규등록자는 행동요법만 제공하는 경우가 금연성공률이 높은 반면 재등록자는 행동요법과 약물요법을 병행하는 경우가 금연성공률이 높았다. 이에 따라 보건소 금연클리닉을 운영함에 있어 대상자의 특성을 고려한 다양한 금연지원서비스를 제공할 필요가 있으며, 등록유형에 따라 차별화된 서비스 제공의 필요성을 제언한다.

• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.48.1-48.13
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• 2023

Background: This study was conducted to identify the success rate for smoking cessation over time after participation in a therapeutic smoking cessation camp, and to identify how participant characteristics, including a supportive workplace environment for smoking cessation (SWESC), affect the success rate for smoking cessation. Methods: In all, 296 participants at smoking cessation camps in Ulsan between 2015 and 2020 were investigated. The success rates of smoking cessation after weeks 4, 6, 12, and 24 at camp were investigated. The participants were grouped as workers with an SWESC, and workers without an SWESC, and variables (age, education, household income, marital status, drinking, exercise, body mass index, morbidity, job, number of counseling sessions, cigarettes smoked per day and smoking initiation age) were investigated. Multiple logistic regression analysis was conducted at each time point. In addition, Cox regression analysis was performed to evaluate the variables affecting the success rate for smoking cessation over time. Results: The smoking cessation success rate of workers with an SWESC at week 24 (90.7%) was higher than that for workers without an SWESC (60.5%). Multiple logistic regression was performed to determine the relationship between each variable and the success rates for smoking cessation at week 6, 12, and 24. SWESC was confirmed as significant (p < 0.05) variables for increased success rate for smoking cessation at all 3 time points. After adjusting for all variables, the Cox proportional hazards survival analysis showed a hazard ratio of 6.17 for SWESC (p < 0.001,; 95% confidence interval: 3.08-12.38). Conclusions: At a professional treatment smoking cessation camp, participants with an SWESC showed a significantly higher success rate for smoking cessation. Supportive workplace environment for workers' health is expected to be an important factor for smoking cessation projects as well as other health promotion projects at workplace.

• 보건교육건강증진학회지
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• 제20권3호
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• pp.1-18
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• 2003

This study was conducted to evaluate factors related to the recogniton and behavioral intention for smoking cessation programs. Five effective smoking cessation programs were considered： acupuncture, nicotine patch, clinic program, mass education, and alliance programs. To explain the health behavior for smoking and smoking cessation programs, a five-stage behavioral intention model was built, and 500 questionnaires were completed through a telephone survey. Stages of the model included recogniton of the programs, past experiences, present smoking status, intention for smoking, and behavioral intention for smoking cessation programs. The results showed that the recogniton rate of the programs were low in general, therefore strategies of education, public relations, and advertisement need to be pursued. Nicotine dependency resulted in the fact that success rates were low although trial rates of smoking cessation were high among smokers. The necessity for smoking cessation programs was suggested. And the significant factors related to the intention for smoking cessation were individual attitude and reluctancy to pay time and money. Others' attitude was insignificant to subjects' smoking cessation. Purchase rates for nicotine patches were 11.3％ for male and 27.3％ for female, those for acupunture were 7.6％ for male and 10.0％ for female. There were very low purchase rates for clinic, mass education, and alliance programs. In conclusion, evidence-based and effective smoking cessation programs need to be promoted by medical doctors. Strategies in education, public relations, and advertisement also need development. In addition, continuing legal and systematic support for smoking cessation would lower the smoking rate and ultimately contribute to the nation's health.

• 보건교육건강증진학회지
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• 제30권1호
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• pp.53-64
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• 2013

Objectives: In this study, a multilevel analysis model has been designed to investigate the effect of personal characteristics associated with smoking cessation on anti-smoking determinants with a goal of finding out the factors which have influence on smoking cessation among the entrants of smoking cessation clinic in a public health center. Methods: A total of 253,136 male smokers who received smoking cessation services for more than six(6) months in a smoking cessation clinic of public health center from July 16, 2007 to July 15, 2008 were examined. For technical analysis, SPSS Version 2.0 has been used. For multilevel analysis on smoking cessation determinants, in addition, HLM 7.0 has been adopted. Results: According to the unconditional model of multilevel analysis, the success rates of smoking cessation among the entrants of a smoking cessation clinic were 47.3%. In an unconditional slope model test to which regional variables were added, a negative effect was observed in average smoking amount, total smoking period, nicotine dependence and services while a positive effect was found in age, stress and type of social security in terms of the log of the odds of smoking cessation. In a conditional model test, a positive effect was observed in Non-Smoking Campaigns (NSC) and Frequency of Counseling (FC) in terms of the log of the odds of smoking cessation in regional variables. Conclusions: It is important to approach smokers individually and, at the same time, build healthy environment for a local community to increase smoking cessation rates among the entrants of smoking cessation clinic in a public health center.

• Tuberculosis and Respiratory Diseases
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• 제72권5호
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• pp.426-432
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• 2012

Background: Varenicline is an effective smoking cessation aid. However, smokers prescribed with varenicline do not always receive varenicline for 12 weeks, as recommended. This study analyzed the subjects who received varenicline and investigated the effect of varenicline treatment duration on the success rate of 6-month smoking cessation. Methods: This study retrospectively analyzed 78 subjects, who received varenicline, out of the 105 smokers that had visited the smoking cessation clinic after medical examination from September 2007 to December 2009. Results: The subjects were all males. Twenty-two subjects (28.2%) had varenicline treatment for 12 weeks or longer; 18 subjects (23.1%) for 8~12 weeks; 22 subjects (28.2%) for 4~8 weeks; and 16 subjects (20.5%) for less than 4 weeks. The total success rate of the 6-month smoking cessation was 47.4%. The success rate of the 6-month smoking cessation was 63.6% in the group that received varenicline for 12 weeks or longer, which was higher than 41.1% of the group that early terminated the varenicline treatment (p=0.074). The period of varenicline treatment was extended for one more week, the odds ratio of the 6-month smoking cessation success increased to 1.172-folds (p=0.004; 95% confidence interval, 1.052~1.305). Adverse events occurred in 30.8% of the subjects who received varenicline, but no serious adverse events were found. Conclusion: If varenicline treatment period is extended, the odds ratio of the success rate for the 6-month smoking cessation increases. Therefore, an effort to improve drug compliance for varenicline in clinical practices could be helpful for the long-term success of smoking cessation.

• Tuberculosis and Respiratory Diseases
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• 제71권2호
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• pp.114-119
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• 2011

Background: There is very limited data present on smoking cessation rates in outpatient departments of pulmonology. In this study, we aimed to investigate the effectiveness of a brief smoking cessation intervention program in an outpatient department of pulmonology and identify predictors of smoking cessation failure. Methods: After a brief recommendation of smoking cessation from pulmonologists, smokers willing to quit smoking were given individual counseling and supplement drugs. Fifty smokers were included in this study and baseline characteristics, smoking history and success rate were reviewed at 3 months. Results: The mean age of the patients was $58.3{\pm}14.6$ years and the total group of patients included 3 women. The rate of smoking cessation success was 74% at 3 months, and there were no differences in age, spirometric indexes and associated diseases between the smoking cessation success and failure group. The rate of supplement drug usage was not different in both groups either. However, body weight, mean number of cigarette usage per day and nicotine dependence scores in the failure group were significantly higher than in the success group. In multivariate analysis, body weight and mean number of cigarette usage per day were significant. Two smokers with a depressive disorder failed the smoking cessation. Conclusion: A smoking cessation intervention program in the outpatient department of pulmonology showed a favorable success rate. More intensive interventions are needed to unfavorable groups which include the obese and heavy smokers.

• Tuberculosis and Respiratory Diseases
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• 제76권6호
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• pp.276-283
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• 2014

Background: We aimed to investigate the role of the physician in practice and the factors that influence the success rate of smoking cessation. Methods: This study retrospectively analyzed 126 adult smokers who had visited the outpatient department of pulmonology, and received motivational interviewing with or without supplement drugs. The findings include continuous smoking abstinence rate, which was evaluated at 6, 12 and 24 weeks, and the factors associated with continuous abstinence for 6 months or longer. Results: The patients with only motivational interviewing accounted for 57.9%, while the nicotine patch therapy was applied to 30.2%; and varenicline was prescribed to 11.9%. The smoking cessation success rates of at 6, 12, and 24 weeks were 55.6%, 47.6%, and 33.3%, respectively. However, even in the failure group at six months, tobacco consumption was decreased under 10 cigarettes per day in 42.1% (53/126). In multivariate logistic regression analysis, degree of Fagerst$\ddot{o}$m Test for Nicotine Dependence (p=0.034; odds ratio, 3.607; 95% confidence interval [CI], 1.102-1.807), the absence of smoking-related lung disease (p=0.008; odds ratio, 4.693; 95% CI, 1.497-14.707), and education level (p=0.001; odds ratio, 181.420; 95% CI, 8.414-3,911.502) were the predictors of successful smoking cessation. Conclusion: An improved continuous smoking abstinence rate can be obtained by motivational interviewing, regardless of the association with pharmacotherapy.

• Journal of Preventive Medicine and Public Health
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• 제38권2호
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• pp.208-214
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• 2005

Objectives: This study was performed to examine the factors affecting re-smoking in male workers. Methods: A self-administrated questionnaire survey was conducted during April 2003 to examine the smoking state of 1,154 employees of a company that launched a smoking cessation campaign in1998. Five hundred and eighty seven persons, who had stopped smoking for at least one week, were selected as the final study subjects. This study collected data on smoking cessation success or failure for 6 months, and looked at the factors having an effect on re-smoking within this period. This study employed the Health Belief Model as its theoretical basis. Results: The re-smoking rate of the 587 study subjects who had stopped smoking for at least one week was 44.8% within the 6 month period. In a simple analysis, the re-smoking rates were higher in workers with a low age, on day and night shifts, blue collar, of a low rank, where this was their second attempt at smoking cessation and for those with a shorter job duration (p<0.05). Of the cues to action variables in the Heath Belief Model, re-smoking was significantly related with the perceived susceptibility factor, economic advantages of smoking cessation among the perceived benefits factor, the degree of cessation trial's barrier of the perceived barriers factor, smoking symptom experience, recognition of the degree of harmfulness of environmental tobacco smoke and the existence of chronic disease due to smoking (p<0.05). In the multiple logistic regression analysis for re-smoking, the significant variables were age, perceived susceptibility for disease, economic advantages due to smoking cessation, the perceived barrier for smoking cessation, recognition on the degree of harmfulness of environmental tobacco smoke, the existence of chronic disease due to smoking and the number of attempts at smoking cessation (p<0.05). Conclusion: From the result of this study, for an effective smoking ban policy within the work place, health education that improves the knowledge of the adverse health effects of smoking and the harmfulness of environmental tobacco smoke will be required, as well as counter plans to reduce the barriers for smoking cessation.

• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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• pp.4963-4968
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• 2014

Background: We evaluated whether providing health risk appraisal for Koreans (KHRA) in terms of 'health age' during smoking cessation program would effectively help smokers quit smoking or not. Materials and Methods: A total of 332 male smokers aged between 30-65 years old, registered for a smoking cessation program in a public health center in a city, were recruited and underwent a baseline survey from January 2010 to February 2011. They were then prospectively randomized to a conventional counseling group (n=165) or a KHRA group (n=167), and received conventional counseling or KHRA-based counseling for six months. Abstinence rates were identified through carbon monoxide measurement (at the $4^{th}$ and $24^{th}$ weeks) or urinary cotinine level (at the $12^th$ week). Results: The abstinence rate confirmed by exhaled carbon monoxide was significantly higher in the KHRA group (61.1%) than the control group (49.1%) at the $4^{th}$ week (absolute difference 12.0%, 95% CI: 1.4%-22.6%). However, there was no difference in abstinence rates between the two groups at the 12th and 24th weeks. The predicting factors of 24 week's smoking cessation success were age, older than 50 years old (OR 2.02, 95% CI: 1.16-3.52), lower Fagerstr$\ddot{o}$m Test for Nicotine Dependence score less than 4 (OR 1.84, 95% CI: 1.03-3.29), and higher Self Efficacy/Temptation score (OR 1.79, 95% CI: 1.05-3.06). Conclusions: Smoking cessation counseling with KHRA could be effective compared to conventional counseling in the short period of smoking cessation. Further study is needed to evaluate the long-term efficacy of KHRA in tobacco dependence treatment and to establish the indication and target population of this tool.

• Tuberculosis and Respiratory Diseases
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• 제40권3호
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• pp.292-300
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• 1993

연구배경 : 흡연으로 인한 건강의 위해를 줄이기위한 금연운동의 일환으로 의사의 금연권고에 대한 환자의 순응도와 효율성을 알아보기 위해 본 연구를 시행하였다. 방법 : 1989년 1월부터 1990년 말까지 2년간 부산 대동 병원 내과에서 통원 치료한 환자 남자 922명, 여자 1059명 도합 1981명을 대상으로 해서 흡연 양상과 의사 권고에 의한 금연 성공률을 조사해 보았다. 결과: 1) 남자 환자에서 현 흡연률은 64.43%, 비흡연자는 27.00%, 기금연자는 8.57% 이었다. 20세이하군에선 흡연률이 36.11% 이였다. 2) 여자 환자에선 현흡연률이 겨우 2.83%, 비흡연자는 96.79%, 기금연자는 0.38% 이였다. 20세 이하군에선 흡연자가 1명도 없었다. 3) 일일 흡연량은 남자에서 10개 이하가 2.69%, 11~20개가 39.23%, 21~39개가 46.30%, 40개 이상이 11.78% 이였으며, 20세 이하에서는 각기 11.54%, 61.54%, 23.08%, 3.84%로서 흡연량이 약간 적었다. 여자에선 흡연자수가 겨우 30명으로 너무 적었으나 각기 3.33%, 60.00%, 30.00%, 6.67% 이였다. 4) 계통적 질환군별 흡연 양상은 여자는 대상수효가 너무 적어서 제외하고 남자만에서 보았는데 기금연자가 호흡기계에서는 15.21%로서 타군에서 4.35%내지 8.11% 인데 비해서 월등히 높았고 (p<0.001), 현 흡연자는 순환기계 질환자군이 81.08%로 가장 높았다 (p=0.23), 소화기계 질환자군이 68.93%로 그 다음이고 호흡기계 질환자군은 60.84% 이었다. 흡연량에 있어서는 호흡기계 질환자군에서 하루에 40개 이상 흡연자가 16.25%로 가장 많았고 (p<0.05), 그 다음이 소화기계 질환자군으로 13.01% 이였다. 5) 금연 성공률은 흡연자로서 3개월 이상 계속 치료하는 자 중에서 여자는 제외했고 남자에서만 보았는데, 총체적으로 62.03% 이였으며 각 연령군별로 큰 차이는 없었으나, 41~60세군에서 75%로 가장 높았다 (p=0.19). 계통적 질병군별로는 호흡기계 질환군에서 78.13% (p<0.03) 인데 비해서 소화기계 질환군에선 41.94%로서 가장 저율이였다. 결론 : 이상을 총괄하면 종합병원 내과에서 통원 치료하는 환자들에서 남여 각기 현 흡연률은 일반인에서와 비슷하였다. 담당 의사의 권유에 의한 금연 성공률은 제한된 소수관찰대상자라는 특수조건이 있지만 과반수 이상의 순응도를 보였으므로 의사의 금연 설득이 상당한 효과를 보였다고 하겠다. 그리고 3개월 이상 치료를 계속하지 않아서 제외된 환자들에 대해서도 금연에 대한 일반 계몽교육이상의 효과는 있었을 것으로 추측된다.