• Asian Pacific Journal of Cancer Prevention
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• 제15권5호
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• pp.2383-2391
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• 2014

Tobacco use is described as the single most preventable cause of morbidity and mortality globally, with the World Bank predicting over 450 million tobacco-related deaths in the next fifty years. In India, the proportion of all deaths that can be attributed to tobacco use is expected to rise from 1.4% in 1990 to 13.3% in 2020 of which smoking alone will cause about 930,000 adult deaths by 2010. Many studies have shown that counseling from a health professional is an effective method of helping patients quit the tobacco habit. Tobacco cessation needs to be urgently expanded by training health professionals in providing routine clinical interventions, increasing availability and subsidies of pharmacotherapy, developing wide-reaching strategies such as quitlines, and costeffective strategies, including group interventions. The WHO Framework Convention on Tobacco Control (FCTC) emphasizes the vital contribution of participation of health professional bodies, as well as training and healthcare institutions in tobacco control efforts. Dentists can play an important role in helping patients quit using tobacco. One of the key strategies to reduce tobacco-related morbidity and mortality is to encourage the involvement of health professionals in tobacco-use prevention and cessation counselling. The dental office is an ideal setting for tobacco cessation services since preventive treatment services, oral screening, and patient education have always been a large part of the dental practice.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7237-7241
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• 2013

Background: Smokeless tobacco use in South Asia is believed to be a significant contributor to morbidity and mortality. In India, only a few studies involving health educational intervention by health care providers have demonstrated reduction in smokeless tobacco usage. In the present study we assessed the cessation efforts towards smokeless tobacco by physicians in two high tobacco prevalence states of India. The study also identified opportunities and barriers for integration of tobacco cessation services in routine practices of physicians. Materials and Methods: This mixed method study involved qualitative (phase I) and quantitative research study (phase II). In phase I, 59 in-depth interviews with physicians were conducted. In phase II, a quantitative study conducted among 238 physicians. An inductive approach was followed to analyze qualitative data using ATLAS. Ti software. The Chi-square test was employed to test the association between different variables of interest using SPSS version 17. Results: The majority of physicians related only respiratory problems and cancer with smokeless tobacco. Other major health effects like cardio-vascular problems, oral diseases, and effects on reproductive and neonatal health were recognized only by a few physicians. The age-group of 10-19 years was identified as most vulnerable to smokeless tobacco use. Less than one-third of physicians reported recording smokeless tobacco history of all patients. Findings indicated that less than half of physicians provided information on harmful health effects of smokeless tobacco with regard to specific diseases. Conclusions: The study revealed a low level of knowledge of physicians about harmful effects of tobacco and their suboptimal engagement in tobacco control practices. The study indicates the need of capacity building initiatives to equip physicians with skills in tobacco cessation.

• Journal of Preventive Medicine and Public Health
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• 제47권3호
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• pp.129-135
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• 2014

Tobacco use is the most important preventable risk factor for premature death. The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC), the first international public health treaty, came into force in 2005. This paper reviews the present status of tobacco control policies in Korea according to the WHO FCTC recommendations. In Korea, cigarette use is high among adult males (48.2% in 2010), and cigarette prices are the lowest among the Organization for Economic Cooperation and Development countries with no tax increases since 2004. Smoke-free policies have shown incremental progress since 1995, but smoking is still permitted in many indoor public places. More than 30% of non-smoking adults and adolescents are exposed to second-hand smoke. Public education on the harmful effects of tobacco is currently insufficient and the current policies have not been adequately evaluated. There is no comprehensive ban on tobacco advertising, promotion, or sponsorship in Korea. Cigarette packages have text health warnings on only 30% of the main packaging area, and misleading terms such as "mild" and "light" are permitted. There are nationwide smoking cessation clinics and a Quitline service, but cessation services are not covered by public insurance schemes and there are no national treatment guidelines. The sale of tobacco to minors is prohibited by law, but is poorly enforced. The socioeconomic inequality of smoking prevalence has widened, although the government considers inequality reduction to be a national goal. The tobacco control policies in Korea have faltered recently and priority should be given to the development of comprehensive tobacco control policies.

• Asian Pacific Journal of Cancer Prevention
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• 제15권24호
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• pp.10783-10786
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• 2015

Background: Smoking remains the major preventable cause of death worldwide, especially cancer-related death. Evidence clearly indicates that tobacco-related morbidity and mortality is reduced by smoking cessation. Pharmacists are well-positioned to provide tobacco cessation services an involvement of pharmacists in smoking cessation is encouraged by several organizations. While Indonesia's prevalence of smoking is in the first rank in Asian countries, none of the pharmacy schools in Indonesia are currently offering tobacco-related courses in their existing curricula at present. Our study aimed to develop and to evaluate the effectiveness of tobacco education (TE) for pharmacy students in Indonesia. Materials and Methods: A 6-hour TE was developed and evaluated using pre-test/post-test with control group design. A total of 137 fifth-year pharmacy students at Gadjah Mada University (GMU), Yogyakarta, were chosen as an intervention group while a total of 105 fifth-year students of Islamic University of Indonesia, (UII) served as the control group. Knowledge, perceived-role, self-efficacy, and ability to perform counseling using the 5A's framework were evaluated. Results: A significant improvement (P < 0.001) in knowledge, perceived-role, and self-efficacy was found in the intervention group but not in the control group. In addition, we revealed that 89.7% of the intervention group were able to perform counseling using 5A's. Conclusions: The developed TE significantly improved student knowledge, perceived-rolse, self-efficacy, and created an ability to perform cessation counseling. Integration of TE education in curricula of Indonesian pharmacy schools nation-wide should be encouraged.

• Asian Pacific Journal of Cancer Prevention
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• 제17권sup2호
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• pp.1-5
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• 2016

To reduce tobacco use and related harm in Korea, telephone based cessation services (Quitlines) began full operation to provide regular behavioral counseling for smoking cessation in 2006. After registration in the cessation program, at least 21 calls per year are given to each client to help quit and encourage maintenance. Tailored programs for males, females, and adolescent smokers have been offered taking into account smokers' characteristics and smoking behavior. Mailing self-help quit packs and e-mail and SMS services are allowable as additional services.A total of 23,201 smokers were registered on the Quitline program from 2006 to 2014. In 2014, an average of 13,343 calls per month have been received by 28 coaches, the 1 year abstinence rate of clients is 26%, and clients' satisfaction rate is 81.6%. After introduction of the call system in 2007, client convenience and effective operations have been achieved with high technology support of a computer-based telephone system. Systematic education and evaluation programs for quit coaches have contributed to quality assurance of the services. Currently, research into development of new programs and evaluation of Quitline performance is being undertaken. A Comprehensive Multi-channel Cessation Center (CMCC) has been suggested and is now planned as a next step in the national program for smoking cessation.

• 한국학교ㆍ지역보건교육학회지
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• 제18권3호
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• pp.107-121
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• 2017

Objectives: Given that the expansion of smoking cessation regulations in Korea generates great demand for smoking cessation services, healthcare professionals should be up skilled to make an important contribution to tobacco control. This study was aimed to develop a smoking cessation education program for nursing students and to try to find possible ways to incorporate the smoking cessation education in their regular course program. Methods: One group pre- & post-test design was used. The subjects were 70 nursing students from two universities in S and D city. Subjects were participated in a four-hour smoking cessation education program developed for increasing knowledge, competency, and self-efficacy for smoking cessation counselling. Data were analysed with descriptives and paired t-tests. Results: The developed education program for smoking cessation counselling produced a substantial effects in terms of knowledge, competency, and especially for self-efficacy for smoking cessation counselling. Conclusions: Smoking cessation advices and support from health professionals are key aspects of a comprehensive approach to smoking cessation. Incorporating the smoking cessation education program developed in this study in the regular baccalaureate program for nursing students may help increase the involvement of nurses in cessation counseling upon graduation.

• 치위생과학회지
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• 제9권2호
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• pp.241-247
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• 2009

본 연구는 일부 치위생(학)과 학생을 대상으로 흡연실태와 흡연지식 및 금연지식 정도를 조사하기 위해 설문조사한 결과 다음과 같은 결론을 얻었다. 1. 치위생(학)과 학생들의 흡연율은 6.4%로 치과위생사를 대상으로 조사한 결과(4.3%)보다 높은 수준이었다. 따라서 재학생의 금연에 대한 인식 변화와 건강 그리고 금연을 지도해야 하는 예비 금연지도자로서 선행되어야 할 금연을 위한 교육이 필요하다고 할 수 있다. 2. 흡연경험자등의 최초 흡연시기는 중학교시절이 42.6%로 가장 많았다. 따라서 청소년시기에 담배에 조기에 노출되지 않도록 국가적인 차원의 적극적인 노력이 필요한 것으로 생각된다. 3. 금연을 시도해 본 경험은 89.3%였고, 금연실패유무의 이유로는 개인의 의지때문이라고 15%가 대답하였다. 따라서 금연시도율을 높이고, 금연실패율을 낮추기 위해서 반드시 금연을 해야 하는 타당성을 이해시키고, 금연과 관련된 학생들에 대해 1회성 교육이 아닌 지속적인 교육이 이루어져야 할 것이다. 4. 이상의 결과를 볼 때 금연교육은 어릴때부터 지속적으로 해야 하며, 흡연을 하고 있는 예비 치과위생사들에게 흡연에 대한 인식과 금연의 필요성을 보다 더 확실히 알 수 있도록 치위생(학)과 교육과정내에서의 금연교육이 절실하게 필요한 것으로 사료된다.

• 농촌의학ㆍ지역보건
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• 제46권4호
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• pp.253-265
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• 2021

이 연구는 중소규모 사업장 남성 흡연근로자의 6개월 금연 성공에 영향을 미치는 요인을 파악하기 위하여 실시하였다. 연구대상자는 2018년 1월부터 2020년 12월까지 G금연지원센터 찾아가는 금연지원 서비스를 이용한 경남지역의 중소규모 사업장 흡연 남성 근로자 767명을 대상으로 하였다. 연구 결과는 중소규모 사업장 흡연 남성 근로자의 6개월 금연 성공률은 20.2%였다. 6개월 금연 성공과 관련된 요인의 다중로지스틱 회귀분석의 결과를 보면 6개월 금연 성공에 영향을 주는 요인으로 연령은 29세 이하, 40~49세는 50세 이상에 비해 성공률이 더 낮았다(OR 0.10, 95% CI 0.03-0.29), (OR 0.43, 95% CI 0.24-0.76). 하루 평균 흡연량이 11~20개비, 21개비 이상이 1~10개비에 비해 성공률이 더 낮았다(OR 0.52, 95% CI 0.34-0.80), (OR 0.46, 95% CI 0.24-0.90). 가족 금연지지자는 배우자와 기타 가족 군이 가족 금연지지자가 없는 군에 비해 성공률이 더 높았다(OR 1.99, 95% CI 1.18-3.34). 본 연구 결과를 보면 가족 금연지지자가 배우자와 기타 가족이 함께 금연지지를 할 때 6개월 금연 성공에 영향을 미친다. 이를 바탕으로 첫째, 중소규모 사업장 흡연 남성 근로자의 금연 상담을 위한 금연프로그램 개발 시 금연지지자와 함께 할 수 있는 상담 내용을 개발하고, 상담에 함께 참여하여야 한다. 둘째, 금연지지 프로그램을 개발하고, 금연지지자들에게 제공하여 금연을 하는 대상자에게 적용한다면 금연 성공에 더 효과적일 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권sup1호
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• pp.1-9
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• 2016

In Vietnam, the WHO Framework Convention on Tobacco Control (WHO FCTC) took effect in March 2005 while MPOWER has been implemented since 2008. This paper describes the progress and challenges of implementation of the MPOWER package in Vietnam. We can report that, in term of monitoring, Vietnam is very active in the Global Tobacco Surveillance System, completing two rounds of the Global Adult Tobacco Survey (GATS) and three rounds of the Global Youth Tobacco Survey (GYTS). To protect people from tobacco smoke, Vietnam has issued and enforced a law requiring comprehensive smoking bans at workplaces and public places since 2013. Tobacco advertising and promotion are also prohibited with the exception of points of sale displays of tobacco products. Violations come in the form of promotion girls, corporate social responsibility activities from tobacco manufacturers and packages displayed by retail vendors. Vietnam is one of the 77 countries that require pictorial health warnings to be printed on cigarette packages to warn about the danger of tobacco and the warnings have been implemented effectively. Cigarette tax is 70% of factory price which is equal to less than 45% of retail price and much lower than the recommendation of WHO. However, Vietnam is one of the very few countries that require manufacturers and importers to make "compulsory contributions" at 1-2% of the factory price of cigarettes sold in Vietnam for the establishment of a Tobacco Control Fund (TCF). The TCF is being operated well. In 2015, 67 units of 63 provinces/cities, 22 ministries and political-social organizations and 6 hospitals received funding from TCF to implement a wide range of tobacco control activities. Cessation services have been starting with a a toll-free quit-line but need to be further strengthened. In conclusion, Vietnam has constantly put efforts into the tobacco control field with high commitment from the government, scientists and activists. Though several remarkable achievements have been gained, many challenges remain. To overcome those challenges, implementation strategies that take into account the contextual factors and social determinants of tobacco use in Vietnam are needed.

• 가정간호학회지
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• 제15권2호
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• pp.82-90
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• 2008

Recent shortening of hospitalization has partly led to the transition of health care services from hospitals to communities in cardiovascular (CVD) care. Home healthcare nursing is an alternative modality of care for chronically ill CVD patients. Cardiac rehabilitation (CR) has been redefined as a "secondary prevention center", consisting of: patient assessment; nutritional counseling; blood pressure and diabetes management; tobacco cessation; psychosocial management; and physical activity counseling. Improvement in health-related quality of life (HRQOL) is a major goal of the CR that integrates physical, psychological and social dimensions of care. The review of evidence on effects of CR on HRQOL may allow home healthcare nurses to provide better comprehensive care for CVD patients. There is evidence on beneficial effects of CR on HRQOL in patients with myocardial infarction (MI) as well as patients with chronic heart failure. Specifically, home-based CR, which is more cost-effective than hospital-based CR, has been reported to produce comparable improvements in HRQOL with hospital-based CR in MI patients. In conclusion, a newly-designed, home-based CR may be required to be applied to Korean home healthcare nursing system for improving HRQOL.