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Introducción. El tabaquismo es responsable de una gran cantidad de muertes en el mundo, la gran prevalencia del tabaquismo entre adolescentes, así como la baja edad de inicio del consumo, genera preocupación y la necesidad de implementar intervenciones específicas a esta población. Objetivo. Evaluar los efectos de una charla antitabaco en adolescentes de colegios públicos y privados en la Región Metropolitana de Santiago. Métodos. Estudio cuantitativo cuasi-experimental, se realizó una charla antitabaco en dos colegios (público y privado), se evaluó la motivación para dejar de fumar con el Test de Richmond en una muestra de 13 estudiantes pre y post charla. Resultados. hubo una mejora en los puntajes de Richmond post charla en ambos colegios, siendo mayor en el colegio público, sin embargo, la diferencia no fue estadísticamente significativa (p=0,09). Discusión. La evidencia respalda la efectividad de las charlas antitabaco. Existe una relación entre nivel socioeconómico y tabaquismo, sin embargo, no hay otros estudios que comparen la efectividad en los distintos estratos sociales. Se reconocen limitaciones del estudio como el tamaño de la muestra y el muestreo no aleatorio, se recomiendan nuevos estudios que incluyan otras variables. Conclusiones. A pesar de limitaciones del estudio, se respalda la implementación de charlas antitabaco en entornos educativos, enfatizando la necesidad de adaptar estrategias a contextos socioeconómicos específicos para mejorar la salud pública.
Background. Introduction: Smoking is responsible for a significant number of deaths worldwide, and the high prevalence of smoking among adolescents, as well as early age of onset, raises concerns, and the need of targeted interventions for this group. The aim of this study was to assess the effects of an anti-smoking talk on students from public and private schools in the Metropolitan Region of Santiago. Methods. A quasi-experimental quantitative study involving an anti-smoking talk in two schools (public and private) assessed the motivation to quit smoking using the Richmond Test in a sample of 13 students pre and post the talk. Results. There was an improvement in Richmond scores post-talk in both schools, with a greater increase observed in the public school. However, the difference was not statistically significant (p=0.09). Discussion. The evidence supports the effectiveness of anti-smoking talks. A relationship between socioeconomic status and smoking exists, yet there are no studies comparing effectiveness across different socioeconomic strata. Study limitations, such as sample size and non-random sampling, are acknowledged, and further research incorporating additional variables is recommended. Conclusions. Despite study limitations, advocating for the implementation of anti-smoking talks in educational settings is supported, emphasizing the need to adapt strategies to specific socioeconomic contexts to enhance public health.
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ObjectiveTo explore the influencing factors of willingness to quit smoking in smokers， and to provide reference for further smoking cessation intervention. MethodsThrough purposive sampling， smokers were recruited from 4 residential communities and 3 companies in Shanghai for an online questionnaire survey. The survey included general demographic characteristics， willingness to quit smoking， smoking condition， tobacco addiction， awareness of influence of smoking， smoking abstinence self-efficacy， and smoking rationalization belief. T-test， χ2 test and multiple logistic regression were used to analyze the data. ResultsA total of 336 valid questionnaires were collected. The average age of the smokers was （37.1±10.2） years， and most of their education level was college or above （58.3%）. The daily number of cigarette use was （11.46±7.22） and most of smokers were classified as low nicotine dependence （58.3%）. Today 248 smokers planned to quit smoking in the next six months. Compared with smokers with low smoking abstinence self-efficacy， smokers with high self-efficacy were more likely to quit smoking （OR=2.406，95%CI： 1.357‒4.267）； Smokers with low smoking rationalization belief were more likely to quit smoking than those with high rationalization belief （OR=2.112， 95%CI： 1.167‒3.821）. ConclusionSmoking abstinence self-efficacy has a positive impact on willingness to quit smoking， while smoking rationalization belief has a negative impact on the willingness to quit smoking. Efforts to improve smoking abstinence self-efficacy and dispel smoking rationalization beliefs of smokers should be made to promote the intention to quit among smokers.
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Objective@#To investigate the smoking cessation intention and attempt to quit smoking among smokers at ages of 15 years and older in a district of Beijing Municipality, so as to provide insights into formulation of tobacco control interventions. @*Methods@#Permanent residents at ages of 15 years and older were sampled using a multi-stage stratified cluster sampling method from a district in Beijing Municipality, and all smokers were recruited. Participants' demographic features, tobacco use, intention to quit smoking, attempts to quit smoking and awareness of tobacco-related hazards were collected using the Beijing Adult Tobacco Survey. The intention and attempts to quit smoking were analyzed among smokers, and factors affecting the attempt to quit smoking were identified using a multivariable logistic regression model. @*Results@#A total of 687 smokers were surveyed, including 669 men (97.38%), 497 from rural areas (72.34%), 351 daily smokers (51.09%), 336 occasional smokers (48.91%), 329 with intention to quit smoking (47.89%), and 178 with attempts to quit smoking during the past one year (25.91%). Univariable analysis showed that area, age, educational level, smoking status, tobacco health literacy and tobacco control information acquired from media were factors affecting intention and attempts to quit smoking among smokers (P<0.05). Multivariable logistic regression analysis showed that smokers with intention to quit smoking (OR=5.444, 95%CI: 3.585-8.268) and occasional smoking (OR=2.142, 95%CI: 1.312-3.497) were more likely to attempt to quit smoking. @*Conclusions@#Approximately half of smokers have intention to quit smoking in a district of Beijing Municipality; however, the percentage of attempts to quit smoking is low. Targeted interventions are required for smokers with different characteristics to improve the intention to quit smoking and promote smoking-quitting behaviors.
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Background: Tobacco is the single most preventable cause of death and disability. Quitting tobacco use at any age will help in improving the quality of health. Objective: To find out the intention to quit tobacco smoking and its predictors among adult male smokers. Methodology: A cross–sectional clinic based study was conducted for 2 months (July–august 2017) among 123 adult male current smokers. Nicotine dependence was assessed using Fagerstrom test for nicotine dependence (FTND) questionnaire and intention to quit tobacco smoking and its various predictors were assessed using structured schedule. Logistic regression was done to establish association. Results: Intention to quit tobacco smoking significantly associated with higher educational status (AOR=3.04. CI=1.32–6.98),low nicotine dependence(AOR=3.85, CI=1.52–9.73),less duration of tobacco smoking( AOR=2.33, CI=1.02–5.31),previous H/O quit attempts (AOR=2.73, CI=1.17–6.32) Conclusion: The low rate of quitting intention among adult smokers underscore the need for comprehensive policy initiatives that would encourage smokers to think about quitting. Keywords: Tobacco smoking, Nicotine dependence, Intention to quit smoking
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Objective To investigate the adults smoking status of Hui and Han in Ningxia. Methods Among 6 monitoring sites in Ningxia from 2013 to 2014, multi-stage stratified cluster random sampling method was used, information about risk factors of chronic diseases by were collected questionnaire investigation, a total of 3 527 subjects were effective sample for smoking analysis among 3 540 adults aged 18 and over. After the complex weighting, the smoking status of different nationalities, sexes and age was analyzed. Results The current smoking rate was 29.42% (95% CI:27.91%-30.92%), the current smoking rate of male(56.73%, 95％ CI:54.25%-59.20%) was higher than female (0.92%, 95％ CI:0.50％-1.34％) (P<0.001); The current smoking rate of Han (32.04%, 95% CI:30.24%-33.85%) was higher than Hui (23.09%, 95% CI:20.41%-25.76%). The daily smoking rate of Han (27.98%, 95% CI: 26.25%-29.72%) was higher than that of Hui nationality (19.83%, 95% CI:17.30%-22.36%) (P=0.001), and that of male (49.41%, 95% CI: 46.92%-51.91%) was higher than that of female (0.73%, 95% CI: 0.36%-1.11%) (P<0.001). The average daily smoking of male (20) was higher than that of female (8) (Z=-4.448, P<0.001). Smokers quit smoking rate was 12.54% (95% CI:10.50%-14.57%). Adult secondhand smoke exposure rate was 54.44% (95% CI:52.53%-56.36%). Conclusions The smoking rate of adult residents is high in Ningxia province, but the quit smoking rate is low, male smoking rate is higher than female, Han smoking rates higher than the Hui. The sample population was highly exposed to secondhand smoke. Tobacco control interventions should be taken against high-risk groups.
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Objective To understand the intention to quit smoking and its influencing factors among current smokers in Gansu Province, so as to provide scientific basis for tobacco control. Methods A multi-stage sampling method was used to extract current smokers aged 15-69 years, and a face-to-face survey was conducted using the questionnaire on smoking among residents in China. Intention to quit smoking between current smokers with different characteristics was analyzed. Logistic regression was used to explore influencing factors of intention to quit smoking. Results The intention of current smokers to quit smoking in Gansu Province was 16.4% (95% CI:15.5%-17.3%). Multivariate logistic regression analysis showed that current smokers who were in rural areas (OR=1.199, 95% CI:1.022-1.408, P=0.026); family smoking prohibited (OR=1.767, 95% CI: 1.273-2.454, P=0.001), medical staff discouraged smoking within 12 months (OR=1.599, 95% CI:1.359-1.842, P<0.001), visited smoking clinics (OR=3.089, 95% CI:2.031-4.698, P＜001), higher educational level of junior high school, senior high school and college or above (OR=1.383, 95% CI:1.101-1.736; OR=1.627, 95% CI:1.252-2.116; OR=1.374, 95% CI:1.009-1.873, all P<0.05), tobacco hazards knowledge with higher scores of 1-, 3- and 5-6 (OR=1.248, 95% CI:1.030-1.514; OR=1.574, 95% CI:1.289-1.922; OR=2.288, 95% CI:1.879-2.786, all P<0.05) were more likely to quit smoking; furthermore, smokers aged 20-, 30- years or smoking 20-, 30- years had a lower chance of quit smoking (all P<0.05). Conclusions The intention of current smokers to quit smoking in Gansu province is generally not high. In the future, knowledge of tobacco hazards should be further promoted, medical staff should provide more smoking cessation services during the treatment process, and more smoking cessation clinics should be established.
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Background: Many smokers have undiagnosed chronic obstructive pulmonary disease(COPD), and yet screening for COPD is not recommended. Smokers who know that they haveairflow limitation are more likely to quit smoking. This study aims to identify the prevalence andpredictors of airflow limitation among smokers in primary care.Methods: Current smokers ≥ 40 years old who were asymptomatic clinic attendees in aprimary care setting were recruited consecutively for two months. We used a two-step strategy.Step 1: participants filled in a questionnaire. Step 2: Assessment of airflow limitation using apocket spirometer. Multiple logistic regression was utilised to determine the best risk predictorsfor airflow limitation.Results: Three hundred participants were recruited. Mean age was 58.35 (SD 10.30) yearsold and mean smoking history was 34.56 pack-years (SD 25.23). One in two smokers were found tohave airflow limitation; the predictors were Indian ethnicity, prolonged smoking pack-year historyand Lung Function Questionnaire score ≤ 18. Readiness to quit smoking and the awareness ofCOPD were low.Conclusions: The high prevalence of airflow limitation and low readiness to quit smokingimply urgency with helping smokers to quit smoking. Identifying airflow limitation as an additionalmotivator for smoking cessation intervention may be considered. A two-step case-finding methodis potentially feasible.
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Objective · To investigate the intention of quitting smoking and influencing factors among husbands in gestational households in Shanghai and provide a scientific basis for establishing smoking cessation strategies. Methods · Pregnant women and their spouses who received antenatal examination in 5 hospitals in Shanghai were asked to finish two versions of questionnaires respectively. Basic demographic information, smoking history, history of smoking cessation and intention of quitting smoking were investigated. The database was set up by EpiData 3.1, and data were analyzed by SPSS 22.0, such as descriptive analysis, χ2 test (univariate), and Logistic regression analysis (multivariate). Results · A total of 282 questionnaires were sent to smoking husbands and 266 effective questionnaires got back with the effective rate of 94.3%. Among them 34.2% smoking husbands had intention of quitting smoking, 18.4% were trying to quit, and 22.9% had tried to quit before. Single-factor analysis showed that influencing factors for intention of quitting smoking among smoking husbands in gestational households included the daily cigarette consumption, overall opinion for smoking, the knowledge about the harm of passive smoking to pregnant women and fetuses, having smoking cessation experience or not, how many people smoking among five intimate friends except family members (P<0.05). Multivariate Logistic regression analysis showed that intention of quitting smoking had relationship with the daily cigarette consumption (OR = 0.456, 95% CI: 0.245 ~ 0.852), overall opinion for smoking(OR=2.443, 95% CI: 1.008 ~ 5.921), having smoking cessation experience or not (OR =0.316, 95% CI: 0.162 ~ 0.616). Conclusion · Intention of quitting smoking is relatively strong in gestational households. It is recommended to strengthen the education of tobacco control for smoking husband in gestational households, and encourage smokers who had smoking cessation experience before to quit smoking again.
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Smoking is one of the addiction problems that needs an effective intervention. Smoking cessation studies have shown the promising result, but the central issue was to prevent relapse. A retrospective cohort study was conducted at Quit Smoking Clinic in Klinik Kesihatan Tanglin, Kuala Lumpur to determine the outcome and predictors of smoking cessation. A cohort of 770 smokers attended the clinic between the year 2008 and 2015 was selected through simple random sampling. Smokers were defined as current smokers while smoking abstinence is defined as cessation for more than 6 months and relapse as any smoking episode even a puff since the quit date. The majority were Malays, Muslims and had at least secondary education. The mean age of smoking initiation was 17.6 years old. The majority of the respondent smokes between 11 to 20 sticks per day and had a higher nicotine dependence score (43.0%). The smoking cessation outcome was good with 52.5% of the respondent abstained from smoking at 6 months. The predictors for smoking cessation were numbered of the quit attempt (1 to 10 times) (AOR = 1.582, 95% CI = 1.012-2.472) and pharmacotherapy (aOR = 0.711, 95% CI=0.511-0.989). More frequent follow-up was essential during the first 6 month period to enhance not only medication compliance but also a motivational aspect to smokers to maintain cessation. Emphasis should also be made for smokers who make first quit attempt.
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Objective To investiGate the effect of quit smokinG combine with respiratory rehabilitation traininG for quality of life of elderly severe chronic obstructive pulmonary disease( COPD patients. Methods One hundred and fifty patients with smokinG history in hospitalized patients with severe COPD were divided into treatment Group( n=75 )and control Group( n =75 ). The patients in control Group were treated with reGular treatment,and in treatment Group were added with quittinG smokinG. Before treatment and 3 months after treatment,6 minutes walk test(6 MWT)distance was measured. The patients in treament Group who quit smokinG sucessful and whose Gener and aGe consistent with them in control Group were both Given respiratory rehabilitation traininG,and 6 MWT distance was measured after 3 months aGain. Results There was statistical siGnificant diference between treatment Group and control Group in term of 6 MWT distance at the first intervetion after 3 months((463. 0±37. 4)m vs.(4ll. 0±4l. 6)m,P<0. 05). There were 38 cases quit smokinG sucessfully in smokinG cessation intervention Group. After rehabilitation traininG,6 MWT distance were increased in smokinG cessation sucessful Group and control Group,and the difference was statistical siGnificant(( 497. 0 ±25. 6 )m, (456. 0±47. 5)m,P<0. 05). Conclusion SmokinG cessation intervention can increase the exercise tolerance of COPD patients,and joint with respiratory rehabilitation traininG can further more improve the exercise tolerance of COPD patients,so that to improve their quality of life.
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BACKGROUND: The intention among Korean youth smokers to smoke consistently even after tobacco prices may rise in the future may be associated with tobacco dependence. METHODS: Data for 8,988 Korean youth smokers from the 2011 Korea Youth Risk Behavior Web-based Survey were used in this study. A chi-square test was used to analyze smoking behavior changes after increase in tobacco price by socioeconomic characteristics, tobacco-related characteristics, and quality of life-related characteristics. Logistic regression was used to assess the factors related to existing smokers' intention to smoke consistently should tobacco price increase in the future. RESULTS: Of all smoking adolescents, 26.6% had no intention to quit smoking even if the tobacco price were to rise in the future. Logistic regression analysis showed the following significant factors related to intention to continue smoking after an increase in price: age (odds ratio [OR], 0.93), amount of smoking (2-9 vs. or =10 vs. < or =1 cigarettes per day OR, 4.84), daily smoker (OR, 2.73), experience with electronic cigarette (OR, 1.17), attempt to quit smoking (no vs. yes OR, 2.32), age at trying to smoke (before or at elementary vs. high school OR, 1.31), exposure to anti-smoking campaign (no vs. yes OR, 1.20), anti-smoking education (no vs. yes OR, 1.21), happiness (low vs. high OR, 1.31), depression (OR, 1.13), and suicidal ideations (OR, 1.30). CONCLUSIONS: Those with the intention to continue to smoke even after an increase in tobacco price have high tobacco dependence. Therefore, policy makers need to enforce not only price policies but also those unrelated to price, such as smoking cessation programs to help youth smokers quit smoking.
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Adolescente , Humanos , Personal Administrativo , Depresión , Electrónica , Electrones , Felicidad , Intención , Corea (Geográfico) , Modelos Logísticos , Asunción de Riesgos , Humo , Fumar , Cese del Hábito de Fumar , Ideación Suicida , Nicotiana , Productos de Tabaco , TabaquismoRESUMEN
BACKGROUND: The intention among Korean youth smokers to smoke consistently even after tobacco prices may rise in the future may be associated with tobacco dependence. METHODS: Data for 8,988 Korean youth smokers from the 2011 Korea Youth Risk Behavior Web-based Survey were used in this study. A chi-square test was used to analyze smoking behavior changes after increase in tobacco price by socioeconomic characteristics, tobacco-related characteristics, and quality of life-related characteristics. Logistic regression was used to assess the factors related to existing smokers' intention to smoke consistently should tobacco price increase in the future. RESULTS: Of all smoking adolescents, 26.6% had no intention to quit smoking even if the tobacco price were to rise in the future. Logistic regression analysis showed the following significant factors related to intention to continue smoking after an increase in price: age (odds ratio [OR], 0.93), amount of smoking (2-9 vs. or =10 vs. < or =1 cigarettes per day OR, 4.84), daily smoker (OR, 2.73), experience with electronic cigarette (OR, 1.17), attempt to quit smoking (no vs. yes OR, 2.32), age at trying to smoke (before or at elementary vs. high school OR, 1.31), exposure to anti-smoking campaign (no vs. yes OR, 1.20), anti-smoking education (no vs. yes OR, 1.21), happiness (low vs. high OR, 1.31), depression (OR, 1.13), and suicidal ideations (OR, 1.30). CONCLUSIONS: Those with the intention to continue to smoke even after an increase in tobacco price have high tobacco dependence. Therefore, policy makers need to enforce not only price policies but also those unrelated to price, such as smoking cessation programs to help youth smokers quit smoking.
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Adolescente , Humanos , Personal Administrativo , Depresión , Electrónica , Electrones , Felicidad , Intención , Corea (Geográfico) , Modelos Logísticos , Asunción de Riesgos , Humo , Fumar , Cese del Hábito de Fumar , Ideación Suicida , Nicotiana , Productos de Tabaco , TabaquismoRESUMEN
BACKGROUND: The intention among Korean youth smokers to smoke consistently even after tobacco prices may rise in the future may be associated with tobacco dependence. METHODS: Data for 8,988 Korean youth smokers from the 2011 Korea Youth Risk Behavior Web-based Survey were used in this study. A chi-square test was used to analyze smoking behavior changes after increase in tobacco price by socioeconomic characteristics, tobacco-related characteristics, and quality of life-related characteristics. Logistic regression was used to assess the factors related to existing smokers' intention to smoke consistently should tobacco price increase in the future. RESULTS: Of all smoking adolescents, 26.6% had no intention to quit smoking even if the tobacco price were to rise in the future. Logistic regression analysis showed the following significant factors related to intention to continue smoking after an increase in price: age (odds ratio [OR], 0.93), amount of smoking (2-9 vs. or =10 vs. < or =1 cigarettes per day OR, 4.84), daily smoker (OR, 2.73), experience with electronic cigarette (OR, 1.17), attempt to quit smoking (no vs. yes OR, 2.32), age at trying to smoke (before or at elementary vs. high school OR, 1.31), exposure to anti-smoking campaign (no vs. yes OR, 1.20), anti-smoking education (no vs. yes OR, 1.21), happiness (low vs. high OR, 1.31), depression (OR, 1.13), and suicidal ideations (OR, 1.30). CONCLUSIONS: Those with the intention to continue to smoke even after an increase in tobacco price have high tobacco dependence. Therefore, policy makers need to enforce not only price policies but also those unrelated to price, such as smoking cessation programs to help youth smokers quit smoking.
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Adolescente , Humanos , Personal Administrativo , Depresión , Electrónica , Electrones , Felicidad , Intención , Corea (Geográfico) , Modelos Logísticos , Asunción de Riesgos , Humo , Fumar , Cese del Hábito de Fumar , Ideación Suicida , Nicotiana , Productos de Tabaco , TabaquismoRESUMEN
BACKGROUND: There are limited data regarding smoking cessation treatment by physicians in Korea. Thus, we investigated the attitude to smoking cessation intervention and services among Korean physicians. METHODS: This survey was conducted in 987 participating physicians who had experiences in smoking cessation services. The subjective difficulties of smoking cessation services and its causes and the presumptive reasons for failure of smoking cessation among their patients were investigated using questionnaires. RESULTS: Overall smoking rate among Korean physicians who participated in this survey was 12.6%. Most participating physicians had a difficulty in smoking cessation services and its causes were high cost of medication for smoking cessation due to non-imbursement (50.7%) and the absence of a medical fee on smoking cessation services (34.8%). The high cost of medication for smoking cessation due to non-imbursement (29.5%) also ranked high in the presumptive reasons for failure of smoking cessation among their patients. CONCLUSION: The smoking rate of Korean physicians in this survey was lower than those of the general population. Most participating physicians had a difficulty in offering smoking cessation services. And the most common cause for the difficult was non-imbursement of their services and medication.
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Humanos , Honorarios Médicos , Corea (Geográfico) , Humo , Fumar , Cese del Hábito de Fumar , Encuestas y CuestionariosRESUMEN
Objective To understand the cigarette consumption of Guangzhou residents and its influencing factors. Method The stratified random sampling was adopted and the selected families were visited by trained investigators with questionnaire from April to August in 2004. Results 27718 residents over 15 years old were investigated. The smoking rate was 22.7%, and 46.2% for male and 2.0% for female. The currently smoking rate was 19.9% (male 40.5% and female 1.6%). The currently smokers lighted up their first cigarette when they were 20 years old in median and their consumption were averagely 14.3 sticks everyday. 13.1% smokers tried to quit smoking. 9.4% people who once gave up cigarette picked it up again. The Logistic Stepwise Regression analysis showed sex (OR=0.022, 95%CI: 0.019~0.026), education (OR=0.697, 95%CI: 0.659~0.737), family income(OR=0.975, 95%CI: 0.955~0.995)and alcohol drinking(OR=2.687, 95%CI: 2.467~2.927)were found to be the influencing factors for individual smoking. Conclusion The resident smoking rate was lower in Guangzhou than that in Guangdong province or in China but it was still very higher. The most smokers were male and little of them quitted smoking. The tobacco control should be enhanced.
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BACKGROUND: Despite the direct and indirect harmfulness of tobacco smoking, its consumption increases after joining the army, which is a national duty in Korea. Therefore, a study was done on soldiers, who visited a military hospital for a certain period of time in order to reduce the amount of smoking, by investigating the pattern of tobacco smoking after joining the army and the influence of anti-tobacco education on smoking. METHODS: Self-administered questionnaires were performed on 800 soldiers who visited an army hospital in Seoul, Korea, from March to May 2002. This questionnaire asked information concerning general characteristics of population, smoking status, smoking amount, anti-tobacco education and sociodemographic characteristics. Excluding 26 of them, who answered insincerely, the data collected from 774 soldiers were analyzed using SPSS/PC. RESULTS: The subjects were total 774 soldiers and the distribution of age in 20 to 22 year-olds accounted for 88%. Among the total 540 (69.7%) have answered that they smoke at present. Among them, 53.6% have stated that they had started smoking in the high school years, 12.2% while in college and 7.2% after joining the army. For the motive of smoking curiosity accounted for 52.7%. Interestingly, 39 (15%) out of 252 non-smokers before enlistment had started smoking after joining the army and 21 (4%) out of 522 smokers before enlistment had quit it. In comparison of smoking amount before and after enlistment, increment was shown in 52.1%, reduction in 12% and no change in 35.9%. The most common reason for the increase in smoking amount was stress in 82.1% and that for reduction was caring for health in 65%. Among the subjects 68.6% have answered that they have had anti-tobacco education after joining the army, and among them 59.3% received it during recruit training and 39.5% after the troop disposition. CONCLUSION: The smoking rate of soldiers who visited a military hospital was high as 69.7%. It was found out that the number of smokers and daily smoking amount increased after enlistment. Therefore, specific measures such as anti-tobacco education or stress management schemes are necessary to induce the reduction of smoking rate in the army.
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Humanos , Adulto Joven , Educación , Conducta Exploratoria , Hospitales Militares , Corea (Geográfico) , Personal Militar , Seúl , Humo , Fumar , Encuestas y CuestionariosRESUMEN
BACKGROUND: The smoking rate of Korean male workers is top in the world. To establish the effective smoking cessation strategy, we conducted a study to evaluate the factors associated with smoking and smoking cessation. METHODS: We surveyed 509 male workers in a university hospital about age, marital status, drinking, exercise level and checked their awareness and seriousness for diseases due to smoking, benefits from smoking cessation, motivation derived from massmedi and books and their will to quit smoking by self-administerd questionnaire. RESULTS: The significant factors associated with smoking cessation were higher education (OR=1.85, 95% CI 1.26-2.74), non-religion (OR=0.56, 95% CI 0.38-0.83), drinking (OR=0.40, 95% CI 0.27-0.61), awareness (OR=1.30, 95% CI OR=1.03-3.25) and seriousness (OR=1.29, 95% CI 1.19-1.39) for smoking related disease, benefit (OR=1.21, 95% CI 1.16-1.27), and barrier (OR=0.78, 95% CI 0.74-0.83), motivation (OR=1.21, 95% CI 1.12-1.30), and the will to quit smoking (OR=1.70, 95% CI 1.56-1.85). CONCLUSION: This study suggested that effective smoking cessation program should be based on awareness and seriousness due to smoking related diseases, health benefit and barrier to quitting smoking, company's support, the individual's will to quit and various motivation methods.
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Humanos , Masculino , Ingestión de Líquidos , Educación , Beneficios del Seguro , Estado Civil , Motivación , Humo , Cese del Hábito de Fumar , Fumar , Encuestas y CuestionariosRESUMEN
BACKGROUND: Despite widespread recognition of the hazardous health effects of smoking, adolescent smoking continues to increase, emerging as a public health problem. However few studies have focused on smoking cessation programs for adolescent smokers. The purpose of this study was to measure the short-term effects of the adolescent smoking cessation program performed by the Seoul School Health Center. METHODS: Four hundred and twenty adolescent smokers referred from their schools from March to December of 1996 were assessed before and immediately after the program with a self-questionnaire. The data acquired from these 420 students was analyzed. RESULTS: Males were found to have a higher rate of daily smoking as compared with females. Middle school students had a earlier starting age than those of high school students. About 70% of the students had tried to stop smoking and about 1/3 had a high level of self-efficacy in stop smoking. More than 80% of the students were current alcohol drinkers and 10% ever had experience with other drugs. Many showed poor academic performance and low degree of satisfaction with their schools. More than 50% had experienced punishment at school Middle and high economic status were more common than low status, 73.3% had smokers in their families and 43.3% showed severe dysfunction in family APGA-R. Smoking cessation rate immediately after the program was 37.4%, highest in female high school students and lowest in male high school students Factors shown to be significantly associated with smoking cessation in males were school age, FTQ scores, presence of peer smokers, smoking and alcohol status, self-efficacy in stop smoking and degree of satisfaction with their schools. School age, presence of peer smakers, smoking and other drug use status, self-efficacy in stop smoking, academic performance, degree of satisfaction with their schools, experienoe of runaway from home, economic status and presence of smokers in their families were significant factors in females. Stepwise logistic regression showed that current alcohol users were less likely to succeed in smoking cessation and those with a higher level of self-efficacy in stop smoking were more likely to succeed in males. In females, high school students with higher economic status were more likely to succeed while those with smokers in their families or experience of runaway from home were less likely to succeed. CONCLUSIONS: To promote smoking cessation, specified and risk-based approaches are considered to encourage the motivation of adolescent smokers. For more effectiveness, programs will need to comprehensively include the school, the family, peers, alcohol and other drug issues as well as smoking problem itself.
Asunto(s)
Adolescente , Niño , Femenino , Humanos , Masculino , Jóvenes sin Hogar , Modelos Logísticos , Motivación , Evaluación de Programas y Proyectos de Salud , Salud Pública , Castigo , Servicios de Salud Escolar , Seúl , Humo , Cese del Hábito de Fumar , FumarRESUMEN
This study was performed to estimate the quantity of the effects of tobacco price raise on the smoking rate, and the smoking attributable deaths in Korea. The data were collected by questionnaire survey from 538 male office workers. The questionnaire contained items on age, sex, living place, status of education, smoking history, the intention to quit smoking when the tobacco price be raised. The questionnaire were distributed to the offices of enterprises, hospitals, research centers, and public agencies and then collected. Data were analyzed by using the age specific smoking rate, relative risks of eight major smoking related diseases, vital statistics, and the population attributable risk of deaths of smoking males. On the other hand, the impact of the tobacco price raise on the population attributable risk of death due to smoking in Korea was estimated by applying the presumed smoking rate after the price raise. The results obtained were as follows: 1. The smoking rate of male white color workers in large cities was 59.5%. 2. The proportion of male smokers who has the intention to quit smoking when the tobacco price be raised was 61.5%. 3. The proportion of male smokers who has the intention to quit smoking if the price of tobacco be raised was proportional to the degree of increasing tobacco price. It is estimated that if the tobacco price were raised more than four times as now, the presumed smoking rate goes down as low as 26.7%. If the tobacco price be raised 20% each year, presumed smoking rate is 46.2%. 4. The number of attributable male death of smoking estimated by using 8 major smoking related diseases(lung cancer, laryngeal cancer, esophageal cancer, stomach cancer, pancreatic cancer, cerebrovascular disease, ischemic heart disease, chronic obstructive pulmonary disease) was 25,863 death each year. That is 20.1% of total age over 20 male deaths. 5. If the tobacco price were raised more than four times as now and all smokers who has intention to quit smoking quits smoking, 12,336 lives, or 47.7% of smoking related deaths could be saved. 6. If the actual practice rate of quitting smoking among male smokers with intention to stop smoking when the price of tobacco be raised is 10%, 25%, or 50%, then the expected decrease of death numbers when the tobacco price were raised more than four times as now can be 1,112, 3,483, 5,796 respectively.