Efectos de una Charla Antitabaco en Adolescentes Fumadores de Colegios Públicos y Privados en la Región Metropolitana de Santiago de Chile / Effects of an Anti-Smoking talk on Adolescent Smokers in Public and Private Schools in the Metropolitan Region of Santiago de Chile

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.

Impactos da pandemia de COVID-19 sobre o tratamento para cessação do tabagismo / Impacts of the COVID-19 pandemic on smoking cessation treatment

Introdução: A pandemia do novo coronavírus teve repercussões no funcionamento dos sistemas de saúde do mundo inteiro. O tabagista foi um grupo diretamente afetado por essas mudanças. Objetivo: Mensurar esse impacto a partir da análise dos dados do Programa Estadual de Controle ao Tabagismo de Pernambuco. Método: Estudo descritivo transversal, utilizando como unidades de análise dados da estratégia de monitoramento do Programa Estadual de Controle ao Tabagismo da Secretaria Estadual de Saúde de Pernambuco (SES-PE), comparando os atendimentos no segundo quadrimestre dos anos de 2019 e 2020. Resultados: Entre maio e agosto de 2019, 3.282 pacientes tabagistas buscaram tratamento para cessação do tabagismo no SUS, em Pernambuco. Em período similar, entre os meses de maio e agosto do ano de 2020, o tratamento para cessação do tabagismo foi procurado por 680 usuários tabagistas, representando uma queda de 79,28%. Além disso, o número de municípios oferecendo tratamento para cessação do tabagismo no SUS caiu de 97 para 36 (62,89%) e o número de unidades de saúde da atenção básica realizando tratamento para cessação do tabagismo no SUS de 277 para 80 (71,11%). Conclusões: A diminuição da oferta do tratamento pelo Programa Estadual de Combate ao Tabagismo é preocupante. Ainda que a sua relação com a COVID-19 não esteja completamente elucidada, a cessação do uso do tabaco traz benefícios já bem estabelecidos. Dessa forma, é necessário incentivar a adoção de novas estratégias e tecnologias, aproveitando a janela de oportunidade que o temor da associação COVID-19/tabagismo criou.

Introduction: The new Coronavirus pandemic has had an impact on health systems worldwide. Smokers were directly affected by these changes. Objective: To measure the new Coronavirus pandemic impact on smoking cessation from the analysis of data from the Pernambuco State Tobacco Control Program. Method: Descriptive cross-sectional study, using data from the monitoring strategy of the State Tobacco Control Program of the State Health Secretariat of Pernambuco (SES-PE) as the unit of analysis, comparing services in the second quarter of 2019 and 2020. Results: Between May and August 2019, 3.282 smoking patients sought treatment for smoking cessation in SUS, in Pernambuco. In a similar period, between the months of May and August of the year 2020, treatment for smoking cessation was sought by 680 smoking users, representing a drop of 79,28%. In addition, the number of municipalities offering treatment for smoking cessation in SUS dropped from 97 to 36 (62,89%) and the number of primary health care units providing treatment for smoking cessation in SUS went from 277 to 80 (71,11%). Conclusions: The decrease in the offer of treatment by the State Program to Combat Smoking is worrying. Although its relation with COVID-19 has not been fully elucidated, the cessation of tobacco use has already established benefts. Thus, it is necessary to encourage the adoption of new strategies and technologies, using the window of opportunity that the fear of COVID-19/smoking association created.

Perception of smoking habits and related diseases among society

Background: Smoking is practiced by a third of world’s population. Tobacco is leading cause of deaths world over. Six million people (1/8 second) die from tobacco each year. Objective of this study was to study demographic profile and awareness regarding tobacco smoking among people of Rohilkhand, Bareilly.Methods: Randomly selected individuals of Rohilkhand region. Questionnaire method involved.Results: Among 1040 sample size, 70% were males with mean age of 37.68 years. 73.94% population belonged to upper lower socio-economic class. 52% (62.9% male and 26.6% females) were current smokers of which 60.6% were exclusive beedi smokers. 50% were unaware of oral and lung cancer due to smoking. 34% were unaware about effects of passive smoking. 48.48% smokers report cough with expectoration as commonest symptom. 60% finds peer group influential for the behavior. 76.9% smokers are willing to quit smoking. 63.4% are open for counseling. 26% were unaware of ban/law related to smoking in public places. 68% believe there is increasing trend in prevalence of its use, among minors, educational institutes and hospitals.Conclusions: Despite high awareness of ill effects of smoking, there is an increasing trend in prevalence of smoking with an increased involvement of minors attributed to peer pressure. People are unaware of passive smoking and its harmful effect on body. Moreover, advertisements, visuals and captions have failed in making an impact. There occurs a need of awareness programmes, intervention sessions, medical therapy and strict anti-smoking laws by the government, social welfare and healthcare volunteers to help people quit and control the menace in society.

Knowledge, Attitude and Practice Towards Available AntiSmoking Campaign Among Adults in Kuantan

Abstract@#Introduction: This study was conducted to determine the association between knowledge, attitude and practice among Kuantan community towards anti-smoking campaign. An anti-smoking campaign can be referred to as a series of ads programs that are introduced through various objective approaches to give awareness to people on the negative impacts of smoking behavior. The objectives of this study are (i) to investigate the association between socio-demographic data (gender, income, education level) and level of knowledge towards anti-smoking campaign; (ii) to find out the association between socio-demographic data (gender, income, education level) and level of attitude against anti-smoking campaigns; (iii) to study the association between socio-demographic data (gender, income, education level) and level of practice towards anti-smoking campaigns; and (iv) to find out the correlation between level of knowledge with level of attitude, level of knowledge with level of practice, and level of attitude with level of practice towards anti-smoking campaigns. Methods: A descriptive cross-sectional study was conducted among adult Kuantan community and convenience sampling was used to collect the data. A validated questionnaire was used to collect data. Statistical analysis of the data was carried out using SPSS and association of variables was analysed using Chi-square test. Results: This study found that level of knowledge did not affect the attitude level of the community. However, level of knowledge did affect the level of practice towards the anti-smoking campaign. Conclusion: It revealed that respondents with high level of knowledge also had good level of practice towards anti-smoking campaign.

Children’s Perceptions of Anti-Smoking Campaign Strategy in Pantai Dalam, Kuala Lumpur: A Pilot Study / Jurnal Sains Kesihatan Malaysia

A pilot test was conducted in Pantai Dalam, Kuala Lumpur among 30 children of 10-18 years old to examine their views about the marketing strategies employed in our local anti-smoking campaign. The study showed that the marketing strategies used were less effective because its fail to prevent smoking habit among children. The causes that lead to the campaign in efficiency are posters and pictures of critical illness used in the campaign failed to give significant impact to children about the ill-hazard of smoking (60%), children easy-access to cigarette (66%), and lack of cooperation from all sectors of society in supporting the campaign (77%). Marketing strategy of anti-smoking campaign in terms of product, price, accessibility, promotion, social policy and community partner ships need to be improved and given equal emphasis to ensure the effectiveness of a comprehensive campaign

Comportamiento del tabaquismo en personal sanitario del Hospital Militar Central "Dr. Carlos J. Finlay" / Smoking behavior in health staff of the "Dr. Carlos J. Finlay"Central Military Hospital

Introducción: existen evidencias de que la función de los profesionales de la salud es muy importante a la hora del cambio social con respecto al tabaquismo y que su propio hábito tabáquico tiene una influencia relevante en ello. Objetivo: determinar el comportamiento del tabaquismo en el personal sanitario del área de hospitalización. Métodos: se realizó un estudio descriptivo de corte transversal en el Hospital Militar Central «Dr. Carlos J. Finlay¼, durante el primer semestre de 2010, que incluyó a 90 fumadores, entre ellos, médicos, enfermeros y personal de servicio. En todos los casos se aplicó una encuesta y la prueba de Fagerström. Resultados: el sexo femenino fue predominante (57,8 por ciento). El cuestionario de Fagerström mostró un predominio de dependencia baja (31,1 por ciento). La gravedad de la adicción evidenció que el 75,5 por ciento integró el grupo de leve o intermitente social. El 47,8 por ciento estaba en fase de preparación para el abandono del tabaquismo. El 76,7 por ciento declaró no haber recibido tratamiento antitabáquico. El deterioro de la economía personal fue la consecuencia del tabaquismo más nombrada en todos los grupos (80 por ciento); mientras que entre las enfermedades provocadas por el tabaquismo, las estomatológicas (25,5 por ciento) y las vasculares periféricas (24,4 por ciento) fueron las fundamentales. Conclusiones: se considera que el comportamiento del tabaquismo en el personal sanitario del área de hospitalización se observa sobre todo en personal de servicio, joven, del sexo femenino, piel blanca, casado, con baja dependencia a la nicotina, sin tratamiento antitabáquico previo, con consecuencias para la salud estomatológica y vascular periférica y principalmente, deterioro de la economía personal.

Introduction: there are evidences that the function of health professionals is very important at the moment of social change regarding the smoking and that is own smoke habit has a relevant influence on it. Objective: to determine the smoking behavior in the health staff of a hospitalization area. Methods: a cross-sectional and descriptive study was conducted in the "Dr. Carlos J. Finlay" Central Military Hospital over the first semester of 2010 including 9 smokers including physicians, nurses and service staff. In all the cases a survey was distributed as well as the Fagerström test. Results: there was predominance of female sex (57.8 percent) The Fagerström questionnaire showed a low dependence rate (31.1 percent). Severity of addiction demonstrated that the 75.5 percent was the social group considered as slight or intermittent. The 47.8 percent was in training phase for quite the smoking. The 76 percent declared had not anti-smoking treatment. Deterioration of personal economy was the more mentioned smoking consequence in all the groups (80 percent); whereas among the smoking-provoked diseases, the stomatologic diseases (25.5 percent) and the peripheral vascular ones (24.4 percent) were fundamental. Conclusions: it is take into account the smoking behavior in health staff of hospitalization area is observed mainly in the service staff, young, female sex, white skin, married, with a low dependence of nicotine, without a prior anti-smoking treatment with consequences for stomatologic and peripheral vascular health and mainly the deterioration of the personal economy.

The Change of Non-smoking Knowledge and Attitude of Intensive Course of Anti-smoking Leadership Training / 대한산업의학회지

OBJECTIVES: To evaluate the effectiveness of an anti-smoking readership training program on the knowledge, attitude and practice in health managers and supervisors in the workplace. METHODS: We surveyed 482 health managers and supervisors in the workplace from April 2005 to September 2005. The questionnaire included whether or not a smoking cessation program was conducted in their workplace. We assessed before and after educations program about knowledge, attitude and practice for smoking cessation. The 10-hour education program included the benefit of quit smoking, the law for smoking restriction, cognitive therapy, stress management, nicotine addiction, replacement therapy, case study about workplace for anti-smoking policy and program. RESULTS: For the change in the mean scores of all items in knowledge, attitude and practice were significantly increased after the intervention. CONCLUSION: Even a short, 10-hour intervention course of anti-smoking leadership training program was effective for improving the knowledge, attitude, practice to quit smoking activity in workplace. Nevertheless, the program effectiveness would be increased by including a re-training course and website support.

A Survey on the Effect of Cigarette Warning Labels

BACKGROUND: In an effort to use cigarette warning labels as a means for reducing smoking rates, this study examined current cigarette warning messages and newly designed pictorial warning labels. METHODS: From June 15, 2005, to June 22, 2005 we conducted an e-mail survey of 1,200 civilians to examine the effect of cigarette warning labels. For statistical analysis, we used chi-square test with SPSS 11.0 software. RESULTS: Among all the respondents, 78.7% indicated that current cigarette warning labels did not have any effect. However, most of the respondents indicated that pictorial warning labels are effective in raising public awareness (84.6%) or knowledge (81.5%) of the harmful effects of cigarettes. They also responded that pictorial warning labels would help them quit smoking (75.9%) or keep them from buying cigarettes (64.1%). Over 80% of the respondents and over 70% of the smokers responded that they would welcome the use of pictorial warning labels as an anti-smoking measure. CONCLUSION: The results of this study showed that current cigarette warning labels are not effective in curbing smoking rates. Also, the results suggest that current cigarette warning labels need to be improved if they are to be used as an effective anti-smoking measure.

The Delivery of Diabetic Care and Preventive Services among Diabetic Patients in Family Practice

BACKGROUND: The delivery of proper diabetes care and preventive services is essential for diabetic patients in family practice. However, there are few studies on preventive service practice. This study aimed to survey the delivery of preventive services among diabetic patients in an outpatient department of family medicine in a general hospital. METHODS: We reviewed all of the electronic medical records and charts of patients with a recent diagnosis code of type II diabetes mellitus in an outpatient department of family medicine at Asan Medical Center from January 1, 2001, to December 31, 2002, encompassing documentation of laboratory tests, treatment, and cancer screening. RESULTS: This study included 124 patients with diabetes. Blood pressure measurement, fundus examination, and nutritional counseling were performed in 96.7%, 80.6%, and 50% of subjects, respectively. Lipid profiles and urine microalbumin were checked in 91.1% and 58.2%, respectively. Anti-platelet and anti-smoking agents were prescribed in 17.7% and 13.2%, respectively. In males, the rate of cancer screening for stomach and colon were 55.9 and 53.2%, respectively. In females, the rate of cancer screening for stomach, colon, breast, and cervix were 45.5, 51.6, 43.2, and 38.6%, respectively. CONCLUSION: Diabetic care related services were delivered more often than those of preventive services, such as cancer screening and prescription of anti-smoking or anti-platelet agents. Efforts to improve the delivery of preventive services are needed among diabetic patients in family practice.

Anti-smoking Education by Medical Doctor

Medical doctors are an important role model for smoking behavior, and their advice to quit smoking is effective for patients. Doctors can be teachers and educators for social anti-smoking activities in their communities. Schools, social organizations, hospitals, and local and national government officials can be interested in providing anti-smoking programs. Well-preparedness is important for an effective delivery of anti-smoking messages. To ensure the success of presentation, the organizers should consider the followings: (1) determine the objectives before planning the presentation; (2) analyze the values and needs of the audience; (3) determine the best presentation method; (4) make the presentation interactive through questions and answers or activities (5) select slides and other visual aids carefully; (6) incorporate introduction and conclusion to the main ideas; and (7) prepare answers to anticipated questions. Colors and layouts should be considered in preparing and showing visual aids. For those deliver presentation, repeated rehearsals will make them more relaxed and at ease, which is also important for successful presentation. Each presentation will be different because the needs and receptivity of the audience will be different in each occasion. Give the audience a clear idea of what your goals of the presentation are. Let them know first what materials including handouts will be distributed, lest they should distract their attention taking unnecessary notes. Establish a firm rapport and give information. Remember that there may be smokers; don't insult or degrade them. Acknowledge the challenges in smoking cessation and make a caring, non-hostile tone towards smokers.