남자 관상동맥질환 진단경험자의 금연 의도와 관련 요인: 지역사회건강조사 자료를 이용한 단면적 연구
Smoking Cessation Intention and Related Factors in Current Smokers Diagnosed with Coronary Artery Disease: A Cross-sectional Study Using the Community Health Survey
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Objectives: Smoking cessation is an important factor for prevention of coronary artery disease. This study examined the extent of smoking cessation intention and the related factors among men with coronary artery disease, to aid in determining intervention strategies for smoking cessation. Methods: Data for 836 male current smokers with coronary artery disease living in a community were collected from the 2013 Community Health Survey in Korea. The association between the extent of smoking cessation intention and related factors was examined using a cross-sectional study design. Univariate analysis and multiple logistic regression analysis were used. Results: In the univariate analysis, young age, high education level, non-manual occupation, lower frequency and less quantity of the cigarettes, physical activity, continuous smoking cessation recommendations from acquaintances, and recent exposure to public advertising regarding smoking cessation were significantly associated with the presence of smoking cessation intention. In the logistic regression analysis, low frequent cigarette smoking (odds ratio [OR], 4.53; 95% confidence interval [CI], 2.23-9.23), continuous smoking cessation recommendations from acquaintances (OR, 3.07; 95% CI, 1.71-5.49), and recent exposure to public advertising regarding smoking cessation (OR, 2.33; 95% CI, 1.07-5.09) were significantly associated with smoking cessation intention. Conclusions: It is necessary to understand the smoking cessation intention for the management of patients with coronary artery disease and to provide a more active intervention using regular recommendations from acquaintances and persistent public advertising. Moreover, demographic factors such as age, education level, and occupation, as well as smokingrelated behaviors and community support should be considered while developing a smoking cessation program.
Abstract
Objectives: Smoking cessation is an important factor for prevention of coronary artery disease. This study examined the extent of smoking cessation intention and the related factors among men with coronary artery disease, to aid in determining intervention strategies for smoking cessation. Methods: Data for 836 male current smokers with coronary artery disease living in a community were collected from the 2013 Community Health Survey in Korea. The association between the extent of smoking cessation intention and related factors was examined using a cross-sectional study design. Univariate analysis and multiple logistic regression analysis were used. Results: In the univariate analysis, young age, high education level, non-manual occupation, lower frequency and less quantity of the cigarettes, physical activity, continuous smoking cessation recommendations from acquaintances, and recent exposure to public advertising regarding smoking cessation were significantly associated with the presence of smoking cessation intention. In the logistic regression analysis, low frequent cigarette smoking (odds ratio [OR], 4.53; 95% confidence interval [CI], 2.23-9.23), continuous smoking cessation recommendations from acquaintances (OR, 3.07; 95% CI, 1.71-5.49), and recent exposure to public advertising regarding smoking cessation (OR, 2.33; 95% CI, 1.07-5.09) were significantly associated with smoking cessation intention. Conclusions: It is necessary to understand the smoking cessation intention for the management of patients with coronary artery disease and to provide a more active intervention using regular recommendations from acquaintances and persistent public advertising. Moreover, demographic factors such as age, education level, and occupation, as well as smokingrelated behaviors and community support should be considered while developing a smoking cessation program.
참고문헌 (33)
- Korea Centers for Disease Control and Prevention, "Epidemiology and management of cardiocerebrovascular disease", pp.334~338 (2013), Korea Centers for Disease Control and Prevention
- "Silent ischemia and ischemic heart disease"[URL]
- Statistics Korea, "Annual report on the cause of death statistics, 2014" (2015), Statistics Korea
- "Health Insurance Review and Assessment Service. Statistics of the classifications of disease", Health Insurance Review and Assessment Service, ~ (2016)
- Korea health statistics 2014: Korea national health and nutrition examination survey (KNHANES VI-2), "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 281~ (2015)
- 심두선, "Differences in Clinical Outcomes Between Patients With ST-Elevation Versus Non-ST-Elevation Acute Myocardial Infarction in Korea", Korean Circulation Journal, 39(8), pp.297~303 (2009), 대한심장학회
- Nilsson PM, "Population-attributable risk of coronary heart disease risk factors during long-term follow-up: the Malmo Preventive Project", J Intern Med, 260(2), pp.134~141 (2006)
- Schnohr P, "Coronary heart disease risk factors ranked by importance for the individual and community. A 21 year follow-up of 12,000 men and women from The Copenhagen City Heart Study", Eur Heart J, 23(8), pp.620~626 (2002)
- Pavy B, "Therapeutic education in coronary heart disease: position paper from the working group of exercise rehabilitation and sport (GERS) and the therapeutic education commission of the French society of cardiology", Arch Cardiovasc Dis, 106(12), pp.680~689 (2013)
- Chow CK, "Association of diet, exercise, and smoking modification with risk of early cardiovascular events after acute coronary syndromes", Circulation, 121(6), pp.750~758 (2010)
- Critchley JA, "Mortality risk reduction associated with smoking cessation in patients with coronary heart disease: a systematic review", JAMA, 290(1), pp.86~97 (2003)
- Hammal F, "Smoking status and survival: impact on mortality of continuing to smoke one year after the angiographic diagnosis of coronary artery disease, a prospective cohort study", BMC Cardiovasc Disord, 14, pp.133~ (2014)
- van Berkel TF, "Characteristics of smokers and long-term changes in smoking behavior in consecutive patients with myocardial infarction", Prev Med, 31(6), pp.732~741 (2000)
- Sheeran P, "Intention-behavior relations: a conceptual and empirical review", Eur Rev Soc Psychol, 12(1), pp.1~36 (2002)
- DiClemente CC, "The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change", J Consult Clin Psychol, 59(2), pp.295~304 (1991)
- 김은영, "급성관상동맥증후군 남성 환자의 흡연과 스트레스에 영향을 미치는 요인", 성인간호학회지, 23(1), pp.100~109 (2011), 한국성인간호학회
- Prugger C, "Readiness for smoking cessation in coronary heart disease patients across Europe: results from the EUROASPIRE III survey", Eur J Prev Cardi, 22(9), pp.1212~1219 (2015)
- 김은경, "관상동맥질환자의 금연의도에 영향을 미치는 요인", Journal of Korean Academy of Nursing, 32(3), pp.355~363 (2002), 한국간호과학회
- 최승희, "관상동맥우회술 후 금연변화단계와 관련요인 조사 연구", Journal of Korean Academy of Nursing, 37(7), pp.1159~1165 (2007), 한국간호과학회
- 채영란, "남성 관상동맥질환자의 금연변화단계에 따른 스트레스, 자기효능감 및 사회적 지지", Korean Journal of Health Promotion, 10(1), pp.22~30 (2010), 대한임상건강증진학회
- "Community health survey"[URL]
- In-depth analyses of the third national health and nutrition examination survey: the health interview and health behavior survey part, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 286~ (2007)
- Prochaska JO, "The transtheoretical model of health behavior change", Am J Health Promot, 12(1), pp.38~48 (1997)
- Prochaska JO, "Evaluating a population-based recruitment approach and a stage-based expert system intervention for smoking cessation", Addict Behav, 26(4), pp.583~602 (2001)
- Hasdai D, "Predictors of smoking cessation after percutaneous coronary revascularization", Mayo Clin Proc, 73(3), pp.205~209 (1998)
- Ota A, "Nicotine dependence and smoking cessation after hospital discharge among inpatients with cor-onary heart attacks", Environ Health Prev Med, 7(2), pp.74~78 (2002)
- 김현미, "관상 동맥 질환자의 흡연 실재 및 금연과 관련된 요인", Korean Journal of Family Medicine, 26(10), pp.35~41 (2005), 대한가정의학회
- Barth J, "Psychosocial interventions for smoking cessation in patients with coronary heart disease", Cochrane Database Syst Rev, 7, pp.CD006886~ (2015)
- 안혜란, "지역사회 거주 성인남성의 금연의도 관련요인", 지역사회간호학회지, 26(4), pp.364~371 (2015), 한국지역사회간호학회[DOI]
- 류소연, "남자 흡연자의 금연의도 관련 요인: 호남지역 13개 지역 2010 지역사회 건강조사", 보건교육건강증진학회지, 28(2), pp.75~85 (2011), 한국보건교육건강증진학회
- Sochor O, "Trends and predictors of smoking cessation after percutaneous coronary intervention (from Olmsted County, Minnesota, 1999 to 2010)", Am J Cardiol, 115(4), pp.405~410 (2015)
- Dawood N, "Predictors of smoking cessation after a myocardial infarction: the role of institutional smoking cessation programs in improving success", Arch Intern Med, 168(18), pp.1961~1967 (2008)
