금연성공 군인, 의경의 재흡연 관련 요인: 2015-2017년금연클리닉 참여자를 중심으로
Factors Related to Smoking Relapse among Military Personnel in Korea: Data from Smoking Cessation Clinics, 2015-2017
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연구배경: 재흡연은 금연시도 과정에서 일반적으로 나타나는 현상이나, 군인, 의경을 대상으로 한 재흡연 관련 요인연구는 활발히 진행되지 않았다. 본 연구에서는 금연클리닉참여 후 금연에 성공한 군인, 의경의 재흡연에 영향을 미치는 요인을 확인하였다. 방법: 본 연구는 2015년 1월-2017년 12월 군부대 및 경찰청 기동본부에 설치된 금연클리닉에 참여한 군인, 의경 중데이터의 연구 목적 활용에 동의하고 해당 문항에 응답한19,874명을 대상으로 하였다. 금연 여부는 호기 일산화탄소농도와 소변코티닌 검사를 통하여 판정하였고, 이분형 로지스틱 회귀분석으로 금연성공 군인, 의경의 재흡연 영향 요인을 파악하였다. 결과:1개월 금연성공 군인, 의경의 3개월 및 6개월 재흡연율은 각각 15.3%, 60.8%였다. 3, 6개월 재흡연에 영향을미치는 요인은 금연클리닉 수행 연도, 과거 금연시도 경험, 하루 평균 흡연량, 운동여부, 혈압이었다. 니코틴 의존도는3개월 재흡연에 영향을 미쳤다. 결론: 단기간 금연에 성공하였으나 재흡연하게 된 군인, 의경의 재흡연율 감소를 위한 개인 맞춤형 프로그램이 필요할 것이다.
Abstract
Background:Relapse is the common situation of smoking cessation attempts. There are few studies that analyzed the related factors of smoking relapse among military personnel. Thus, This study was performed to investigate factors related to smoking relapse among military personnel who participated smoking cessation clinics in Korea. Methods:The study subjects were 19,874 military personnel who enrolled smoking cessation clinic from January in 2015 to December in 2017. Smoking cessation applied to criteria exhaled carbon monoxide and urine cotinine levels. Binominal logistic regression analysis was performed to confirm related factors of smoking relapse among military personnel who succeed to quit smoking. Results:The smoking relapse rate of study subjects who succeeded in quitting smoking for 1-month was 15.3% after 3-months and 60.8% after 6-months follow-up. The factors associated with relapse smoking included implementing year, past year quit attempts, number or cigarettes smoked per day, regular exercise, blood pressure. Levels of nicotine dependence affected smoking relapse at 3-months follow-up. Conclusions:Tailored approaches are necessary to reduce the rates of smoking relapse for military personnel who succeeded to quit smoking shortly but relapse back to smoking.
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