원주시민과 춘천시민의 지역사회 내 금연프로그램 이용 격차가 금연 시도에 미치는 영향
Impact of the Utilization Gap of the Community-Based Smoking Cessation Programs on the Attempts for Quitting Smoking between Wonju and Chuncheon Citizen
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study aimed to explore whether there are differences in smoking status between two regions of Wonju-City and Chuncheon-City, Gangwon State, and to determine whether the experience of smoking cessation programs in the region affects quit attempts. Methods: The study design was a cross-sectional study in which adults aged 19 and older living in two cities were surveyed using a pre-developed mobile app to investigate social capital for smoking cessation, and a total of 600 citizens were participated, including 310 in Wonju-City and 290 in Chuncheon-City. The statistical analysis was conducted using chi-square test and logistic regression analysis. Results: Wonju-City had a higher prevalence of current smoking than Chuncheon-City. Among smoking cessation programs operated by local public health centers, Wonju-City had a lower odds ratio for experience with smoking cessation education than Chuncheon-City (OR=0.52, 95% CI=0.33 to 0.81). When examining the effect of smoking cessation program experience on quit attempts, in Wonju-City, citizens who had completed smoking cessation education and used a smoking cessation clinic were more likely to attempt to quit than those who had not (OR=2.31 and OR=2.29, respectively). In Chuncheon-City, citizens who were aware of smoking cessation support services were 2.26 times more likely to attempt to quit smoking than those who were not, but statistical significance was not reached due to the small sample size. Conclusion: Therefore, healthcare organizations in both regions should develop more practical intervention strategies to increase smokers' quit attempts, reduce smoking rates in the community, and address regional disparities.
Abstract
Objectives: This study aimed to explore whether there are differences in smoking status between two regions of Wonju-City and Chuncheon-City, Gangwon State, and to determine whether the experience of smoking cessation programs in the region affects quit attempts. Methods: The study design was a cross-sectional study in which adults aged 19 and older living in two cities were surveyed using a pre-developed mobile app to investigate social capital for smoking cessation, and a total of 600 citizens were participated, including 310 in Wonju-City and 290 in Chuncheon-City. The statistical analysis was conducted using chi-square test and logistic regression analysis. Results: Wonju-City had a higher prevalence of current smoking than Chuncheon-City. Among smoking cessation programs operated by local public health centers, Wonju-City had a lower odds ratio for experience with smoking cessation education than Chuncheon-City (OR=0.52, 95% CI=0.33 to 0.81). When examining the effect of smoking cessation program experience on quit attempts, in Wonju-City, citizens who had completed smoking cessation education and used a smoking cessation clinic were more likely to attempt to quit than those who had not (OR=2.31 and OR=2.29, respectively). In Chuncheon-City, citizens who were aware of smoking cessation support services were 2.26 times more likely to attempt to quit smoking than those who were not, but statistical significance was not reached due to the small sample size. Conclusion: Therefore, healthcare organizations in both regions should develop more practical intervention strategies to increase smokers' quit attempts, reduce smoking rates in the community, and address regional disparities.
참고문헌 (26)
- Csordas A, "The biology behind the atherothrombotic effects of cigarette smoke", Nat Rev Cardiol, 10(4), pp.219~230 (2013)
- GBD 2019 Tabacco Collaborators, "Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990-2019 : A systematic analysis from the Global Burden of Disease Study 2019", Lancet, 397(10292), pp.2337~2360 (2021)
- Park J, "An ecological study on MPOWER and smoking prevalence rate by Tobacco control law", Korean J Health Educ Promot, 40(1), pp.1~12 (2023)
- (2023)[URL]
- Kim CB, "Regional inequalities in healthcare indices in Korea : Geo-economic review and action plan", Health Policy Manag, 28(3), pp.240~250 (2018)
- "Community Health Survey: Regional health statistics at a glance 2022/2023" (2023)[URL]
- Ryu SY, "Factors associated with intention to quit smoking among male smokers in 13communities in Honam region of Korea : 2010 Community Health Survey", Korean J Health Educ Promot, 28(2), pp.75~85 (2011)
- Moon S, "Factors influencing intention to quit smoking in Korean adult smokers : Using 2014 Korea National Health and Nutrition Examination Survey", J Korean Biol Nurs Sci, 19(3), pp.178~190 (2017)
- Park KY, "Predictors of intention to quit smoking among woman smokers in Korea", J Korean Fund Nurs, 21(3), pp.253~263 (2014)
- Ahn HR, "Factors associated with intention to quit smoking in community-dwelling male adult smokers", J Korean Acad Community Health Nurs, 26(4), pp.364~371 (2015)
- Kim HS, "Factors associated with relapse to smoking behavior using health belief model", J Agric Med Community Health, 36(2), pp.87~100 (2011)
- Park MJ, "Comprehensive response and management issues under the Infectious Disease Control and Prevention Act", Korean J Med Law, 29(2), pp.27~50 (2021)
- Shin Y, "South Korean government’s risk communication during the COVID-19pandemic crisis : Lessons learned and policy recommendations", Korean J Health Educ Promot, 38(4), pp.63~72 (2021)
- Song TM, "Measures to invigorate internetbased non-smoking publicity", Health Welf Policy Forum, 81(-), pp.1~9 (2003)
- Song TM, "Evaluation of an internet and a mobile-based smoking cessation program", Korean J Health Educ Promot, 21(3), pp.179~193 (2004)
- Chevalking SKL, "Identification of users for a smoking cessation mobile app : Quantitative Study", J Med Internet Res, 20(4), pp.e118~ (2018)
- Rajani NB, "Self-efficacy and motivation to quit of smokers seeking to quit : Quantitative assessment of smoking cessation mobile apps", JMIR Mhealth Uhealth, 9(4), pp.e25030~ (2021)
- Jeong YJ, "A comparative analysis of smokingassociated factors in Wonju-si and Chuncheon-si : Based on the national health insurance service-health screening database", Korean J Hosp Manag, 28(1), pp.24~36 (2023)
- Kim H, "Analysis of factors affecting the smoking rates gap between regions and evaluation of relative efficiency of smoking cessation projects", Health Policy Manag, 30(2), pp.199~210 (2020)
- Jeong SK, "Area specific gap in current male smoking and factors associated with a secondary data analysis based on a socio-ecological model", J Korean Soc Res Nicotine Tob, 13(1), pp.20~31 (2022)
- Kim HJ, "Experience with ‘National Smoking Cessation Services’ and intention to quit among adult smokers in Korea", J Korean Soc Res Nicotine Tob, 11(1), pp.24~31 (2020)
- Cho KS, "Evaluation of smoking cessation program at public health center in 2004-analysis on key factors and rates in smoking cessation-", J Health Info Stat, 31(1), pp.35~48 (2006)
- Choi EJ, "Tobacco cessation policy indicators and their policy implications", Health Welf Policy Forum, 246, pp.22~31 (2017)
- The 5th National Health Plan (Health Plan 2030, 2021∼2030), "Minisatry of Health and Welfare", Minisatry of Health and Welfare, ~ (2022)
- Amin S, "A systematic review of experimental and longitudinal studies on e-cigarette use cessation", Addict Behav, 146, pp.107787~ (2023)
- Poulsen PB, "Is a percentage a percentage? Systematic review of the effectiveness of Scandinavian behavioural modification smoking cessation programmes", Clin Respir J, 4(1), pp.3~12 (2010)
