The Factors Influencing on success of Quitting Smoking in new enrollees and re-enrollees in Smoking Cessation Clinics

보건소 금연클리닉 신규등록자와 재등록자의 금연 성공요인 분석

  • Published : 2008.06.30


This study has comparatively analyzed the primary success factors in smoking cessation among new enrollees and re-enrollees of a smoking cessation clinic in order to find out how to efficiently operate smoking cessation clinics at public health centers. The study was conducted with 262,837 smokers aged 19 or over who were provided with smoking cessation services for more than 6 months after being registered with the smoking cessation clinic at public health centers(250 clinics nationwide) from July 16, 2006 to July 15, 2007. After dividing smokers into re-enrollees and new enrollees of the smoking cessation clinic, the success rate of and success factors for smoking cessation over 6 months have been investigated. The success factors in smoking cessation have been compared between new enrollees and re-enrollees of smoking cessation clinics. The results can be summarized as follows: First, the success rate of smoking cessation for 6 months at smoking cessation clinics of public health centers was higher in new enrollees (46.3%) than in re-enrollees (41.1%). Second, the common factors that had an influence on the success of smoking cessation of both new enrollees and re-enrollees of the smoking cessation clinic included age, social security, service, frequency of counseling, number of cigarettes per day, and alcoholic problems. Third, compared to new enrollees, re-enrollees had a higher success rate of smoking cessation as they got older. In terms of the success rate of health insurance, on the contrary, new enrollees were better than re-enrollees. Fourth, the study showed a higher success rate in smoking cessation in both new and re-enrollees if they had no alcoholic problems. In particular, a higher success rate was observed in re-enrollees when there were no alcoholic problems. To efficiently operate smoking cessation clinics at public health centers, this study confirmed that counseling should be tailored depending on the types of enrollees in the program.


  1. 김수현, 서승희 등. 서울시 D구 보건소 금연클리닉을 방문한 흡연자의 금연성공과 관련된 요인. 보건학논집 2005;42(2):139-148
  2. 김철환, 서홍관. 금연클리닉을 방문한 흡연자의 금연 성공과 관련된 요인. 가정의학회지 2001: 22(11):;1603-1611
  3. 보건복지부. 2008년도 국가흡연예방 및 금연사업안내. 2008
  4. 서홍관 등. 보건소 금연상담소 프로그램 개발에 대한 연구. 보건복지부/국립암센터 2004
  5. 이주열. 청소년 금연상담실무, 푸른세상. 2001
  6. 서홍관, 조홍준, 김철환, 김수영, 백유진, 유선미 등. 금연진료지침: 문헌고찰 및 근거요약. 가정의학회지 2005:26(11):394-406
  7. 송태민. 보건소 금연클리닉의 현황과 전망. 보건복지포럼 2007:7:50-65
  8. 송태민 등. 2007 금연사업지원 및 평가 정책보고서. 한국보건사회연구원 2007
  9. 심재윤, 한나영, 정유석, 유선미, 박일환. 금연클리닉에서 금연성공과 관련된 요인. 가정의학회지 2003:23(3):325-333
  10. 이언숙. 흡연자와 비교를 통한 금연자의 금연 성공 요인 분석. 인제대학교 박사학위논문 2002
  11. 이군자, 장춘자, 김명순, 이명희, 조영희. 6개월 금연성공의 영향 요인 연구. 대한간호학회지 2006:36(5):742-749
  12. 이철민, 조경숙 등. 금연클리닉에서 남성의 장․단기 금연 성공과 관련된요인:2004년 보건소 금연시범 사업분석. 대한임상건강증진학회지 2006:6(1):37-53
  13. 조경숙, 송태민, 이철민, 김현철, 이주열, 이종구. 2004년 보건소 금연클리닉사업의 평가: 금연성공률과 성공요인분석. 한국보건정보통계학회지 2006:31(1):35-48
  14. 최지호, 양윤준, 서홍관. 우리나라 의과대학생의 흡연실태 및 흡연과 금연에 영향을 미치는 요소' 가정의학회지 1995:16(2):157-171
  15. 하명화, 이덕희. 1개월 이상 금연 성공의 예측인자: 일개 대규모 산업장 금연운동 결과를 대상으로. 대한산업의학회지 2000:12(2):170-177
  16. Fiore MC, Bailey WC, Cohen SJ, et al. Treating tobacco use and dependence, Clinical Practice Guideline. U.S. Depart- ment of Health and Human Services, Public Health Service June 2000
  17. Fu SS, Partin MR, Snyder A, An LC, Nelson DB, Clothier B, Nugent S, Willenbring ML, Joseph AM. Promoting repeat tobacco dependence treatment: are relapsed smokers interested? Am J Manag Care. 2006 Apr:12(4):235-43
  18. Gourlay SG, Forbes A, Marriner T, Pethica D, McNeil JJ. Double blind trial of repeated treatment with transdermal nicotine for relapsed smokers. BMJ 1995:311:363-6
  19. Hymowitz N, Sexton M, Ockene J, et al. Baseline factors associated with smo- king cessation and relapse. Prev Med 1991:20:590-601
  20. Joseph AM, Rice KL, An LC, Lando H. Recent quitters' interest in recycling and harm reduction. Nicotine Tob Res. 2004:6:1075-1077
  21. Lando HA, Pirie PL, Roski J, McGovern PG, Schmid LA. Promoting abstinence among relapsed chronic smokers: the effect of telephone support. Am J Public Health 1996:86:1786-90
  22. National Advisory Committee on Health and Disability. Guidelines for smoking cessa- tion: revised 2002. Wellington (New Zealand): National Advisory Committee on Health and Disability (National Health Committee). May 2002
  23. NHS. Statistics on Smoking: England, 2007 The Information Centre. 2007
  24. Partin MR, An LC, Nelson DB, Nugent S, Snyder A, Fu SS, Willenbring ML, Joseph AM. Randomized trial of an intervention to facilitate recycling for relapsed smokers. Am J Prev Med. 2006 Oct:31(4):293-9
  25. Tonnesen P, Norregaard J, Sawe U, Simon -sen K. Recycling with nicotine patches in smoking cessation. Addiction 1993: 88:533-9
  26. Tonnesen P, Mikkelsen K, Norregaard J, Jorgensen S. Recycling of hard-core smokers with nicotine nasal spray. Eur Respir J 1996:9:1619-23
  27. Raw M, McNeill A, Coleman T. Lessons from the English smoking treatment services. Addiction 2005 Apr:100 Suppl(2):84-91