• Title, Summary, Keyword: smoking cessation

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A Multilevel Model Analysis on the Determinants of Smoking Cessation Success Rates (다층모형을 통한 금연성공에 영향을 미치는 요인 분석)

  • Song, Tae Min;Lee, Ju Yul
    • Korean Journal of Health Education and Promotion
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    • v.30 no.1
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    • pp.53-64
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    • 2013
  • Objectives: In this study, a multilevel analysis model has been designed to investigate the effect of personal characteristics associated with smoking cessation on anti-smoking determinants with a goal of finding out the factors which have influence on smoking cessation among the entrants of smoking cessation clinic in a public health center. Methods: A total of 253,136 male smokers who received smoking cessation services for more than six(6) months in a smoking cessation clinic of public health center from July 16, 2007 to July 15, 2008 were examined. For technical analysis, SPSS Version 2.0 has been used. For multilevel analysis on smoking cessation determinants, in addition, HLM 7.0 has been adopted. Results: According to the unconditional model of multilevel analysis, the success rates of smoking cessation among the entrants of a smoking cessation clinic were 47.3%. In an unconditional slope model test to which regional variables were added, a negative effect was observed in average smoking amount, total smoking period, nicotine dependence and services while a positive effect was found in age, stress and type of social security in terms of the log of the odds of smoking cessation. In a conditional model test, a positive effect was observed in Non-Smoking Campaigns (NSC) and Frequency of Counseling (FC) in terms of the log of the odds of smoking cessation in regional variables. Conclusions: It is important to approach smokers individually and, at the same time, build healthy environment for a local community to increase smoking cessation rates among the entrants of smoking cessation clinic in a public health center.

Influencing Factors on Smoking Cessation Motivation of Adult Males (성인남성의 금연동기 영향요인)

  • Yoon, Young Mi;Yang, Eun Kyung;Shin, Sung Rae
    • Korean Journal of Adult Nursing
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    • v.24 no.5
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    • pp.520-530
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    • 2012
  • Purpose: This research analyzed the different factors that influenced smoking cessation motivation. Methods: Subjects were both current and past male adult smokers. Data collection was conducted in four small businesses in Seoul and one public enterprise in Gyeonggi-Province from December 10, 2011 to January 30, 2012. Reasons for Quitting (RFQ) scale which was developed by Curry et al. was used for data collection. There were 350 participants and 324 (93%) questionnaires were used for the statistical analysis. Results: Participant's level of motivation varied by present smoking, quit attempt, smoking cessation counseling, level of nicotine dependence, stages of smoking cessation, and types of smoking. Participant's drinking pattern, smoking cessation counseling, social seeking type (G) and stages of smoking cessation had a 13% explanatory power for being motivated to stop smoking. Conclusion: For participants who drink alcohol regularly, who do not participate in smoking cessation counseling and those who are in the pre-contemplation stage for smoking cessation are candidates for future smoking cessation intervention programs or smoking cessation motivation programs.

Structural Equation Modeling on Smoking Cessation Intention in Male Technical High School Students (특성화고등학교 남학생의 금연의도 구조모형)

  • Do, Eun Su;Choi, Eunsuk
    • Journal of Korean Academy of Nursing
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    • v.47 no.2
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    • pp.211-221
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    • 2017
  • Purpose: This study was done to develop and test a structural model on smoking cessation intention in technical high school men. The conceptual model was based on the theory of reasoned action and health promotion model. Methods: From May 29 to April 13, 2015, 413 technical high school students who smoked completed a structured questionnaire. Data were analyzed to calculate the direct and indirect effects of factors affecting smoking cessation intention. The SPSS WIN 20.0 and AMOS 21.0 programs were used. Results: The hypothetical model was a good fit for the data. The model fit indices were $x^2/df=2.36$, GFI=.95, AGFI=.92, NFI=0.97, and RMSEA=.05. Self-esteem had direct and indirect effects on smoking cessation intention. Attitude, subjective norm, and self-efficacy had direct effects on smoking cessation intention. Smoking knowledge and environmental factor had indirect effects on smoking cessation intention. This model explained 87.0% of the variance in smoking cessation intention. Conclusion: These results indicate that technical high school students' intention to stop smoking can be improved through an increase in self-esteem, negative environmental factors, attitude toward smoking cessation, subjective norm about smoking cessation, and self-efficacy for smoking cessation.

Effect of Smoking Cessation Program for Workers in Large Size Company -Using Motivational Enhancement Counseling- (대규모 사업장 근로자를 위한 금연 프로그램의 효과 - 동기강화 상담(Motivational Enhancement Counseling)의 적용 -)

  • Kim, Soon-Lae;Lee, Jong-Eun;Cho, Dong-Ran;Kim, Jung-Im;Kim, Young-Long
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.2
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    • pp.113-118
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    • 2011
  • Purpose: The purpose of this study was to examine effects of smoking cessation program in large size company using motivational enhancement counseling. Methods: A quasi-experimental design was conducted. 72 workers in intervention group and 65 workers in control group participated in 7 large size companies. Smoking cessation program consisted of a campaign, smoking cessation education, and 6 weeks motivational enhancement counseling. The motivational enhancement counseling was tailored to the individual's stage of change. Stages of smoking behavior, smoking cessation rate, nicotine dependence, and confidence of smoking cessation were assessed after intervention. Results: The results showed that intervention had a significant impact on improving stages of smoking behavior and smoking cessation rate, and impact on decreasing nicotine dependence, compared to those of a control group. Conclusion: The effects and feasibility of smoking cessation program including motivational enhancement counseling were revealed in the large size company. These results might provide information that can be used in improving cultures of smoking cessation for workers.

Predictors of Smoking Cessation Counselling Activities among Community Health Practitioners (보건진료원의 금연지도활동에 영향을 주는 요인 - 광주$\cdot$전남지역을 중심으로 -)

  • 김진선
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.239-254
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    • 2003
  • Purposes: The purposes of this study were to investigate the smoking cessation counselling activities among community health practitioners(CHP) and to identify the predictors of their smoking cessation counselling activities. Method: A descriptive-correlation study using self-administered questionnaires was conducted. Questionnaires were mailed to all the CHP in a community. A total of 330 CHPs participated in this survey. Results: Of the CHPs surveyed, 245(74.2%) returned completed questionnaires. Most CHPs(90.7%) believed that if a health professional advises their patient to quit, the patient's chances of quitting smoking are increased. While the majority of CHPs “asked, advised, and assessed” their clients, a minority of CHPs “assisted, arranged, and recorded”. In the final stepwise multiple regression model, attitude about smoking cessation policies and counselling activities, self-efficacy of smoking cessation counselling knowledge and skills, and perceived barriers of smoking cessation counselling activities were identified as significant predictors of smoking cessation counselling activities among CHPs. Conclusion: Smoking cessation counselling activities are not a routine part of CHP practice. Efforts should be made to increase the self-efficacy of smoking cessation counselling knowledge and skills among CHPs. Helping CHPs to overcome their barriers to smoking counselling may open up new channels for smoking intervention.

Factors associated with success of smoking cessation for 6 months at smoking-cessation clinic of public health center in urban area (보건소 금연클리닉 프로그램의 실시 후 6개월 금연성공 요인)

  • Jun, Yong-Wook;Ji, Nam-Ju;Lee, Weon-Young
    • Korean Journal of Health Education and Promotion
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    • v.25 no.1
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    • pp.25-38
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    • 2008
  • Objectives: This study identified the factors associated with successful smoking cessation for 6 months at a smoking-cessation clinic of a public health center in an urban area. Methods: The subjects of this study were 670 visitors to the smoking cessation clinic of Dongjak-Gu public health center in Seoul, from September 6, 2005 to March 24, 2006. The 274 visitors of them responded to the questionnaire with registration, which contained the information related to the study except that of registered card for the clinic. A dependent variable was success or failure in smoking cessation during the 6 month-smoking cessation program, measured the status of smoking cessation in each week by self-report. Independent variable included demographic information, the characteristics in using the clinic, health status and smoking related behaviour, exposure to other smokers in daily life and motivation. Multiple logistic regression model was used to find the factors associated with success of smoking cessation. Results: The success rate in smoking cessation for 6 months was 33.6%. Five pretreatment characteristics were identified as univariate predictors of continuous abstinence. Finally, age, job, and practice oriented motivation were associated significantly with the success of smoking cessation for 6 months from a multiple logistic regression analysis. The lower socio-economic smokers such as people having lower literacy level, lower income people, unskilled workers, and recipients by Medical Assistant Program were more likely to fail in continuous abstinence for 6 months. Conclusions: In order to increase the success rate in smoking cessation clinics of public centers, counselors should activate self confidence and practice oriented motivation of participants for smoking cessation.

Success Factors for the Smoking Cessation Service of the Safe Pharmacy (세이프약국 금연서비스의 성공요인)

  • Kang, Eunjeong;Park, Hyekyung
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.1
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    • pp.38-43
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    • 2017
  • Objective: Seoul City has implemented the Safe Pharmacy in 2013. This study aimed to ascertain the success factors of the smoking cessation service of the Safe Pharmacy. Methods: The data for the smoking cessation registration cards were obtained from the pharmacies which participated in 2014 Safe Pharmacy. The sample included 289 smokers in 6 districts who participated at least one sessions of smoking cessation service. the service included both behavioral intervention and nicotine replacement therapy. In order to identify the effectiveness of the smoking cessation service, logistic regression analysis was used. The dependent variable was the success of quitting smoking at the 4th week. The independent variables included age, sex, employment, chronic disease, district, smoking amount, registration path, supporters for quitting smoking and number of service sessions. Results: Fifty eight point eight percent of the sample successfully quit smoking at the 4th week. Unemployment, higher smoking amount, and less service sessions were negatively related to the success of quitting smoking. There were differences in the success rate across districts. Age, sex, chronic disease, registration path, and anti-smoking supporters were not related to the success rate. Conclusion: Pharmacy can be an effective community resource for smoking cessation. Factors that could increase the effectiveness of smoking cessation service of the Safe Pharmacy and possible ways to enhance the participation of pharmacies in smoking cessation services were also discussed.

Factors Influencing Intention to Quit Smoking of High School Students in a Community (일 지역 고등학생의 금연의도 영향 요인)

  • Jeong, Chu-young;Choi, Eun-Jung;Seo, Young-sook
    • Journal of Korean Clinical Health Science
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    • v.5 no.3
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    • pp.963-972
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    • 2017
  • Purpose. This study uses Ajzen's theory of planned behavior to investigate predictors associated with the intention of smoking cessation in smokers among high school students in a community. Method. The study population consisted of 138 smokers from high school students in a community. Between May to April 2015, Data was collected through questionnaires. Data analysis was performed using the PASW 21.0 program, and one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression analysis. Results. The mean intention of smoking cessation of this study was 3.98/5. The significant correlates of the intention of smoking cessation were attitudes toward smoking cessation (${\beta}=.36$, p=.003), self efficacy for smoking cessation (${\beta}=.44$, p<.001), satisfaction of school life (${\beta}=.22$, p=.009), number of friends smoking (${\beta}=.76$, p<.001), and previous experience of smoking cessation (${\beta}=.92$, p<.001). These variables explained 75.6% of variance in the intention of smoking cessation. Conclusion. The study suggests that various factors including previous experience of smoking cessation, number of friends smoking, self efficacy for smoking cessation and attitudes toward smoking cessation were important variables in explaining the intention of smoking cessation among high school students. Therefore, these variables are crucial in determining the promotion and intention of smoking cessation among high school students.

Smoking Temptation, Self-efficacy, and Satisfaction with Counseling among Users of Smoking Cessation Counseling Services Provided by a Public Health Center (일 지역 보건소 금연클리닉 이용자의 흡연유혹, 자기 효능감 및 금연상담 만족도)

  • Ham, Ok-Kyung;Yoo, Jae-Bok
    • Journal of Korean Public Health Nursing
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    • v.22 no.2
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    • pp.246-254
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    • 2008
  • Purpose: In order to assess the effects of smoking cessation counseling provided by a public health center in terms of smoking temptation, smoking cessation self-efficacy, and satisfaction with smoking cessation counseling, and also to provide baseline data for the improvement of smoking cessation counseling programs. Methods: A total of 52 current and former smokers who utilized smoking cessation counseling provided by the health center at least once participated in this study. Using a self-report survey method, data were collected in November 2005. Results: The mean age and duration of smoking of the participants were 49 and 28 years, respectively. Seventy-one percent had experienced smoking cessation trials prior to using the counseling services, and most of the participants had utilized smoking cessation counseling less than 5 times. Mean scores of temptation, self-efficacy, and satisfaction with counseling were $3.39{\pm}0.75,\;3.80{\pm}0.66$, and $4.38{\pm}0.55$ (range,1-5), respectively. The participants were largely vulnerable to smoking temptations under conditions of anxiety or stress. The duration of counseling was associated negatively with smoking temptation, but was associated positively with self-efficacy. Conclusion: To help adopt and maintain smoking cessation, smoking cessation counseling should emphasize methods for coping with smoking temptations and to increase smoking cessation self-efficacy in various tempting situations.

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The Relationship between E-Cigarette Experience and Smoking Cessation Behavior among Current Smokers (우리나라 성인 흡연자의 전자담배 이용경험과 금연행태의 관련성)

  • Lee, Yoon Noh;Kim, Bokmi;Min, In Soon;Hahm, Myung-Il
    • Health Policy and Management
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    • v.27 no.4
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    • pp.276-283
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    • 2017
  • Background: Electronic cigarette (e-cigarette) has rapidly increased. Even though e-cigarettes are actually not smoking cessation alternative supplies, some people perceive them as smoking cessation alternative supplies. The purpose of this study is to identify the relationship between e-cigarette experiences and smoking cessation behaviors among Korean adults. Methods: Cross-sectional data was collected from 7,550 participants of Korea National Health and Nutrition Examination Survey in 2014. A total of 867 participants who were current smokers were enrolled in this study. Multi-variable logistic regression analysis were performed to identify the relationship between the smoking cessation behavior and the e-cigarette experience. Results: The e-cigarette experience rate of current smokers was 22.1%. The e-cigarette experience rate was higher in groups with the higher income, the higher education level, and the white collar jobs. Smokers with experience of smoking cessation (odds ratio [OR], 3.03; 95% confidence interval [CI], 1.67 to 5.76) and with intention to smoking cessation in the future (OR, 1.59; 95% CI, 1.05 to 2.43) were more likely to experience the e-cigarette. Especially, smokers who used smoking cessation alternative supplies were more likely to experience the e-cigarette than smokers who did not use it (OR, 2.87; 95% CI, 1.59 to 5.18). Conclusion: We confirmed that e-cigarette experiences were associated with smoking cessation experience, smoking cessation plan, and use of smoking cessation aid among smokers in Korea. Additional studies should be continued to confirm whether e-cigarette are continuously influencing the smoking cessation of current smokers in South Korea as one of the smoking cessation alternative supplies.