디지털융복합연구 (Journal of Digital Convergence)

  • 제12권1호
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  • Pages.445-455
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  • 2014
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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보건소 금연클리닉의 신규등록자와 재등록자의 금연성공 요인 비교 분석

Success Factors of Smoking Cessation among new enrollees and re-enrollees in Smoking Cessation Clinics at Public Health Centers

  • 투고 : 2013.10.28
  • 심사 : 2014.01.20
  • 발행 : 2014.01.28
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초록

본 연구는 보건소 금연클리닉의 신규등록자와 재등록자의 금연성공 요인을 비교분석하여, 향후 보건소 금연 사업의 효율성 제고를 위한 개선방안을 제안하고자 하였다. 연구자료는 2009년 7월 16일부터 2010년 7월 15일까지 전국 253개 보건소 금연클리닉에 등록하여 6개월 이상 서비스를 이용한 흡연자 319,908명이며, 재등록자와 신규등록자로 구분한 후, 6개월 금연성공여부를 종속변수로 하여 ${\chi}^2$검정과 t검정, 로지스틱 회귀분석을 실시하였다. 연구결과에 따르면 조사대상자들의 6개월 금연성공률은 재등록자(51.6%)가 신규등록자(48.7%) 보다 높게 나타났고, 금연성공에 영향을 미치는 공통적인 요인으로는 성, 연령, 사회보장유형, 거주지역, 하루 평균 흡연량, 처음 흡연연령, 니코틴 의존도, 서비스 내용 등이었다. 특히 보건소 금연클리닉에서 제공되는 서비스 내용 중 신규등록자는 행동요법만 제공하는 경우가 금연성공률이 높은 반면 재등록자는 행동요법과 약물요법을 병행하는 경우가 금연성공률이 높았다. 이에 따라 보건소 금연클리닉을 운영함에 있어 대상자의 특성을 고려한 다양한 금연지원서비스를 제공할 필요가 있으며, 등록유형에 따라 차별화된 서비스 제공의 필요성을 제언한다.

This study has targeted to comparatively analyze smoking cessation success rates and success factors among new enrollees and re-enrollees in Smoking Cessation Clinics for its efficient operation. A total of 319,908 smokers who were enrolled in the Smoking Cessation Clinics in one of 253 public health centers across the nation for more than 6 months from July 16, 2009 to July 15, 2010 were examined. According to the comparative analysis, the following results have been obtained. According to the results, it has been confirmed that it is necessary to determine why smoking cessation success rates are low and take additional efforts to increase the rates for the effective operation of smoking cessation clinics. In addition, smoking cessation success rates were higher when only BT(Behavior Therapy) was given than when both BT and NRT(Nicotine Replacement Therapy) were provided to new enrollees while they were lower when only BT was provided than when both BT and NRT were given to re-enrollees. Therefore, it is necessary to provide differentiated service types depending on the type of enrollment. Hence, it is also required for the government to take various approaches in terms of a direction for a smoking cessation policy.

키워드

참고문헌

  1. U.S. Department of Health and Human Services(USDHHS), Surgeon General's Report. USDHHS, 2004.
  2. World Health Organization(WHO), World Health Report. WHO, 2003.
  3. Ministry of Health & Welfare, National Smoking Prevention and Smoking Cessation Clinic Program Guide in 2010. MOHW, 2010.
  4. Ministry of Health & Welfare, National Smoking Prevention and Smoking Cessation Program Guide in 2005. MOHW, 2005.
  5. Ministry of Health & Welfare, A White Paper on Health & Welfare, 2011.
  6. K. J. Lee, C. J. Chang, M. S. Kim, M. H. Lee, Y. H. Cho, Factors Associated with Success of Smoking Cessation during 6 Months. J Korean Acad Nurs, Vol. 36, No. 5, pp. 742-750, 2006. https://doi.org/10.4040/jkan.2006.36.5.742
  7. K. S. Cho, T. M. Song, C. M. Lee, H. C. Kim, J. Y. lee, J. G. Lee, Evaluation of Smoking Cessation Program at Public Health Center in 2004- Analysis on Key Factors and Rates in Smoking Cessation. Journal of Korean Society of Health Information and Health Statistics, Vol. 31, No. 1, pp. 35-48. 2006.
  8. J. Y. Lee, T. M. Song, The Factors Influencing on Success of Quitting Smoking in Rural and Urban Smoking Cessation Clinics. J Agri Med & Community Health, Vol. 33, No. 3, pp. 292-302. 2008. https://doi.org/10.5393/JAMCH.2008.33.3.292
  9. Y. W. Jun, N. J. Jee, W. Y. Lee, Factors associated with success of smoking cessation for 6 months at smoking-cessation clinic of public health center in urban area. Journal of Korean Society for Health Education and Promotion, Vol. 25, No. 1, pp. 25-38. 2008.
  10. Y. H. Kim, Factors affecting the Success of Smoking Cessation for Six Months in the Smoking Cessation Clinic of a Public Health Center Based on the Trans-theoretical Model. J Korean Acad Community Health Nurs, Vol. 20, No. 4, pp. 413-422. 2009.
  11. T. M. Song, J. Y. Lee, K. S. Cho, The Factors Influencing on success of Quitting Smoking in New erollees and re-enrollees in Smoking Cessation Clinics. Journal of Korean Society for Health Education and Promotion, Vol. 25, No. 2, pp. 19-30. 2008.
  12. Fiore MC, Bailey WC, Cohen SJ, Treating tobacco use and dependence, Clinical Practice Guideline. U.S. Department of Health and Human Service(USDHHS). Public Health Service, pp. 91-104, 2000.
  13. Ockene JK, Emmons KM, Mermelstein RJ, Perkins KA, Bonollos DS, Voorhees CC, et al, Relapse and maintenance issues for smoking cessation. Health Psychology, Vol. 19 No. 1 Suppl, pp. 17-31. 2000. https://doi.org/10.1037/0278-6133.19.Suppl1.17
  14. Raw M, McNeill A, Coleman T., Lessons from the English smoking treatment services. Addiction, Vol.100 No. Supplement2, pp. 84-91, 2005. https://doi.org/10.1111/j.1360-0443.2005.01029.x
  15. Raherison C, Marjary A, Valpromy B, Prevot S, Fossoux H, Taytard A, Evaluation of smoking cessation success in adults. Respiratory Medicine, Vol. 99, pp. 1303-1310. 2005. https://doi.org/10.1016/j.rmed.2004.12.002
  16. Levy DT, Romano E, Mumford E., The relationship of smoking cessation to sociodemograpic characteristics, smoking intensity, and tobacco control policies. Nicotine & Tobacco Research, Vol. 7, pp. 387-396. 2005. https://doi.org/10.1080/14622200500125443
  17. E. S. Lee, H. G. Seo, The factor associated with successful smoking cessation in Korea. J Korean Acad Fam Med, Vol. 28 No. 1, pp. 39-44. 2007.
  18. J. Y. Sim, N. Y. Han, Y. S. Cheong, S. M. Yoo, E. W. Park, Factors associated with success of smoking cessation at smoking-cessation clinic. J Korean Acad Fam Med, Vol. 23 No. 3, pp. 325-333. 2002.
  19. H. R. Yoo, S. H. Lee, T. K. Yoo, Applicability of Theory of Planned Behavior to Smoking-Cessation Intention: An Empirical Analysis Using Structural Equation Model. Journal of Korean Society for Health Education and Promotion, Vol. 26, No. 2, pp. 49-61. 2009.
  20. Hymowiz N, Sexton M, Ocken J, et al., Baselin factors associated with smoking cessation and relapse. Preventive Medicine, Vol. 20, pp. 590-601. 1991. https://doi.org/10.1016/0091-7435(91)90057-B

피인용 문헌

  1. Success Factors for the Smoking Cessation Service of the Safe Pharmacy vol.27, pp.1, 2017, https://doi.org/10.24304/kjcp.2017.27.1.38
  2. Predictors of Intention to Quit Smoking among Woman Smokers in Korea vol.21, pp.3, 2014, https://doi.org/10.7739/jkafn.2014.21.3.253