Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Factors Associated with Failure in The Continuity of Smoking Cessation Among 6 Month's Smoking Cessation Succeses in the Smoking Cessation Clinic of Public Health Center

보건소 금연클리닉 6개월 금연성공자의 금연지속 실패 요인

  • Choi, Hyeon-Soon (Public Health Center of Miryang city) ;
  • Sohn, Hae-Sook (Department of Preventive Medicine, School of Medicine, Inje University) ;
  • Kim, Yun-Hee (Department of Nursing, Pukyong National University) ;
  • Lee, Myeong-Jin (Department of Preventive Medicine, School of Medicine, Inje University)
  • 최현순 (밀양시 보건소) ;
  • 손혜숙 (인제대학교 의과대학 예방의학교실) ;
  • 김윤희 (부경대학교 간호학과) ;
  • 이명진 (인제대학교 의과대학 예방의학교실)
  • Received : 2012.07.11
  • Accepted : 2012.10.11
  • Published : 2012.10.31
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Abstract

This study was performed to investigate the factors related failure in continuity of smoking cessation among persons who were initially successful in quitting smoking for at least 6 months in smoking cessation clinic of public health center. Data were collected with the telephone questionnaire survey and the registered cards from 347 of 6 months quitters from 2006 to 2008 year. Data were analyzed by life table method and Cox-proportional hazard model. In Cox-proportional hazard model, Eup Myeon of residence(HR 2.50, 95% CI 1.69-3.68), without chronic diseases(HR 1.92, 95% CI 1.21-3.04), without another smoker in household(HR 1.93, 95% CI 1.21-3.09) and usage of supplement agent(HR 2.17, 95% CI 1.01-4.68) were independently associated with the failure in continuing to stay smoke-free. The cumulative rate of failure in the continuity of smoking cessation was 28.6% at 6 month and 36.1% at 24 month. For operating a clinic program for smoking cessation, Public health center should makes strategies that a person is continuing smoking cessation for over 6 months after the first 6 momth's smoking cessation.

본 연구는 보건소 금연클리닉의 6개월 금연성공자의 금연지속 실패와 관련된 요인을 파악하고자 시도되었다. 자료는 6개월 금연성공자 347명으로부터 보건소 금연클리닉 등록카드와 전화설문 조사를 통하여 수집되었으며, 생명표법과 Cox-proportional hazard model로 분석하였다. 금연지속 실패와 관련된 요인은 주거지가 읍 면인 경우(HR 2.50, 95% CI 1.69-3.68), 만성질환이 없는 경우(HR 1.92, 95% CI 1.21-3.04), 동거가족 흡연자가 없는 경우(HR 1.93, 95% CI 1.21-3.09) 금연보조제를 사용한 경우(HR 2.17, 95% CI 1.01-4.68)로 나타났다. 누적 금연지속 실패율은 6개월까지가 28.6%, 24개월은 36.1%로 나타났다. 이에 보건소 금연클리닉은 금연성공 및 금연 지속률을 높이기 위하여 대상자의 금연의지를 강화할 수 있는 다양한 중재 개발이 필요하다.

Keywords

References

  1. World Health Organization. "The history of the WHO Framework Convention on Tobacco Control", Retrieved Oct 10, 2011 from http://www.who.int/fctc/about/history/en/ , 2009.
  2. Kim, S. J., & Kwon, S. M., "The social cost of smoking in Korea", Korean Journal of Policy Analysis and Evaluation, 18(4), pp. 119-140, 2008.
  3. Ministry of Health and Welfare. 2010 National tobacco control and smoking cessation program guideline, Seoul, 2010.
  4. Song, T. M., "Changes in smoking rates of male adults in Korea and smoking cessation policy: Focus on smoking cessation clinics", Health Welfare Policy forum, 3, pp. 55-63, 2011.
  5. Son, H. K., Jung, U. Y., Park, K. S., Kam, S., Park, S. K., & Lee, W. K., "The factors implicated when an individual starts to smoke again after a 6 Month cessation", Journal of Preventive Medicine and Public Health, 42(1), pp. 42-48, 2009. https://doi.org/10.3961/jpmph.2009.42.1.42
  6. Kim, M. J., & Jung, I. S., "Smoking relapse and related factors within one year among successes of the smoking cessation clinics of public health centers", Journal of Preventive Medicine and Public Health, 44(2), pp. 84-92, 2011. https://doi.org/10.3961/jpmph.2011.44.2.84
  7. Korea Centers for Disease Control and Prevention, "Community health survey", Seoul, 2009.
  8. Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., "The fagerstrom test for nicotine dependence: A revision of the fagerstrom tolerance questionnaire", British Journal of Addiction, 86(9), pp. 1119-1127, 1991. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
  9. Piasecki, T. M., "Relapse to smoking", Clinical Psychology Review, 26(2), pp. 196-215, 2006 https://doi.org/10.1016/j.cpr.2005.11.007
  10. Korean Statistical Information Service, "Death statistics", Retrieved Oct 10, 2011 from http://kosis.kr/gen_etl/start.jsp?orgId=101&tblId=DT_1B34E07&conn_path=I2&path=NSI
  11. Roh, S. Y., & Yoon, S. W., "A forecasting model for prospective 5-year medical expenditure and benefit expense of Medical Aid program, Korean Association of Public Policy, 10(1), pp. 61-87, 2008.
  12. Kim, C. H., & Seo, H. G., "The factors associated with success of smoking cessation at smoking-cessation clinic", Journal of Korean Academy of Family Medicine, 22(11), pp. 1603-1611, 2001.
  13. Sim, J. Y., Han, N. Y., Cheong, Y. S., Yoo, S. M., & Park, E. W., "Factors associated with success of smoking cessation at smoking-cessation clinic", Journal of Korean Academy of Family Medicine, 23(3), pp. 325-333, 2002.
  14. Kirscht, J. P., Brock, B. M., & Hawthorne, V. M., "Cigarette smoking and changes in smoking among a Cohort of Michigan Adults", American Journal of Public Health, 77(4), pp. 501-502, 1987. https://doi.org/10.2105/AJPH.77.4.501
  15. Yoo, S. H., "The factors associated with short term success of smoking-cessation at public health centers smoking-cessation clinic", Unpublished master's thesis, Yonsei University, Seoul, 2006.
  16. Gu, G. H., "The factors associated with smoking cessation in the public health center", Unpublished master's thesis, Chungnam National University, Daejeon, 2006.
  17. Kim, E. Y., "Factors associated with successful smoking cessation", Unpublished master's thesis, Seoul National University, Seoul, 2006.
  18. Moon, K. O., "Contributing factors to quit smoking at smoking-cessation clinic in public health center of Jeonnam province", Unpublished master's thesis. Chonnam National University, Gwangju, 2007.
  19. Lee, J. S., Kang, S. M., Kim, H. J., Lee, K. Y., Cho, B., & Goh, E., "Long-term maintenance of smoking cessation and related factors of relapse", Journal of Korean Academy of Family Medicine, 30(3), pp. 203-209, 2009 https://doi.org/10.4082/kjfm.2009.30.3.203
  20. Kim, S . O., "Predictive factors of tobacco cessation behavior", Journal of Korean Academy of Psychiatric and Mental Health Nursing, 18(3), pp. 231-239, 2009.
  21. Krall, E. A., Garvey, A. J., & Garcia, R. I., "Smoking relapse after 2 years of abstinence :findings from the VA Normative Aging Study", Nicotine & Tobacco Research, 4, PP. 95-100, 2002. https://doi.org/10.1080/14622200110098428

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