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KMID : 1143420220150312223
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Public Health Weekly Report
2022 Volume.15 No. 31 p.2223 ~ p.2236
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Risk factors and solutions for smoking cessation attempt rates: A comparative study between Dongdaemun-gu and Gwangjin-gu
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Kim Jin-Hyeong
Jeong Ho-Jin
Kim Hyeong-Su
Lee Kun-Sei
Choi Jee-Hye
Park Ah-Hyun
Cho Jung-Hee
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Abstract
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The purpose of this study was to identify the cause of the disparity in the smoking cessation attempt rate between
Dongdaemun-gu and Gwangjin-gu in Seoul, and to develop a solution to raise the smoking cessation attempt rate.
In the first year of this three-year study, based on World Health Organization (WHO) Commission on Social Determinants of
Health (CSDH) model, this study analyzed various data to identify the factors related to the gap in the smoking cessation
attempt rate between Dongdaemun-gu and Gwangjin-gu. In the second year, an intervention model was developed in
consideration of additional cause identification, cause verification, and regional characteristics. Finally, in the third year, a
strategy for resolving the gap in the smoking cessation attempt rate that can be broadly applied in Seoul through the
application and evaluation of the intervention model was developed. For the intervention strategy, a socio-behavioral model was applied according to the characteristics of each project based on a change in perception of smoking cessation and the creation of a smoke-free environment to encourage smoking cessation attempts. According to the characteristics of each project, multi-level approaches at the individual and interindividual, organizational and community level approaches were implemented simultaneously. At the individual level, the project was promoted to connect medical institutions for smoking cessation targeting individuals who were undergoing medical examinations. The individual and inter-individual level approach was linked with smoking prevention education in daycare centers and kindergartens to implement the project to create a smoke-free home. At each individual, interindividual, organizational, and community level approach, the project was implemented to prevent the harmful effects of second-hand smoke in apartments and traditional markets. There was a total of 67 participants in the intervention program, of which 46 were enrolled in a smoking cessation clinic, and 10 were successful in having quit smoking for 3 months. To improve the smoking cessation attempt rate, it was necessary to change the perception of smokers and to create a smoke-free environment. Also, it was necessary to establish a smoking cessation support system. Based on the intervention projects, it was confirmed that smoking cessation clinics at public health centers play a vital role as smoking cessation support systems. Above all, it was deemed necessary to promote smokers’ willingness to quit smoking and improve awareness to enhance the smoking cessation attempt rate. In summation, this study concluded that if an intervention project is carried out in consideration of the characteristics of each region, it is expected that it will increase the smoking cessation attempt rate by establishing a smoking cessation support system and encouraging individuals to quit smoking.
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KEYWORD
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Attempt rate of smoking cessation, Regional disparity, Risk factor, Interventional project
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