Yıl: 2010 Cilt: 1 Sayı: 3 Sayfa Aralığı: 150 - 155 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents

Öz:
Amaç: Bu çalışmanın ana amacı bir grup Romen adolesanda, ilk defa uygulandığında, interaktif bir sigara bıraktırma programının etkinliğini araştırmaktır. Çalışmanın ikincil amacı ise gençlerin sigara bağımlılığına, sigara bırakma girişimlerine ve standart sigara bırakma pilot uygulamalarına karşı tavır ve inançlarını değerlendirmektir.Gereç ve yöntem: Romanya’da 2005 yılında, yaşları 14-19 arasında değişen toplam 231 kişi Adolesan Sigara Bırakma (ASB) programına katıldı. Katılımcıların güncel içici olup olmadıkları, sigara içme ve bırakma profiline göre teyid edilmiş soru seti içeren ASB anketine dayanarak belirlendi. Sigara içme durumu, ekspiryum havasında karbon monoksit aranmasıyla araştırıldı. Katılımcılarla birlikte sigara içmenin zararları ve sigaradan kurtulma metotları hakkında 6 interaktif oturum gerçekleştirildi. Sonuç değerlendirmesi, programın genel etkinliğini değerlendirme ve sigarayı bırakan ya da azaltanları ödüllendirme ile yapıldı.Bulgular: Çalışma grubunun %52.4’ü her gün sigara içen, %10.4’ü her gün sigara içmeyen ancak en az haftada bir sigara içen, %6’sı haftada birden az içen, %23.4’ü hiç sigara içmeyen ve %7.8’i eskiden sigara içen bireyler içermekte idi. Sigara bırakma oranı, her gün sigara içenlerde %12.3, her gün içmeyip haftada en az bir kez içenlerde %16.6 idi. Ayrıca her gün sigara içenlerin %4.1’i ile haftada en az bir kez içenlerin %30’unda günlük içtikleri sigara sayısında azalma saptandı. Program bireylerin %85.2’sinin tüm toplantılarda hazır bulunması ile yüksek bir katılım oranı sağladı. Ayrıca sigara içme ve bırakma ile ilgili katılımcıların inançlarında önemli değişiklikler oldu.Sonuç: Pilot ASB programı, her gün sigara içenlerin %12.3’ünün sigarayı bıraktığı etkili bir program idi ve katılımcıların %90’ının sigara içme ve sigara bırakma konusundaki kişisel inançları üzerinde pozitif etkisi oldu.
Anahtar Kelime:

Konular: Cerrahi

Gençlerde tütün bağımlılığına yaklaşım: Bir grup Romanyalı adolesanda etkileşimli sigara bıraktırma programı

Öz:
Objectives: The main objective of this study was to investigate the effectiveness of an interactive smoking cessation program when first implemented in a naïve population of Romanian adolescents. The secondary objective was to assess youngsters’ attitudes and beliefs towards tobacco dependence, their compliance to smoking cessation interventions and success rate of a standard smoking cessation pilot program.Materials and methods: 231 subjects 14-19 years old participated in the Adolescent Smoking Cessation (ASC) pilot program in Romania in 2005. Subjects were evaluated based on the ASC questionnaire, a validated set of questions about smoking and cessation profile, whether current smoker or not. Smoking status was validated by carbon monoxide determination in exhaled air. Participants were delivered 6 interactive ASC sessions about smoking hazards and methods to quit smoking. A final evaluation was done to assess overall program’s impact and to reward quitters and reducers by prizes.Results: Study population was made of 52.4% every day smokers, 10.4% at least once/week but not every day smokers, 6% less than once/week smokers, 23.4% never smokers and 7.8% ex-smokers. Cessation rate was 12.3% in every day smokers and 16.6 % in at least once a week but not every day smokers. Also, 4.1% every day smokers and 30 % at least once/week not every day smokers reduced number of cigarettes smoked/day. The program registered a high attendance rate/sessions as 85.2 % of subjects were present in all sessions. Also, significant changes occurred in participant’s beliefs about smoking and cessation.Conclusions: Pilot ASC was an efficient program with 12.3% of daily smokers to quit smoking and its positive impact on personal smoking and cessation beliefs in 90 % of participants.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Benowitz NL. Neurobiology of nicotine addiction: implications for smoking cessation treatment, Am J Med 2008; 121: S3-S10.
  • 2. Benowitz NL. Pharmacology of nicotine: addiction, smoking-induced disease and therapeutics, Ann. Rev Pharmacol Toxicol 2009; 49: 57-71.
  • 3. Trofor A, et al. Smoking cessation and smoker’s assistance guidelines in Romania (GREFA), Tehnopress publisher House, Iasi, 2008, p. 21-25.
  • 4. Teen Smoking Statistics, CDC, Mayo Clinic, ALA,Teen Help.com
  • 5. Giovino G.A.,The Tobacco Epidemic in the United States, Am Journal of Preventive Medicine 2007;33(6S):S318–S326.
  • 6. Trofor A, Mihaltan F, Mihaicuta S, Lotrean L. Smoking cessation and prevention for young people- Romanian expertise, Pneumologia 2009;58:72-8.
  • 7. Romanian National Center for Health Politics and Services 2007 statistics
  • 8. World No Tobacco Day data press release, 31st of May, Bucharest, Romania, www.ms.ro
  • 9. Tonnensen P. How to reduce smoking among teenagers, Eur Respir J 2002; 19:1-3.
  • 10. Statistics on smoking: England 2008, report of National Statistics, The Information Center for Health and Social Care, 16 October 2008, p.53-60.
  • 11. Sargent JD, Mott L.A, Stevens M. Predictors of smoking cessation in adolescents, Arch Pediatr adolesc Med 1998;152:388-93.
  • 12. Mac Donald S, Geesink I, Moore L. Evaluation of European Adolescent Smoking Cessation Pilot Programme Report for the Welsh Assembly Government, ISSN 1-904815-41-3.
  • 13. General Household Survey 2006 Office for National Statistics, 2008. Available at: www.statistics.gov.uk/ghs/
  • 14. Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. May 2008.Learnings
APA TROFOR A, MIHAICUTA S, MAN M, MIRON R, ESANU V, TROFOR L (2010). Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents. , 150 - 155.
Chicago TROFOR Antigona,MIHAICUTA Stefan,MAN Milena Adina,MIRON Ramona,ESANU Valentina,TROFOR Letitia Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents. (2010): 150 - 155.
MLA TROFOR Antigona,MIHAICUTA Stefan,MAN Milena Adina,MIRON Ramona,ESANU Valentina,TROFOR Letitia Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents. , 2010, ss.150 - 155.
AMA TROFOR A,MIHAICUTA S,MAN M,MIRON R,ESANU V,TROFOR L Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents. . 2010; 150 - 155.
Vancouver TROFOR A,MIHAICUTA S,MAN M,MIRON R,ESANU V,TROFOR L Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents. . 2010; 150 - 155.
IEEE TROFOR A,MIHAICUTA S,MAN M,MIRON R,ESANU V,TROFOR L "Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents." , ss.150 - 155, 2010.
ISNAD TROFOR, Antigona vd. "Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents". (2010), 150-155.
APA TROFOR A, MIHAICUTA S, MAN M, MIRON R, ESANU V, TROFOR L (2010). Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents. Journal of Clinical and Experimental Investigations, 1(3), 150 - 155.
Chicago TROFOR Antigona,MIHAICUTA Stefan,MAN Milena Adina,MIRON Ramona,ESANU Valentina,TROFOR Letitia Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents. Journal of Clinical and Experimental Investigations 1, no.3 (2010): 150 - 155.
MLA TROFOR Antigona,MIHAICUTA Stefan,MAN Milena Adina,MIRON Ramona,ESANU Valentina,TROFOR Letitia Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents. Journal of Clinical and Experimental Investigations, vol.1, no.3, 2010, ss.150 - 155.
AMA TROFOR A,MIHAICUTA S,MAN M,MIRON R,ESANU V,TROFOR L Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents. Journal of Clinical and Experimental Investigations. 2010; 1(3): 150 - 155.
Vancouver TROFOR A,MIHAICUTA S,MAN M,MIRON R,ESANU V,TROFOR L Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents. Journal of Clinical and Experimental Investigations. 2010; 1(3): 150 - 155.
IEEE TROFOR A,MIHAICUTA S,MAN M,MIRON R,ESANU V,TROFOR L "Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents." Journal of Clinical and Experimental Investigations, 1, ss.150 - 155, 2010.
ISNAD TROFOR, Antigona vd. "Approaching tobacco dependence in youngsters: impact of an interactive smoking cessation program in a population of Romanian adolescents". Journal of Clinical and Experimental Investigations 1/3 (2010), 150-155.