Progress in implementation of WHO FCTC Article 14 and its guidelines: a survey of tobacco dependence treatment provision in 142 countries.
Progress in implementation of WHO FCTC Article 14 and its guidelines: a survey of tobacco dependence treatment provision in 142 countries.
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DOI：
10.1111/add.13903
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发表时间：
2017-11
期刊：
影响因子：
--
通讯作者：
McNeill A
中科院分区：
文献类型：
--
作者：
Nilan K;Raw M;McKeever TM;Murray RL;McNeill A
（1）估计《烟草控制框架公约》（FCTC）缔约方根据第14条建议及其指南提供烟草依赖治疗的数量;（2）评估提供与国家收入水平之间的关系;（3）评估一段时间内的进展。横断面研究2014年12月至2015年7月的在线调查。调查了172个国家的联系人，代表调查时180个《公约》缔约方中的169个。一份基于第14条建议的26项调查问卷，包括烟草治疗基础设施和戒烟支持系统。对那些也参加了我们2012年调查但没有改变国家收入水平分类的国家，评估了一段时间以来的进展情况。我们收到了来自142个国家的联系人的回复，回复率为83%。总体而言，54%的受访者报告说，他们的国家有一个官方确定的负责烟草依赖治疗的人，32%有官方的国民治疗战略，40%有官方的国民治疗指南，25%有明确的治疗预算，17%有短信，23%有免费的全国戒烟热线，26%有专门的治疗服务。大多数指标与国家的收入水平呈显著正相关（P < 0.001）。与收入水平无显著关联的措施包括强制性记录烟草使用（30%的国家），帮助卫生保健工作者（HCW）停止使用烟草（44%），将简要建议纳入现有服务（44%），以及培训HCW提供简要建议（81%）。报告有一个官方确定的人负责戒烟是唯一的措施，随着时间的推移，统计学显着改善（P = 0.0351）。在《烟草控制框架公约》缔约国中，只有不到一半的国家执行了第14条的建议及其准则，而且对于大多数措施，国家收入越高，提供的资金就越多。2012年至2015年期间，所有国家的治疗提供情况几乎没有改善。
To (1) estimate the number of Parties to the Framework Convention on Tobacco Control (FCTC) providing tobacco dependence treatment in accordance with the recommendations of Article 14 and its guidelines; (2) assess association between provision and countries’ income level; and (3) assess progress over time. Cross‐sectional study. Online survey from December 2014 to July 2015. Contacts in 172 countries were surveyed, representing 169 of the 180 FCTC Parties at the time of the survey. A 26‐item questionnaire based on the Article 14 recommendations including tobacco treatment infrastructure and cessation support systems. Progress over time was assessed for those countries that also participated in our 2012 survey and did not change country income level classification. We received responses from contacts in 142 countries, an 83% response rate. Overall, 54% of respondents reported that their country had an officially identified person responsible for tobacco dependence treatment, 32% an official national treatment strategy, 40% official national treatment guidelines, 25% a clearly identified budget for treatment, 17% text messaging, 23% free national quitlines and 26% specialized treatment services. Most measures were associated positively and significantly with countries’ income level (P < 0.001). Measures not associated significantly with income level included mandatory recording of tobacco use (30% of countries), offering help to health‐care workers (HCW) to stop using tobacco (44%), brief advice integrated into existing services (44%), and training HCW to give brief advice (81%). Reporting having an officially identified person responsible for tobacco cessation was the only measure with a statistically significant improvement over time (P = 0.0351). Fewer than half of countries that are Parties to the Framework Convention on Tobacco Control have implemented the recommendations of Article 14 and its guidelines, and for most measures, provision was greater the higher the country's income. There was little improvement in treatment provision between 2012 and 2015 in all countries.
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6
作者：
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