A survey of tobacco dependence treatment services in 121 countries
A survey of tobacco dependence treatment services in 121 countries
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DOI：
10.1111/add.12172
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发表时间：
2013-08-01
期刊：
影响因子：
6
通讯作者：
Raw, Martin
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文献类型：
--
作者：
Pine-Abata, Hembadoon;McNeill, Ann;Raw, Martin
目的报告世界卫生组织（WHO）《烟草控制框架公约》（FCTC）缔约方在根据FCTC第14条和第14条指南建议开发烟草依赖治疗系统方面的进展。设计横断面研究。设置电子调查，从2011年12月至2012年8月。在我们调查时，FCTC的174个缔约方中有3个缔约方的情况。测量51项调查问卷包含21项专门针对处理系统的内容。问题涵盖了基本治疗基础设施和国家戒烟支持systems.Findings的可用性，我们收到了来自121（73%）的166个国家的调查答复。不到一半的国家制定了国家治疗指南（n=53，44%）、政府官员负责烟草依赖治疗（n=49，41%）、官方国家治疗战略（n=53，44%）或为卫生工作者提供戒烟支持（n=55，46%）。超过一半的人鼓励在现有的医疗保健服务中提供简短的建议（n=68，56%），而只有44人（36%）有戒烟热线，只有20人（17%）有覆盖全国的治疗支持网络。结论大多数国家，特别是低收入和中等收入国家，尚未实施《烟草控制框架公约》第14条的建议或《烟草控制框架公约》第14条指南。
Aims To report progress among Parties to the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) in developing tobacco dependence treatment systems in accordance with FCTC Article 14 and the Article 14 guidelines recommendations.Design Cross-sectional study.Setting Electronic survey from December 2011 to August 2012.Participants One hundred and sixty-three of the 174 Parties to the FCTC at the time of our survey.Measurements The 51-item questionnaire contained 21 items specifically on treatment systems. Questions covered the availability of basic treatment infrastructure and national cessation support systems.Findings We received responses from 121 (73%) of the 166 countries surveyed. Fewer than half of the countries had national treatment guidelines (n=53, 44%), a government official responsible for tobacco dependence treatment (n=49, 41%), an official national treatment strategy (n=53, 44%) or provided tobacco cessation support for health workers (n=55, 46%). More than half encouraged brief advice in existing health care services (n=68, 56%), while only 44 (36%) had quitlines and only 20 (17%) had a network of treatment support covering the whole country. Low- and middle-income countries had less tobacco dependence treatment provision than high-income countries.Conclusion Most countries, especially low- and middle-income countries, have not yet implemented the recommendations of FCTC Article 14 or the FCTC Article 14 guidelines.