The role of health professionals in a community-based program to help women quit smoking.
The role of health professionals in a community-based program to help women quit smoking.
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卫生专业人员在帮助妇女戒烟的社区计划中的作用。
DOI：
10.1006/pmed.1999.0607
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Geller,BM
中科院分区：
文献类型：
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作者：
Secker-Walker,RH;Dana,GS;Solomon,LJ;Flynn,BS;Geller,BM
背景健康专家是可靠的戒烟建议来源。本研究描述了在两个干预县（I）进行的社区健康教育项目期间，卫生专业人员报告的为妇女提供戒烟咨询活动的变化，并将这些变化与两个类似比较县（C）卫生专业人员的报告进行了比较。（I n = 73，C n = 73），牙医（I n = 51，C n = 46），牙科医师（I n = 38，C n = 44）、计划生育和WIC（妇女、婴儿和儿童特别补充食品方案）顾问（I n = 14 C n = 16），以及社区心理健康咨询师（I n = 57，C n = 23）进行了评估，通过邮寄调查在基线，4年后的县范围内的干预，2年后。戒烟培训显著增加（P < 0.01），在报告的妇女转介到戒烟团体，支持团体，和一对一的支持，指出医生，计划生育，和WIC顾问（P < 0.001）;在牙科医生和牙科医师对戒烟组和支持组的培训和转诊中由社区心理咨询师转介到支持小组的比例（P < 0.05）。计划生育和WIC咨询师在设定戒烟日期（P < 0.05）和提供自助材料（P < 0.01）方面也有显著增加。这些影响不再明显2年后，外部支持的县范围内的干预措施是withdraw.ConclusionsWe建议，促进一致的戒烟建议和咨询，从卫生专业人员在未来的一个重要方面将是提供更广泛的定期提供戒烟支持系统内的社区比一般在这个时候在美国。
BackgroundHealth professionals are credible sources of smoking cessation advice. This study describes changes in health professionals' reported provision of smoking cessation counseling activities for women during a community health education project that took place in two intervention counties (I) and compares these to reports from health professionals in two similar comparison counties (C).MethodsSpecific smoking cessation activities reported by physicians (I n = 73, C n = 73), dentists (I n = 51, C n = 46), dental hygienists (I n = 38, C n = 44), family planning and WIC (Special Supplemental Food Program for Women, Infants and Children) counselors (I n = 14 C n = 16), and community mental health counselors (I n = 57, C n = 23) were assessed by mailed surveys at baseline, after 4 years of countywide interventions, and 2 years later.ResultsCompared with health professionals in the comparison counties, significant increases in smoking cessation training (P < 0.01) and in reported referral of women to stop smoking groups, support groups, and one-to-one support were noted for physicians, family planning, and WIC counselors (P < 0.001); in training and referral to stop smoking groups and support groups by dentists and dental hygienists (P < 0.05); and in referral to support groups by community mental health counselors (P < 0.05). Significant increases in setting quit dates (P < 0.05) and providing self-help materials (P < 0.01) were also noted for family planning and WIC counselors. These effects were no longer demonstrable 2 years after external support for the countywide interventions was withdrawn.ConclusionsWe suggest that an important aspect of facilitating consistent smoking cessation advice and counseling from health professionals in the future will be the provision of a broader range of regularly available smoking cessation support systems within communities than is generally available at this time in the United States.