scholarly journals “STOP the PUFF! Tayo’y mag bagong BAGA, SIGARILYO ay ITIGIL”: A Pilot Community-based Tobacco Intervention Project in an Urban Settlement

2021 ◽  
Vol 5 (1) ◽  
pp. 586-603
Author(s):  
Irene Salve D Joson-Vergara ◽  
Julie T Li-Yu

The success rate for smoking cessation in the country remain low despite the intensified efforts of the government to curb smoking. There is a need to support tobacco control policies with clinical interventions for smoking cessation. However, cessation experts in the country are few and healthcare workers with training on tobacco interventions are limited.  The project aimed to address the clinical aspect of tobacco control by establishing tobacco cessation services in the community. This was done by providing brief tobacco intervention training among health workers and community leaders, thus allowing this intervention to be integrated in the existing programs of the community health center. This also led to the creation of possible referral mechanisms to cessation support providers. This was complemented with health education activities that promote smoke-free behavior. Keywords: tobacco; cigarette smoking; tobacco dependence; smoking cessation; brief advice; brief tobacco intervention​​​​​

2008 ◽  
Vol 17 (4) ◽  
pp. 248-255 ◽  
Author(s):  
M M Schaap ◽  
A E Kunst ◽  
M Leinsalu ◽  
E Regidor ◽  
O Ekholm ◽  
...  

2021 ◽  
pp. tobaccocontrol-2021-056473
Author(s):  
Jean-Eric Tarride ◽  
Gord Blackhouse ◽  
G. Emmanuel Guindon ◽  
Michael O Chaiton ◽  
Lynn Planinac ◽  
...  

ObjectivesTo determine the return on investment (ROI) associated with tobacco control policies implemented between 2001 and 2016 in Canada.MethodsCanadian expenditures on tobacco policies were collected from government sources. The economic benefits considered in our analyses (decrease in healthcare costs, productivity costs and monetised life years lost, as well as tax revenues) were based on the changes in smoking prevalence and attributable deaths derived from the SimSmoke simulation model for the period 2001–2016. The net economic benefit (monetised benefits minus expenditures) and ROI associated with these policies were determined from the government and societal perspectives. Sensitivity analyses were conducted to check the robustness of the result. Costs were expressed in 2019 Canadian dollars.ResultsThe total of provincial and federal expenditures associated with the implementation of tobacco control policies in Canada from 2001 through 2016 was estimated at $2.4 billion. Total economic benefits from these policies during that time were calculated at $49.2 billion from the government perspective and at $54.2 billion from the societal perspective. The corresponding ROIs were $19.8 and $21.9 for every dollar invested. Sensitivity analyses yielded ROI values ranging from $16.3 to $28.3 for every dollar invested depending on the analyses and perspective.ConclusionsThis analysis has found that the costs to implement the Canadian tobacco policies between 2001 and 2016 were far outweighed by the monetised value associated with the benefits of these policies, making a powerful case for the investment in tobacco control policies.


2019 ◽  
Vol 5 (Supplement) ◽  
Author(s):  
Krzysztof Przewoźniak ◽  
Mateusz Zatoński ◽  
Aleksandra Herbeć ◽  
Witold Zatoński ◽  
Kinga Janik-Koncewicz ◽  
...  

2021 ◽  
Author(s):  
Celine Larkin ◽  
Jessica Wijesundara ◽  
Hoa L Nguyen ◽  
Duc Anh Ha ◽  
Anh Vuong ◽  
...  

BACKGROUND Tobacco kills more than 8 million people each year, mostly in low- and middle-income countries. In Vietnam, 1 in every 2 male adults smokes tobacco. Vietnam has set up telephone Quitline counseling that is available to all smokers, but it is underused. We previously developed an automated and effective motivational text messaging system to support smoking cessation among US smokers. OBJECTIVE The aim of this study is to adapt the aforementioned system for rural Vietnamese smokers to promote cessation of tobacco use, both directly and by increasing the use of telephone Quitline counseling services and nicotine replacement therapy. Moreover, we seek to enhance research and health service capacity in Vietnam. METHODS We are testing the effectiveness of our culturally adapted motivational text messaging system by using a community-based randomized controlled trial design (N=600). Participants were randomly allocated to the intervention (regular motivational and assessment text messages) or control condition (assessment text messages only) for a period of 6 months. Trial recruitment took place in four communes in the Hung Yen province in the Red River Delta region of Vietnam. Recruitment events were advertised to the local community, facilitated by community health workers, and occurred in the commune health center. We are assessing the impact of the texting system on 6-month self-reported and biochemically verified smoking cessation, as well as smoking self-efficacy, uptake of the Quitline, and use of nicotine replacement therapy. In addition to conducting the trial, the research team also provided ongoing training and consultation with the Quitline during the study period. RESULTS Site preparation, staff training, intervention adaptation, participant recruitment, and baseline data collection were completed. The study was funded in August 2017; it was reviewed and approved by the University of Massachusetts Medical School Institutional Review Board in 2017. Recruitment began in November 2018. A total of 750 participants were recruited from four communes, and 700 (93.3%) participants completed follow-up by March 2021. An analysis of the trial results is in progress; results are expected to be published in late 2022. CONCLUSIONS This study examines the effectiveness of mobile health interventions for smoking in rural areas in low- and middle-income countries, which can be implemented nationwide if proven effective. In addition, it also facilitates significant collaboration and capacity building among a variety of international partners, including researchers, policy makers, Quitline counselors, and community health workers. CLINICALTRIAL ClinicalTrials.gov NCT03567993; https://clinicaltrials.gov/ct2/show/NCT03567993. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/30947


2018 ◽  
Vol 9 (2) ◽  
pp. 109
Author(s):  
H. Rusiandy ◽  
Veby Fransisca Rozi

The implementation of Community-Based Total Sanitation starts from the first pillar of open defecation which is the entrance to total sanitation. ODF conditions are marked by 100% of the community having access to Defecate in their own latrine, there is no dirt in their environment, and they are able to maintain the cleanliness of the latrine (Health Minister Regulation No.3 of 2014). In the City of Bengkulu, from 19/67 triggering  Village / Sub-district, achievements of the new ODF village 7 villages / Sub-district. The research objective was to analyze the implementation of the first pillar Community Based Total Sanitation. This type of research is qualitative research with descriptive research methods. The informants in this study amounted to 6 people consisting of the Head of the Community Health Center and sanitation officers. The results showed that in implementing the first pillar community-based total sanitation in Bengkulu City there was policy support from the government, namely the Republic of Indonesia Health Minister's Regulation No. 3 of 2014, there were still energy workers, funding sources for implementation came from Health Operational Assistance funds, availability of facilities and infrastructure in the form of brochures, leaflets, counseling, and FGD. The process was carried out starting from the pre-triggering phase by conducting technical preparations, observing Clean and Healthy Life Behavior, arranging triggering schedules and locations, triggering by holding meetings with the community, triggered by the outbreak of disease transmission, growing disgust, shame and fear of illness and post-triggering by looking at the village with ODF village status, building community commitment and mentoring and monitoring triggering activities. The output of the Village in the City of Bengkulu with the status of the SBS headman varies from 25%, 50%, and 100%. It is recommended to develop further analysis and results, in particular, to deepen the analysis of the implementation of the first pillar community-based total sanitation and the factors contributing to the success of ODF Villages.


PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0148489 ◽  
Author(s):  
Sigrid A. Troelstra ◽  
Jizzo R. Bosdriesz ◽  
Michiel R. de Boer ◽  
Anton E. Kunst

2019 ◽  
Vol 31 (7_suppl) ◽  
pp. 22S-31S ◽  
Author(s):  
Kuang Hock Lim ◽  
Pei Pei Heng ◽  
Mohamad Haniki Nik Mohamed ◽  
Chien Huey Teh ◽  
Muhammad Fadhli Mohd Yusoff ◽  
...  

Smoking cessation significantly reduces risk of smoking-related diseases and mortality. This study aims to determine the prevalence and factors associated with attempts to quit and smoking cessation among adult current smokers in Malaysia. Data from the National E-Cigarette Survey 2016 were analyzed. Forty nine percent of current smokers had attempted to quit at least once in the past 12 months and 31.4% of the respondents were former smokers. Multivariable analysis revealed that current smokers with low nicotine addiction and aged below 45 years were more likely to attempt to quit smoking. Being married, older age group, and having tertiary education were significantly associated with smoking cessation. Only half of the current smokers ever attempted to quit smoking and only a third of smokers quit. Stronger tobacco control policies are needed in Malaysia to encourage more smokers to quit smoking. Improved access to cessation support for underprivileged smokers is also needed.


Author(s):  
Mandeep S. Jassal ◽  
Tracey Oliver-Keyser ◽  
Panagis Galiatsatos ◽  
Catherine Burdalski ◽  
Bonnie Addison ◽  
...  

The inequity in cessation resources is at the forefront of the recently enacted US smoking ban in public housing facilities. This pre-post, non-randomized pilot study assessed the feasibility of a smoking cessation program targeting smokers in Baltimore City public housing. The study implemented a four-phased, 10-week, community-based cessation program using a joint academic–housing partnership that provided on-site cessation pharmacotherapy, behavioral counseling, and psychosocial/legal services. The community-led strategy involved: (1) two-week smoking cessation training for lay health workers; (2) screening and recruitment of smokers by housing authority residential leadership; (3) four-week resident-led cessation using evidenced-based strategies along with wraparound support services; (4) formative evaluation of the intervention’s acceptability and implementation. Thirty participants were recruited of which greater than one-half attended the majority of weekly cessation events. Thirty percent were able to achieve biomarker-proven cessation, as measured by a reduction in exhaled CO levels—a percentage comparable to the reported state quitline 30-day cessation rate. Despite weekly joint community–academic led-education of nicotine replacement therapy (NRT) therapies, only two participants regularly and properly used NRT transdermal patches; <20% of participants used NRT gum correctly at their first follow-up visit. Less than one-half utilized psychosocial and legal services by our community-based organization partners. Post-intervention interviews with participants noted broad approval of the ease in accessibility of the cessation intervention, but more diversification in the timing and personalization of offerings of services would have assisted in greater adoptability and participant retention. Though a reduction in smoking behaviors was not broadly observed, we elucidated modifiable social, educational, and physical features that could enhance the likelihood of smoking cessation among public housing residents.


Sign in / Sign up

Export Citation Format

Share Document