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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >The role of health professionals in a community-based program to help women quit smoking.
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The role of health professionals in a community-based program to help women quit smoking.

机译:卫生专业人员在社区计划中的作用,以帮助妇女戒烟。

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BACKGROUND: Health 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). METHODS: Specific 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. RESULTS: Compared 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 These effects were no longer demonstrable 2 years after external support for the countywide interventions was withdrawn. CONCLUSIONS: We 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. Copyright 2000 American Health Foundation and Academic Press.
机译:背景:卫生专业人员是戒烟建议的可靠来源。这项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的戒烟咨询活动的变化,并将这些变化与两个类似比较县(C)中卫生专业人员的报告进行了比较。方法:医生(I n = 73,C n = 73),牙医(I n = 51,C n = 46),牙科保健员(I n = 38,C n = 44),计划生育报告的特定戒烟活动在基线时通过邮寄调查评估了WIC(妇女,婴儿和儿童特殊补充食品计划)顾问(I n = 14 C n = 16)和社区心理健康顾问(I n = 57,C n = 23),经过4年的全县干预,以及2年后。结果:与比较县的卫生专业人员相比,戒烟培训(P <0.01)和报告的女性戒烟组,支持组以及一对一支持医生,计划生育的转诊报告显着增加以及WIC顾问(P <0.001);接受牙医和牙齿卫生员的培训和转介戒烟组和支持组(P <0.05);并由社区心理健康顾问推荐给支持小组(P <0.05)。还指出计划生育和WIC咨询师的戒烟日期(P <0.05)和提供自助材料(P <0.01)的显着增加。在撤消对县级干预措施的外部支持后2年,这些影响不再明显。结论:我们建议,将来促进卫生专业人员提供一致的戒烟建议和咨询的一个重要方面将是,在社区内提供比目前在美国普遍可用的更广泛的常规戒烟支持系统。版权所有2000美国健康基金会和学术出版社。

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