Cost and effectiveness of the nationwide government-supported Smoking Cessation Clinics in the Republic of Korea

Oh, Jin Kyoung; Lim, Min Kyung; Yun, E Hwa; Shin, Sang Hwa; Park, Eun Young; Park, Sohee

doi:10.1136/tobaccocontrol-2011-050110

Cited by 22 publications

(13 citation statements)

References 17 publications

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“…While the majority of SCC participants received an NRT package, detailed data on NRT adherence were not collected. Our 2009 data show that the mean duration of NRT use was 2 weeks, so it would have been probable that participants who received NRT may not have followed instructions properly (Oh et al, 2012). Absent detailed data on the actual NRT use, we were unable to determine the effectiveness of NRT in our setting.…”

Section: Discussionmentioning

confidence: 95%

The National "Smoking Cessation Clinics" Program in the Republic of Korea: Socioeconomic Status and Age Matter

Kim

Oh²,

Lim³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Multivariate logistic regression analyses were performed correcting for intra-class correlations within public health centers. Results: The overall 6-month quit rate was high (46.8%). Higher odds of smoking cessation were positively associated with higher levels of behavioral counseling sessions, but not nicotine replacement therapy (NRT). Cessation rates were lower for Medicaid participants than for regular health insurance participants. Disadvantaged younger smokers were less likely to participate in the program. Older smokers were more likely to quit regardless of SES. Stress was cited as major reason for failure. Conclusions: SES inequalities across different age groups exist in smoking cessation among Korean adult male smokers. There is a need for intervention programs specifically targeting sub-populations of SES by different age groups.

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Section: Discussionmentioning

confidence: 95%

The National "Smoking Cessation Clinics" Program in the Republic of Korea: Socioeconomic Status and Age Matter

Kim

Oh²,

Lim³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…This may be attributable to government-sponsored programs which were launched in 2004 under the direction of the Ministry of Health and Welfare. In this nationwide program, 253 public health centers located in all administrative districts provide free behavioral counseling and medication (mostly NRT) [10]. Such increase in use of NRT was also experienced in UK (12% in 2000 to 28% in 2006), where a government strategy to systematically encourage treatment use was implemented by promoting both medications and specialist behavioral treatment [6].…”

Section: Discussionmentioning

confidence: 99%

“…In Korea, nicotine replacement therapy (NRT) has been available over-the-counter since 1995. As it does not require prescription by a physician, it has become widely used in government-led, public health center-based smoking cessation services throughout Korea [10], as well as in company and university health promotion programs. Bupropion SR (Wellbutrin, sustained-release) and varenicline (Champix) have been available since 2002 and 2007 by prescription, respectively, but are still not reimbursed.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of and Factors Associated with the Use of Smoking Cessation Medication in Korea: Trend between 2005–2011

et al. 2013

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BackgroundIn Korea, nicotine replacement therapy (NRT) has been widely used in government-led, public health center-based smoking cessation services since 2004 and varenicline has become available from 2007 but without reimbursement. In this study which used a series of nationwide cross-sectional surveys in Korea performed from 2005 to 2011, we examined the prevalence of smoking cessation medication use and factors associated with it.MethodsWe analyzed data from the third to fifth waves of Korean National Health and Nutrition Examination Survey (2005–2011). Prevalence of each smoking cessation method use was calculated for each year, and its secular trend was tested by multivariate logistic regression.ResultsAmong smokers who made quit attempt during the previous year, 15.7% had used smoking cessation medications,15.3% had used NRT, and 0.7% had used prescription medication. There was a significant increasing trend for NRT use (P<0.001) during the study period, but use of prescription medication did not show any increase over time (P = 0.654) Education on smoking prevention and cessation was associated with smoking cessation medications use (OR 2.08, 95% CI 1.58–2.75).ConclusionsWhile the use of NRT has increased over years through government-sponsored smoking cessation programs, use of prescription drugs remained very low and flat probably due to lack of reimbursement. Education of smokers about effective smoking cessation methods and change in reimbursement policy are suggested to stimulate evidence-based smoking cessation practice.

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“…1 Many behavioral and pharmacological interventions have been developed and implemented throughout the world to help people quit smoking, and their effectiveness has been reported in several studies. 2 – 4 Although such interventions have been associated with admirable short-term smoking-cessation rates, many who complete smoking-cessation programs relapse within a few weeks. 5 …”

Section: Introductionmentioning

confidence: 99%

Factors Related to Relapse After 6 Months of Smoking Cessation Among Men in the Republic of Korea

et al. 2015

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We identified factors associated with relapse after 6 months of smoking cessation (late relapse) among males of the Republic of Korea. Of the 222,707 smokers who visited public health center-based smoking cessation clinics (SCCs) between January 1, 2009 and mid-December 2009, we included 1720 individuals who successfully completed a 6-month smoking cessation program at an SCC. These participants were selected via a random stratified sampling design and completed an SCC user satisfaction survey between December 31, 2009 and January 6, 2010. Multiple logistic regression was used to identify factors associated with late relapse, and path analysis was employed to explore relationships among these factors. The frequency of late relapse was 21.6% (n = 372). Residence in a metropolitan area, low socioeconomic status, and the use of nicotine replacement therapy (NRT) were associated with statistically significant increases in late relapse, whereas greater access to counseling and more satisfaction with the SCC were associated with reduced late relapse. The path analysis showed that a greater number of cigarettes smoked daily and a younger age at smoking initiation exerted significant indirect effects on late relapse when NRT was employed. Residence in a metropolitan area indirectly prevented late relapse as counseling frequency increased. NRT use, counseling frequency, and SCC user satisfaction were affected by both smoking behavior and socioeconomic status. Relapse prevention efforts should concentrate on increasing both counseling frequency and SCC user satisfaction. Future studies should focus on the effect of NRT on the maintenance of long-term cessation at the population level in real-world settings.

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Cost and effectiveness of the nationwide government-supported Smoking Cessation Clinics in the Republic of Korea

Abstract: The nationwide government-supported public health centre-based Smoking Cessation Clinics provided highly cost-effective service at a level of 0.46% of the per capita gross domestic product.

Cited by 22 publications

References 17 publications

The National "Smoking Cessation Clinics" Program in the Republic of Korea: Socioeconomic Status and Age Matter

The National "Smoking Cessation Clinics" Program in the Republic of Korea: Socioeconomic Status and Age Matter

The Prevalence of and Factors Associated with the Use of Smoking Cessation Medication in Korea: Trend between 2005–2011

Factors Related to Relapse After 6 Months of Smoking Cessation Among Men in the Republic of Korea

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