Effectiveness of a Low-Intensity Intra-Worksite Intervention on Smoking Cessation in Japanese Employees : A Three-Year Intervention Trial
スポンサーリンク
概要
- 論文の詳細を見る
To test the effectiveness of a low-intensity intervention program for smoking cessation targeting the worksite environment in employees who had a low readiness to quit, we conducted an intervention trial at six intervention and six control worksites in Japan. A total of 2,307 smokers at baseline who remained at their worksite throughout the three-year study period were analyzed (1,017 in intervention and 1,290 in control groups). The multi-component program at the worksites consisted of (1) presenting information on the harms of tobacco smoking and the benefits of cessation by posters, websites, and newsletters; (2) smoking cessation campaigns for smokers; (3) advice on designation of smoking areas; and (4) periodic sitevisits of the designated smoking areas by an expert researcher. At baseline, the intervention and control groups each had high prevalence of immotive or precontemplation, that reflected low readiness to quit (71.5% and 73.2%, respectively). The smoking cessation rate, as not having smoked for the preceding six months or longer, assessed at 36 months after the baseline survey by a self-administered questionnaire was significantly higher in the intervention group than the control group (12.1%, vs. 9.4%, p=0.021). The intervention program still had a significant effect on the smoking cessation rate after multiple logistic regression analysis adjusted for sex, age, type of occupation, age of starting smoking, quit attempts in the past, number of cigarettes per day, and readiness to quit (odds ratio: 1.38, 95% confidence interval: 1.05-1.81, p=0.02). The cost per additional quitter due to the intervention was calculated to be \70,080. These findings indicate that this program is effective and can be implemented in similar workplaces where the prevalence of smoking is high and smokers' readiness to cease smoking is low.
著者
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大和 浩
産業医科大学産業生態科学研究所健康開発科学
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Ueshima Hirotsugu
Department of Health Science, Shiga University of Medical Science
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Okamura Tomonori
Department of Preventive Cardiology, National Cardiovascular center
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Kadowaki Takashi
Department of Health Science, Shiga University of Medical Science
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TANAKA Taichiro
Department of Health Sciences, School of Medicine, University of Yamanashi
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Tanaka Hideo
Department of Pathology and Cell Regulation,Kyoto Prefectural University of Medicine
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Nakamura M
Department Of Internal Medicine Division Of Cardiology And Memorial Heart Center Iwate Medical Unive
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Nakamura Motoyuki
Division Of Cardiology Department Of Internal Medicine And Memorial Heart Center Iwate Medical Unive
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OKAYAMA Akira
Department of Preventive Cardiology, National Cardiovascular Center
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Takebayashi T
Department Of Preventive Medicine And Public Health School Of Medicine Keio University
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Nakamura Motoyuki
岩手医科大学 内科学講座循環器内科
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Kadowaki Takashi
滋賀大学 医学部健康科学科
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Kadowaki Takashi
Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo
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Nakamura M
Department Of Neurology Graduate School Of Medical And Pharmaceutical Sciences Kumamoto University
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Takahashi Ken
Department Of Preventive Medicine And Public Health School Of Medicine Keio University
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YAMATO Hiroshi
Department of Occupational Pneumology, Institute of Industrial and Ecological Sciences, University o
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Okayama Akira
Department Of Orthopedic Surgery Hyogo College Of Medicine
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Yamato Hiroshi
Department Of Environmental Health Engineering Institute Of Industrial Ecological Sciences Universit
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NAKAMURA Masakazu
Department of Electronics and Mechanical Engineering, Faculty of Engineering, Chiba University
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Ueshima Hirotsugu
Department Of Health Sceicne Shiga University Of Medical Science
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Takamiya Tomoko
Department Of Epidemiology Graduate School Of Public Health. University Of Pittsburgh
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Okayama Akira
Department Of Hygiene And Preventive Medicine Osaka University School Of Medicine Nakanoshima
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Okamura Tomonori
Department Of Cardiology National Cardiovascular Center
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Takahashi Ken
Japan Industrial Safety And Health Association
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Tanaka Hideo
Department Of Hygiene And Preventive Medicine Fukushima Medical University
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Nakamura Masakazu
Department Of Electronics And Mechanical Engineering Chiba University
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Tanaka Taichiro
Department Of Health Sciences School Of Medicine University Of Yamanashi
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Nakamura Motoyuki
Second Department Of Internal Medicine Iwate Medical University School Of Medicine
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Nakamura Masakazu
Department Of Electrical Engineering Faculty Of Engineering Science Osaka University
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Tanaka Hideo
Department Of Applied Chemistry Faculty Of Engineering Okayama University
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Kadowaki Takashi
Department Of Cardiology Kawasaki Medical School
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Hayakawa Takehito
Department Of Cancer Control And Statistics Osaka Medical Center For Cancer And Cardiovascular Diseases:for The Hipop-ohp Research Group
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HIPOP-OHP Research
Investigators of the research group are listed in the Appendix
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TANAKA Taichiro
Department of Health Science, Shiga University of Medical Science
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