Koroner kalp hastaliği(KKH) riski olup Toplum Tabanli Sigara Birakma Merkezi'ne davet edilenlerin başvurusunu etkileyen etmenler

Abstract

Ozet Amac: Bu calismada amac, KKH riski olup Toplum Tabanli Sigara Birakma Merkezi’ne davet edilenlerin basvurusuna etki eden faktorlerin belirlenmesidir. Yontem: Balcova’da yasayan 30 yas uzeri kisilerin KKH risk durumlarinin belirlendigi ve buna yonelik girisimlerin planlandigi Balcova’nin Kalbi(BAK) projesi kapsaminda 2008 yilinda yapilan durum saptama calismasinda belirlenen Framingham risk duzeylerine gore KKH riski orta ve yuksek duzeyde riski olup sigara icen kisiler (1390 kisi) veri tabanindan secilmistir.  Projede egitimli yedi kisiden olusan Toplum Sagligi Destek Grubu (TSDG) hedef gruba ev ziyaretleri ya da telefonla ulasarak projeye katilmalari icin merkeze davet etmislerdir. Sigara Birakma Merkezi’nde tum hizmetler ucretsiz olarak sunulmustur. Arastirmanin bagimli degiskeni, Sigara Birakma Merkezi’ne basvuru durumudur. Bagimsiz degiskenleri ise yas, cinsiyet, ogrenim durumu, medeni durum, sosyal guvence durumu, duzenli sigara icmeye baslama yasi, gunluk icilen sigara sayisi, sigara birakmayi deneme, sigara birakmayi dusunme, sigara birakma hizmeti almak istemedir.    Bulgular: Hedef grup olan 1390 kisiden %49’una(681) evinde ulasilmistir.  Sigara Birakma Merkezi’ne davet edilip randevu alan 444 kisiden %68.2’si basvurmus, randevu almadigi halde basvuran 28 kisi de izleme alinmislardir(n=330). Hedef grubun basvurusunu yas, cinsiyet, medeni durum, ogrenim durumu, sosyal guvence durumu anlamli olarak etkilememektedir. Sigarayi birakmayi dusunenlerde, daha once birakmayi deneyenlerde ve sigara birakma hizmeti almak isteyenlerde merkeze basvuru anlamli olarak daha yuksek bulunmustur. Sonuc: Toplum tabanli olarak calismaya baslayan, KKH riski orta ve uzerinde olan kisilerin davet edilerek, ucretsiz hizmet sunulan bir sigara birakma merkezinde davete yanit verme dusuktur. Sigara birakmada, KKH riski olanlarda bile, bireyin bu konudaki istegi hizmete ulasmada onemli bir etkendir. Anahtar Kelimeler: Sigarayi birakma programi, koroner kalp hastaligi. The factors that affect registration at a community-based cigarette cessation center of persons at risk of coronary heart disease Abstract Objective : The aim was to evaluate the factors that affect attendance at a community based smoking cessation center by people who are at risk of  coronary heart disease. Method: The study population was drawn from/ obtained from the database of the Balcova Heart Study, and included those who were older than 30 years and had been assessed for their CHD risk status in a survey in 2008.  Smokers, who are at medium or high risk according to the Framingham risk score, were selected (1390 people).  Seven young people were trained as a Community Health Support Group in the project and they were invited the target the study-group by visiting homes or by telephone.  Services in the smoking cessation center were free of charge. The dependent variable of the study was attendance at the smoking cessation center. Independent variables were; socio-demographic variables, age when starting to smoke, number of cigarettes per day, attempts at cessation, considering cessation, willingness to participate in a smoking cessation service. Results: Forty nine percent of the target group was reached at their homes. Among the people who made an appointment (n=444), 68.2% had attended. The attenders and non-attenders from the target group did not differ statistically in age, gender, marital status, educational level or social security type.  The people who had considered or attempted to quit or who wanted a support service in the baseline survey attended significantly more than the ones who had not.  Conclusion: Less than one in three people with medium and high CHD risk and who were advised to attend, to a service provided free of charge.  Willingness to quit is an important factor for attending the center, even in the high risk individuals. Key Words: Smoking cessation programs , coronary heart disease.