在社区卫生保健机构中吸烟干预的障碍:范围审查
Cheryn Coleman1, Stuart G Ferguson1, Rosie Nash1
1Tasmanian School of Medicine, College of Health and Medicine, University of Tasmania, Hobart, Tasmania 7001, Australia.
Health promotion international
|April 26, 2024
概括
戒烟干预措施的障碍阻碍了戒烟的尝试. 解决扫盲,获取和动机问题是有效公共卫生战略的关键.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 医疗保健管理的管理
背景情况:
- 在全球范围内,吸烟仍然是可预防死亡的主要原因.
- 尽管患病率下降,但人口增加增加了吸烟者的绝对数量.
- 许多吸烟者没有充分利用基于证据的戒烟干预措施.
研究的目的:
- 确定吸烟者,服务提供者和决策者在戒烟干预方面所面临的障碍.
- 分析社区卫生保健机构中的这些障碍.
- 绘制能力,机会,动机-行为 (COM-B) 模型的识别障碍.
主要方法:
- 2015年至2022年间出版的文献范围审查.
- 在五个主要的电子数据库 (CINAHL,MEDLINE,PsycINFO,Scopus,Web of Science) 进行的搜索.
- 对40篇符合条件的文章进行内容分析,以确定关键障碍.
主要成果:
- 所有利益相关者都出现了七个共同的障碍主题:识字,竞争需求,时间,产品访问,服务访问,劳动力和动机/准备.
- 这些障碍对目前戒烟服务的有效性产生重大影响.
- 确定的主题已成功地映射到COM-B模型中.
结论:
- 了解这些多方面的障碍对于改善戒烟干预措施至关重要.
- 未来的干预措施应优先解决识字,获取问题和激励因素.
- 需要有针对性的战略来提高戒烟支持的普及率和有效性.
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