Strategic Priorities to Improve Effectiveness of Anti-smoking Interventions for the Korean Military: An Application of the Analytic Hierarchy Process

Song, Yun; Kim, Jae Hyun; Choi, Boyoon; Han, Nayoung; Kim, Myeong Gyu; Lee, Jeongsam; Lee, Handuk; Yoon, Jiwon; Lee, Beom Jin; Oh, Jung Mi

doi:10.1093/milmed/usx027

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…Most Korean men start to smoke during adolescence and early adulthood when they do compulsory military service and start their career. Traditionally, both military and work culture in Korea have a unique vertical hierarchy, making young men more vulnerable to either voluntarily or involuntarily start smoking and increase their smoking intensity 37–39. The previous result from APC analysis among Korean young adults also identified the peak of the age effect at the age of 25–26 25.…”

Section: Discussionmentioning

confidence: 87%

Gender and tobacco epidemic in South Korea: implications from age-period-cohort analysis and the DPSEEA framework

Kim

Byun

et al. 2022

BMJ Open

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ObjectivesTo understand a 20-year trend of gender-specific smoking prevalence among adults in South Korea.DesignAge-period-cohort analysis using the intrinsic estimator method was applied to examine the separate contribution of age, period and cohort effect on smoking prevalence. The Driving Force-Pressure-State-Exposure-Effect-Action (DPSEEA) framework was used to explain the observed smoking trends by mapping potential determinants and to address policy implications.SettingGeneral adult population in South Korea.Participants34 828 men and 43 632 women who aged 19–78 years, were not currently pregnant and were without a prior diagnosis of cardiovascular disease or cancer.Outcome measuresGender-specific current smoking prevalence using the 1998–2017 Korea National Health and Nutrition Examination Survey.ResultsOur results showed gender-specific age and birth cohort effects. More specifically, the smoking prevalence peaked at their mid-20s (prevalence rate ratio (PRR): 1.54, 95% CI: 1.49 to 1.59) and cohort born in 1959–1963 (PRR: 1.63, 95% CI: 1.57 to 1.70) and then decreased in men. On the other hand, in women, the smoking prevalence consistently increased until their mid-40s (PRR: 1.53, 95% CI: 1.27 to 1.84) and in recent birth cohort groups (PRR in 1994–1998 cohort: 1.55, 95% CI: 1.13 to 2.13). The period effects declined from 1998−2002 to 2003–2007, following increasing fluctuations in both genders. The smoking-DPSEEA framework showed the absence of policy actions to target female smokers and emphasised a proactive approach that tackles the upstream causes for smoking in women.ConclusionsMen and women are clearly in different phases of the smoking epidemic in Korean population, and gender-tailored policies should be implemented.

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Section: Discussionmentioning

confidence: 87%

Gender and tobacco epidemic in South Korea: implications from age-period-cohort analysis and the DPSEEA framework

Kim

Byun

et al. 2022

BMJ Open

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“…In the actual activities, local health and medical institutions execute health projects, health care, and public health administration in collaboration with local governments via the planning (supporting) of the Ministry of Health and Welfare and the Korea Health Promotion Institute. In the case of the informatization work for the health promotion project, the PHIS of the Social Security Information Service, the Korea Health Promotion Institute, the Korea Centers for Disease Control and Prevention, and so forth, are providing supporting activities [30,31] For health services related to health promotion, the Ministry of Health and Welfare and the Korea Health Promotion Institute are in charge of policy making; the enforcement of the health services is divided into planning, execution, and performance management, where each main agent plays its own role. The planning of the health service is mainly undertaken by the Health Policy Division of the Ministry of Health and Welfare, the Korea Health Promotion Institute, and so forth, but local governments, public health centers (health and medical centers), or the like are also in charge of the planning, and the National Rehabilitation Center implements the planning work related to rehabilitation projects for the disabled.…”

Section: Central Health Institutionmentioning

confidence: 99%

Section: Central Health Institutionmentioning

confidence: 99%

A Proposal for Public Health Information System-Based Health Promotion Services

Yoon¹,

Park²,

solji³

et al. 2020

Processes

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This study aims to examine the current status and utilization of 22 health promotion projects that use the health care information system. We investigate the health promotion examination results for a counseling project held at health centers, which use information connected with the Health Insurance Corporation. First, we review the status of 22 health promotion projects, including 13 integrated health promotion projects and 9 other health promotion projects. Next, we examine the linkages between the 22 projects and other health promotion systems. Consequently, despite accumulating vast amounts of data, only 10 places could be linked to health promotion data in the health and medical information system; the Social Security Information Service was the only exception to this trend. The Public Health Information System (PHIS) had the lowest data utilization rate in the project. The study results show that it is necessary to utilize data from local health and medical institutions in order to provide information system-based health promotion services. In particular, it seems to be effective when health and medical institutions provided various counseling services and other linked services to local residents in connection with the Korea Health Insurance Corporation’s health examination results.

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Negative Alcohol and Tobacco Consumption Behaviors in an Australian Army Combat Brigade

Selman¹,

Rogers²,

Molloy³

2019

Military Medicine

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Introduction Western militaries have consumption rates of alcohol and tobacco which are higher than the associated civilian populations, and are concerned about the negative effects on health, wellbeing, and military performance that such high rates may have. Materials and Methods A survey questionnaire which collected nonidentifiable data was distributed to all accessible members of an Australian Army Combat Brigade over the annual induction training and prefield exercise period between January and March 2019. The survey was composed of personal and demographic questions, followed by questions concerning the personal consumption habits of alcohol and tobacco. 1,606 complete and valid surveys were returned, representing 55.3% of the Brigade’s posted strength. Ethical clearance for this project was provided by the Australian Defence Force Joint Health Command Low Risk Ethics Panel (18-012). Results Almost one quarter of the Combat Brigade exceeded the Australian daily risk guideline for alcohol consumption, and over three quarters exceeded the occasion risk guideline; with 6.1% of soldiers drinking alcohol daily. 24.3% identified as tobacco smokers, with 15.9% smoking daily. Smoking rates and volumes were higher when deployed on field training exercises and on international training and operational deployments; as was the consumption of roll-your-own cigarettes. Overall, the main determinants of the negative consumption behaviors were gender (male) and age (under 25). Conclusions This study confirmed that the members of an Australian Army Combat Brigade have higher negative health consumption behaviors concerning alcohol and tobacco than the general civilian population. The results also identified a cohort of Senior Non-Commissioned Officers and Warrant Officers (E5–E9) between the ages of 35 and 44 who had high negative consumption behaviors which could result in poor health outcomes. This could be a suitable cohort for a targeted campaign to reduce tobacco and alcohol consumption and to assist to make healthy life changes.

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Strategic Priorities to Improve Effectiveness of Anti-smoking Interventions for the Korean Military: An Application of the Analytic Hierarchy Process

Abstract: In conclusion, motivating smoking cessation and utilizing well-trained army clinicians were found to be the most important anti-smoking strategies for the Korean military. This study might provide valuable insights for policy makers to reduce tobacco use in the Korean military.

Cited by 6 publications

References 11 publications

Gender and tobacco epidemic in South Korea: implications from age-period-cohort analysis and the DPSEEA framework

Gender and tobacco epidemic in South Korea: implications from age-period-cohort analysis and the DPSEEA framework

A Proposal for Public Health Information System-Based Health Promotion Services

Negative Alcohol and Tobacco Consumption Behaviors in an Australian Army Combat Brigade

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