The Current State of Support for Smoking Cessation Programs for Welfare Recipients provided by Social Services Workers, and Social Nicotine Dependence

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  • 福祉事務所現業員による生活保護受給者に対する禁煙支援の実態と社会的ニコチン依存

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Abstract

<p>Objective: This study aimed to reveal the current state of support by social welfare offices for welfare recipients (“recipients”) to stop smoking, in terms of social nicotine dependence.</p><p>Method: We distributed a questionnaire survey to social welfare workers (“welfare workers”) in 1,273 social welfare offices throughout Japan and analyzed 1,583 responses.</p><p>Results: More than half of the welfare workers understood the recipients’ smoking situation, recognized the need for smoking cessation, and had advised the recipients to stop smoking. On the other hand, medical treatment for smoking cessation was underutilized. A significant correlation was found between the value of the Kano Test for Social Nicotine Dependence (KTSND) and the recognition of the need for smoking cessation; and the value of KTSND and experience with advising the recipients to stop smoking.</p><p>Discussion: The degree of social nicotine dependence of the welfare workers may have affected their willingness to help the welfare recipients to stop smoking.</p><p>Conclusion: More than half of the welfare workers understood the recipients’ smoking situation, recognized the need for smoking cessation, and had advised the recipients to stop smoking. However, medical treatment for smoking cessation was underutilized, and thus we need to solve this problem. Cooperation among the fields of health, medical care, and welfare is required for effective delivery of the program.</p>

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