Čivljak, Marta and Tudor Car, Lorainne and Skara, Silvana and Orešković, Stipe (2015) The gap between the knowledge and current practices - a case of tobacco control programs in Croatia [Jaz između znanja i trenutne provedbe - program kontrole duhana u Hrvatskoj]. Collegium Antropologicum, 39 (3). pp. 803-808. ISSN 0350-6134
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Abstract
Despite the availability of numerous evidence-based smoking prevention and cessation programs, many countries are still not implementing these research-proven programs. The primary aim of this paper is to summarize the extent to which evidence-based smoking control programs have been implemented in Croatia over the last two decades. Data from the systematic reviews of the Cochrane Tobacco Addiction Group, which are readily available worldwide, were used as criteria to evaluate whether effective, evidence-based programs have been implemented in Croatia. According to our findings, the most effective behavioral and pharmacological smoking cessation interventions have thus far been underutilized in Croatia. In addition, some interventions that have been continuously implemented in Croatia--such as using self-help materials, school-based programs and the celebration of World No Tobacco Day--have only small, short-term beneficial effects according to the Cochrane reviews. However, Croatia is a party to the World health Organization Framework Convention on Tobacco Control and therefore has effective national legislation on tobacco control. Croatia should develop and implement programs that integrate the existing high-quality empirical evidence on the effectiveness of various behavioral, pharmacological, and social interventions for smoking prevention and cessation. This programming should become a part of a continuous national strategy, and should be implemented throughout all of Croatia.
Abstract in Croatian
Iako su razvijeni razni instrumenti za odvikavanje od pušenja čija je učinkovitost znanstveno dokazana, mnoge zemlje ih još uvijek ne koriste u svojim programima za prevenciju pušenja ili za smanjenje prevalencije pušenja. Primarni cilj ovog rada jest prikazati učinkovitost javnozdravstvenih intervencijskih mjera protiv pušenja koje su se provodile u Hrvatskoj u zadnja dva desetljeća. Rezultati Cochraneovih sustavnih pregleda koje je izradila urednička grupa »The Cochrane Tobacco Addiction Group« bili su kriterij za vrednovanje učinkovitosti intervencija koje su se provodile u Hrvatskoj. Prema našim rezulatima, najučinkovitije bihevioralne i farmakološke intervencije za prestanak pušenja još uvijek nisu dovoljno korištene u Hrvatskoj. Osim toga, neke intervencije koje se stalno provode u Hrvatskoj, poput priprema materijala za samopomoć, školskih programa i proslava Svjetskog dana nepušenja, prema rezulatima Cochraneovih sustavnih pregleda, imaju samo male, kratkotrajne pozitivne učinke. Međutim, Hrvatska je stranka Okvirne konvencije Svjetske zdravstvene organizacije o kontroli duhana i stoga ima učinkovito nacionalno zakonodavstvo o nadzoru nad duhanom. Hrvatska bi trebala izraditi i provoditi programe koji se integriraju u postojeće visoko kvalitetne empirijske dokaze o učinkovitosti različitih bihevioralnih, farmakoloških i socijalnih intervencija za prevenciju pušenja ili prestanak pušenja duhana. Takvi programi trebali bi postati dio nacionalne strategije i biti provedeni u cijeloj Hrvatskoj.
Item Type: | Article | ||||||||||
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MeSH: | Croatia ; Evidence-Based Practice ; Health Policy ; Health Promotion / methods ; Humans ; Program Evaluation ; School Health Services ; Smoking / therapy ; Smoking Cessation / methods ; Smoking Prevention ; Tobacco Use Disorder / prevention & control ; Tobacco Use Disorder / therapy | ||||||||||
Departments: | Katedra za socijalnu medicinu i organizaciju zdravstvene zaštite | ||||||||||
Depositing User: | Ana Babić | ||||||||||
Status: | Published | ||||||||||
Creators: |
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Date: | September 2015 | ||||||||||
Date Deposited: | 25 Feb 2016 13:11 | ||||||||||
Last Modified: | 24 Jul 2020 09:04 | ||||||||||
Subjects: | / | ||||||||||
Related URLs: | |||||||||||
URI: | http://medlib.mef.hr/id/eprint/2507 |
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