Stop Rokok

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  • SMOKING BURDEN
    SMOKING CESSATION

    dr.Slamet Hariadi Sp.P (K)

    LAB/SMF FK UNAIR/RSUD DR SOETOMO

    SURABAYA

  • Indonesia 2006

  • 3G

    Good careGeneticGod
  • Burden of Disease

    Smoking is highly prevalent worldwide Smoking increases morbidity and mortalityThe benefits of quitting have been demonstrated

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  • More than 10 million cigarettes are smoked every minute of every day around the world by1:1 billion men1250 million women1China, USA, Russia, Japan and Indonesia consume more than 50% of the worlds cigarettes1If current trends continue, smokers will consume 9 trillion cigarettes annually by 20251

    1. The Tobacco Atlas. Second edition. Published by American Cancer Society, 2006.

    Global Epidemic of Smoking

    *

    Data Indonesia : jumlah konsumsi tembakau dan perokok

  • Gender-Specific Smoking Prevalence Across the World

    1. Mackay J, et al. The Tobacco Atlas. Second Ed. American Cancer Society Myriad Editions Limited, Atlanta, Georgia, 2006. Also available online at: http://www.myriadeditions.com/statmap/.

    US

    24%

    19%

    Men

    Women

    Australia

    19%

    16%

    Belarus

    53%

    7%

    Brazil

    22%

    14%

    Canada

    22%

    17%

    Chile

    48%

    37%

    China

    67%

    2%

    Egypt

    45%

    12%

    France

    30%

    21%

    Iceland

    25%

    20%

    Mexico

    13%

    5%

    Iran

    22%

    2%

    Kenya

    21%

    1%

    Sweden

    17%

    18%

    Philippines

    41%

    8%

    Portugal

    33%

    10%

    South Africa

    23%

    8%

    India

    47%

    17%

    Russian Fed

    60%

    16%

    Italy

    33%

    17%

    Spain

    39%

    25%

    Germany

    37%

    28%

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    Key Point

    Gender-specific smoking prevalence varies across the world.

    Background

    Worldwide, there are marked differences in smoking prevalence rates between men and women from country to country. For example, in South Africa, the Philippines, China, Iran, and Portugal, smoking prevalence is much lower in women than in men. In contrast, in the United States, Canada, Australia, and Iceland, the prevalence of smoking in men is only slightly higher than that in women.1

    Overall, the prevalence of smoking in men is declining. However, although smoking prevalence in women is declining in some countries, such as the United States, the United Kingdom, Australia, and Canada, in several southern, central, and eastern European countries, the rate of smoking in women is not in decline or is still increasing.1

    Reference

    1. Mackay J, Eriksen M, Shafey O. The Tobacco Atlas. Second Ed. American Cancer Society Myriad Editions Limited. Atlanta, Georgia, 2006. Also available online at: http://www.myriadeditions.com/statmap/.

    1/Mackay/pp. 98-104,
    Table A

    1/Mackay/pp. 98-104,
    Table A

    1/Mackay/
    pp 98-105

  • Smoking Prevalence in Asia

    29.4%

    51.6%

    671,017,000

    India

    39.3%

    48.5%

    46,063,000

    Thailand

    69.0%

    49.9%

    146,860,000

    Indonesia

    53.4%

    51.1%

    958,295,000

    China

    % Men Smoker

    (Source: WHO)

    % Men

    (Source: WHO)

    Population

    (Source: WHO)

    Country

  • According to the WHO, every 8 seconds a person dies of a smoking-related disease2 Smoking causes premature death in 1 in 2 smokers3Smoking causes over 50 health disorders Smoking causes more than 20 fatal conditions4

    2. World Health Organization (2000). Tobacco Kills dont be duped. World No Tobacco Day 31 May 2000. Campaign brochure.

    http://www.who.int. Last accessed January 2007.

    3. Royal College of Physicians of London. Medical Training on Tobacco. Available online at URL:

    http://www.rcplondon.ac.uk/pubs/books/tag/1-active_smoking.ppt. Last accessed February 2007.

    4. Action on Smoking and Health UK. Factsheet no:2. August 2005. http://www.ash.org.uk/html/factsheets/html/fact02.html Last

    accessed January 2007.

    Consequences

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  • Annual Deaths Attributable to Tobacco: Worldwide Estimates

    Canada

    >25%

    Australia

    20%-24%

    UK

    >25%

    Germany
    >25%

    China & Taiwan

    10%-14%

    Brazil

    15%-19%

    % of Total Deaths Attributable to Tobacco*

    *Regional estimates in 2000 in men aged >35 years.

    1. Mackay J, Eriksen M. The Tobacco Atlas. Second Ed. World Health Organization; 2006.

    US

    >25%

    Mexico

    15%-19%

    Argentina

    15%-19%

    Spain

    >25%

    Russian Federation

    >25%

    Sweden

    >25%

    Turkey

    >25%

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    Key Point

    In some countries, deaths attributable to tobacco account for >25% of total deaths in men aged > 35 years.

    Background

    The World Health Organization estimates that in the year 2000, 25% of total deaths in men aged >35 years in most countries in the Northern Hemisphere (including the United States, Canada, Cuba, Israel, Russia and all European nations) were tobacco related. In these countries, >25% of all men died from tobacco-related disorders. Twenty to 25% of women over the age of 35 died from tobacco-related disorders in the United States, Canada, and Cuba.

    Reference

    1. Mackay J, Eriksen M. The Tobacco Atlas. Second Ed. Geneva, Switzerland: World Health Organization; 2006.

    2/Mackay/
    pp 42, 43.

    1/Mackay/
    p 36/Figure at bottom; p.37/Figure;
    p. 40-41/Globe figure

    2/Mackay/
    pp 42, 43.

    1/Mackay/
    p 36/Figure at bottom; p.37/Figure;
    p. 40-41/
    Globe figure

    2/Mackay/
    pp 98-105

  • So Why Do People Keep Smoking?

    Nicotine used to
    self-medicate
    withdrawal symptoms5

    5. Adapted from: American Cancer Society. ACS Guide to Quitting Smoking, October 2006. http://www.cancer.org/docroot/PED/content/PED_10_13X_Guide_for_Quitting_Smoking.asp. Last accessed February 2007.

    Nicotine used for pleasure, enhanced performance,

    mood regulation5

    Tolerance and physical dependence (cravings) 5

    Abstinence produces withdrawal symptoms5

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    5. American Cancer Society. ACS Guide to Quitting Smoking, October 2006. Available online at URL: http://www.cancer.org/docroot/PED/content/PED_10_13X_Guide_for_Quitting_Smoking.asp. Last accessed February 2007.

  • Top 10 Reasons For Quitting

    Not Sure and Decline to answer responses not shown and range from less than one-half percent to 1 percent.

    Bottom nine answer choices are not shown and range from 0 to 7 percent

    Among Asian smokers who have tried to quit, the primary motivation is to improve their own health.

    Q655: Which of the following describes why youve tried to quit smoking cigarettes?

    Base: Have tried to quit smoking (n=352)

  • Reasons for Being Unable to Quit Smoking

    The top reason for failing to quit successfully is addiction.

    Q665: Why do you feel you have been unable to completely quit smoking?

    Base: Have tried to quit (n=352)

    Not Sure and Decline to answer responses not shown and range from 0 percent to 2 percent.

  • Percent Think Only Willpower is Needed

    Not Sure and Decline to answer responses not shown and range from 0 percent to 1 percent.

    A large majority of Asian smokers think willpower is all that they need to to quit smoking.

    Base: All respondents (n=500)

    Q761: How strongly do you agree or disagree with the following statements?

    All I need to quit smoking is willpower.

    Agree

    89%

    Disagree

    10%

  • Quitting smoking is believed to be extremely importantQuitting smoking is believed to be extremely difficult

    STOP and SUPPORT:
    Key Finding 1

  • Recording Smoking Habits

    Far fewer smokers who have talked to their doctor about smoking say their doctor records their smoking habits than doctors claim

  • Apa hambatan utama yang dirasakan dokter dalam menolong pasien berhenti merokok?

    3 hambatan utama dalam menghentikan rokok:

    kurangnya keinginan/kesadaran pasienAdiksipengaruh lingkungan

    Pfizer Inc. STOP (Smoking:The Opinion of Physicians). 2006

  • Apa yang diperlukan para dokter untuk dapat membantu pasien berhenti merokok lebih baik??

    Menurut mereka, kehadiran suatu obat yang lebih efektif daripada obat-obat yang telah tersedia saat ini akan sangat membantu mereka dalam menolong pasien untuk berhenti merokok

    Pfizer Inc. STOP (Smoking:The Opinion of Physicians). 2006

  • I have been on Chantix for 2 months! I have slipped a couple times but the cigs tasted terrible! I'm finally learning to cope with out cigs in my life. There are so many other good things to turn to other than nicotine. Chantix has been a miracle for me." ~JJ~
  • "Day 1 thru 7, I said this is NOT going to work. On day 8, I didn't want to smoke. Wow, I could not believe I wasn't screaming at everyone.I have been smoke free for 3 weeks now and am so excited about this medication." ~Rena~
  • Smoking cessation

  • STRATEGI UNTUK MEMBANTU BERHENTI MEROKOK

    TINDAKAN 1.ASK : tanyakan penggunaan tembakau dalam setiap kedatangan.Catat semuanya.STRATEGI Hubungkan pemakaian tembakau dengangejala/ penderita.
  • STRATEGI UNTUK MEMBANTU BERHENTI MEROKOK

    2.ADVISE: semua perokok harus berhenti Nasehat harus: Jelas : Berhenti merokok kita bantu Berhenti merokok anda lebih se