Abstrak: Purpose: National smoking cessation practice guidelines offer recommendations regarding the processes and structure of care. Facilities routinely measure the processes of care but not the structure of care. This pilot study assessed the structure of smoking cessation care at Veterans Health Administration facilities.

Methods: Key informants at 18 sites completed a brief checklist survey adapted from national smoking cessation guidelines. Responses were compared with detailed site surveys.

Results: Guideline adherence was seen in identifying smokers and treating inpatient smokers. Areas of low adherence include offering incentives and defining staff responsibilities. The checklist survey showed poor correspondence with the detailed survey, with low agreement on systematic screening (kappa = .21) and higher agreement on primary care prescribing authority (kappa = .53).

Discussion: This pilot survey provides a potential rapid method for assessing adherence to systems recommendations from the national smoking cessation guidelines. The relatively low agreement with a more detailed survey suggests that the two surveys may have been measuring different aspects of smoking cessation care.

Abstrak: Purpose: To identify factors predictive of smoking cessation among adults with chronic obstructive pulmonary disease (COPD). Data from the 1997 to 2002 National Health Interview Surveys were analyzed for adults at least 25 years of age with COPD using logistic regression.

Results: Of the adults with COPD, 36.2% were current smokers. Of the current smokers and former smokers who had quit smoking during the past year, 22.9% reported not receiving cessation advice from a health care professional during the past year Although half of smokers with COPD had attempted to quit during the past year, only 14.6% were successful. Attempting to quit was negatively associated with heavy drinking but positively associated with being younger and having cardiovascular diseases, lung cancer, and activity limitation due to lung problems. Factors predictive of successful cessation included being at least 65 years old, not being poor, and activity limitation due to lung problems.

Conclusion: This study underscores the importance of continuing to develop smoking cessation strategies for COPD patients and implementing clinical guidelines on smoking cessation among health care providers.

Abstrak: Tesis ini membahas tentang efektivitas sistem pencatatan kematian dan penyebab kematian di Provinsi DKI Jakarta dalam menghasilkan statistik vital kematian dan penyebab kematian yang akurat, menyeluruh dan sewaktu. Metode yang digunakan adalah deskriptif analitik dengan pendekatan kualitatif dengan melakukan wawancara mendalam dan studi data sekunder. Hasil penelitian ini menunjukkan bahwa Provinsi DKI Jakarta memiliki dua sistem yang terpisah dan belum disinkronisasi antara pencatatan kematian dengan pencatatan penyebab kematian. Hal ini menyebabkan statistik vital yang dihasilkan oleh kedua sistem tersebut berbeda satu dengan yang lain sehingga belum efektif menghasilkan statistik vital kematian dan penyebab kematian yang akurat, menyeluruh dan sewaktu. Kata kunci: efektivitas, pencatatan kematian, pencatatan penyebab kematian, statistik vital This study discusses the effectiveness of death and cause of death registration system in DKI Jakarta Province to produce accurate, thorough and timely death and cause of death vital statistics. A qualitative research has been conducted with in-depth interview and secondary data studies as methods for data collection. The results showed that DKI Jakarta Province has two separate systems between the death and the cause of death registration and not yet synchronized. The vital statistics generated differ from one another, so that it has not been effective in generating accurate, thorough and timely death and cause of death vital statistics. Keywords: effectiveness, death registration, causes of death registration, vital statistic

Abstrak: This study aimed to determine the predictors of contraceptive use among married female youths and their husbands using the behavioral theory of the Health Belief Model (HBM). A community-based survey was conducted in a rural area of Myanmar in 2008. A total of 444 respondents (222 couples) were interviewed separately using a pretested, structured questionnaire. Significant predictors of contraceptive use were determined by univariate and multivariate analysis. Wife's HBM perception was a highly significant predictor of contraceptive use in married youths (adjusted odds ratio = 10; 95% confidence interval = 2.7, 37.6). Wives aged 20 to 24 years and having their own income, experience of spousal communication, and shorter distance from home to health center were also significant predictors of contraceptive use. A poor agreement on HBM perception between wife and husband was noted. This study highlights the importance of HBM perceptions, wife's income, spousal communication, and geographic barriers in contraceptive use among married youths in rural Myanmar.