Non-smoking policies and practices in Norwegian delivery units in 1994

OBJECTIVE: To determine the number of delivery units in Norway that have become smoke free for employees and patients. DESIGN: A pre- categorised questionnaire was sent in September 1994 to the physician or midwife responsible for each of the 68 delivery units in the country. MAIN OUTCOME MEASURES: Hospital smoking policies, reported difficulties in implementation, use of nicotine replacement therapy in patients, and provision of information on tobacco-related health hazards to patients. RESULTS: Fifty-six units (82.3%), accounting for 93% of all deliveries in Norway in 1993, responded. Of these, 42 (75%) were smoke-free for employees, and 33 (59%) for patients. Nearly all had become smoke-free after 1990. No significant difference was seen according to type or size of delivery unit. No difficulties in the implementation of policies restricting smoking were reported. Thirty- one (55%) routinely informed patients of the health implications of smoking during pregnancy. Two units offered nicotine replacement therapy to patients. CONCLUSION: Most Norwegian delivery units were smoke-free for both employees and patients. Provided that the recent trend toward adoption of smoke-free policies continues, all delivery units in Norway should be smoke-free by 1997-1998.




     

Posttraumatic growth among Norwegian children and adolescents exposed to the 2004 tsunami.

This study examined posttraumatic growth (PTG), positive change experienced as a result of the struggle with trauma, in children and adolescents exposed to a high-impact disaster, after which their experience of secondary adversity was minimal. The study also examined whether reduction in posttraumatic stress symptoms (PTSS) over time related to reports of PTG. There were 105 participants, age 6 to 17 years, who were directly exposed to the 2004 tsunami in Southeast Asia. They were interviewed 10 and 30 months after the disaster—PTSS was assessed at both time points, and PTG was assessed at 30 months. The individual's subjective reactions to the event and concurrent PTSS (30-months post-tsunami) were independently and positively related to PTG, whereas the decrease in PTSS was not related to growth. Children and youth in this study reported lower absolute levels of PTG than those in other studies. Taken in sum, findings suggest that secondary adversities may influence posttraumatic reactions and ongoing distress, which are hypothesized to play a key role in the development of PTG. In the absence of such secondary stressors, continued distress in the form of PTSS may serve to catalyze the growth process. Implications for clinical practice are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Who gives up smoking? Results from the health surveys in Finnmark in 1977/78 and 1987/88

In order to develop effective smoking cessation programmes, it is important to understand why people stop smoking. This study is based on data from two population-based health surveys carried out in the northernmost county of Norway in 1977-78 and 1987-88. 6,254 men and 6,404 women smokers participated in the survey. For both surveys questionnaires were used to collect information on smoking habits, sociodemographic variables, various diseases, symptoms, health related behaviours, and social network. Ten years later 19.3% of the men and 16.0% of the women had stopped smoking. The primary factors for giving up were: a short history of smoking, older age, having non-smoking family and friends, and acquiring a smoking related disease during the period. Health promoting behaviours, such as low consumption of coffee, alcohol, butter and margarine, also increased the chances of giving up smoking. Developing smoking related symptoms, such as a morning cough, or coughing up mucus in the mornings, predicted continuous smoking. Future health promotion programmes should be targeted at young smokers and persons with smoking related diseases; and efforts should probably be directed towards lifestyle with the aim of modifying general attitudes to health.