Dr. Chung Yul Lee (Korea) completed her baccalaureate
in Nursing Science at the College of Nursing, Yonsei University
and earned her Ph.D. in Epidemiology from the University
of Washington in Seattle. Her research interests include
developing community cancer prevention strategies focusing
on breast cancer and cervical cancer, as well as smoking
prevention and cessation strategies for community people
from pre-schooler to elderly.
She worked as a research fellow at the Fred Hutchinson
Cancer Research Center in Seattle from 1984 to 1989, and
since 1990, she has been working as a professor for the
College of Nursing, Yonsei University. Currently, she is
Chair of the Department of Community Health Nursing in the
Graduate School of Public Health and Management.
Dr. Lee serves as a committee member for the National Cancer
Prevention Committee, National Health Insurance Committee,
and the National Child Health and Welfare Committee in Korea.
She is an editor for the Journal of Public Health Nursing
and consultant for three community health centers in Korea.
From 1999 to Sep. 2001, Dr. Lee was a coordinator for the
national health promotion project sponsored by the Ministry
of Health and Welfare. Her main responsibilities for that
project were consultation for performance and evaluation
of 18 community health centers selected for the project
among total 242 community health centers in Korea.
· Kim, C.J. and Lee, C.Y. (1999) Health Promotion
Evaluation Project for Demonstration Health Center.
Ministry of Health and Welfare, 1999.6-2001.9.30
· Lee, C.Y., Kim, H.S., Ko, I.S. (1999) Evaluation
of the Breast Cancer Early Detection Program, Ministry
of Health and Welfare, 1999.8-2001.10.
· Chung, Y.S., Lee, C.Y., Lee, C.O. (1999) Development
of the School Health Promotion Program for Elementary School
Students based on WHO's health Promoting School Guidelines.
Ministry of Health and Welfare, 1999-6 - 2000.6.30.
· Chung, Y.S. and Lee, C.Y. (1997) School Health.
A Comparison of Community Health Promotion Programs
in Korea and the U.S.: The Cases of Smoking Prevention and
Cessation Policies and Strategies
Korea is one of the countries with the highest smoking
rates in the world. In Korea the smoking prevalence rate
is 67.6% for men and 6.7% for women, and yet the prevalence
rates has been steadily increasing among women and adolescents.
Despite the public awareness of the serious consequences
of smoking, Korean society has failed to come up with well-integrated
and effective programs for smoking cessation.
Against this background, the Korean government now plans
to develop comprehensive and systematic programs for smoking
prevention and cessation. In an effort to support the health
promotion programs, the Korean government will increase
the public health promotion funds from U.S. $8million in
1997 to U.S. $620million in 2002. However, Korean society
with only fragmented smoking cessation programs, mostly
operated by the private sector, faces tremendous difficulties
in developing comprehensive programs.
It is considered that the U.S. experience with smoking
control policies and strategies would provide beneficial
implications and ideas for the Korean case. The U.S. programs
against smoking are known to be very successful in reducing
smoking prevalence and establishing smoke-free environments.
Although there are difficulties in socio-cultural aspects
between the U.S. and Korea, the case of the U.S. is certainly
a significant reference to the development of anti-smoking
programs in Korea.
This study, therefore, aims first to compare and contrast
the policies and strategies for smoking prevention and cessation
in Korea and the U.S., and then to construct an appropriate
model for the Korean case. This study evaluates governmental
policies from federal (central) to district level in both
countries, distinguishing elements for success and failure
in implementing anti-smoking programs with appreciation
of the socio-cultural differences.