Chinese Physicians and Their Smoking Knowledge, Attitudes, and Practices

Jiang, Yuan; Ong, Michael; Tong, Elisa K.; Yang, Yan; Yan, Nan; Gan, Quan; Hu, Teh-wei

doi:10.1016/j.amepre.2007.02.037

Cited by 108 publications

(153 citation statements)

References 36 publications

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“…The present study also revealed that few physicians set quit dates for their patients, which is in agreement with the findings of other studies. (15,21) In our study, the most common method of intervention was brief advice, which was reportedly given by 61.5% of physicians as a method of smoking cessation, a considerably lower proportion than the 95.8% reported in a study conducted in Canada. (22) The use of NRT by 2.8% was very low when compared with the 25% reported in Norway and the 95.8% reported in Canada.…”

Section: Discussioncontrasting

confidence: 42%

“…A significant proportion of physicians reported asking their patients about tobacco use, which is higher than the 44-48% reported in other studies. (15,21) However, only 39.4% asked their patients about the reasons for using tobacco. Failure to ask about the reasons for using tobacco denies physicians the opportunity of recommending the appropriate method of intervention, anticipating challenges during the stages of quitting and enlisting the necessary clinical and social support.…”

Section: Discussionmentioning

confidence: 99%

“…(14) A 2004 survey of 4,000 doctors in China revealed that less than half (48%) asked patients about their smoking status, 64% advised known smokers to quit, 6.1% set quit dates, and 6.6% prescribed pharmacotherapy to help smokers quit. (15) The success of smoking abstinence is often determined by the knowledge and practices of the physician regarding smoking cessation. Unlike in other regions of the world, there are no data on the knowledge and practices related to smoking cessation among physicians in sub-Saharan Africa.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge of and practices related to smoking cessation among physicians in Nigeria

et al. 2009

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Objective: To evaluate the knowledge and practices of smoking cessation among physicians in Nigeria. Methods: We conducted a cross-sectional survey in Lagos and three geopolitical zones of Nigeria. A self-administered structured questionnaire was used to obtain information on tobacco use and its health effects, as well as on the knowledge and practices of smoking cessation, from 436 physicians. Results: Of the 436 physicians, 292 (67.0%) were aware of smoking cessation, but only 132 (30.3%) showed good knowledge on this topic. The prevalence of smoking among the physicians was 17.7%. In addition, 308 physicians (70.6%) reported that tobacco education in the medical school curriculum was inadequate. Of the 436 physicians, 372 (86.2%) asked their patients whether they smoked, and 172 (39.4%) asked their patients the reasons for using tobacco. As a means of smoking cessation intervention, 268 (61.5%) used brief advice/counseling (2-5 min), 12 (3.7%) prescribed antidepressants, 16 (2.8%) prescribed nicotine replacement therapy (NRT), and 76 (17.4%) arranged follow-up visits. When the physicians were questioned regarding the obstacles to smoking cessation interventions, 289 (66.3%) cited poor knowledge of the issue, 55 (12.6%) cited a lack of time, and 20 (4.6%) cited unavailability of NRT. Conclusions: The results of this study highlight the lack of knowledge among physicians in Nigeria in terms of smoking cessation, as well as their failure to apply appropriate practices. The results of this study can further the evaluation and formulation of guidelines on smoking cessation and smoking education programs for physicians. Our findings also underscore the need to offer smoking cessation programs in all treatment facilities.Keywords: Smoking cessation; Tobacco; Physicians; Nigeria; Health knowledge, attitudes, practice. ResumoObjetivo: Avaliar o conhecimento e as práticas para a cessação do tabagismo entre médicos na Nigéria. Métodos: Um inquérito transversal foi realizado na cidade de Lagos e em três zonas geopolíticas da Nigéria. Um questionário estruturado de autopreenchimento foi respondido por 436 médicos para a obtenção de informações a respeito do uso de tabaco e de seus efeitos na saúde, seu conhecimento e as práticas para cessação do tabagismo. Resultados: Dos 436 médicos, 292 (67,0%) estavam informados a respeito da cessação do tabagismo, mas somente 132 (30,3%) demonstraram bons conhecimentos sobre esse assunto. A prevalência de tabagismo entre os médicos foi de 17,7%. Além disso, 308 médicos (70,6%) relataram que a educação sobre tabagismo nos currículos de medicina era inadequada. Dos 436 médicos, 372 (86,2%) questionavam seus pacientes quanto ao tabagismo, e 172 (39,4%) os questionavam quanto aos motivos para o fumo. Como forma de intervenção para a cessação do tabagismo, 268 (61,5%) utilizavam breve aconselhamento (2-5 min), 12 (3,7%) prescreviam antidepressivos, 16 (2,8%) prescreviam terapia de reposição nicotínica (TRN), e 76 (17,4%) agendavam consultas de acompanhamento. Quando os médicos eram...

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Section: Discussioncontrasting

confidence: 42%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Knowledge of and practices related to smoking cessation among physicians in Nigeria

et al. 2009

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“…Healthcare professionals' own behaviour and attitudes concerning healthy lifestyles have an influence on the counselling of patients. A recent survey in the USA reported ,6% tobacco use among healthcare professionals [1], while 41% of Chinese male medical doctors smoke [2]. Tobacco dependence treatment (TDT) efforts generally focus on physicians, but evidence suggests that physicians are inadequately trained to help smokers quit [3,4].…”

Section: To the Editorsmentioning

confidence: 99%

“…Of particular concern is the occurrence of multidrug-resistant (MDR)-TB with resistance to at least isoniazid and rifampicin, and extensively drug-resistant (XDR)-TB with additional resistance to any fluoroquinolone and at least one of the second-line injectable drugs, including kanamycin, amikacin and capreomycin. MDR-and XDR-TB need prolonged treatment duration, from 18 to 24 months after sputum culture conversion, as recommended by the World Health Organization (WHO) [2]. A prolonged duration of treatment may lead to poor adherence, higher cost and undue toxicity.…”

Section: To the Editorsmentioning

confidence: 99%

Attitudes, training and smoking profile of European Respiratory Society members

Kabir

Ward

Clancy³

2011

European Respiratory Journal

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Dental Students’ Attitudes Toward Tobacco Cessation Counseling

Anders

Davis

McCall

2014

Journal of Dental Education

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The main objective of this study was to determine if level of education, gender, and tobacco history affected attitudes of dental students toward tobacco cessation counseling. A secondary objective was to examine the psychometric properties of the survey instrument. First-and fourth-year dental students at one school of dental medicine completed a survey examining attitudes toward tobacco cessation and perceived barriers to performing tobacco cessation counseling in a dental setting. Analyses were conducted to determine whether there were differences in attitudes by gender, level of education, or personal and family tobacco use. A main effect for education level was discovered. Fourth-year students were more likely than irst-year students to consider the prescription of nicotine gum and transdermal patches to be within the scope and responsibility of the dental profession. No signiicant differences were seen with regard to gender or students' personal and family tobacco histories. Dental students were in general agreement that tobacco cessation counseling is within the responsibility of the dental profession, is within the scope of dental practice, and can be effective. Psychometric analysis revealed reliability of the survey instrument.

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Chinese Physicians and Their Smoking Knowledge, Attitudes, and Practices

Abstract: Background-China has the most smokers in the world. Physicians play a key role in smoking cessation but little is known about Chinese physicians and smoking.

Cited by 108 publications

References 36 publications

Knowledge of and practices related to smoking cessation among physicians in Nigeria

Knowledge of and practices related to smoking cessation among physicians in Nigeria

Attitudes, training and smoking profile of European Respiratory Society members

Dental Students’ Attitudes Toward Tobacco Cessation Counseling

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