Cigarette and E-Cigarette Use and Smoking Cessation Practices among Physicians in Poland

Jankowski, Mateusz; Kaleta, Dorota; Zgliczyński, Wojciech Stefan; Grudziąż-Sękowska, Justyna; Wrześniewska-Wal, Iwona; Gujski, Mariusz; Wierzba, Waldemar; Pinkas, Jarosław

doi:10.3390/ijerph16193595

Cited by 20 publications

(14 citation statements)

References 48 publications

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“…Research by Jankowski et al has shown that doctors in Poland do not routinely intervene in the case of their patients. The study revealed that while 37.6% of physicians regularly offered smokers a minimum intervention to stop smoking, only 5% of physicians offered referrals to smoking cessation clinics [45].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner

Znyk

Polańska

Wojtysiak

et al. 2019

IJERPH

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The aim of the study was to assess whether general practitioners (GPs) monitor and evaluate the health behavior of their patients in the field of a diet, physical activity, and weight control, and whether they provide appropriate counselling as part of this evaluation. Predictors of those activities among physicians were also determined. The cross-sectional study was conducted in the Piotrkowski district among 200 GPs. The questionnaire covered socio-demographic data and lifestyle characteristics of the physicians, their role as healthy lifestyle providers, and whether they assess lifestyle characteristics of their patients and perform healthy lifestyle counselling. More than 60% of the GPs did not evaluate lifestyle features during their patients’ examination. In total, 56% of the GPs provided healthy lifestyle recommendations among patients who have not been diagnosed with chronic lifestyle-related diseases but who do not follow healthy recommendations, and 73% of GPs provided recommendations to patients with chronic diseases related to lifestyle. The study showed that the chance to assess lifestyle characteristics of the patients was significantly higher for the GPs who believed that they were obliged to do so (OR = 6.5; p = 0.002). The chance to recommend a healthy lifestyle among patients who have not been diagnosed with chronic lifestyle-related diseases but who do not follow healthy recommendations was 5.9 times higher among the GPs working in the public sector (p < 0.001) and 16.3 times higher for these who believed that they had sufficient knowledge to provide the advice (p = 0.02). The following predictors of providing a healthy lifestyle counselling among patients with diagnosed chronic lifestyle-related diseases were identified: conviction that a GPs is obligated to provide it (OR = 4.4; p = 0.02), sufficient knowledge (OR = 8.7; p = 0.01), and following health recommendations by themselves (OR = 3.9; p = 0.04). Conclusions: The identified predictors are crucial for the development of appropriate strategies aiming at increasing GPs’ involvement in preventive measures and consequently at improving the population’s health.

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Section: Discussionmentioning

confidence: 99%

Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner

Znyk

Polańska

Wojtysiak

et al. 2019

IJERPH

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“…Findings from the EUREST-PLUS ITC Europe Surveys revealed that the percentage of smokers who receive professional advice to quit varies from 57% in Romania to 21% in Poland [32]. Several studies revealed that physicians in CEE Europe do not routinely identify a patient's smoking status and do not offer smoking cessation treatment to patients who smoke [32][33][34]. Currently there is a lack of up-to-date data on smoking cessation attempts among smokers from non-EU member countries in Eastern Europe.…”

Section: Discussionmentioning

confidence: 99%

Smoking Cessation and Vaping Cessation Attempts among Cigarette Smokers and E-Cigarette Users in Central and Eastern Europe

Jankowski

Shpakou

et al. 2019

IJERPH

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Our aim is to assess the smoking cessation and vaping cessation activity, including quit attempts and willingness to quit among university students in Central and Eastern Europe, as well as to investigate personal characteristics associated with smoking cessation and vaping cessation attempts. Data were collected by questionnaire which included 46 questions on cigarette and e-cigarette use. Questionnaires were obtained from 14,352 university students (aged 20.9 ± 2.4 years; cooperation rate of 72.2%). For the purposes of this analysis, only data from exclusive cigarette smokers (n = 1716), exclusive e-cigarette users (n = 129), and dual users (216) were included. Of all cigarette smokers, 51.6% had previously tried to quit smoking and 51.5% declared a willingness to quit cigarette smoking in the near future. Among all e-cigarette users only 13.9% had ever tried to quit using the e-cigarette and 25.2% declared a willingness to give up using e-cigarette in the near future. The majority of the group did not use pharmacotherapy to quit cigarette (87.5%) or e-cigarette (88.9%) use. Our results indicate that while most university students have some desire to quit conventional smoking, those who use e-cigarettes do not have the same desire.

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“…As indicated by the increase in cigarette prices by 10%, the decrease in consumption in Bulgaria, Romania and Poland would be affected [61]. Given that the use of tobacco products is widespread in Poland, including in the medical profession [62], it cannot be assumed that the effective component limiting the use of tobacco products are the legal provisions relating to this issue. The provisions of the Tobacco Control Act provide an illusory basis for the protection of health and the rights of non-smokers.…”

Section: Resultsmentioning

confidence: 99%

The level of effectiveness of Polish legislation relating to health protection against the consequences of tobacco use

Zajdel-Całkowska

2020

Int J Occup Med Environ Health

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The purpose of this work is to analyze the regulatory environment for tobacco use, with particular reference to changes made in the last 10 years. An attempt was made to answer the question of the extent to which the regulatory environment has a real impact on the achievement of the objective set out in the existing legal provisions, which is to protect the health and rights of the persons concerned. An analytical method was used in the work to assess the application of legal principles. A method of analyzing the current line of jurisprudence was also used. In the process of final evaluation of public utilities, certain functional methods were used. The assessment was subjected to Polish law, within the scope of the currently binding Act on Health Protection Against the Consequences of Using Tobacco and Tobacco Products of 1995. The study states that the provisions of this Act are only a formal guarantee of protection. The liability arising from the application of its standard is illusory because the procedure for imposing penalties is ineffective. The pursuit of any property claims related to violation of the rights of related entities, as envisaged in this Act, is complicated. This does not apply to a case which is not affected by the decision.

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Cigarette and E-Cigarette Use and Smoking Cessation Practices among Physicians in Poland

Cited by 20 publications

References 48 publications

Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner

Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner

Smoking Cessation and Vaping Cessation Attempts among Cigarette Smokers and E-Cigarette Users in Central and Eastern Europe

The level of effectiveness of Polish legislation relating to health protection against the consequences of tobacco use

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