Cross-sectional online survey to determine the prevalence, knowledge, attitude and practice of tobacco cessation among governmental healthcare workers in Qatar

AlMulla, Ahmad; Kouyoumjian, Silva P.; ElNakib, Nour

doi:10.1136/bmjopen-2020-044379

Cited by 9 publications

(13 citation statements)

References 31 publications

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“…This was consistent across other studies among doctors despite disparate tools and knowledge components being assessed [ 11 , 14 , 18 , 19 ]. Also, consistent with other studies, our result demonstrated that primary care doctors with poor knowledge were significantly associated with poor practice [ 10 , 14 – 16 ]. This discrepancy needs to be explored further to explain the poor knowledge scores despite the majority of our primary care doctors having attended training courses for smoking cessation management.…”

Section: Discussionsupporting

confidence: 93%

“…The majority of primary care doctors (73.8% to 93.3%) in Saudi Arabia had shown a good attitude in smoking cessation assessment and management [ 11 , 13 ]. Similarly, healthcare providers in China, Egypt, Africa, and Saudi Arabia had shown a good attitude in smoking cessation assessment and management [ 10 , 16 , 20 – 23 ]. Our result showed near 60% of the primary care doctors reported having a poor attitude.…”

Section: Discussionmentioning

confidence: 99%

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Factors influencing the practice of Smoking Cessation Assessment and Management among Primary Care Doctors (SCAAM-DOC) in three districts of Malaysia

2022

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Background Smoking prevalence remains high in Malaysia. Primary care doctors have a good opportunity to motivate the smokers to quit smoking in view of the accessibility of primary healthcare clinics to the public. The objective of this study was to determine the practice of smoking cessation management among primary care doctors and its associated factors. Methods A cross-sectional online survey was carried out among 383 medical officers and interns in all government primary healthcare clinics in the district of Petaling, Klang and Hulu Langat from June to August 2020. All doctors were involved in the care of patients for smoking cessation. The knowledge, attitude and practice of smoking cessation management were assessed using a 17-items validated questionnaire which covered the components of 5As (Ask, advise, assess, assist, arrange) and 5Rs (Relevance, risk, reward, roadblocks, repetition). The management of pre-contemplation phase included the components of ask, advise, assess and 5Rs. The management of the contemplation phase included the components of assist and arrange. Result The majority of the respondents had poor score of knowledge (62.4%); attitude (58%) and practice (pre-contemplation management:50.9%; contemplation management:75.7%). Using multivariate logistic regression analysis, the significant factors associated with the poor practice of smoking cessation management in the pre-contemplation phase were poor (OR = 2.14, 95% CI 1.11–4.12, p <0.01) or moderate knowledge (OR = 2.50, 95% CI 1.19–5.26, p<0.01), poor attitude (OR = 2.16, 95% CI 1.39–3.37, p<0.01), lacks smoking cessation banners, brochures and leaflets in the clinic (OR = 2.01, 95%CI 1.26–3.19, p<0.01) and lack of nicotine replacement medications (OR = 2.27. 95%CI 1.27–4.06, p<0.01). No significant factors were shown associated with the practice of the contemplation phase. Conclusion The majority of primary care doctors had poor knowledge, attitude and practice of smoking cessation management. Factors that had increased the odds of the poor practice of smoking management at the pre-contemplation phase were poor knowledge, poor attitude, and insufficient organizational support for health promotion materials and nicotine replacement medication.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Factors influencing the practice of Smoking Cessation Assessment and Management among Primary Care Doctors (SCAAM-DOC) in three districts of Malaysia

2022

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“…One of the alternative ways to prevent and reduce smoking prevalence among the community is to empower health professionals by training them to identify waterpipe smokers, educate them about potential harmful effects, and refer them to cessation services. Fortunately, according to a recent study conducted among governmental healthcare workers in Qatar, about 60% of them routinely promoted tobacco cessation interventions, thus being effective in helping users to quit 28 .…”

Section: Discussionmentioning

confidence: 99%

“…The increase in waterpipe smoking has prompted the World Health Organization (WHO) to declare its use as a growing public health concern in its 2015 advisory note 27 . Within the WHO Convention on Tobacco Control (FCTC) framework, Qatar has adopted effective measures for tobacco control such as tax increase, smoke-free policies, ban on advertising and provision of tobacco intervention services along with free-of-cost complete cessation treatment 28 , 29 . Additionally, telephone-based smoking cessation counseling support during the COVID-19 pandemic has also been provided 30 .…”

Section: Introductionmentioning

confidence: 99%

Waterpipe smoking: Results from a population-based study in Qatar

AlMulla¹,

Kouyoumjian²,

Maisonneuve³

et al. 2022

Tob. Induc. Dis.

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INTRODUCTION Waterpipe smoking is common in the Eastern Mediterranean Region and is becoming more prevalent in Qatar. To better plan waterpipe smoking control strategies we aimed to: 1) determine the prevalence of waterpipe smoking and explore its patterns in Qatar; 2) describe the knowledge, attitudes, and practices related to smoking behaviors; 3) recognize locations of waterpipe smoking and symptoms experienced during waterpipe sessions; and 4) evaluate the frequency of waterpipe smoking and the initiation age. METHODS We analyzed the data of a 7921 population-based survey of adults aged ≥18 years (nationals and expatriates), conducted in Qatar between March and December 2019. Out of 7105 surveys collected, 6904 were complete and included in the analysis. RESULTS Of the 6904, 570 (8.3%; 95% CI: 7.7-9.0) were waterpipe tobacco smokers, 425 (10.6%) males and 145 (5.1%) females. The highest prevalence of waterpipe smoking was reported among people aged 18-24 years (10.6%). Of the 575 waterpipe smokers, 56.3% (n=324) were exclusive waterpipe smokers. Use of other tobacco products among waterpipe smokers was higher among Qataris (52.3%) than expatriates (37.7%). Waterpipe cafés were the most common location for waterpipe smoking, however, females preferred restaurants; 83.3% reported that waterpipe smoking is harmful, while 39.3% considered that it is less harmful than cigarette smoking. CONCLUSIONS Waterpipe smoking prevalence is considerably high in Qatar, the second form of tobacco used. The formulation of new policies and enforcement of regulatory restrictions on waterpipe smoking are essential to reduce its uptake. Expansion in tobacco cessation services for women and poly-tobacco users is needed.

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“…Smoking cessation services providing counseling and pharmacological interventions are proven to be cost-effective and improve success rates compared to unaided quit attempts ( Aveyard et al, 2012 , Zwar et al, 2014 ). Fortunately, a recent study among healthcare workers in Qatar showed that almost 60% of them provided tobacco cessation interventions to patients ( AlMulla et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%