Prevalence of smoking in physicians and medical students, and the generation effect in the Netherlands

Dekker, Helena M.; Looman, Caspar W. N.; Adriaanse, H; Maas, P.J. van der

doi:10.1016/0277-9536(93)90042-3

Cited by 50 publications

(42 citation statements)

References 8 publications

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“…Although some studies find that GPs generally regard themselves as role models, 19 evidence from several countries reports that doctors who smoke do not subscribe as fully to this view. 11,12,20 Generally, studies found that GPs who smoke report giving cessation advice less frequently than nonsmoking GPs, although not all studies supported this pattern. Studies in Austria, 21 Finland, 22 France, 23,24 and Greece 25 all found that non-smoking GPs were significantly more likely than smoking GPs to report that they raised the issue or advise quitting.…”

Section: Gp Characteristicsmentioning

confidence: 99%

“…6,9,11 Fewer GPs report routinely asking all regular patients if they smoke and routinely advising all patients to quit, even in countries where this population-based approach is recommended. For example, self-reported rates for asking about all patients' smoking status, where these have been measured, range from 28% in Belgium 12 to 63% in England; 6 47% of GPs in Ireland are reported as 'often' raising the issue but only 1% as 'always' doing so.…”

Section: Extent To Which Gps In Europe Engage In Smoking Cessationmentioning

confidence: 99%

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Factors influencing European GPs' engagement in smoking cessation: a multi-country literature review

Stead

Angus²,

Holme³

et al. 2009

Br J Gen Pract

107

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Background: Smoking cessation advice by GPs is an effective and cost-effective intervention, but is not implemented as widely as it could be. Aim: This wide-ranging Europe-wide literature review, part of the European Union (EU) PESCE (General Practitioners and the Economics of Smoking Cessation in Europe) project, explored the extent of GPs’ engagement in smoking cessation and the factors that influence their engagement. Method: Two searches were conducted, one for grey literature, across all European countries, and one for academic studies. Data from eligible studies published from 1990 onwards were synthesised and reported under four categories of influencing factors: GP characteristics, patient characteristics, structural factors, and cessation-specific knowledge and skills. Results: The literature showed that most GPs in Europe question the smoking status of all new patients but fewer routinely ask this of regular patients, or advise smokers to quit. The proportion offering intensive interventions or prescribing treatments is lower still. Factors influencing GPs’ engagement in smoking cessation include GPs’ own smoking status and their attitudes towards giving smoking cessation advice; whether patients present with smoking-related symptoms, are pregnant, or heavy smokers; time, training, and reimbursement are important structural factors; and some GPs lack knowledge and skills regarding the use of specific cessation methods and treatments, or have limited awareness of specialist cessation services. No single factor or category of factors explains the variations in GPs’ engagement in smoking cessation. Conclusion: Strategies to improve the frequency and quality of GPs’ engagement in smoking cessation need to address the multifaceted influences on GPs’ practice and to reflect the widely differing contexts across Europe.Co-authored by the PESCE European Research Tea

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Section: Gp Characteristicsmentioning

confidence: 99%

Section: Extent To Which Gps In Europe Engage In Smoking Cessationmentioning

confidence: 99%

Factors influencing European GPs' engagement in smoking cessation: a multi-country literature review

Stead

Angus²,

Holme³

et al. 2009

Br J Gen Pract

107

View full text Add to dashboard Cite

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“…Alcohol consumption is also a major lifestylerelated cause of cancer, while physical exercise protects against many cancers 1) . Physician example and advice can pivotally impact upon lifestyle-related cancer risk factors (LRCRF), especially smoking, among their patients and the general population 3) . This may be particularly important for female physicians who provide standards for other women 4,5) .…”

mentioning

confidence: 99%

Workplace Stressors and Lifestyle‐Related Cancer Risk Factors among Female Physicians: Assessment Using the Occupational Stress Index

Belkić

Nedic²

2007

Journal of Occupational Health

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. Participants completed the physician-specific version of the Occupational Stress Index (OSI). Self-reported data concerning LRCRF and working conditions were cross-validated with medical records, as well as with worksite measurements and expert observations. A total of 35 (31.3%) of the physicians were current smokers and 10 (8.9%) were heavy smokers (>20 cigarettes/day); 23 (20.5%) had a body mass index (BMI) of 28 or more, and 11 (9.8%) were obese (BMI≥30). Only 27 (24.1%) regularly engaged in recreational physical activity (PA). Slightly over 5% consumed alcohol daily. Altogether 15 (13.4%) had a low lifestyle-related cancer risk profile (not a current smoker, BMI<28, regular recreational PA and no daily alcohol consumption). Total OSI and several OSI aspects, particularly threat avoidance alone or in combination, showed significant multivariate associations with LRCRF, as did individual OSI elements. The latter included long work hours, restricted problem-solving strategy, insufficient help with clinical difficulties and supervisory responsibility (obesity and/or sedentariness) and problems hampering patient care (smoking). There is an urgent need to lower the LRCRF among female physicians in Field Studythis high risk region. Our findings suggest that diminishing the work stressor burden should be considered when developing intervention strategies aimed at these risk factors. (J Occup Health 2007; 49: 61-71)

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“…In the Netherlands physicians and medical students knew of the relationship between smoking and development of lung cancer, coronary vascular disease, chronic bronchitis, peripheral vascular disease, emphysema, and carcinoma of the larynx. 47 However, 12% of physicians were unaware of the association between smoking and leukoplakia, and only 43% of physicians knew of the association between cancer of the bladder and smoking.…”

mentioning

confidence: 99%

Teaching medical students about tobacco

Richmond

1999

Thorax

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Prevalence of smoking in physicians and medical students, and the generation effect in the Netherlands

Cited by 50 publications

References 8 publications

Factors influencing European GPs' engagement in smoking cessation: a multi-country literature review

Factors influencing European GPs' engagement in smoking cessation: a multi-country literature review

Workplace Stressors and Lifestyle‐Related Cancer Risk Factors among Female Physicians: Assessment Using the Occupational Stress Index

Teaching medical students about tobacco

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