Smoking habits and associated factors among Greek physicians

Sotiropoulos, Alexios; Gikas, Aristofanis; Spanou, Eleni; Dimitrelos, D.; Karakostas, F.; Skliros, Eystathios; Apostolou, Ourania; Politakis, P.; Pappas, Stavros

doi:10.1016/j.puhe.2006.10.013

Cited by 41 publications

(45 citation statements)

References 22 publications

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“…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. However, a recent comparative study of 11 European Union (EU) countries concluded that while GPs who smoke tended to be less frequent in advising quitting, the difference was not significant.…”

Section: Gp Characteristicsmentioning

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

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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%

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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“…Almost 1 billion men and about 250 million women in the world are daily smokers; in particular, 35% and 50% of men and 22% and 9% of women in developed and developing countries, respectively, smoke 2. While cigarette consumption has been declining in high-income countries, it is rising in low-income and middle-income countries 3. By 2030, approximately 70% of deaths attributable to smoking worldwide are expected to occur in developing countries 1.…”

Section: Introductionmentioning

confidence: 99%

Cross-sectional survey: smoking among medical, pharmacy, dental and nursing students, University of Health Sciences, Lao PDR

et al. 2013

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ObjectivesTo investigate the prevalence of and attitudes to smoking among third year medical, pharmacy, dentistry and nursing students in Lao People’s Democratic Republic (PDR).DesignA cross-sectional survey conducted among third year university level, health professional students. The survey used a self-administered questionnaire which was originally developed by WHO, and modified to suit the setting.SettingThe setting was the University of Health Sciences in Vientiane, the capital of Lao PDR. Participants were recruited from the Faculties of Medicine, Pharmacy, Dentistry and Nursing. At the time of the survey, 521 third year students were enrolled.Primary and secondary outcome measuresThe primary outcome measure was prevalence of current cigarette smoking and other tobacco use. Smoking status was categorised as: current smoker, ex-smoker and non-smoker with current smokers defined as those who had smoked cigarettes or used other tobacco on one or more days during the previous 30 days.ResultsIn total, 506 respondents completed the questionnaire, giving a response rate of 97.1% to 98.5% across the different faculties. Overall smoking prevalence was 5.07% (95% CI 3.2% to 7.1%), which is lower than previously reported national prevalence rates. Women reported smoking less than men did (OR=0.56, 95% CI=0.013 to 0.242; p=0.003). The majority of students supported tobacco control measures. The number of people who reported receiving formal training in tobacco cessation counselling ranged from 10.9% (95% CI 5.3% to 19.1%) among nursing students to 51.1% (95% CI 40.4% to 61.7%) among medical students.ConclusionsSmoking prevalence among this cohort was relatively low. Students were supportive of tobacco control policies. Further research is needed to understand what is working in this context, in order to apply lessons learnt in similar settings. In the meantime, health professional students should be provided health education to discourage tobacco use. Information on tobacco control policies needs to be more widely disseminated.

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“…These high rates, which exceed the rates for the population of Jordanian adults (47.6% in males and 4.9% in females), might explain the finding that Jordanian physicians do not regularly provide extensive assistance to help their patients to quit smoking. Studies in Greece (Sotiropoulos et al, 2007), Finland (Barengo, Sandström, Jormanainen, & Myllykangas, 2005) and Austria (Kössler, Lanzenberger, Zwick, 2002) found that physicians who smoke were less likely to report giving cessation advice comparing to physicians who did not smoke.…”

Section: Discussionmentioning

confidence: 99%

Smoking cessation counselling practices of family physicians in Jordan

Al‐Omari¹,

Khader²,

Dauod³

et al. 2013

J. Smok Cessat

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Objectives: To assess the smoking cessation counselling practices of family physicians in Jordan and assess their perception about the availability of smoking cessation resources and about the barriers to effective smoking cessation practices. Methods: A pre-structured questionnaire was distributed to 124 family physicians practicing in teaching and Ministry of Health medical centres in Jordan. All participants were asked about their smoking cessation practices and about the barriers to effective smoking cessation practices. Results: Only 39.8% reported that they assess the willingness of the patients to quit smoking and 28.2% reported that they discuss counselling options with smokers. Considerably fewer percentages of physicians reported that they prepare their patients for withdrawal symptoms (11.6%), discuss pharmacotherapies (4.9%), describe a nicotine patch (5.0%), and provide patients with self-help materials (6.7%). The two factors cited most often by physicians as significant barriers to smoking cessation counselling were lack or too few available cessation programmes (90.3%) and limited training for physicians on tobacco and cessation interventions (90.3%). Conclusion: While a high proportion of Jordanian family physicians reported that they usually ask patients about smoking status and advise them to stop smoking, they do not regularly provide extensive assistance to help their patients to quit smoking. Lack or too few available cessation programmes and limited training for physicians on smoking cessation interventions were identified as the two major barriers to effective smoking cessation counselling.

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Smoking habits and associated factors among Greek physicians

Cited by 41 publications

References 22 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

Cross-sectional survey: smoking among medical, pharmacy, dental and nursing students, University of Health Sciences, Lao PDR

Smoking cessation counselling practices of family physicians in Jordan

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