Smoking prevalence and attitudes towards smoking among Estonian physicians: results from cross-sectional studies in 2002 and 2014

Põld, Mariliis; Pärna, Kersti

doi:10.1136/bmjopen-2017-017197

Cited by 7 publications

(7 citation statements)

References 22 publications

(17 reference statements)

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“…Previous results from a study based on Estonian physicians smoking survey showed physicians in Estonia agreeing that it is important to reduce smoking among the population. 24 Present study results complement this information by showing that physicians were ready to intervene.…”

Section: Discussionsupporting

confidence: 74%

Changes in Addressing Patients’ Smoking: Cross-Sectional Data from 2002 and 2014 among Physicians in Estonia

Põld

Pärna

2020

Tob Use Insights

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Background: For health professionals, personal and contextual factors influence addressing patients’ smoking habits. The objective of the study was to describe frequency of addressing patients’ smoking in 2002 and 2014 and to analyse factors related to addressing patients’ smoking habits. Methods: Data of physicians from 2 postal cross-sectional surveys were used (n = 4140 in 2002, n = 5666 in 2014). The number of respondents was 2747 in 2002 and 2903 in 2014. The corrected response rate was 67.8% and 53.1%, respectively. Age-standardized frequency of addressing patients’ smoking during the last 7 days was determined. Distribution of other variables along with confidence intervals (CI) was calculated. Logistic regression was used to analyse association of addressing patients’ smoking with attitudes and perceived barriers regarding addressing patients’ smoking and with background factors. Fully adjusted odds ratios (OR) with 95% CIs were calculated. Results: The age-standardized prevalence of addressing patients’ smoking habits among men was 84.4% (95% CI 80.3–88.5) in 2002 and 88.3% (95% CI (84.5–92.2) in 2014, among women 82.1% (95% CI 80.2–83.9) and 89.0% (95% CI 87.2–90.8), respectively. According to logistic regression analysis, in 2014, significantly more physicians agreed that it is doctors’ responsibility to convince people to stop smoking (among men, OR 2.32; 95% CI 1.19–4.54, among women OR 1.41; 95% CI 1.06–1.88), that smoking prevention should form part of health professionals’ training, that physicians should have smoking related hand-out materials, and that lack of time was a barrier to addressing patients’ smoking. Addressing patients’ smoking was significantly associated with attitudes and perceived barriers regarding addressing patients’ smoking, age, and other background factors (among women only). Conclusions: Addressing patients’ smoking habits was more common in 2014 than in 2002, but the change was significant among women only. Compared to 2002, in 2014 physicians’ attitudes regarding addressing patients’ smoking were more approving. Results of this study are useful for policymakers and institutions involved in organization and development of smoking prevention training and cessation services.

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Section: Discussionsupporting

confidence: 74%

Changes in Addressing Patients’ Smoking: Cross-Sectional Data from 2002 and 2014 among Physicians in Estonia

Põld

Pärna

2020

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“…However, intention to quit has been shown to decrease with increasing age 25 . These findings might reflect a relationship between health issues and quitting smoking, since it has been shown that smoking physicians tend to believe that many people have smoked all their lives to an old age and did not become ill, hence smoking is not as dangerous as experts declare 18 .…”

Section: Associations Between Desire To Quit Smoking and Factors Relamentioning

confidence: 95%

Factors associated with desire to quit smoking among Estonian physicians: Cross-sectional data of 2002 and 2014

Põld¹,

Pärna²

2018

Tob. Prev. Cessation

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INTRODUCTION Smoking is a major health threat and quitting smoking would be a notable benefit. The aim of the present study was to explore factors associated with desire to quit smoking among Estonian physicians in 2002 and 2014. METHODS Self-reported data of current smokers were drawn from Estonian physicians' cross-sectional postal surveys in 2002 (n=322) and 2014 (n=189). A logistic regression model was used to analyse the association between desire to quit smoking and factors related to smoking behaviour among 'current smokers'. RESULTS The prevalence of desire to quit smoking among physicians was 55.3% in 2002 and 52.9% in 2014. Physicians who were concerned about harms of smoking, had higher odds for desire to quit compared with those who were not concerned (OR=9.06; 95% CI: 4.15-19.74). Compared to physicians with no quit attempts, odds for desire to give up smoking were significantly higher among physicians with quit attempts. Wish to set a good example was significantly associated with desire to quit (OR=2.38; 95% CI: 1.12-5.09). Compared to specialist doctors, dentists had higher odds for desire to quit smoking (OR=2.42; 95% CI: 1.25-4.69). CONCLUSIONS More than half of Estonian smoking physicians expressed the desire to quit. Desire to quit was associated with concern about harms of smoking, number of previous quit attempts, setting a good example, and medical specialty. The findings suggest that there is a need for smoking cessation counselling services that are addressed, especially for physicians in Estonia. intention to quit 8. Intention to quit smoking has been associated with gender 9 , age 10 , education 10 , income 10 , number of previous quit attempts 9,11,12 , nicotine dependence 9 , alcohol consumption 9 and environmental factors 13. So, to facilitate smoking cessation among physicians, it is important to analyse quitting smoking among them. In Estonia, smoking surveys 14-17 have been carried out among physicians in 1978, 1982, 2002 and 2014. A definite decrease in smoking prevalence among physicians has been reported over the surveys period. Age-standardized prevalence of current smoking among younger than 65-years-old male physicians was 26.8% in 2002 and 15.3% in 2014, while among female physicians it was 10.4% and 5.8%,

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“…The present study was based on aggregated data of cross-sectional postal smoking surveys among physicians [20, 21] and health behaviour surveys among adult population in Estonia in 2002 and 2014 [22, 23].…”

Section: Methodsmentioning

confidence: 99%

“…The methods used in two cross-sectional postal surveys among physicians have been extensively described elsewhere [20, 21]. In short, all practicing physicians who were permanent residents of Estonia were eligible for sampling in 2002 ( n = 4140) and 2014 ( n = 5666).…”

Section: Methodsmentioning

confidence: 99%

Self-rated health and smoking among physicians and general population with higher education in Estonia: results from cross-sectional studies in 2002 and 2014

2019

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BackgroundPoor self-rated health (SRH) and smoking have consistently been shown to be related to mortality. The aim of this study was to explore SRH and smoking among physicians and general population with higher education in Estonia in 2002 and 2014 and to analyse the association of SRH with smoking and sociodemographic factors.MethodsThis study was based on cross-sectional postal surveys among physicians and general population with higher education in Estonia n in 2002 and 2014. Calculation of age-standardized prevalence of SRH and current smoking with 95% confidence intervals (CI) was performed. Multivariate logistic regression analysis was used to measure association between SRH (at-least-good vs less-than good) and smoking status, study year, age group, ethnicity, and marital status. Fully adjusted odds ratios (OR) with 95% CI were computed.ResultsAge-standardized prevalence of at-least-good SRH was 71.3 and 80.6% among male physicians, 68.4 and 83.1% among female physicians, 45.4 and 67.4% among men with higher education, and 44.7 and 63.1% among women with higher education in 2002 and 2014, respectively. Age-standardized prevalence of current smoking was 26.0 and 15.6% among male physicians, 10.2 and 5.9% among female physicians, 38.7 and 22.2% among men with higher education, and 20.9 and 16.4% among women with higher education in 2002 and 2014, respectively. There was no significant gender difference in at-least-good SRH, but prevalence of current smoking was significantly higher among men in both study groups in 2002 and 2014. Compared to year 2002, odds to have at-least-good SRH was higher in 2014 (OR = 1.64; 95% CI 1.16–2.31 among male and OR = 2.36; 95% CI 2.02–2.75 among female physicians, OR = 1.49; 95% CI 1.07–2.07 among men and OR = 2.40; 95% CI 1.84–3.13). Odds to have at-least-good SRH was significantly higher among non-smokers (except female physicians), in the youngest age group, and among Estonians.ConclusionsThis study gave an overview of differences in SRH and smoking between two target groups with higher education in two timepoints highlighting the importance of addressing smoking cessation counselling and health promotion campaigns in the population by different subgroups in Estonia.

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Smoking prevalence and attitudes towards smoking among Estonian physicians: results from cross-sectional studies in 2002 and 2014

Cited by 7 publications

References 22 publications

Changes in Addressing Patients’ Smoking: Cross-Sectional Data from 2002 and 2014 among Physicians in Estonia

Changes in Addressing Patients’ Smoking: Cross-Sectional Data from 2002 and 2014 among Physicians in Estonia

Factors associated with desire to quit smoking among Estonian physicians: Cross-sectional data of 2002 and 2014

Self-rated health and smoking among physicians and general population with higher education in Estonia: results from cross-sectional studies in 2002 and 2014

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