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Association between pulmonologists’ tobacco use and their effort in promoting smoking cessation in Turkey: a cross-sectional study

BACKGROUND: A strategy to reduce the number of smoking-related deaths is to encourage the involvement of health-care professionals in tobacco-use prevention activities and cessation counseling. Previous studies have shown that physicians’ smoking status affects their efforts to provide smoking cessa...

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Autores principales: Pazarli Bostan, Pinar, Karaman Demir, Canan, Elbek, Osman, Akçay, Şule
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642737/
https://www.ncbi.nlm.nih.gov/pubmed/26558993
http://dx.doi.org/10.1186/s12890-015-0131-y
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author Pazarli Bostan, Pinar
Karaman Demir, Canan
Elbek, Osman
Akçay, Şule
author_facet Pazarli Bostan, Pinar
Karaman Demir, Canan
Elbek, Osman
Akçay, Şule
author_sort Pazarli Bostan, Pinar
collection PubMed
description BACKGROUND: A strategy to reduce the number of smoking-related deaths is to encourage the involvement of health-care professionals in tobacco-use prevention activities and cessation counseling. Previous studies have shown that physicians’ smoking status affects their efforts to provide smoking cessation counseling. This study investigates the association between pulmonologists’ tobacco use and their efforts in promoting smoking cessation during their routine clinical practices in Turkey. METHODS: This cross-sectional study was performed among active members of the Turkish Thoracic Society (TTS) between June 2010 and February 2011 using an Internet-based self-administered questionnaire. Participants gave their written informed consent. The survey included questions about responders’ sociodemographics, smoking status, and their routine clinical practice for smoking cessation counseling using the basic 5A’s (Ask, Advise, Assess, Assist, and Arrange) of smoking cessation counseling. According to the total score for the 5A’s protocol, smoking cessation counseling was dichotomized into low- and high-effort groups in promoting smoking cessation. Pearson’s chi-square test and t-test were used to compare groups and logistic regression models for the research question, which was approved by the TTS Scientific Ethical Committee. RESULTS: The response rate was 41 % (N = 699/1701); 9.9 % were current smokers, and 72.7 % indicated that they provided high effort in promoting smoking cessation. A univariate analysis showed that noncurrent smokers were more likely to make a high effort than current smokers (odds ratio [OR], 1.82; 95 % confidence interval [CI]: 1.09–3.05; P = 0.02). However, there was no association between tobacco use (current smoking) and making high effort in promoting smoking cessation after controlling for the two confounders, sex and practicing in smoking cessation outpatient clinic (OR, 1.47; 95 % CI: 0.86–2.50; P = 0.1). CONCLUSIONS: Despite low response rate in our study and suspicions of underreporting, the smoking rate among the pulmonologists in our study was high. Non-current smokers were more likely to provide high effort in promoting smoking cessation compared to current smokers in univariate analysis. However, after controlling for the two confounders, sex and practising in SCOC, there was no association between tobacco use and providing high effort in promoting smoking cessation. Thus, improving medical school education, specialty training and post-graduate training on smoking cessation counseling may positively affect physician' effort in promoting smoking cessation.
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spelling pubmed-46427372015-11-13 Association between pulmonologists’ tobacco use and their effort in promoting smoking cessation in Turkey: a cross-sectional study Pazarli Bostan, Pinar Karaman Demir, Canan Elbek, Osman Akçay, Şule BMC Pulm Med Research Article BACKGROUND: A strategy to reduce the number of smoking-related deaths is to encourage the involvement of health-care professionals in tobacco-use prevention activities and cessation counseling. Previous studies have shown that physicians’ smoking status affects their efforts to provide smoking cessation counseling. This study investigates the association between pulmonologists’ tobacco use and their efforts in promoting smoking cessation during their routine clinical practices in Turkey. METHODS: This cross-sectional study was performed among active members of the Turkish Thoracic Society (TTS) between June 2010 and February 2011 using an Internet-based self-administered questionnaire. Participants gave their written informed consent. The survey included questions about responders’ sociodemographics, smoking status, and their routine clinical practice for smoking cessation counseling using the basic 5A’s (Ask, Advise, Assess, Assist, and Arrange) of smoking cessation counseling. According to the total score for the 5A’s protocol, smoking cessation counseling was dichotomized into low- and high-effort groups in promoting smoking cessation. Pearson’s chi-square test and t-test were used to compare groups and logistic regression models for the research question, which was approved by the TTS Scientific Ethical Committee. RESULTS: The response rate was 41 % (N = 699/1701); 9.9 % were current smokers, and 72.7 % indicated that they provided high effort in promoting smoking cessation. A univariate analysis showed that noncurrent smokers were more likely to make a high effort than current smokers (odds ratio [OR], 1.82; 95 % confidence interval [CI]: 1.09–3.05; P = 0.02). However, there was no association between tobacco use (current smoking) and making high effort in promoting smoking cessation after controlling for the two confounders, sex and practicing in smoking cessation outpatient clinic (OR, 1.47; 95 % CI: 0.86–2.50; P = 0.1). CONCLUSIONS: Despite low response rate in our study and suspicions of underreporting, the smoking rate among the pulmonologists in our study was high. Non-current smokers were more likely to provide high effort in promoting smoking cessation compared to current smokers in univariate analysis. However, after controlling for the two confounders, sex and practising in SCOC, there was no association between tobacco use and providing high effort in promoting smoking cessation. Thus, improving medical school education, specialty training and post-graduate training on smoking cessation counseling may positively affect physician' effort in promoting smoking cessation. BioMed Central 2015-11-11 /pmc/articles/PMC4642737/ /pubmed/26558993 http://dx.doi.org/10.1186/s12890-015-0131-y Text en © Pazarli Bostan et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Pazarli Bostan, Pinar
Karaman Demir, Canan
Elbek, Osman
Akçay, Şule
Association between pulmonologists’ tobacco use and their effort in promoting smoking cessation in Turkey: a cross-sectional study
title Association between pulmonologists’ tobacco use and their effort in promoting smoking cessation in Turkey: a cross-sectional study
title_full Association between pulmonologists’ tobacco use and their effort in promoting smoking cessation in Turkey: a cross-sectional study
title_fullStr Association between pulmonologists’ tobacco use and their effort in promoting smoking cessation in Turkey: a cross-sectional study
title_full_unstemmed Association between pulmonologists’ tobacco use and their effort in promoting smoking cessation in Turkey: a cross-sectional study
title_short Association between pulmonologists’ tobacco use and their effort in promoting smoking cessation in Turkey: a cross-sectional study
title_sort association between pulmonologists’ tobacco use and their effort in promoting smoking cessation in turkey: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642737/
https://www.ncbi.nlm.nih.gov/pubmed/26558993
http://dx.doi.org/10.1186/s12890-015-0131-y
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