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Determinants of smoking cessation counseling favorable practice for primary care physicians: A cross-sectional study from Palestine

BACKGROUND: Smoking cessation counseling is not well established in Middle East countries including Palestine. This study assesses the practice of smoking cessation counseling among primary healthcare (PHC) physicians in Palestine and its determinants. METHODS: Over the period from April to Septembe...

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Autores principales: Maraqa, Beesan, Nazzal, Zaher, Jabareen, Jurouh, Al-Shakhrah, Kamal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140223/
https://www.ncbi.nlm.nih.gov/pubmed/34041165
http://dx.doi.org/10.4103/jfmpc.jfmpc_1456_20
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author Maraqa, Beesan
Nazzal, Zaher
Jabareen, Jurouh
Al-Shakhrah, Kamal
author_facet Maraqa, Beesan
Nazzal, Zaher
Jabareen, Jurouh
Al-Shakhrah, Kamal
author_sort Maraqa, Beesan
collection PubMed
description BACKGROUND: Smoking cessation counseling is not well established in Middle East countries including Palestine. This study assesses the practice of smoking cessation counseling among primary healthcare (PHC) physicians in Palestine and its determinants. METHODS: Over the period from April to September 2019, general practitioners, family medicine physicians, obstetricians and gynecologists, and dentists working at the PHC Centers in Palestine were approached through a cross-sectional design using a self-reported questionnaire. Proportionate stratified random sampling approach has been used. Sociodemographic, medical background, smoking cessation counseling training, smoking history, practice, knowledge, attitude, and confidence were evaluated. The proportion of favorable practice has been determined and its relationship with all variables has been evaluated. Ethical approval was received from the National University of An-Najah. RESULTS: 295 physicians were enrolled in the study with an 86% response rate. 75.5% (n = 222) were males with a mean age of 39.9 ± 9 years. The majority were General Practitioners (76.5%, n = 252). Most of them (84.3%, n = 215) had not received any training. The favorable practice was seen in 36.6% (95% CI 31–41%). Attitude is the main predictor of favorable practice (P value = 0.002, adjusted OR = 1.1). CONCLUSION: Palestinian PHC physicians have a low level of counseling for smoking cessation. Given the efficacy of counseling for smoking cessation and the high level of the tobacco epidemic in the area, health policy to ensure all healthcare personnel-especially physicians-receive training in cessation counseling and call for a public health campaign for control of tobacco should be taken into account.
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spelling pubmed-81402232021-05-25 Determinants of smoking cessation counseling favorable practice for primary care physicians: A cross-sectional study from Palestine Maraqa, Beesan Nazzal, Zaher Jabareen, Jurouh Al-Shakhrah, Kamal J Family Med Prim Care Original Article BACKGROUND: Smoking cessation counseling is not well established in Middle East countries including Palestine. This study assesses the practice of smoking cessation counseling among primary healthcare (PHC) physicians in Palestine and its determinants. METHODS: Over the period from April to September 2019, general practitioners, family medicine physicians, obstetricians and gynecologists, and dentists working at the PHC Centers in Palestine were approached through a cross-sectional design using a self-reported questionnaire. Proportionate stratified random sampling approach has been used. Sociodemographic, medical background, smoking cessation counseling training, smoking history, practice, knowledge, attitude, and confidence were evaluated. The proportion of favorable practice has been determined and its relationship with all variables has been evaluated. Ethical approval was received from the National University of An-Najah. RESULTS: 295 physicians were enrolled in the study with an 86% response rate. 75.5% (n = 222) were males with a mean age of 39.9 ± 9 years. The majority were General Practitioners (76.5%, n = 252). Most of them (84.3%, n = 215) had not received any training. The favorable practice was seen in 36.6% (95% CI 31–41%). Attitude is the main predictor of favorable practice (P value = 0.002, adjusted OR = 1.1). CONCLUSION: Palestinian PHC physicians have a low level of counseling for smoking cessation. Given the efficacy of counseling for smoking cessation and the high level of the tobacco epidemic in the area, health policy to ensure all healthcare personnel-especially physicians-receive training in cessation counseling and call for a public health campaign for control of tobacco should be taken into account. Wolters Kluwer - Medknow 2021-03 2021-04-08 /pmc/articles/PMC8140223/ /pubmed/34041165 http://dx.doi.org/10.4103/jfmpc.jfmpc_1456_20 Text en Copyright: © 2021 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Maraqa, Beesan
Nazzal, Zaher
Jabareen, Jurouh
Al-Shakhrah, Kamal
Determinants of smoking cessation counseling favorable practice for primary care physicians: A cross-sectional study from Palestine
title Determinants of smoking cessation counseling favorable practice for primary care physicians: A cross-sectional study from Palestine
title_full Determinants of smoking cessation counseling favorable practice for primary care physicians: A cross-sectional study from Palestine
title_fullStr Determinants of smoking cessation counseling favorable practice for primary care physicians: A cross-sectional study from Palestine
title_full_unstemmed Determinants of smoking cessation counseling favorable practice for primary care physicians: A cross-sectional study from Palestine
title_short Determinants of smoking cessation counseling favorable practice for primary care physicians: A cross-sectional study from Palestine
title_sort determinants of smoking cessation counseling favorable practice for primary care physicians: a cross-sectional study from palestine
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140223/
https://www.ncbi.nlm.nih.gov/pubmed/34041165
http://dx.doi.org/10.4103/jfmpc.jfmpc_1456_20
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