Embed Size (px)
Citation preview
Doctors In Turkey Smoke More
SAHIN EM, OZER C, DAGDEVIREN N, AKTURK Z
Trakya University
Faculty of Medicine
Department of Family Practice
BACKGROUND
Smoking is a major health problem in Turkey. The smoking prevalence is 43,6%.
1988
☞ 25.000.000 smokers!
Medical practice of physicians may be affected by their life styles .
Physicians who smoke may have difficulty in promoting healthy behavior among their patients.
METHODS
Attitudes and behaviors of the doctors in Trakya University Hospital about smoking were EVALUATED a questionnaire.
The questionnaire consisted of 29 items.
Demographic parametersAssessing smoking habitsAssessing nicotine dependency
(Fagerström)Opinions about smoking cessation
counseling
The research was completed in May 2000 .
Descriptive Cross-sectional
Of 400 doctors in the hospital 132 participated.
Questionnaires were delivered and collected by students.
The results were analyzed in computer.
RESULTSDEMOGPHIC PARAMETERS
GENDER 72,5% male 27,5% female
AGE mean age 33,648,36 (min:24, max:64).
MARITAL STATUS 63,8%married, 34,4 % single 1,4% divorced.
GENDER
male%72
female%28
AGE
Age
656055504540353025
Nu
mb
er
of
ca
se
s
60
50
40
30
20
10
0
Std. Dev = 8,36
Mean = 34
N = 132,00
MARITAL STATUS
divorced1%married
64%
single35%
ACADEMIC POSITION
12 professors (8,7%) 9 associate professors (6,5%) 24 assistant professors (17,4%) 10 specialists (7,2%) 83 residents (60,1%)
OCCUPATION
academics%33
residents%60
specialists%7
SMOKING HABITS
N %
Non-smokers 55 41,6
Ex-smokers 17 12,9
Smokers 60 45,5
TOTAL 132 100
SMOKING HABITS
0
10
20
30
40
50
% 41,6 12,9 45,5
non-smokers ex-smokers smokers
SMOKING DANSITY
4115N =
gender
malefemale
Mean +
- 1 S
E N
um
ber
of cig
are
ttes s
moked d
aily
20
19
18
17
16
15
14
13
12
11
10
PREFERED TYPE OF CIGARETTES
filtered %41
filtered light%59
WHEN THEY START SMOKING?
0
20
40
60
% 25,9 54,3 14,8 5
after graduation
facultyhigh
schoolprimary school
THE REASONS OF STARTING
32,4
26,7
12,79,9
74,2
7,1
0
5
10
15
20
25
30
35P
eer
fact
or
Str
ess
Inte
rest
Imita
tion
Enj
oym
ent
Bor
edom
Oth
ers
STAGES of SMOKING CESSATION
N %
Precontemplation 31 40,8
Contemplation 4 5,3
Preparation 25 32,8
Action 6 7,9
Maintenance 10 13,2
TOTAL 76 100
Fagerström nicotine dependency test
N %
Minimally dependent 39 73,5
Moderately dependent 2 3,8
Highly dependent 12 22,7
Total 53 100,0
SMOKING CESSATION COUNSELING
Smoking related diseases
N %
All 82 77,4
>70% 9 8,5
30%-70% 5 4,7
<30% 5 4,7
None 5 4,7
TOTAL 106 100
SMOKING CESSATION COUNSELINGDiseases not related to smoking
N %
All 38 39,6
>70% 15 15,6
30%-70% 14 14,6
<30% 12 12,5
None 17 17,7
TOTAL 96 100
Physicians should give smoking cessation counseling in every visit.
0
10
20
30
40
50
60
% 58,6 34,6 3,8 2,3 0,8
strongly agree
agree undecided disagreestrongly disagree
Smoking cessation counseling is a responsibility for every physician.
0
10
20
30
40
50
60
% 33,8 58,6 1,5 4,5 1,5
strongly agree
agree undecided disagreestrongly disagree
I could manage smoking cessation counseling.
0
10
20
30
40
50
% 39,4 41,7 13,6 2,3 3
strongly agree
agree undecided disagreestrongly disagree
More physicians will provide smoking cessation counseling if they know there is an
effective tool for guiding to quit.
0
10
20
30
40
50
60
% 51,9 33,8 6 6,8 1,5
strongly agree
agree undecided disagreestrongly disagree
In our hospital, there is a need for a special unit that provides smoking cessation counseling and treatment.
0
10
20
30
40
50
60
70
% 67,9 23,7 6,1 0,8 1,5
strongly agree
agree undecided disagreestrongly disagree
Do you ask all your patients their smoking behavior?
%65
%35
yes no
ANTI-SMOKING LEGISLATION
• “Smoking is forbidden in closed public places”
What is the success rate of anti-smoking legislation in practice?
0
10
20
30
40
50
60
70
ofice area hospital area educationalarea
Do you smoke in practice?
0 10 20 30 40 50 60
never
very rare
rare
often
% 56,5 12,9 19,4 4,8
never very rare rare often
CONCLUSIONS
Smoking prevalence in our research was found high as similar to previous trials made in Turkey
☞(45,5%) of the participants were smoking.
Smokersİzmir1981
Akgün 57%
Elazığ1988
Sezer 48%
Samsun1993
Önder 29,7%
İzmir1994
Öncel 48%
Manisa1999
Esen 41,5%
Edirne 2000
Şahin 45,5%
Non-smokers
Ex-smokers
Smokers
UK+Ireland 2000
Basnyat 53 37 10
Mexica 1997
Tapia-Conyer
52,5 20,6 26,9
Israel 1997
Samuels 66,3 17,9 15,8
Italy 1998
Zanetti 42 19 39
Bahrain 1999
Hamadeh 45,3 18,8 35,9
Turkey 2000
Sahin 41,6 12,9 45,5
The smoking prevalence of doctors in our research was same with the population
population doctors
43,6% 45,5%
Smoking cessation counseling rate is not enough because our participants don’t know much about it.
– “More physicians will provide smoking cessation counseling if they know there is an effective tool for guiding to quit“ (90% agreed)
There is a need for mobilizing tobacco control efforts.
Our study reveals the smoking prevalence of doctors in different ages, sexes and specialties.
It can be helpful in designing anti-tobacco efforts and assessing their efficacy.
We believe anti-tobacco efforts sould start with education of physicians.
Take Home Messages
• Turkish doctors smoke more than their collegues in the world
• They are not motivated to quit smoking
Doctors In Turkey Smoke More
SAHIN EM, OZER C, DAGDEVIREN N, AKTURK Z
Trakya University
Faculty of Medicine
Department of Family Practice
