Workplace Tobacco Policies and Smoking Cessation Practices of Physicians: RESULTS

Of the 619 physicians surveyed, 373 completed the survey (60% response rate). Of the final sample, 187 physicians were from Hospital A, and 186 were from Hospital B. Characteristics of the sample are presented in Table 1.

In the past three months, 81% of physicians (243/299) reported assessing patient smoking status, and 9% (28/299) were asked by patients for assistance quitting. While 95% of physicians in all specialties (353/373) thought counseling smokers would help them quit, only 17% (62/373) reported having any guidelines/policies to help smokers quit. Physicians estimated that 31% of adult males, 7% of adult females, 17% of male physicians, and 2% of female physicians in Nigeria smoke. Actual data indicate the prevalence of smoking among adult males in Nigeria to be 15%, among adult females to be 2%, and among physicians to be 24% (data currently do not distinguish between male and female physicians). Physicians rated the importance of quitting among their patients as “extremely important” (mean = 9.4 out of a possible 10, SD = 1.7). Finally, only three (3/299) physicians prescribed pharmacotherapy for smoking cessation in the last three months. Of the pharmacotherapy prescribed, one prescribed the nicotine patch, one the lozenge, and one selected “other.” buy tadacip

Table 1. Demographic Characteristics of Participants

Demographic Characteristics

Percent or

(N=373)

Mean (SD)

Gender, % male

84%

Age in years, mean (SD)

33 (5.9)

Years in practice, mean (SD)

6.5 (5.9)

Smoking status

% smokers

3%

Specialty

General practice and psychiatry

30%

Surgery or surgical specialties

25%

Medicine

17%

Pediatrics

11%

OBGYN

8%

Other

10%

With regard to workplace smoking policies, 52% (190/363) of physicians reported practicing in a completely nonsmoking building, 44% (161/363) had no established smoking policy, and 3% (12/363) reported that smoking was allowed only in designated areas. A comparison of workplace smoking policy between hospitals indicated a significant difference between Hospital A and Hospital B. Specifically, 64% (116/181) of physicians in Hospital В reported the policy within the building where they practiced was completely nonsmoking policy, compared to 41% (74/182) of physicians in Hospital A (pO.OOl). Additionally, physicians in Hospital A were more likely to report having no established smoking policy in the building where they practice, compared to physicians in Hospital В [55% (100/182) versus 34% (61/181), pO.OOl]. cheap cialis canadian pharmacy

Table 2. Summary of Findings for the Sample and by Hospital

Survey Item                                                          Total      Hospital A

Hospital В

p-Value*

What is the cigarette smoking policy in the building where you practice? Completely nonsmoking                                          52%          41% Smoking only allowed in designated areas                    3%           4% No established smoking policy                                   44%          55% 64% 2% 34% о со оО CN Оodd

V       V

In the past three months, have you asked your patients if they smoke? No                                                                     19%          20% Yes                                                                    81%          80% 22% 78%

0.80

On a scale of 1-10 with 1 being not at all important and 10 being extremely important, how important is quitting smoking to you? (mean, SD)                          9.4 (1.7)     9.5 (1.5)       9.3 (1.9)         0.25

In past three months, have you had patients specifically ask for your help in quitting smoking? No                                                                       91%          95%            87% Yes                                                                       9%           9%             13%

O.05

Do you think counseling patients who smoke will help them quit? No                                                                       5%           5% Yes                                                                      95%          95% 3% 97%

0.29

In your practice, are there guidelines/policies to help cigarette smokers quit? No                                                                     83%          87% Yes                                                                     17%          13% 78% 22%

O.05

In the past three months, have you prescribed bupropion (Zyban), nicotine gum, the nicotine patch,inhaler, nasal spray, or lozenges for cigarette smokers who want to quit? No                                                                          99%           97%             95% Yes                                                                      <1%           3%              5%            0.44
What do you think the percentage of adult cigarette smokers are in Nigeria? Male (mean, SD)                                               31% (16.4)  31% (16.4) Female (mean, SD)                                              7% (8.4)     8% (8.6) 31% (16.6) 7% (8.2) 0.91 0.49
What do you think the percentage of physician cigarette smokers are in Nigeria? Male (mean, SD)                                                17% (16.2)  22% (17.8) Female (mean, SD)                                              2% (3.9)     3% (4.9) 12% (13.2) 1%(2.1) O.001 O.01
Do you currently smoke cigarettes? No                                                                       97%          97% Yes                                                                       3%           3% 97% 3%

0.77

* Note: p-values denote significant differences between Hospitals A and В

Given these differences, additional analyses were performed to examine the impact of workplace smoking policies on physicians’ smoking cessation attitudes and practices. Differences were found in regard to patient’s requests for help in quitting smoking in the last three months, the existence of guidelines/policies within practices to help smokers quit, and estimates regarding the prevalence of smoking among male and female physicians in Nigeria. Specifically, 13% (23/184) of physicians in Hospital В had been asked by their patients for help quitting over the past three months, compared to only 5% (10/185) of physicians in Hospital A (p<0.05). Physicians in Hospital В were also more likely to have guidelines/policies in their practices to help smokers quit than physicians in Hospital A [22% (39/174) versus 13% (23/179), p<0.05]. Finally, physicians in Hospital В provided lower estimates of the prevalence of smoking among male and female physicians in Nigeria. Specifically, physicians in Hospital В estimated the prevalence of smoking among male physicians to be 12% compared to the 22% estimated by physicians in Hospital A (pO.001). Physicians in Hospital В estimated that 1% of female physicians smoke, compared to the 3% estimated by physicians in Hospital A (p<0.01). A summary of these findings can be found in Table 2.

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Tags: cessation, Nigerian physician, policies, smoking

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