A Study of the Use, Knowledge, and Beliefs About Cigarettes and Alternative Tobacco Products Among Students at One U.S. Medical School.
A Study of the Use, Knowledge, and Beliefs About Cigarettes and Alternative Tobacco Products Among Students at One U.S. Medical School.
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DOI：
10.1097/acm.0000000000000873
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发表时间：
2015-12
期刊：
影响因子：
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通讯作者：
Weitzman M
中科院分区：
文献类型：
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作者：
Zhou S;Van Devanter N;Fenstermaker M;Cawkwell P;Sherman S;Weitzman M
在美国，使用替代烟草产品（ATP）的流行率（例如，水烟、电子烟、雪茄/小雪茄）急剧增加。作为未来的卫生保健提供者，医学生将在健康促进和疾病预防方面发挥关键作用。本研究调查了医学生对香烟和ATP的使用、知识和信念。2014年，作者调查了纽约市一所医学院的所有学生。调查包括关于个人使用烟草制品的问题，对ATP危害及其在疾病病因中的作用的看法，关于ATP的教育，以及与ATP和香烟相关的戒烟培训和实践。作者比较了医学院班级的结果。在720名学生中，431人（59.9%）完成了调查。其中，64人（14.7%）目前使用烟草或吸烟产品，包括香烟（17，3.9%），ATP（21，4.8%）或大麻（39，8.9%）。许多人认为ATPs对各种疾病的贡献小于香烟。受访者接受的关于ATP的戒烟干预培训少于香烟（P < .0001）。与戒烟咨询相比，他们对提供ATP戒烟咨询的信心较低（P < .0001），并且报告ATP戒烟咨询患者的可能性低于戒烟（46，10.7% vs. 280，64.8%，P < .0001）。接受调查的医学生中有相当比例的人使用烟草制品，包括ATP，并且缺乏知识，教育和戒烟咨询技能，无法向患者提供有关烟草制品的准确信息。ATP教育应加入医学院课程，以解决这一差距。
In the United States, the prevalence of the use of alternative tobacco products (ATPs) (e.g., hookahs, e-cigarettes, cigars/cigarillos) has increased sharply. As future health care providers, medical students will play a critical role in health promotion and disease prevention. This study investigated medical students’ use, knowledge, and beliefs about cigarettes and ATPs. In 2014, the authors surveyed all students enrolled at one medical school in New York City. The survey included questions about personal use of tobacco products, perceptions about the harms of ATPs and their role in disease causation, education about ATPs, and cessation training and practices related to ATPs and cigarettes. The authors compared results across medical school classes. Of 720 students, 431 (59.9%) completed the survey. Of those, 64 (14.7%) were current users of tobacco or smoking products, including cigarettes (17, 3.9%), ATPs (21, 4.8%), or marijuana (39, 8.9%). Many believed that ATPs contributed less than cigarettes to various diseases. Respondents received less cessation intervention training regarding ATPs than cigarettes (P < .0001). They felt less confident providing ATP cessation counseling than cigarette cessation counseling (P < .0001) and were less likely to report counseling patients on ATP cessation than cigarette cessation (46, 10.7% vs. 280, 64.8%, P < .0001). A concerning percentage of surveyed medical students use tobacco products, including ATPs, and lack the knowledge, education, and cessation counseling skills to provide accurate information about them to patients. ATP education should be added to medical school curricula to address this gap.