Smoking knowledge, attitudes, behavior, and associated factors among Chinese male surgeons.

Smoking knowledge, attitudes, behavior, and associated factors among Chinese male surgeons.
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DOI:
10.1007/s00268-009-9938-0
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发表时间:
2009-05
影响因子:
2.6
通讯作者:
Mao, Zhengzhong
Mao, Zhengzhong
中科院分区:
医学3区
文献类型:
--
作者:
Yao, Tingting;Ong, Michael;Lee, Anita;Jiang, Yuan;Mao, Zhengzhong

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本研究的目的是了解和评估中国男性外科医生的吸烟知识、态度、行为及其相关因素。2004年,来自中国6个城市的823名男性外科医生参加了吸烟知识、态度和行为的调查。本研究采用描述性统计与Logistic回归分析的方法,对调查对象的吸烟行为和戒烟行为的相关因素进行分析。目前中国男性外科医生的吸烟率为45.2%,其中42.5%的人报告曾在患者面前吸烟。很少有受访者总是询问患者的吸烟状况(25%)或建议吸烟者戒烟(27.2%)。Logistic回归模型发现,目前的吸烟状况与外科医生对主动吸烟和被动吸烟危害的认识以及他们对无烟医院的态度和医生的健康榜样显著相关(p<0.05)。在患者面前吸烟与受访者对主动吸烟危害的认识、对无烟医院的态度和香烟消费显著相关(p<0.05)。他们的戒烟行为与他们对主动吸烟危害的认识、他们建议患者戒烟的比率以及他们对被动吸烟危害的认识显著相关(p<0.05)。在中国医生中,男性外科医生的吸烟率最高。应积极参与控烟培训和教育,提高对吸烟的知识和态度,从而改善自身的吸烟行为和戒烟行为。只有动员包括外科医生在内的医疗保健系统的所有部门,中国才能在抗击烟草流行方面取得进展。
The purpose of this study is to understand and assess the smoking knowledge, attitudes, behavior, and associated factors among Chinese male surgeons. A total of 823 Chinese male surgeons from six cities in China participated in a survey of smoking knowledge, attitudes, and behaviors in 2004. This study presents descriptive statistics and logistic regression analyses of factors associated with the respondents’ smoking behavior and smoking cessation activity. The current smoking prevalence for Chinese male surgeons was 45.2%, of which 42.5% reported having smoked in front of their patients. Few of the respondents always asked patients about their smoking status (25%) or advised smokers to quit smoking (27.2%). Logistic regression models found that current smoking status was significantly associated (p<0.05) with the surgeons’ knowledge about the harms of active and passive smoking and their attitudes towards smoke-free hospitals and health role modeling by physicians. Smoking in front of patients was significantly associated (p<0.05) with the respondents’ knowledge of active smoking harms, attitudes towards smoke-free hospitals, and cigarette consumption. Their smoking cessation activity was significantly associated (p<0.05) with their knowledge about the harms of active smoking, their rates of advising patients to quit smoking, and their knowledge of the harms of passive smoking. Male surgeons have the highest smoking prevalence among Chinese physicians. They should actively participate in tobacco control training and education to improve their knowledge and attitudes toward smoking, which will improve their own smoking behavior and smoking cessation practices. Only by engaging all parts of the health care system, including surgeons, can China make headway against its tobacco epidemic.
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