Tobacco cessation and the non-allopathic private physician in India: a survey in Navi Mumbai, India.
Tobacco cessation and the non-allopathic private physician in India: a survey in Navi Mumbai, India.
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DOI：
10.5455/njcm.20190910080603
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发表时间：
2020-01-01
期刊：
影响因子：
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通讯作者：
Chatterjee, N.
中科院分区：
文献类型：
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作者：
Gupte, Himanshu A;Thawal, Vaibhav;Chatterjee, N.
背景资料：私人非对抗疗法从业者通常是印度低收入人群的第一个医疗保健点，可能会遇到相当数量的烟草使用者。虽然有证据表明，医生的戒烟建议提高了烟草使用者的戒烟率，但人们对私人非对抗疗法从业者的戒烟知识、态度和做法知之甚少。方法：在印度的Navi孟买，对非对抗疗法的私人医生进行横断面调查。结果：大部分（92%）的从业人员没有接受过任何戒烟相关的培训。约85%的受访者从未使用过烟草; 82.5%的受访者表示，无论年龄大小，烟草使用都是有害的;所有受访者都表示烟草产品含有有害化学物质。然而，三分之一（32.5%）的人表示无烟烟草的危害比吸烟小，52.5%的人表示使用烟草在印度是社会可以接受的。只有10%的人知道测量尼古丁依赖的方法。虽然97.5%的人认为他们的病人中烟草使用率很高，但只有15%的人在病人档案中记录了个人烟草使用情况;三分之一（35%）的人将病人介绍给戒烟服务。女性从业者更有可能提到戒烟（p=0.043）。结论：只有三分之一的从业人员将烟草使用者患者介绍给戒烟或筛查服务，这表明迫切需要对私人非对抗疗法从业人员进行培训和宣传，以扩大印度戒烟服务的覆盖面。
Background: Private non-allopathic practitioners are often the first point of medical care for low-income populations in India, and likely encounter a sizeable number of tobacco-users. While there is evidence that physicians' advice for tobacco cessation enhances quit rates among tobacco users, little is known about tobaccocessation knowledge, attitudes and practices of private nonallopathic practitioners. Methods: A cross-sectional survey was conducted with nonallopathic private practitioners in Navi Mumbai, India. Results: Majority (92%) of the practitioners had not received any tobacco-cessation related training. Around 85% never ever-used tobacco; 82.5% said tobacco-use was harmful irrespective of age; and all respondents said tobacco products contained harmful chemicals. However, a third (32.5%) said smokeless tobacco was less harmful than smoking and 52.5% said tobacco-use was socially acceptable in India. Only 10% were aware of methods to measure nicotine dependence. Although 97.5% thought tobacco use was high among their patients, only 15% recorded individual tobacco-use in patient files; and a third (35%) referred the patient to cessation services. Female practitioners were more likely to refer for cessation (p=0.043). Conclusion: Only one in three practitioners referred tobacco-user patients to cessation or screening services indicating an urgent need for training and sensitization of private non-allopathic practitioners to increase the reach of tobacco-cessation services in India.