Physician assessment of patient smoking in Indonesia: a public health priority
Physician assessment of patient smoking in Indonesia: a public health priority
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印度尼西亚患者吸烟情况的医生评估：公共卫生优先事项
作者：
N. Ng;Y. Prabandari;R. Padmawati;F. Okah;C. Haddock;M. Nichter;M. Nichter;M. Muramoto;W. S. Poston;Sara A. Pyle;N. Mahardinata;H. Lando
目的：探讨印尼医生的吸烟行为，他们的态度和戒烟的临床实践。设计：横断面调查。地点：2003年10月至12月在印度尼西亚Jogjakartan省工作的医生。主题：在690名负有临床责任的医生中，有447名（65%）对调查作出了答复（236名男性，211名女性），其中15%是医务人员，35%是居民，50%是社区医生。结果：22%的男性（n = 50）和1%的女性（n = 2）医生目前吸烟。 大约72%的医生没有定期询问他们的病人的吸烟状况。大多数医生（80%）认为，每天吸10支烟对健康无害。询问患者吸烟情况的预测因素是男性、非吸烟者和住院医师。在那些认为自己在戒烟方面受过充分培训的医生中，建议患者戒烟的几率明显更大。结论：缺乏戒烟培训似乎是医生积极参与戒烟活动的主要障碍。印度尼西亚医生需要接受教育，了解定期询问患者烟草使用情况的重要性，并就如何戒烟提供实用建议。
Objective: To explore Indonesian physician’s smoking behaviours, their attitudes and clinical practices towards smoking cessation. Design: Cross-sectional survey. Setting: Physicians working in Jogjakarta Province, Indonesia, between October and December 2003. Subjects: 447 of 690 (65%) physicians with clinical responsibilities responded to the survey (236 men, 211 women), of which 15% were medical faculty, 35% residents and 50% community physicians. Results: 22% of male (n = 50) and 1% of female (n = 2) physicians were current smokers. Approximately 72% of physicians did not routinely ask about their patient’s smoking status. A majority of physicians (80%) believed that smoking up to 10 cigarettes a day was not harmful for health. The predictors for asking patients about smoking were being male, a non-smoker and a medical resident. The odds of advising patients to quit were significantly greater among physicians who perceived themselves as sufficiently trained in smoking cessation. Conclusions: Lack of training in smoking cessation seems to be a major obstacle to physicians actively engaging in smoking cessation activities. Indonesian physicians need to be educated on the importance of routinely asking their patients about their tobacco use and offering practical advice on how to quit smoking.