Primary healthcare provider knowledge, beliefs and clinic-based practices regarding alternative tobacco products and marijuana: a qualitative study
Primary healthcare provider knowledge, beliefs and clinic-based practices regarding alternative tobacco products and marijuana: a qualitative study
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DOI：
10.1093/her/cyv103
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发表时间：
2016-06-01
影响因子：
2.4
通讯作者：
Berg, Carla J.
中科院分区：
文献类型：
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作者：
Bascombe, Ta Misha S.;Scott, Kimberly N.;Berg, Carla J.
使用替代烟草产品和大麻的流行程度急剧增加。不幸的是，临床指南的重点是传统香烟，而对这些新出现的公共卫生问题关注有限。因此，了解医疗保健专业人员如何看待这个问题以及如何应对它是至关重要的。这项定性研究探讨了格鲁吉亚农村和城市初级卫生保健提供者关于传统和替代烟草产品（雪茄类产品、无烟烟草、水烟、电子烟）和大麻的知识、信念和临床实践。样本包括20位位于亚特兰大大都会地区和佐治亚州南部农村的初级保健机构的医疗保健提供者，他们参加了半结构化访谈。结果表明，人们对这些产品缺乏了解，一些人认为，一些产品的危害比传统卷烟小，或者它们可能有效地促进戒烟或减少危害。很少有报告明确评估这些不同产品在临床中的使用。此外，医疗保健提供者报告需要经验证据来告知他们的临床实践。医疗保健提供者必须系统地评估烟草制品和大麻的使用情况。需要循证建议或信息来源来告知临床实践，并帮助提供者与使用或询问这些产品的患者进行对话。
Use prevalence of alternative tobacco products and marijuana has increased dramatically. Unfortunately, clinical guidelines have focused on traditional cigarettes with limited attention regarding these emerging public health issues. Thus, it is critical to understand how healthcare professionals view this issue and are responding to it. This qualitative study explored knowledge, beliefs and clinic-based practices regarding traditional and alternative tobacco products (cigar-like products, smokeless tobacco, hookah, e-cigarettes) and marijuana among rural and urban Georgia primary healthcare providers. The sample comprised 20 healthcare providers in primary care settings located in the Atlanta Metropolitan area and rural southern Georgia who participated in semi-structured interviews. Results indicated a lack of knowledge about these products, with some believing that some products were less harmful than traditional cigarettes or that they may be effective in promoting cessation or harm reduction. Few reported explicitly assessing use of these various products in clinic. In addition, healthcare providers reported a need for empirical evidence to informtheir clinical practice. Healthcare providers must systematically assess use of the range of tobacco products and marijuana. Evidence-based recommendations or information sources are needed to inform clinical practice and help providers navigate conversations with patients using or inquiring about these products.