Risk Factors of Smoking Among Health Care Professionals
Risk Factors of Smoking Among Health Care Professionals
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DOI：
10.1177/2150131914527618
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发表时间：
2014-10-01
影响因子：
3.6
通讯作者：
Thompson, Michael E.
中科院分区：
文献类型：
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作者：
Shahbazi, Sara;Arif, Ahmed A.;Thompson, Michael E.
背景：卫生保健专业人员（HCPs）在各级戒烟计划中发挥着至关重要的作用，以减少普通人群的烟草使用。然而，他们的吸烟习惯可能会限制他们干预吸烟患者的能力。目的：确定HCPs中当前吸烟的患病率，并检查与当前吸烟相关的社会人口学和工作相关因素。方法：对2003年在德克萨斯州持有有效执照的四组HCPs、内科医生、护士、呼吸治疗师和职业治疗师进行了一项全州范围的调查。计算了当前吸烟率的加权患病率估计值。使用调查逻辑回归分析来调查个体特征与当前吸烟之间的关系。结果：共纳入3600名HCPs。目前吸烟的总体患病率为9%，其中呼吸治疗师的患病率最高（16%），医生的患病率最低（3%）。在多变量logistic回归分析中，非西班牙裔白人HCPs成为当前吸烟者的可能性几乎是当前吸烟者的4倍（校正优势比= 3.95,95%置信区间= 1.24-12.59），每周工作50小时或更长时间的人成为当前吸烟者的可能性是当前吸烟者的两倍（校正优势比= 2.07,95% CI = 1.20-3.57）。与内科医生相比，所有其他HCP组目前吸烟的几率明显更高。仅在单变量分析中，居住或工作在农村地区的女性医务人员吸烟率较高
Background: Health care professionals (HCPs) play a vital role at various levels of smoking cessation programs to reduce tobacco use in general populations. However, their smoking habits may limit their ability to intervene with their patients who smoke. Aims: To determine prevalence rates of current smoking and examine sociodemographic and work-related factors associated with current smoking among HCPs. Methods: A statewide survey was conducted in a representative sample of 4 groups of HCPs, physicians, nurses, respiratory therapists, and occupational therapists, with active licenses in Texas in 2003. Weighted prevalence estimates of current smoking rates were computed. Survey logistic regression analysis was used to investigate associations between individual characteristics and current smoking. Results: There were 3600 HCPs included in the analysis. The overall prevalence of current smoking was 9% with the highest prevalence (16%) recorded among respiratory therapists and the lowest prevalence (3%) recorded among physicians. In the multivariable logistic regression analysis non-Hispanic white HCPs were almost 4 times as likely to be current smokers (adjusted odds ratio= 3.95, 95% confidence interval = 1.24-12.59) and those working for 50 hours or more per week were twice as likely to be current smokers (adjusted odds ratio = 2.07, 95% CI = 1.20-3.57). Compared with physicians, all other HCP groups had significantly greater odds of currently smoking. HCPs who were female and resided or worked in rural settings had higher smoking rates in univariable analysis only (P