A survey of tobacco-related knowledge, attitudes and behaviours of primary care providers in Mississippi
A survey of tobacco-related knowledge, attitudes and behaviours of primary care providers in Mississippi
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DOI：
10.1111/j.1365-2753.2007.00910.x
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发表时间：
2008-08-01
影响因子：
2.4
通讯作者：
Smith, Patrick O.
中科院分区：
文献类型：
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作者：
Applegate, Bradford W.;Sheffer, Christine E.;Smith, Patrick O.
相对于美国其他地区，密西西比的烟草使用和烟草相关疾病的流行率较高。本研究评估了密西西比州的家庭医生、牙医和执业护士的烟草相关知识、态度和干预行为。方法向密西西比州家庭医学的所有成员邮寄了提供者态度调查，一项85项烟草相关知识、态度和干预行为的测量。牙科和护士执业专业组织（N = 2043）。结果超过三分之一（n = 802，39.2%）的合格供应商作出回应。只有24.3%的人接受过戒烟培训，33.7%的人了解公共卫生服务临床实践指南。超过90%的人表示，他们的职责是防止吸烟;当他们帮助患者戒烟时，他们感到得到了回报;并且对烟草对健康的影响感到困扰和不安。医生比护士或牙医帮助更多的病人。医生和护士比牙医报告了更多的自我效能，动机和治疗烟草使用的准备。有培训的供应商进行更多的干预措施，并报告更多的自我效能，准备和更少的障碍比那些没有培训。培训与更大的增加，自我效能，准备和干预行为的牙医比其他groups.Conclusion尽管烟草使用和烟草相关疾病的高患病率在密西西比，初级保健提供者在密西西比提供戒烟干预在一个不可接受的低频率相对于其他地区。培训可能会增加干预行为的频率。
Rationale Relative to other regions in the USA, Mississippi has a high prevalence of tobacco use and tobacco-related disease. This study assessed the tobacco-related knowledge, attitudes and intervention behaviours of family doctors, dentists and nurse practitioners in the state of Mississippi.Methods The Provider Attitude Survey, an 85-item measure of tobacco-related knowledge, attitudes and intervention behaviours was mailed to all members of Mississippi's Family Medicine, Dentistry and Nurse Practitioner professional organizations (N = 2043).Results Over one-third (n = 802, 39.2%) of eligible providers responded. Just 24.3% had received training in tobacco cessation and 33.7% were aware of the Public Health Service clinical practice guideline. Over 90% indicated that it was their role to prevent tobacco use; felt rewarded when they helped patients quit; and were bothered and upset by the health effects of tobacco. Doctors assisted more patients than nurses or dentists. Doctors and nurses reported more self-efficacy, motivation and preparedness for treating tobacco use than dentists. Providers with training performed more interventions and reported more self-efficacy, preparedness and fewer barriers than those without training. Training was associated with greater increases in self-efficacy, preparedness and intervention behaviours for dentists than for the other groups.Conclusion Despite a high prevalence of tobacco use and tobacco-related disease in Mississippi, primary care providers in Mississippi provide tobacco cessation interventions at an unacceptably low frequency relative to other regions. Training is likely to increase the frequency of intervention behaviours.