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Use of Smoking Cessation Interventions by Physicians in Argentina

Authors :
Celia P. Kaplan
Veronica Schoj
Steven E. Gregorich
Eliseo J. Pérez-Stable
Ethel Alderete
Raul Mejia
Lorena Peña
Mariela Alderete
Source :
Journal of smoking cessation, vol 11, iss 3, Schoj, V; Mejia, R; Alderete, M; Kaplan, CP; Peña, L; Gregorich, SE; et al.(2016). Use of Smoking Cessation Interventions by Physicians in Argentina. Journal of Smoking Cessation, 11(3), 188-197. doi: 10.1017/jsc.2014.24. UCSF: Retrieved from: http://www.escholarship.org/uc/item/10j2b79q
Publication Year :
2014
Publisher :
Hindawi Limited, 2014.

Abstract

Background: Physician-implemented interventions for smoking cessation are effective but infrequently used. We evaluated smoking cessation practices among physicians in Argentina.Methods: A self-administered survey of physicians from six clinical systems asked about smoking cessation counselling practices, barriers to tobacco use counselling and perceived quality of training received in smoking cessation practices.Results: Of 254 physicians, 52.3% were women, 11.8% were current smokers and 52% never smoked. Perceived quality of training in tobacco cessation counselling was rated as very good or good by 41.8% and as poor/very poor by 58.2%. Most physicians (90%) reported asking and recording smoking status, 89% advised patients to quit smoking but only 37% asked them to set a quit date and 44% prescribed medications. Multivariate analyses showed that Physicians' perceived quality of their training in smoking cessation methods was associated with greater use of evidence-based cessation interventions. (OR = 6.5; 95% CI = 2.2–19.1); motivating patients to quit (OR: 7.9 CI 3.44–18.5), assisting patients to quit (OR = 9.9; 95% CI = 4.0–24.2) prescribing medications (OR = 9.6; 95% CI = 3.5–26.7), and setting up follow-up (OR = 13.0; 95% CI = 4.4–38.5).Conclusions: Perceived quality of training in smoking cessation was associated with using evidence-based interventions and among physicians from Argentina. Medical training programs should enhance the quality of this curriculum.

Details

ISSN :
18342612
Volume :
11
Database :
OpenAIRE
Journal :
Journal of Smoking Cessation
Accession number :
edsair.doi.dedup.....00dd364acaa796f97b6a95bb8aea9583
Full Text :
https://doi.org/10.1017/jsc.2014.24