Çiğdem TEKİN, GÜLSEN GÜNEŞ, Erkay NACAR, Burak METE, Ertan UNVER

Smoking patterns and cessation counseling practices among physicians in Turkey

By this study we aimed to determine the frequency of smoking of physicians, whether they evaluate their patients in terms of smoking, and their traits of 5A step method use in an attempt to provide consultancy service to their patients. The research is a descriptive study. The size of the minimum sample was determined to be 251. The survey constituted of sections which examined demographic features and the implementations of the physicians on smoking cessation and 5A practices. Twenty one percent of the physicians stated to smoke every day, 8% of them stated to smoke occasionally. Considering the familiarity with 5A practices for those cases willing to quit smoking, 20.1% of the physicians stated to be familiar, and 79.9% of them stated not to be familiar. When the 5A practices according to the specialists of the physicians are considered, while ‘pulmonology’ physicians have scored significantly the highest average point. The vast majority of physicians don’t know the implication 5A and don’t applicate the implications.

PDF

___

Pai M, Mohan A, Dheda K, et. al. Lethal interaction: the colliding epidemics of tobacco and tuberculosis. Expert Rev Anti Infect Ther. 2007;5:385-91.

Bates M.N, Khalakdina A, Pai M, et. al. Risk of tuberculosis from exposure to tobacco smoke: A systematic review and metaanalysis. Arch Intern Med. 2007;167:335-42.

World Health Organization, and Research for International Tobacco Control. WHO report on the global tobacco epidemic, 2008: the MPOWER package.

World Health Organization. 2008.

Alwan A. Global status report on noncommunicable diseases 2010. World Health Organization. 2011.

Karlıkaya C, Öztuna F, Aytemur SZ, et al. Tobacco control. Toraks Dergisi. 2006;51-64.

Üçer H, Keten HS, Ersoy Ö, et al. Knowledge, attitudes and practices of family physicians about smoking cessation. Turkish Journal of Family Practice. 2014;18:58-62.

Hammond D, Fong GT, McNeill A, et al. Effectiveness of cigarette warning labels in informing smokers about the risks of smoking: findings from the International Tobacco Control (ITC) Four Country Survey. Tobacco Control. 2006;15:319-25.

Uzaslan E. Sigarayı bırakma yöntemleri. Sted. 2003;12:166.

Pazarlı P. Sigara bırakma süreci ve bu süreçteki olguların tanımı, tütün ve tütün kontrolü. Aves yayıncılık, İstanbul, 2010;445-50.

Yorgancıoğlu A, Esen A. Nicotine dependence and physicians. Toraks Dergisi. 2000;1:90-95.

Aslan D, Bilir N, Özcebe H, et al. Türkiye’de sağlık çalışanlarının sigara içme durumu ve etkileyen faktörler. Sağlık Bakanlığı, Ankara, 2007;5-61.

Rennard SI, Daughton DM. Smoking cessation. Chest. 2000;117,360-4.

WHO Information fact sheets. Fact Sheet No. 221. Tobacco health facts. http://www.who.int/inffs/en/fact221.html. April 1999

Fiore, Michael C. Treating tobacco use and dependence. Rockville, MD: US department of health and human services. Public health service. 2000;000032.

Rigotti NA, Torndike AN. Reducing the health burden of tobacco use: what’s the doctor’s role. Mayo Clin Proc. 2001;76,121–3.

Gunes G, Pehlivan E, Egri M, et al. Prevalence of smoking in doctors, nurses and medical faculty students working in Turgut Özal Medical Center. J Turgut Ozal Med Cent 4. 1997;407–12.

Gunes G, Karaoğlu L, Genc M, et al. University hospital physicians’ attitudes and practices for smoking cessation counseling in Malatya, Turkey. Patient Education and Counseling. 2005;147–53.

Kosku N, Kosku M, Çıkrıkçıoğlu U, et al. Smoking Habits and attitudes of the members of the thoracic society. Turkish Thor J. 2003;4,3,223-30.

Temel A, Dilbaz N, Bayam G, et al. The Relationship between the smoking habits and the frequency of quiting and dependent personality traits among health professionals in a training hospital. J Dependence. 2004;5:16-22.

Demir C, Şimşek Z. Physicians’ smoking cessation behavior and related factors. TAF Preventive Medicine Bulletin. 2013;12:501-10.

Turkey global adult tobacco survey 2012. Anıl Matbaa, Ankara, 2014.

Özge C. Sigara bırakma tedavisinde 5A ve 5R kavramları, tütün ve tütün kontrolü. Aves yayıncılık, İstanbul, Turkey. 2010.

Vidrine JI, Shete S, Cao Y, et al. Ask-Advise-Connect: a new approach to smoking treatment delivery in health care settings. JAMA Intern Med. 2013;173:458-64.

Cirit M, Orman A, Ünlü M. Smoking habits among physicians in Afyon. Turkish Thora J. 2002;3:253-6.

Stead LF, Buitrago D, Preciado N, et al. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2013;5:165.

Uysal MA, Dilmen N, Karasulu L, et al. Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. Tuberculosis and Thorax. 2007;55:350-5.

Özer ÖA. Smoking status and the behaviours, about quitting smoking, of the medical doctors giving primary care services in Eskişehir. Eskişehir University of Medical Sciences, Eskişehir, 2012.

Altıntaş H, Bozdağ G, Polat C, et al. Smoking attitude and behaviour of a public organisation data processing centre workers. J Dependence. 2006;7:310.