Knowledge and Practice of Smoking Cessation among Physicians in Madinah, 2016
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 1
Abstract
Background: Healthcare professionals should be active in smoking prevention, as part of their daily practice. Smoking cessation significantly reduces morbidity and mortality. Brief tobacco cessation counseling interventions, including screening, brief counseling (3 min or less), and/or pharmacotherapy; have proven to increase tobacco abstinence rates. Objectives: To assess knowledge, attitude, and practice (KAP) in smoking cessation among PHCPs in Madinah city, Saudi Arabia. Subjects and Methods: A cross-sectional survey was conducted among a convenient sample of 60 physicians (from both genders and all nationalities) recruited from different Madinah hospitals and primary care centers. They were asked to fill an electronic structured questionnaire inquiring about tobacco use and its health effects, as well as on the knowledge and practices of smoking cessation. Results: The study included 60 physicians. Most of them (78.3%) aged between 25 and 35 years. Two-thirds were females. Slightly more than one-third of them (36.7%) were family physicians. Majority of them (80%) were aware of smoking cessation/quitting therapy and sixty percent of them having sufficient knowledge of tobacco cessation/ quitting. More than half of them had their information about smoking cessation from internet (58.3%) or books (55%). Believing that tobacco education content in the medical school curriculum is inadequate was reported by majority of them (80%). Majority of them (96.7%) were asking patients if they smoke /use tobacco, advising smoking patients to quit (90%) and discussing benefit of quitting tobacco with patients (81.7%). However only 31.7% were asking them about reason of using tobacco, 28.3% were setting a target quit day for patients and 39.3% arranged for a follow up contact. Brief counseling was the commonest mode of cessation therapy has applied in practice (73.3%). Regarding, time spend discussing on tobacco education, 48.4% of the physicians spent less than 3 minutes whereas only 6.6% spent more than 10 minutes. Lack of time (45%) and poor knowledge of smoking cessation (36.7%) were the commonest obstacles to cessation therapy in practice. Almost one-third of the physicians (31.7%) were current smokers. Physicians working in primary health care centers and those having their information from more than one source were more aware of smoking cessation/quitting therapy. Conclusion: Majority of physicians in Madinah general hospitals and primary care centers were aware of smoking cessation/quitting therapy and their practice regarding smoking cessation was sufficient in some areas. However, it was deficient in other areas.
Authors and Affiliations
Amal Mohammed Surrati, Bashaer Hassan Alhazmi, Zainab Jameel Abass, Tharwat Abdulaziz Alahmary, Munirah Salem Almohammadi
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