Are physicians aware of their role in tobacco control? A conference-based survey in Portugal

Detalhes bibliográficos
Autor(a) principal: Ravara, Sofia B.
Data de Publicação: 2014
Outros Autores: Castelo-Branco, Miguel, Aguiar, Pedro, Calheiros, José M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.18/2372
Resumo: Authors’ contributions: SBR conceived the study and gathered the information, completed data entry, data analysis and drafting of the manuscript. All authors participated in the design of the study, analysed and interpreted the data and critically reviewed the original draft. SBR and JMC coordinated the study design. PA coordinated the statistical analysis. All authors read and approved the final manuscript.
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spelling Are physicians aware of their role in tobacco control? A conference-based survey in PortugalTobacco ControlSmokingPhysiciansDoctorsSmoke-free PoliciesSHSETSTrainingTabacoPolíticas de SaúdeEstilos de Vida e Impacto na SaúdeSaúde PúblicaPortugalAuthors’ contributions: SBR conceived the study and gathered the information, completed data entry, data analysis and drafting of the manuscript. All authors participated in the design of the study, analysed and interpreted the data and critically reviewed the original draft. SBR and JMC coordinated the study design. PA coordinated the statistical analysis. All authors read and approved the final manuscript.Acknowledgements: The authors would like to thank the survey respondents for their participation and also the board and organising committee of the two conferences. In addition, the authors would like to thank Steve Dyson for the English text review.BACKGROUND: The crucial role of physicians in tobacco control (TC) is widely recognized. In 2008, Portugal implemented a non-comprehensive smoke-free policy (SFP). In 2009, a conference-survey was carried out to explore Portuguese physicians' engagement in tobacco control, by evaluating the following: 1) attendance at TC training and awareness of training needs; 2) participation in TC activities; 3) attitudes and beliefs regarding SFPs. METHODS: Questionnaire-based cross-sectional study conducted during two major national medical conferences targeting GPs, hospitalists, and students/recent graduates. Descriptive analysis and logistic regression were performed. RESULTS: Response rate was 63.7% (605/950). Of the 605 participants, 58.3% were GPs, 32.4% hospitalists, 9.3% others; 62.6% were female; mean age was 39.0 ± 12.9 years. Smoking prevalence was 29.2% (95% CI: 23.3-35.1) in males; 15.8% (95% CI: 12.1-19.5) in females, p < 0.001. While the overwhelming majority of physicians strongly agreed that second-hand smoke (SHS) endangers health, awareness of SFP benefits and TC law was limited, p < 0.001. A significant minority (35.5%) believed that SHS can be eliminated by ventilation systems. Most physicians lacked training; only a minority (9.0%) participated regularly in TC. Training was the most consistent predictor of participation in TC. General agreement with SFP was high; but significantly lower for indoor leisure settings, outdoors bans in healthcare/schools settings and smoking restrictions in the home/car, p < 0.001. Smoking behaviour strongly predicted support for smoking restrictions in restaurants and bars/discos, healthcare outdoors and private settings. CONCLUSIONS: The findings suggest that Portuguese physicians are not aware of their role in tobacco control. Poor engagement of physicians in TC may contribute to the current lack of comprehensive policies in Portugal and Europe and undermine social norm change. Medical and professional continuing education on tobacco control should be made top priorities.BioMed CentralRepositório Científico do Instituto Nacional de SaúdeRavara, Sofia B.Castelo-Branco, MiguelAguiar, PedroCalheiros, José M.2014-10-01T14:34:54Z2014-09-202014-09-20T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/2372engBMC Public Health. 2014 Sep 20;14:979. doi: 10.1186/1471-2458-14-9791471-245810.1186/1471-2458-14-979info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:39:16Zoai:repositorio.insa.pt:10400.18/2372Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:37:25.445812Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Are physicians aware of their role in tobacco control? A conference-based survey in Portugal
title Are physicians aware of their role in tobacco control? A conference-based survey in Portugal
spellingShingle Are physicians aware of their role in tobacco control? A conference-based survey in Portugal
Ravara, Sofia B.
Tobacco Control
Smoking
Physicians
Doctors
Smoke-free Policies
SHS
ETS
Training
Tabaco
Políticas de Saúde
Estilos de Vida e Impacto na Saúde
Saúde Pública
Portugal
title_short Are physicians aware of their role in tobacco control? A conference-based survey in Portugal
title_full Are physicians aware of their role in tobacco control? A conference-based survey in Portugal
title_fullStr Are physicians aware of their role in tobacco control? A conference-based survey in Portugal
title_full_unstemmed Are physicians aware of their role in tobacco control? A conference-based survey in Portugal
title_sort Are physicians aware of their role in tobacco control? A conference-based survey in Portugal
author Ravara, Sofia B.
author_facet Ravara, Sofia B.
Castelo-Branco, Miguel
Aguiar, Pedro
Calheiros, José M.
author_role author
author2 Castelo-Branco, Miguel
Aguiar, Pedro
Calheiros, José M.
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Ravara, Sofia B.
Castelo-Branco, Miguel
Aguiar, Pedro
Calheiros, José M.
dc.subject.por.fl_str_mv Tobacco Control
Smoking
Physicians
Doctors
Smoke-free Policies
SHS
ETS
Training
Tabaco
Políticas de Saúde
Estilos de Vida e Impacto na Saúde
Saúde Pública
Portugal
topic Tobacco Control
Smoking
Physicians
Doctors
Smoke-free Policies
SHS
ETS
Training
Tabaco
Políticas de Saúde
Estilos de Vida e Impacto na Saúde
Saúde Pública
Portugal
description Authors’ contributions: SBR conceived the study and gathered the information, completed data entry, data analysis and drafting of the manuscript. All authors participated in the design of the study, analysed and interpreted the data and critically reviewed the original draft. SBR and JMC coordinated the study design. PA coordinated the statistical analysis. All authors read and approved the final manuscript.
publishDate 2014
dc.date.none.fl_str_mv 2014-10-01T14:34:54Z
2014-09-20
2014-09-20T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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url http://hdl.handle.net/10400.18/2372
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv BMC Public Health. 2014 Sep 20;14:979. doi: 10.1186/1471-2458-14-979
1471-2458
10.1186/1471-2458-14-979
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publisher.none.fl_str_mv BioMed Central
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