Cigarette Smoking Knowledge and Perceptions Among Students in Four Italian Medical Schools

Grassi, Maria Caterina; Chiamulera, Cristiano; Baraldo, Massimo; Culasso, Franco; Ferketich, Amy K.; Raupach, Tobias; Patrono, Carlo; Nencini, Paolo

doi:10.1093/ntr/ntr330

Cited by 33 publications

(42 citation statements)

References 29 publications

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“…There is some evidence that our findings on smoking can be generalised to medical education in the UK [19] and Italy [30]. The response rate of 49.6% suggests that selection bias might have had an impact on our results.…”

Section: Discussionmentioning

confidence: 89%

German Medical Students’ Beliefs about How Best to Treat Alcohol Use Disorder

et al. 2013

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Background/Aims: A minority of German medical students believe they know how to support smokers willing to quit. This paper examined whether the same would be true for treating alcohol use disorder (AUD), and individual factors associated with incorrect beliefs about the effectiveness of methods to treat AUD. Methods: In this cross-sectional study, 19,526 undergraduate students from 27 German medical schools completed a survey addressing beliefs about the effectiveness of different methods of overcoming AUD. Beliefs about AUD treatment effectiveness were compared across the 5 years of undergraduate education and predictors identified by means of multiple linear regression. Results: Even in the fifth year, 28.1% (95% CI: 26.5–29.7) of students believed that willpower alone was more effective for overcoming AUD than a comprehensive treatment program. The only significant predictor of this belief was a similar belief for stopping smoking. Conclusion: Our results indicate that a considerable proportion of German medical students overestimate the effectiveness of willpower to treat smoking and AUD. The addictive nature of these disorders needs to be stressed during undergraduate medical education to ensure that future physicians will be able and motivated to support patients in their quit attempts.

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Section: Discussionmentioning

confidence: 89%

German Medical Students’ Beliefs about How Best to Treat Alcohol Use Disorder

et al. 2013

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“…Our results were largely consistent with those found in other studies, in which medical students expressed a need for more training, and current smokers were less likely to have anti-smoking attitudes. 15,[19][20][21]33 Even though most participants answered the knowledge-related questions correctly, most expressed a need for more training on tobacco cessation. Although a majority of respondents reflected an anti-smoking attitude, these results indicate that a significant number of medical students and young physicians do not believe that they have a greater responsibility in tobacco control just by virtue of being in a health-related profession.…”

Section: Discussionmentioning

confidence: 99%

“…14 Considering that medical students are Bsoon to be^physi-cians, their smoking behavior and attitudes have been the object of multiple studies around the world. [15][16][17][18][19][20][21] Smoking prevalence among physicians has declined in most highincome countries, but it remains highly variable in middleincome countries, [22][23][24] including among medical students. 25 Smoking prevalence among US students in the health profession is close to 7 %.…”

Section: Introductionmentioning

confidence: 99%

Smoking-Related Attitudes and Knowledge Among Medical Students and Recent Graduates in Argentina: A Cross-Sectional Study

et al. 2016

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BACKGROUND: Physicians in Argentina smoke at rates similar to the general population, and do not have a clear role in tobacco control strategies. OBJECTIVE: To describe the attitudes and knowledge of medical students and recent graduates towards smoking behavior in Argentina. DESIGN: Cross-sectional self-administered online survey conducted in 2011. PARTICIPANTS: Medical students and recent medical graduates from the University of Buenos Aires. MAIN MEASURES: Attitudes and knowledge were evaluated by responses to 16 statements regarding the effects of smoking cigarettes and the role of physicians in tobacco control. Rates of agreement with a full ban on indoor smoking in different public settings were assessed. KEY RESULTS: The sample included 1659 participants (response rate: 35.1 %), 453 of whom (27.3 %) were current smokers. Only 52 % of participants agreed that doctors should set an example for their patients by not smoking, 30.9 % thought that medical advice had little effect on patients' cessation behavior, and 19.4 % believed that physicians could decline to care for smoking patients who failed to quit. In adjusted logistic regression models, current smokers had less supportive attitudes about tobacco control and were less likely than non-smokers to agree with a full indoor smoking ban in hospitals ( Recent medical graduates had more accurate knowledge about cessation and were more likely to agree with a full smoking ban in recreational venues. CONCLUSIONS: Although most participants reported a strong anti-tobacco attitude, a proportion still failed to recognize the importance of their role as physicians in tobacco control strategies. Current smokers and current students were less likely to support indoor smoking bans. Specific educational curricula could address these factors.

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“…For example, Italian medical schools have devoted little attention to the treatment of tobacco dependence [14]. As a result, medical students in countries such as Italy have limited knowledge and training in tobacco-related health risks and tobacco dependence management [15]. Ultimately, this has led to a culture in which Italian physicians neither advise tobacco cessation nor prescribe pharmacotherapy for tobacco dependence at the recommended levels, although the recent literature seems to show improvement in these metrics [16-18].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Tobacco Habits, Attitudes, and Education Among Medical Students in the United States and Italy: A Cross-sectional Survey

Armstrong

Veronese

George

et al. 2017

J Prev Med Public Health

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ObjectivesMedical students represent a primary target for tobacco cessation training. This study assessed the prevalence of medical students’ tobacco use, attitudes, clinical skills, and tobacco-related curricula in two countries, the US and Italy, with known baseline disparities in hopes of identifying potential corrective interventions.MethodsFrom September to December 2013, medical students enrolled at the University of Bologna and at Brown University were recruited via email to answer survey questions assessing the prevalence of medical students’ tobacco use, attitudes and clinical skills related to patients’ smoking, and elements of medical school curricula related to tobacco use.ResultsOf the 449 medical students enrolled at Brown and the 1426 enrolled at Bologna, 174 Brown students (38.7%) and 527 Bologna students (36.9%) participated in this study. Italian students were more likely to smoke (29.5% vs. 6.1%; p<0.001) and less likely to receive smoking cessation training (9.4% vs. 80.3%; p<0.001) than their American counterparts, even though the majority of students in both countries desired smoking cessation training (98.6% at Brown, 85.4% at Bologna; p<0.001). Additionally, negative beliefs regarding tobacco usage, the absence of formal training in smoking cessation counseling, and a negative interest in receiving specific training on smoking cessation were associated with a higher risk of not investigating a patient’s smoking status during a routine history and not offering tobacco cessation treatment to patients.ConclusionsMedical curricula on tobacco-related health hazards and on smoking cessation should be mandatory in order to reduce smoking among medical students, physicians, and patients, thereby improving tobacco-related global health.

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Cigarette Smoking Knowledge and Perceptions Among Students in Four Italian Medical Schools

Cited by 33 publications

References 29 publications

German Medical Students’ Beliefs about How Best to Treat Alcohol Use Disorder

German Medical Students’ Beliefs about How Best to Treat Alcohol Use Disorder

Smoking-Related Attitudes and Knowledge Among Medical Students and Recent Graduates in Argentina: A Cross-Sectional Study

Assessment of Tobacco Habits, Attitudes, and Education Among Medical Students in the United States and Italy: A Cross-sectional Survey

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