Smoking Prevalance and the Degree of Nicotine Dependence Among Healthcare Workers at the Ataturk University Medical Facility

Sağlam, Leyla; Bayraktar, Ravza; Kadioglu, Esra Ekbic; Acemoğlu, Hamit

doi:10.5152/eajm.2010.21

Cited by 12 publications

(13 citation statements)

References 16 publications

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“…More than half of daily-smoking Estonian physicians had low ND levels (FTND score 0-3). This result is similar to physicians' nicotine dependence in Germany in 2018 (22) and in Turkey or Greece from approximately 10 years ago (23,24). Compared to the general population worldwide, Estonian physicians' mean FTND score was similar to those in Germany and Norway (score 2.8 in 1990s) but lower than those in the USA (4.0 in the 1990s) and China (3.1 in 2013) (10,25,26).…”

Section: Discussionsupporting

confidence: 68%

Nicotine dependence and related factors among physicians: results from a cross-sectional survey in Estonia

Põld

Pärna

2019

Preprint

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Background Smoking withdrawal can be difficult due to nicotine dependence (ND). Individual, environmental and social factors must be considered when researching ND. The objective of the present study is to describe ND and to analyse associations between ND and smoking-related and background factors among daily smoking Estonian physicians. Methods A cross-sectional postal survey was used to collect data from Estonian physicians in 2014. The initial sample consisted of all practising physicians in Estonia (n=5666). In total, 2939 physicians participated. The corrected response rate was 53.1%. The current study sample was restricted to physicians who smoked daily (n=171). The outcome variable was ND level, measured using the Fagerström Test for Nicotine Dependence (FTND). The mean age of smoking initiation was calculated, along with the standard deviation and the distribution of ND levels with 95% confidence intervals (CIs). T-tests and chi-square tests were used to test for differences between groups. To compensate for non-response, the data were weighted. Using multiple logistic regression, the association between ND level (at-least-moderate vs low) and smoking-related and background factors was determined. Crude and fully adjusted odds ratios (ORs) with 95% CIs were calculated. Results The mean FTND score for daily smoking physicians was 2.8±2.1, and 60.8% of them had low, 33.1% moderate and 6.1% high ND levels. The mean age of smoking initiation differed statistically between physicians with low and at-least-moderate ND levels (21.0±5.1 and 18.4±3.3, respectively) (p<0.001). In the adjusted model, having at least moderate ND levels was associated with a younger age of smoking initiation (OR=0.82, 95% CI 0.72–0.94). After adjustment, ND levels were not significantly associated with the desire to quit, motives to quit and gender. No association was found between ND level and other background factors. Conclusions More than half of daily smoking Estonian physicians had low ND levels. A higher ND level was associated with a younger age of smoking initiation. Knowledge of ND and related factors is useful in the development of smoking cessation counselling services for physicians.

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Section: Discussionsupporting

confidence: 68%

Nicotine dependence and related factors among physicians: results from a cross-sectional survey in Estonia

Põld

Pärna

2019

Preprint

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“…However, our estimate of smoking rate was lower than reports from Kuwait 24 and Jordan 25 and higher than reports from Oman 33 and Turkey. 34 Our finding of smoking rate among dentists was lower than physicians. The rate of smoking among dentists is much lower than reports from Saudi Arabia (33.8%).…”

Section: Discussionmentioning

confidence: 54%

Smoking Knowledge, Attitude, and Practices among Health Care Professionals from Sulaymaniyah City/Iraq

et al. 2016

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BACKGROUNDSmoking is a serious risk to health globally. Health care professionals play a key role in the prevention of smoking as they are considered a role model by patients.OBJECTIVESThe aims of this study are to evaluate smoking rate among physicians and dentists from Sulaymaniyah, Iraqi Kurdistan, Iraq, and to understand their knowledge and attitudes toward tobacco smoking.METHODSA cross-sectional web-based survey was conducted involving physicians and dentists working in both University of Sulaimani and Sulaymaniyah Teaching Hospitals. A questionnaire created based on World Health Organization Global Health Professional Survey with slight modifications was emailed to the study participants and the responses received were analyzed.RESULTSIncidence of smoking among physicians and dentists was 26.5%, with a significantly higher rate among male compared to female health care professionals. The mean age of starting smoking was 22.3 (±4.8) years. Only 7.3% of health care professionals received formal training on smoking cessation. All responders agreed that smoking is harmful to health. However, ever smokers compared to never smokers were less likely to agree that health care professionals should set a positive impact by not smoking.CONCLUSIONSmoking rate is high among physicians and dentists from Sulaymaniyah city/Iraq, and at the same time, there is a low rate of training on smoking cessation.

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“…Smokefree workplace can encourage smokers to quit [252]. Although the majority of hospital personnel who smoked wanted to quit, there was little knowledge or cessation support available [85,99,121,192].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of tobacco use in healthcare workers: A systematic review and meta-analysis

et al. 2019

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Objectives To estimate tobacco use prevalence in healthcare workers (HCW) by country income level, occupation and sex, and compare the estimates with the prevalence in the general population. Methods We systematically searched five databases; Medline, EMBASE, CINHAL Plus, CAB Abstracts, and LILACS for original studies published between 2000 and March 2016 without language restriction. All primary studies that reported tobacco use in any category of HCW were included. Study extraction and quality assessment were conducted independently by three reviewers, using a standardised data extraction and quality appraisal form. We performed random effect meta-analyses to obtain prevalence estimates by World Bank (WB) country income level, sex, and occupation. Data on prevalence of tobacco use in the general population were obtained from the World Health Organisation (WHO) Global Health Observatory website. The review protocol registration number on PROSPERO is CRD42016041231. Results 229 studies met our inclusion criteria, representing 457,415 HCW and 63 countries: 29 high-income countries (HIC), 21 upper-middle-income countries (UMIC), and 13 lower-middle-and-low-income countries (LMLIC). The overall pooled prevalence of tobacco use in HCW was 21%, 31% in males and 17% in females. Highest estimates were in male doctors in UMIC and LMLIC, 35% and 45%, and female nurses in HIC and UMIC, 21% and 25%. Heterogeneity was high (I 2 > 90%). Country level comparison suggest that in HIC male HCW tend to have lower prevalence compared with males in the general population while in females the estimates were similar. Male and female HCW in UMIC and LMLIC tend to have similar or higher prevalence rates relative to their counterparts in the general population. Conclusions HCW continue to use tobacco at high rates. Tackling HCW tobacco use requires urgent action as they are at the front line for tackling tobacco use in their patients.

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Smoking Prevalance and the Degree of Nicotine Dependence Among Healthcare Workers at the Ataturk University Medical Facility

Cited by 12 publications

References 16 publications

Nicotine dependence and related factors among physicians: results from a cross-sectional survey in Estonia

Nicotine dependence and related factors among physicians: results from a cross-sectional survey in Estonia

Smoking Knowledge, Attitude, and Practices among Health Care Professionals from Sulaymaniyah City/Iraq

Prevalence of tobacco use in healthcare workers: A systematic review and meta-analysis

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