Tobacco smoking among doctors in mainland China: a study from Shandong province and review of the literature

Smith, Derek; Zhao, Isabella; Wang, Lina

doi:10.1186/1617-9625-10-14

Cited by 20 publications

(15 citation statements)

References 36 publications

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“…105 The prevalence of smoking among physicians remains substantial (>50% of male physicians in many cities/provinces). 106,107 Thus, awareness of the health hazards of smoking remains poor and tobacco control policies face many barriers and challenges in China. 108,109 …”

Section: Resultsmentioning

confidence: 99%

The International Epidemiology of Lung Cancer: Latest Trends, Disparities, and Tumor Characteristics

Cheng

Cramb

Baade

et al. 2016

Journal of Thoracic Oncology

520

392

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Introduction We aim to update global lung cancer epidemiology and describe changing trends and disparities. Methods We presented country-specific incidence and mortality from GLOBOCAN 2012, by region and socioeconomic factors via the Human Development Index (HDI). Between- and within-country incidence by histological type was analyzed from Cancer Incidence in Five Continents Volume X (IARC). Trend analyses including the IARC data, cancer registries, and the WHO Mortality database were conducted using Joinpoint regression. Survival was compared between and within countries, and by histology. Results In 2012, there were 1.82 and 1.59 million new cases and deaths of lung cancer worldwide, respectively. Incidence was highest in very high HDI countries and lowest in low HDI countries (42.2 vs. 7.9/100,000 for males and 21.8 vs. 3.1/100,000 for females, respectively). In most countries with a very high HDI, as male incidence decreased gradually (ranging from −0.3% in Spain to −2.5% in the USA each year), female incidence continued to increase (by 1.4% each year in Australia to 6.1% in recent years in Spain). While histology varied between countries, adenocarcinoma was more common than squamous cell carcinoma, particularly among females (e.g., in Chinese females, the adenocarcinoma-to-squamous cell carcinoma ratio=6.6). Five-year relative survival varied from 2% (Libya) to 30% (Japan), with substantial within-country differences. Conclusion Lung cancer will continue to be a major health problem well through the first half of this century. Preventive strategies, particularly tobacco control, tailored to populations at highest risk are key to reduce the global burden of lung cancer.

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Section: Resultsmentioning

confidence: 99%

The International Epidemiology of Lung Cancer: Latest Trends, Disparities, and Tumor Characteristics

Cheng

Cramb

Baade

et al. 2016

Journal of Thoracic Oncology

520

392

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“…Here, most participants reported smoking-related health problems and medical advice as the main reasons for quitting, and the latter was found to be the most commonly cited smoking-cessation trigger in China 31 . Few studies have reported the importance of physician advice for quitting in China and this may reflect the high smoking prevalence, 21%-61%, amongst Chinese physicians 32 . On migration to Glasgow, most participants here had tried to quit with various triggers cited.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of smoking cessation among Glasgow's Chinese community

Spence¹,

Zhu²

2017

Tob. Prev. Cessation

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INTRODUCTION Health related needs and services are stratified by ethnicity in UK. The Chinese community is Scotland's second-largest minority ethnic group but a relatively under-researched one. This study aimed to explore the views and experiences of smoking cessation and related services among Chinese community members in Glasgow and to inform them about smoking cessation interventions. METHODS This cross-sectional study was conducted in 2016 using a qualitative research method. Purposive sampling methods were used to recruit 15 Chinese community members in Glasgow. Semi-structured interviews were audio-recorded and data transcribed, translated, and thematically analysed. RESULTS Many factors influenced participants' smoking: concern for personal health, advice from medical professionals, expenditure, family pressure, tobacco-control policies, nicotine dependence, self-efficacy, and acculturation. Smoking initiation and relapse were influenced by interpersonal relations, emotional factors, Chinese social norms, and acculturation. Barriers reported to accessing and participating in cessation services included: excessive or inflexible working hours, low confidence in cessation services, language barriers, cultural barriers and unsuitability of cessation services for Chinese smokers. Employing community resources, improving language support, working with cultural values, and accommodating degrees of acculturation may improve services and their uptake. CONCLUSIONS Smoking-cessation services should consider the culture of this ethnic minority population to improve cessation uptake. Further investigation of this community's needs and expectations is needed to tailor smoking-cessation interventions for Chinese immigrants in Glasgow.

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“…Despite the important role of physicians in tobacco control, a large proportion of male physicians in China are smokers; but smoking prevalence among female physicians is very low, reflecting low prevalence among women at large in China 4. Previous studies have shown that smoking rates among male physicians range between 26% and 61% 2 4 6 14 15…”

Section: Introductionmentioning

confidence: 99%

Smoking behaviours and cessation services among male physicians in China: evidence from a structural equation model

Huang

Guo

et al. 2013

Tob Control

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ObjectiveTo investigate smoking prevalence and cessation services provided by male physicians in hospitals in three Chinese cities.MethodsData were collected from a survey of male physicians employed at 33 hospitals in Changsha, Qingdao and Wuxi City (n=720). Exploratory factor analysis was performed to identify latent variables, and confirmatory structural equation modelling analysis was performed to test the relationships between predictor variables and smoking in male physicians, and their provision of cessation services.ResultsOf the sampled male physicians, 25.7% were current smokers, and 54.0% provided cessation services by counselling (18.8%), distributing self-help materials (17.1%), and providing traditional remedies or medication (18.2%). Factors that predicted smoking included peer smoking (OR 1.14 95% CI 1.03 to 1.26) and uncommon knowledge (OR 0.94 95% CI 0.89 to 0.99), a variable measuring awareness of the association of smoking with stroke, heart attack, premature ageing and impotence in male adults as well as the role of passive smoking in heart attack. Factors that predicted whether physicians provided smoking cessation services included peer smoking (OR 0.82 95% CI 0.76 to 0.89), physicians’ own smoking (OR 0.87 95% CI 0.81 to 0.93), training in cessation (OR 1.36 95% CI 1.27 to 1.45) and access to smoking cessation resources (OR 1.69 95% CI 1.58 to 1.82).ConclusionsThe smoke-free policy is not strictly implemented at healthcare facilities, and smoking remains a public health problem among male physicians. A holistic approach, including a stricter implementation of the smoke-free policy, comprehensive education on the hazards of smoking, training in standard smoking-cessation techniques and provision of cessation resources, is needed to curb the smoking epidemic among male physicians and to promote smoking cessation services in China.

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Tobacco smoking among doctors in mainland China: a study from Shandong province and review of the literature

Cited by 20 publications

References 36 publications

The International Epidemiology of Lung Cancer: Latest Trends, Disparities, and Tumor Characteristics

The International Epidemiology of Lung Cancer: Latest Trends, Disparities, and Tumor Characteristics

Perceptions of smoking cessation among Glasgow's Chinese community

Smoking behaviours and cessation services among male physicians in China: evidence from a structural equation model

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