期刊论文详细信息
Tobacco Induced Diseases
Future physicians and tobacco: an online survey of the habits, beliefs and knowledge base of medical students at a Canadian University
Barry A Finegan2  Tobias Raupach1  T Cameron Wild3  Alyssa Chappell2  Fadi Hammal2  Amanda J Vanderhoek2 
[1] Department of Cardiology and Pneumology, University Hospital Göttingen, Göttingen, Germany;Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada;School of Public Health, University of Alberta, Edmonton, Canada
关键词: Medical students;    Waterpipe;    Tobacco cessation;    Medical education;   
Others  :  867018
DOI  :  10.1186/1617-9625-11-9
 received in 2013-02-05, accepted in 2013-03-25,  发布年份 2013
PDF
【 摘 要 】

Background

Little is known about the knowledge and attitudes towards tobacco use among medical students in Canada. Our objectives were to estimate the prevalence of tobacco use among medical students, assess their perceived level of education about tobacco addiction management and their preparedness to address tobacco use with their future patients.

Methods

A cross-sectional online survey was administered to University of Alberta undergraduate medical school trainees. The 32-question survey addressed student demographics, tobacco use, knowledge and attitudes around tobacco and waterpipe smoking, tobacco education received in medical school, as well as knowledge and competency regarding tobacco cessation interventions.

Results

Of 681 polled students, 301 completed the survey. Current (defined as “use within the last 30 days”) cigarette, cigar/cigarillo and waterpipe smoking prevalence was 3.3%, 6% and 6%, respectively. One third of the respondents had ever smoked a cigarette, but 41% had tried cigars/cigarillos and 40% had smoked a waterpipe at some time in the past. Students reported moderate levels of education on a variety of tobacco-related subjects but were well-informed on the role of tobacco in disease causation. The majority of students in their final two years of training felt competent to provide tobacco cessation interventions, but only 10% definitively agreed that they had received enough training in this area.

Conclusions

Waterpipe exposure/current use was surprisingly high among this sample of medical students, a population well educated about the role of tobacco in disease causation. The majority of respondents appeared to be adequately prepared to manage tobacco addiction but education could be improved, particularly training in behavioral modification techniques used in tobacco use cessation.

【 授权许可】

   
2013 Vanderhoek et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140728094101192.pdf 452KB PDF download
39KB Image download
38KB Image download
73KB Image download
103KB Image download
【 图 表 】

【 参考文献 】
  • [1]Canadian Medical Association: The role of physicians in prevention and health promotion. CMAJ 1995, 153(2):208A-D.
  • [2]Yentz S, Klein RJ, Oliverio AL: The impact of tobacco cessation training of medical students on their attitude towards smoking. Med Teach 2012, 34:11.
  • [3]Pipe A, Sorensen M, Reid R: Physician smoking status, attitudes toward smoking, and cessation advice to patients: an international survey. Patient Educ Couns 2009, 74(1):118-23.
  • [4]Frank E, Segura C, Shen H: Predictors of Canadian physicians’ prevention counseling practices. Can J Publ Health 2010, 101(5):390-5.
  • [5]Frank E, Rothenberg R, Lewis C: Correlates of physicians’ prevention-related practices. Findings from the Women Physicians’ Health Study. Arch Fam Med 2000, 9(4):359-67.
  • [6]Frank E, Carrera JS, Elon L: Predictors of US medical students’ prevention counseling practices. Prev Med 2007, 44(1):76-81.
  • [7]White MJ, Ewy BM, Ockene J: Basic skills for working with smokers: a pilot test of an online course for medical students. J Cancer Ed 2007, 22(4):254-8.
  • [8]Hauer KE, Carney PA, Chang A: Behavior change counseling curricula for medical trainees: a systematic review. Acad Med 2012, 87(7):956-68.
  • [9]Thakore S, Ismail Z, Jarvis S: The perceptions and habits of alcohol consumption and smoking among Canadian medical students. Acad Psych 2009, 33(3):193-7.
  • [10]Roskin J, Aveyard P: Canadian and English students’ beliefs about waterpipe smoking: a qualitative study. BMC Publ Health 2009, 9:10. BioMed Central Full Text
  • [11]Raupach T, Shahab L, Baetzing S: Medical students lack basic knowledge about smoking: findings from two European medical schools. Nicotine Tobacco Res 2009, 11(1):92-8.
  • [12]Springer CM, Tannert Niang KM, Matte TD: Do medical students know enough about smoking to help their future patients? Assessment of New York City fourth-year medical students’ knowledge of tobacco cessation and treatment for nicotine addiction. Acad Med 2008, 83(10):982-9.
  • [13]Strobel L, Schneider NK, Krampe H: German medical students lack knowledge of how to treat smoking and problem drinking. Addiction 2012, 107(10):1878-82.
  • [14]World Health Organization: Tobacco Control Country Profiles. http://www.who.int/tobacco/surveillance/policy/country_profile/en/index.html webcite
  • [15]Canadian Tobacco Use Monitoring Survey (CTUMS): Summary of Annual Results for 2011. 2012. http://www.hc-sc.gc.ca/hc-ps/tobac-tabac/research-recherche/stat/ctums-esutc_2011-eng.php webcite
  • [16]Maziak W: The global epidemic of waterpipe smoking. Addict Behav 2011, 36(1–2):1-5.
  • [17]Noonan D: Exemptions for hookah bars in clean indoor air legislation: a public health concern. Public Health Nurs 2010, 27(1):49-53.
  • [18]Maziak W, Eissenberg T, Ward KD: Patterns of waterpipe use and dependence: implications for intervention development. Pharmacol Biochem Behav 2005, 80(1):173-9.
  • [19]Lumley J, Chamberlain C, Dowswell T: Interventions for promoting smoking cessation during pregnancy. Cochrane Database Syst Rev 2009, 3(3):CD001055.
  • [20]Burke H, Leonardi-Bee J, Hashim A: Prenatal and passive smoke exposure and incidence of asthma and wheeze: systematic review and meta-analysis. Pediatrics 2012, 129(4):735-44.
  • [21]Heneghan C, Perera R, Mant D: Hypertension guideline recommendations in general practice: awareness, agreement, adoption, and adherence. Br J Gen Pract 2007, 57(545):948-52.
  • [22]Beaulieu MD, Brophy J, Jacques A: Physicians’ attitudes to the pharmacological treatment of patients with stable angina pectoris. QJM 2005, 98(1):41-51.
  • [23]CAN-ADAPTT: Canadian Smoking Cessation Clinical Practice Guideline. Toronto, Canada: Canadian Action Network for the Advancement, Dissemination and Adoption of Practice-informed Tobacco Treatment, Centre for Addiction and Mental Health; 2011.
  • [24]Sauvageau C, Groulx S, Pelletier A: Do you counsel your patients on their health behaviors? Can J Public Health 2008, 99(1):31-5.
  • [25]Vogt F, Hall S, Marteau TM: General practitioners’ and family physicians’ negative beliefs and attitudes towards discussing smoking cessation with patients: a systematic review. Addiction 2005, 100(10):1423-31.
  • [26]Raupach T, Merker J, Hasenfuss G: Knowledge gaps about smoking cessation in hospitalized patients and their doctors. Eur J Cardiovasc Prev Rehabil 2011, 18(2):334-41.
  • [27]Stead LF, Bergson G, Lancaster T: Physician advice for smoking cessation. Cochrane Database Syst Rev 2008, 2(2):CD000165.
  • [28]Heerwegh D, Loosveldt G: Face-to-face versus web surveying in a high-internet-coverage population. Public Opin Q 2008, 72(5):836-46.
  • [29]Kreuter F, Presser S, Tourangeau R: Social desirability bias in CATI, IVR and web surveys: The effects of mode and question sensitivity. Public Opin Q 2008, 72(5):847-65.
  • [30]Minen MT, Duquaine D, Marx MA: A survey of knowledge, attitudes, and beliefs of medical students concerning antimicrobial use and resistance. Microb Drug Resist 2010, 16(4):285-9.
  • [31]Grava-Gubins I, Scott S: Effects of various methodologic strategies: survey response rates among Canadian physicians and physicians-in-training. Can Fam Phys 2008, 54(10):1424-30.
  文献评价指标  
  下载次数:36次 浏览次数:9次