Smoking behaviour among adult patients presenting to health facilities in four provinces of Vietnam

BMC Public Health

Stephen Jan¹  Viet Nhung Nguyen²  Van Giap Vu³  Quy Chau Ngo³  Joel Negin⁴  Becky Freeman⁴  Ngoc Yen Pham⁵  Thu Anh Nguyen⁵  Gregory J. Fox⁶  Guy B. Marks⁷  Wan-Chun Huang⁸ 

[1] Health Economics and Process Evaluation Program, George Institute for Global Health, Sydney, Australia;National Tuberculosis Control Program of Vietnam, Hanoi, Vietnam;Respiratory Center, Bach Mai Hospital, Hanoi, Vietnam;School of Public Health, University of Sydney, Sydney, Australia;Woolcock Institute of Medical Research, Hanoi, Vietnam;Woolcock Institute of Medical Research, Hanoi, Vietnam;Faculty of Medicine and Health, University of Sydney, Sydney, Australia;Woolcock Institute of Medical Research, Hanoi, Vietnam;South Western Sydney Clinical School, University of New South Wales, Sydney, Australia;Woolcock Institute of Medical Research, Hanoi, Vietnam;South Western Sydney Clinical School, University of New South Wales, Sydney, Australia;Division of Thoracic Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan;

关键词: Smoking;    Prevalence;    Smoking cessation;    Quit smoking;    Health facility;    Vietnam;   

DOI  :  10.1186/s12889-021-10880-z

来源: Springer

【 摘 要 】

BackgroundAttendance at healthcare facilities provides an opportunity for smoking cessation interventions. However, the smoking behaviours of patients seeking healthcare in Vietnam are not well-understood. We aimed to evaluate behaviours related to smoking among patients presenting to health facilities in Vietnam.MethodsWe conducted a cross-sectional study in 4 provinces of Vietnam. Consecutive patients aged ≥15 years presenting to 46 health facilities were assessed. Current smokers were randomly selected to complete a full survey about smoking behaviour, quit attempts, and preparedness to quit.ResultsAmong 11,245 patients who sought healthcare, the prevalence of current smoking was 18.6% (95% CI: 17.8–19.4%) overall, 34.6% (95% CI: 33.2–36.0%) among men and 1.1% (95% CI: 0.8–1.3%) among women. Current smokers who were asked about smoking by healthcare providers in the last 12 months were more likely to make quit attempts than those not asked (40.6% vs 31.8%, p = 0.017). Current smokers who attempted to quit in the past 12 months made limited use of cessation aids: counselling (1.9%) and nicotine replacement therapy (10%). A higher proportion of patients wanted to quit in the next month at national/provincial hospitals (30.3%) than those visiting district hospitals (11.3%, p < 0.001) and commune health centres (11.1%, p = 0.004).ConclusionsSmoking is common among male patients presenting to healthcare facilities in Vietnam. Formal smoking cessation supports are generally not used or offered. This population is likely to benefit from routine smoking cessation interventions that are integrated within the routine healthcare delivery system.

【 授权许可】

CC BY