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Smoking cessation intervention practices in Chinese physicians

Do gender and smoking status matter

Bibliographic Data

ID12288161
AuthorsTh Lam (0000-0002-2033-9971, University of Hong Kong, corresponding author), Tai Hing Lam, Chaoqiang Jiang (Twelfth Guangzhou City People's Hospital), Ya-Fen Chan (University of Hong Kong), Sophia Siu Chee Chan (0000-0002-6349-3717, University of Hong Kong)
Year2010
Volume19
Issue2
Pagesno-no
Publication date2010-09-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1365-2524.2010.00952.x
PMID21309876
OpenAlexW1560881147
LanguageEN
Citations received5
References cited23

Healthcare settings provide a major arena for administering smoking cessation interventions. However, few studies have reported differences in the frequency of practice in healthcare professionals by gender and smoking status. This might also be influenced by a difference in smoking prevalence by gender, especially in China and other developing countries. This study examined factors associated with the frequency of cessation intervention practices by smoking status among Chinese physicians in men and women. A cross-sectional survey was conducted in 2006 in physicians with direct patient contact from nine hospitals in Guangzhou with a response rate of 60.8%. Significantly more female physicians who were non-smokers (79.7%) reported "initiation and/or advice" smoking cessation interventions than male physicians who were smokers (71.2%) and non-smokers (71.6%). Factors significantly associated with "initiation and/or advice" were prior smoking cessation training (OR = 4.2, 95% CI 1.8-9.6) and lack of knowledge to help patients to quit (OR = 0.4, 95% CI 0.2-0.9) among male physicians who smoked; and organisational support (OR = 1.7, 95% CI 1.3-2.2) and successful past experience (OR = 0.4, 95% CI 0.2-1.0) among male physicians who did not smoke. Among female physicians who did not smoke, significant factors were agreeing that quitting smoking is the most cost-effective way to prevent chronic disease and cancer (OR = 3.0, 95% CI 1.4-6.1), helping patients stop smoking is part of expected role and responsibility (OR = 2.0, 95% CI 1.0-3.7), lack of knowledge to help patients to quit (OR = 0.5, 95% CI 0.2-1.0) and organisational support (OR = 1.3, 95% CI 1.0-1.6) for non-smoking female physicians. This study is the first to show that male physicians were less likely to provide smoking cessation counselling regardless of their smoking status while non-smoking female physicians were more active in advising patients on quitting. The findings highlight the need for developing tailored smoking cessation training programmes for physicians according to their smoking status and gender in China

China · Cross-sectional study · Family medicine · Health care · Intervention (counseling · Psychiatry · Psychological intervention · Smoking cessation · Medicine · Sleep and Work-Related Fatigue · Smoking Behavior and Cessation · Workplace Health and Well-being

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Unique citing works5
Citations per year0,33
Citation span2011 - 2023 (13)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5

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