Physician advice to quit smoking: Who gets it and who doesn't

Department of Cancer Control and Epidemiology, Roswell Park Memorial Institute, Buffalo, New York 14263.
American Journal of Preventive Medicine (Impact Factor: 4.53). 01/1987; 3(2):69-75.
Source: PubMed


This is a study of physicians' stop-smoking advice to patients in a university-affiliated family medicine outpatient center. The study population consisted of 311 cigarette-smoking patients of 28 family-practice residents. Patients were monitored for three months to assess changes in their smoking habits and to measure the effects of advice from their physicians. Reports of advice were correlated with both patient and physician characteristics. Forty-one percent of the patients said they had been told by their physician to stop smoking during the three-month follow-up period. Heavy smokers (more than 26 cigarettes a day) (p = .02) and those being treated for tobacco-related conditions (p = .06) were most likely to report that their physician had advised them to quit smoking. Patients seen by a physician who was a cigarette smoker were less likely to report stop-smoking advice than patients seen by a nonsmoking physician (26 percent versus 44 percent, p = .02). Selectivity in the types of patients advised to quit smoking appears to reflect the physicians' personal judgments about the patients' likelihood of following their advice.

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    • "Tobacco use is the major risk factor for morbidity and mortality in world with around 6 million people becoming victim of tobacco menace each year (Cummings et al., 1987). According to WHO, tobacco will be responsible for 8 million deaths per year by the decade 2030, with 80% of them occurring in developing countries and around one billion premature deaths during 21st century (Ferry et al., 1999). "
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    ABSTRACT: Tobacco is the single largest cause of preventable death among adults globally, as it is in India. Despite this alarming situation, there is very minimal inclusion of tobacco in formal education systems, including the medical discipline, in India.
    Asian Pacific journal of cancer prevention: APJCP 07/2014; 15(14):5611-5. DOI:10.7314/APJCP.2014.15.14.5611 · 2.51 Impact Factor
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    • "Their own smoking habits may cloud their judgement and influence their ability to adequately counsel smokers. They are also more likely to maintain attitudes that prevent them from providing patients with anti-smoking advice [13,14]. As one can assume many of their personal smoking behaviors and beliefs are formed during their medical education, any successful tobacco control measures within the medical profession will need to begin prior to graduation from medical school. "
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    ABSTRACT: Diseases associated with smoking are a foremost cause of premature death in the world, both in developed and developing countries. Eliminating smoking can do more to improve health and prolong life than any other measure in the field of preventive medicine. Today's medical students will play a prominent role in future efforts to prevent and control tobacco use. A cross-sectional, self-administered, anonymous survey of fifth-year medical students in Berlin, Germany was conducted in November 2007. The study explored the prevalence of smoking among medical students. We assessed their current knowledge regarding tobacco dependence and the effectiveness of smoking cessation methods. Students' perceived competence to counsel smokers and promote smoking cessation treatments was also explored. Analyses were based on responses from 258 students (86.6% response rate). One quarter of the medical students surveyed were current smokers. The smoking rate was 22.1% among women, 32.4% among men. Students underestimated smoking-related mortality and the negative effect of smoking on longevity. A considerable number of subjects erroneously assumed that nicotine causes coronary artery disease. Students' overall knowledge of the effectiveness of smoking cessation methods was inadequate. Only one third of the students indicated that they felt qualified to counsel patients about tobacco dependence. This study reveals serious deficiencies in knowledge and counseling skills among medical students in our sample. The curriculum of every medical school should include a tobacco module. Thus, by providing comprehensive training in nicotine dependence interventions to medical students, smokers will have access to the professional expertise they need to quit smoking.
    Journal of Occupational Medicine and Toxicology 04/2010; 5(1):9. DOI:10.1186/1745-6673-5-9 · 1.62 Impact Factor
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    • "to their practice also reported high self-confidence in such counseling and an extensive amount of training in smoking cessation counseling. This finding is supported by previous studies that have found that physicians' belief in the importance of counseling, the effectiveness of counseling on behavior change among patients, increased knowledge of risk factors, and training in counseling are associated with frequent counseling by physicians (Cummings et al., 1987; Lewis et al., 1991; Rosso et al., 1992; Wells et al., 1984). "
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    ABSTRACT: The Women Physicians' Health Study (WPHS) offers a unique opportunity to examine the counseling and screening practices of women physicians. The objectives of this study were to: describe the prevalence of self-reported smoking cessation counseling among primary care women physicians and determine the association between physician demographic, professional, and personal characteristics and smoking cessation counseling. Conducted in 1993-1994, WPHS is a nationally representative cross-sectional mailed survey of U.S. women physicians and included 4,501 respondents representing all major specialties. Primary care physicians included 5 specialty areas and were grouped into 3 categories: (1) general primary care; (2) obstetrics/gynecology (ob/gyn); and (3) pediatrics. Frequent counseling was defined as having counseled patients who were known smokers at every visit or at least once a year. Women physicians in general primary care (84%) and ob/gyn (83%) were more likely to frequently counsel their patients about cessation than were pediatricians (41%). Perceived relevance of counseling to a physician's practice was significantly associated with frequent counseling. Personal characteristics (current smoking status, personal or family history of a smoking-related disease, or living with a smoker as an adult or child) were not significantly correlated with counseling. The majority (71%) of physicians reported frequently counseling their patients. However, there was significant variation by physician specialty. In addition, perceived relevance of counseling was strongly associated with counseling behavior. Physician counseling on cessation can reduce tobacco-related morbidity and mortality. Increasing perceived relevance, implementing system changes, and creating accountability can facilitate cessation counseling by physicians.
    Women & Health 02/2001; 32(4):77-91. DOI:10.1300/J013v32n04_05 · 1.05 Impact Factor
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