Patterns of tobacco usage and cessation practice among the doctors of a tertiary hospital in Kolkata.
ABSTRACT The study was aimed to know the prevalence of smoking among medical population in Bengal. For this purpose, pretested and predesigned questionnaires were distributed among doctors of one tertiary medical college hospital in Kolkata. The survey showed that 89.39% of male doctors used tobacco in any form at any point of their life. But, only 27.69% of female doctors used tobacco including present, past and occasional user; 30.3% of male doctors and 6.15% of female doctors have given up the habit. Smoking was the most prevalent form of tobacco usage among male doctors (42.42% are regular user and 12.12% are occasional user). Chewing is the most prevalent among female doctors (15.38% are regular user and 1.53% are occasional user). Some use tobacco in the form of smoking and chewing. Most of the doctors started the habit of tobacco use during their college days. There is a trend of giving up the habit particularly after the age of 40 years. So, the use of tobacco is quite prevalent among male doctors in Bengal. But, it is very much appreciable that there is a trend of giving up the habit. As most of doctors adopted the habit during their college days,more emphasis should be given on study course regarding hazards of tobacco, so that future doctors do not adopt the habit and become role model in the society.
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ABSTRACT: Objective As there are few studies on the smoking habits of specialists training in health sciences (residents), it is of interest to determine the prevalence of smoking, nicotine dependence and motivation for change, and their relationship with other variables (personal, work and consumption of other drugs). Material and methods A multicentre, cross-sectional study using a questionnaire was conducted in 2012. All the residents who were studying in Teaching Health Centres in Andalusia (Spain) completed a questionnaire, which was sent by e-mail, collecting: age, sex, specialty, country of origin, qualitative-quantitative consumption of tobacco, age of onset/cessation, Fagerström test and stage of change (Proschaka). Results A total of 2667 residents (63% of total) completed the questionnaire. The mean age was 29.1 years (± 5.2), 69% female, 89% Spanish, and 86% physicians. Of the 17% who smoked (daily pattern-47%, intermittently-41%, related to leisure-3%), starting at 17.4 years (± 3.5) and mean of 7.5 cigarettes per day (± 7.1), higher medical specialties (P = .067 ANOVA), and in men (P = .074, Student-t). More than three-quarters (82%) had a low nicotine dependence, being higher in hospital medical specialties (P = .078 χ2). Of the total, 7% were former smokers, and 48% wanted to quit smoking (contemplation 38%, preparation 10%). In the multivariate analysis there was a link between smoking and alcohol consumption (OR 2.84) and illegal drugs (OR 3.57). There were no differences by age or country. Conclusions The consumption of tobacco in residents is less than the general population, with a low dependence and better willingness to change. The period of specialised training is a good time to offer tobacco interventions.SEMERGEN - Medicina de Familia 09/2015; 6(41):296-304. DOI:10.1016/j.semerg.2014.07.002