Personal Health Habits of American Cardiologists
Mid America Heart Institute, Kansas City, Missouri, USA. The American Journal of Cardiology
(Impact Factor: 3.28).
04/2006; 97(7):1093-6. DOI: 10.1016/j.amjcard.2005.10.057
This study surveyed all cardiologists in a large coalition of cardiology groups. A 1-page, 25-item anonymous questionnaire containing 3 sections (demographics, medical history, and current medications and supplements) was used. Data from returned questionnaires were analyzed and compared with those in national databases. Eight hundred surveys were sent, and complete data were available for analysis on 471 (59%). The average age of the participants was 48.6 years; 7.1% were women. The average body mass index (BMI) was 25 kg/m(2), and 8% were obese (BMI > or =30 kg/m(2)); 1.3% were active smokers; 89% exercised > or =1 time/week; and 72% had > or =1 alcoholic drink/week. Red wine was the most frequently consumed alcoholic beverage. Associated cardiovascular risks included dyslipidemia (28%), hypertension (14%), and diabetes mellitus (0.6%). Four percent had experienced coronary events. Compared with matched cohorts from the United States (US) population, cardiologists reported lower rates of hypertension, dyslipidemia, and diabetes mellitus, and the rates of smoking and obesity were 1/18 and 1/3 those of the US population, respectively. Aspirin and statins were each taken daily by about 1/3 of the participants. A cardiologist with dyslipidemia was 5 times as likely to be treated and a cardiologist with hypertension was almost twice as likely to be treated as an American adult man with either of these disorders, respectively. In conclusion, cardiologists appear to follow healthier lifestyles than the general adult US population.
Available from: Judith Rosta
- "There is a need for longitudinal studies on doctors' life habits. Most investigations use cross-sectional data from medical students, younger doctors (Kjobli et al., 2004; Bíró et al., 2008; Frank et al., 2008; Grotmol et al., 2010), general practitioners (GPs) (Sebo et al., 2007), hospital doctors (Rosta, 2008), certain specialists (Rosta and Aasland, 2005; Abuissa et al., 2006; Oreskovich et al., 2012), male gender (Juntunen et al., 1988), doctors' workforce (Nash et al., 2010) or health-care personnel in general (Kenna and Lewis, 2008). The findings in these studies are mixed. "
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ABSTRACT: Aims: To describe changes in the patterns and consequences of alcohol use among Norwegian doctors from 2000 to 2010. Methods: Longitudinal study based on data from nation-wide postal surveys in 2000 and 2010 among a representative sample of 682 doctors in Norway. The Alcohol Use Disorder Identification Test (AUDIT) was used to measure the changes in drinking patterns (frequency of drinking, frequency of heavy drinking and quantity of drinking), symptoms of alcohol dependence and adverse consequences of drinking. A score above 8 was defined as hazardous drinking. Results: From 2000 to 2010, the proportion of doctors who used alcohol twice a week or more significantly increased from 31.4 (27.9–34.9) % to 48.7 (44.9–48.7) %, and the proportion of those who drank to intoxication weekly or more decreased significantly from 6.6 (4.7–8.6) % to 2.5 (1.3–1.7) %. The proportion who scored above 8 on the AUDIT decreased from 10.7 (8.4–13.0) % in 2000 to 8.2 (6.2–10.3) % in 2010. There was a significant increase in the partial AUDIT-score for drinking patterns (t = 2.4; P = 0.016), and a significant decrease in the partial AUDIT-score for adverse consequences of drinking (t = −3.6; P < 0.001). The partial AUDIT-score for symptoms of alcohol dependence did not change significantly (t = −1.6; P = 0.112). There were gender differences in drinking patterns. Females had less frequent alcohol consumption and fewer episodes of heavy and hazardous drinking in 2000 and 2010.
Conclusion: The drinking pattern of Norwegian doctors has changed over the past decade towards more moderate alcohol consumption and less negative alcohol-related consequences. Changes in the attitude towards alcohol consumption may to a certain extent explain these findings.
Alcohol and Alcoholism 08/2012; 48(1). DOI:10.1093/alcalc/ags084 · 2.89 Impact Factor
Available from: Judith Rosta
- "Yet, there is clearly a need for research that aims at the entire population of hospital doctors. Recent studies focus on medical students, GPs, certain specialties or healthcare professionals in general , , , , , , , , ,  – with little attention given to hospital doctors . Hospital doctors constitute the largest group among doctors work force. "
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ABSTRACT: To describe and discuss the alcohol drinking patterns of the younger generation of hospital doctors in Norway and Germany - respectively the abstainers, frequent drinkers, episodic heavy drinkers and hazardous drinkers.
Data were collected in nationwide postal surveys among doctors in Norway (2000) and Germany (2006). A representative sample of 1898 German and 602 Norwegian hospital doctors aged 27-65 years were included in the analyses (N=2500). Alcohol drinking patterns were measured using the first three items of AUDIT in Norway and the AUDIT-C in Germany, scores of >or=5 (ranking from 0 to 12) indicating hazardous drinking. Episodic heavy drinking was defined by the intake of >or=60 g of ethanol, on one occasion, at least once a week. Frequent drinkers were who drank alcoholic beverages at least twice a week. Abstainers were persons who drank no alcohol. The analyses were performed separately for age groups (27-44 years versus 45-65 years) and genders.
Compared to the age groups 45 to 65 years in the Norwegian and German samples, the younger age groups (27-44 years) tend to have higher rates of abstainers, higher rates of infrequent drinking of moderate amount of alcoholic drinks, lower rates of episodic heavy drinking and lower rates of hazardous drinking.
The younger generation of hospital doctors in Norway and Germany showed tendencies to healthier drinking habits. Changes in professional life, and in the attitude towards alcohol consumption, may go some way towards explaining these findings.
German medical science : GMS e-journal 02/2010; 8:Doc05. DOI:10.3205/000094
Available from: sciencedirect.com
- "The 37.1% response rate is equivalent to the 33.6% rate during the 1993 French survey , but lower than the 50.5% response rate obtained in a Dutch survey  and the 59% rate in an American survey . We cannot exclude selection bias, with greater participation by physicians who are more interested in this topic. "
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ABSTRACT: While cardiologists are very active in the prevention of cardiovascular disease, their attitudes towards patients' smoking habits are poorly studied.
In a nationwide French survey, we assessed cardiologists' levels of knowledge and management of smoking cessation.
We sent out a questionnaire to a random sample of 1000 cardiologists.
A total of 371cardiologists agreed to participate in the survey; 8.1% were current smokers and 32.4% were past smokers. Most classified smoking cessation as the top priority for patients with coronary artery disease (56.5%) and peripheral arterial disease (88.5%). Cardiologists routinely assessed active and passive smoking in 96.2% and 43% of their patients, respectively. Only 29.2% considered themselves well informed about smoking-cessation management. While 39.9% declared they knew about the minimal counselling 7.3% described it correctly. Only 17.5% used the Fagerström questionnaire. Smoking cessation was advised systematically by 85% but only 5.4% of cardiologists followed up their patients specifically on this issue. They referred smokers to either their general practitioner or to smoking-cessation centres and/or quitlines in 16.0% and 67.0% of cases, respectively; 31.8% never referred their patients to a smoking-cessation centre, and 25% declared being unaware of any such centre in their area. Cardiologists who smoked were less likely to ask about patients' smoking status than non-smokers (90% vs 98.2%, p=0.039). Similarly, they were more passive in offering smoking-cessation counselling (23% vs 7%, p=0.011), and referred less frequently their patients to a smoking-cessation centre (37% vs 64%, p=0.028).
French cardiologists are rarely involved in the management of smoking cessation. Their own smoking status influences their attitudes towards the management of smoking cessation.
Archives of Cardiovascular Diseases 04/2009; 102(3):193-9. DOI:10.1016/j.acvd.2009.01.005 · 1.84 Impact Factor
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