Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation

DİLMEN, Nevit; KARASULU, Levent; DEMİR, Tunçalp; UYSAL, Atilla Mehmet

Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation

Atilla Mehmet UYSAL, (Yedikule Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hast,Radyoloji Bölümü, İstanbul)

Nevit DİLMEN, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Radyoloji Anabilim Dalı, İstanbul, Türkiye)

Levent KARASULU, (Yedikule Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hast,Radyoloji Bölümü, İstanbul)

Tunçalp DEMİR (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İstanbul, Türkiye)

Tüberküloz ve Toraks

2 0

Yıl: 2007 Cilt: 55 Sayı: 4 Sayfa Aralığı: 350 - 355 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation

Öz:

Bu çalışmada, İstanbul’da çalışan hekimlerin sigara ile ilişkili inançları, davranışları ve sigara karşıtı yasa ile ilgili bilgileri hakkında bilgi edinmeyi amaçladık. İstanbul Tabip Odası (İTO) üyesi olan 18.000 hekime gönderilen anketten 374’ü anketi gönüllü olarak doldurmayı kabul etti. Bu hekimlerden 250 (%66.8)’si erkek, 124 (%33.2)’ü kadındı. Üç yüz yetmiş dört hekimden 60 (%16)’ı sigara içmekteydi ve bunların 42 (%70)’si erkek, 18 (%30)’i kadındı. Sigara içmenin ciddi bir sağlık problemi olduğunu, sigara içen hekimlerin %91.5’i, sigara içmeyen hekimlerin ise %98.4’ü düşünüyordu. Hastaların sigara içme alışkanlıklarını sigara içen hekimlerin %70.7’si, sigara içmeyen hekimlerin %91.1’i sorguluyordu. Aralarındaki fark istatistiksel olarak anlamlı bulundu (sırasıyla, p= 0.012 ve p= 0.00). Hastalarını sigara bırakma merkezlerine sigara içen hekimlerin %25’i, sigara içmeyen hekimlerin %34.5’i gönderirken, farmakolojik tedavinin etkili olduğunu sigara içen hekimlerin %21.7’si, sigara içmeyen hekimlerin ise %28.8’si düşünüyordu. Aralarındaki fark istatistiksel olarak anlamlı bulunmadı (sırasıyla, p= 0.167 ve p= 0.262). Çalışmamız, hekimlerin tütün bağımlılığı tedavileri ve tütün kullanımı ile ilgili yasa hakkında bilgilerinin yetersiz olduğunu göstermektedir. Sigara ve sigara bırakma tekniklerinin fakülte ve mezuniyet sonrası eğitimin bir parçası olarak daha ayrıntılı uygulanması gerektiğini düşünmekteyiz.

Anahtar Kelime: Sağlık bilgisi, tutumları, uygulamaları Hekim-hasta ilişkileri İstanbul Sağlık personelinin tutumu Hekimler Hukuk Sigarayı bırakma Anketler Sigara içme

Konular: Solunum Sistemi Kulak, Burun, Boğaz

İstanbul’daki hekimlerin sigara içme alışkanlıkları ve sigara karşıtı yasaya ilişkin tutumları

Öz:

The purpose of this study was to analyze smoking related beliefs, attitudes and knowledge on anti-smoking legislation among physicians practicing in Istanbul, Turkey. Questionnaires were sent to 18.000 physicians who were also members of Istanbul Chamber of Medicine. Three hundred-seventy and four physicians responded. Two hundred-fifty of the respondents were males (66.8%) and 124 were females (33.2%). Sixty out of 374 physicians were smokers. Eighteen of them (30%) were females, 42 of them (70%) were males. 91.5% of physicians who smoked tobacco and 98.4% of non-smoker physicians agreed that smoking is a serious health issue. 91.1% of nonsmoker physicians and 70.7% of smokers asked their patients about their smoking habits. The difference between smokers and non-smokers was statistically significant in both comparisons (p= 0.012 and p= 0.00, respectively). 25% of smoking physicians and 34.5% of non-smokers referred their patients to smoking cessation centers. 21.7% of smoking physicians and 28.8% of non-smokers believed in the success of pharmacological therapy. The difference between smokers and non-smokers was statistically non significant (p= 0.167 and p= 0.262, respectively). This results suggests that physicians have insufficient knowledge on smoking cessation therapies and the law regarding the use of tobacco and that smoking cessation techniques should be incorporated in the curriculum of the faculties and post graduation training programs.91.5 % of physicians who smoked tobacco and 98.4% of non-smoker physicians agreed that smoking is a serious health issue. 91.1% of nonsmoker physicians and 70.7 % of smokers asked their patients about their smoking habits. The difference between smokers and non-smokers was statistically significant in both comparisons (p=0.012 and p=0.00, respectively). 25 % of smoking physicians and 34.5% of non smokers referred their patients to smoking cessation centers. 21.7% of smoking physicians and 28.8% of non-smokers believed in the success of pharmacological therapy. The difference between smokers and non-smokers was statistically non significant (p=0.167 and p=0.262, respectively). This results suggests that physicians have insufficient knowledge on smoking cessation therapies and the law regarding the use of tobacco and that smoking cessation techniques should be incorporated in the curriculum of the faculties and post graduation training programs.

Anahtar Kelime: Questionnaires Smoking Health Knowledge, Attitudes, Practice Physician-Patient Relations İstanbul Attitude of Health Personnel Physicians Jurisprudence Smoking Cessation

Konular: Solunum Sistemi Kulak, Burun, Boğaz

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

1. Braun BL, Fowles JB, Solberg LI, et al. Smoking-related attitudes and clinical practices of medical personnel in Minnesota. Am J Prev Med 2004; 27: 316-22.
2. Grossman DW, Knox JJ, Nash C, Jimenez JG. Smoking: Attitudes of Costa Rican physicians and opportunities for intervention. Bull World Health Organ 1999; 77: 315-22.
3. Samuels N. Smoking among hospital doctors in Israel and their attitudes regarding anti-smoking legislation. Public Health 1997; 111: 285-8.
4. Gunes G, Karaoglu L, Genc M, et al. University hospital physicians’ attitudes and practices for smoking cessation counseling in Malatya, Turkey. Patient Educ Couns 2005; 56: 147-53.
5. Hay DR. Cigarette smoking by New Zealand doctors and nurses: Results from the 1996 population census. NZ Med J 1998; 7: 102-4.
6. Bilir N, Dogan BG, Yildiz AC. Smoking behavior and attitudes (Ankara-Turkey). Ankara: Hacettepe Public Health Foundation; 1997.
7. Fiore MC. US public health service clinical practice guideline: Treating tobacco use and dependence. Respir Care 2000; 45: 1200-62.
8. Tomar SL, Husten CG, Manley MW. Do dentists and physicians advise tobacco users to quit? J Am Dent Assoc 1996; 127: 259-65.
9. http://www.saglik.gov.tr/sb/default.asp?sayfa= istatistik (accesed on December 26, 2006).
10. Rosen AK, McCarthy EP, Moskowitz MA. Effect of a hospital nonsmoking policy on patients’ knowledge, attitudes, and smoking behavior. Am J Health Promot 1995; 9: 361-70.
11. Valente TW, Gallaher P, Mouttapa M. Using social networks to understand and prevent substance use: A transdisciplinary perspective. Subst Use Misuse 2004; 39: 1685-12. Review.
12. Wells M, Sarna L, Bialous SA. Nursing research in smoking cessation: A listing of the literature, 1996-2005. Nurs Res 2006; 55: 16-28.
13. Franklin JL, Williams AF, Kresch GM, et al. Smoking cessation interventions by family physicians in Texas. Tex Med 1992; 88: 60-3.
14. Parna K, Rahu K, Rahu M. Smoking habits and attitudes towards smoking among Estonian physicians. Public Health 2005; 119: 390-9.
15. Coe RM, Brehm HP. Smoking habits of physicians and preventive care practices. HSMHA Health Rep 1971; 86: 217-21.
16. Waalkens HJ, Cohen SJ, Adriaanse H, Knol K. Smoking habits in medical students and physicians in Groningen, The Netherlands. Eur Respir J 1992; 5: 49-52.
17. Dekker HM, Looman CWN, Adriaanse HP, et al. Prevalence of smoking in physicians and medical students, and the generation effect in the Netherlands. Soc Sci Med 1993; 36: 817-22.
18. Nelson DE, Giovino GA, Emont SL, et al. Trends in cigarette smoking among US physicians and nurses. JAMA 1994; 271: 1273-5.

APA	UYSAL A, DİLMEN N, KARASULU L, DEMİR T (2007). Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. , 350 - 355.
Chicago	UYSAL Atilla Mehmet,DİLMEN Nevit,KARASULU Levent,DEMİR Tunçalp Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. (2007): 350 - 355.
MLA	UYSAL Atilla Mehmet,DİLMEN Nevit,KARASULU Levent,DEMİR Tunçalp Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. , 2007, ss.350 - 355.
AMA	UYSAL A,DİLMEN N,KARASULU L,DEMİR T Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. . 2007; 350 - 355.
Vancouver	UYSAL A,DİLMEN N,KARASULU L,DEMİR T Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. . 2007; 350 - 355.
IEEE	UYSAL A,DİLMEN N,KARASULU L,DEMİR T "Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation." , ss.350 - 355, 2007.
ISNAD	UYSAL, Atilla Mehmet vd. "Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation". (2007), 350-355.

APA	UYSAL A, DİLMEN N, KARASULU L, DEMİR T (2007). Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. Tüberküloz ve Toraks, 55(4), 350 - 355.
Chicago	UYSAL Atilla Mehmet,DİLMEN Nevit,KARASULU Levent,DEMİR Tunçalp Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. Tüberküloz ve Toraks 55, no.4 (2007): 350 - 355.
MLA	UYSAL Atilla Mehmet,DİLMEN Nevit,KARASULU Levent,DEMİR Tunçalp Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. Tüberküloz ve Toraks, vol.55, no.4, 2007, ss.350 - 355.
AMA	UYSAL A,DİLMEN N,KARASULU L,DEMİR T Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. Tüberküloz ve Toraks. 2007; 55(4): 350 - 355.
Vancouver	UYSAL A,DİLMEN N,KARASULU L,DEMİR T Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation. Tüberküloz ve Toraks. 2007; 55(4): 350 - 355.
IEEE	UYSAL A,DİLMEN N,KARASULU L,DEMİR T "Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation." Tüberküloz ve Toraks, 55, ss.350 - 355, 2007.
ISNAD	UYSAL, Atilla Mehmet vd. "Smoking habits among physicians in Istanbul and their attitudes regarding anti-smoking legislation". Tüberküloz ve Toraks 55/4 (2007), 350-355.