Doctors In Turkey Smoke More

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Doctors In Turkey Smoke More

• SAHIN EM, OZER C, DAGDEVIREN N, AKTURK Z
• Trakya University
• Faculty of Medicine
• Department of Family Practice

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BACKGROUND

• Smoking is a major health problem in Turkey.
  The smoking prevalence is 43,6.
• 1988
• ? 25.000.000 smokers!

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• Medical practice of physicians may be affected
  by their life styles .
• Physicians who smoke may have difficulty in
  promoting healthy behavior among their patients.

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METHODS

• Attitudes and behaviors of the doctors in Trakya
  University Hospital about smoking were EVALUATED
  a questionnaire.

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• The questionnaire consisted of 29 items.
• Demographic parameters
• Assessing smoking habits
• Assessing nicotine dependency (Fagerström)
• Opinions about smoking cessation counseling

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• The research was completed in May 2000 .
• Descriptive
• Cross-sectional

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• Of 400 doctors in the hospital 132 participated.
  
• Questionnaires were delivered and collected by
  students.
• The results were analyzed in computer.

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RESULTS

• DEMOGPHIC PARAMETERS
• GENDER
• 72,5 male
• 27,5 female
• AGE
• mean age 33,64?8,36 (min24, max64).
• MARITAL STATUS
• 63,8married,
• 34,4 single
• 1,4 divorced.

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GENDER
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AGE
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MARITAL STATUS
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• ACADEMIC POSITION
• 12 professors (8,7)
• 9 associate professors (6,5)
• 24 assistant professors (17,4)
• 10 specialists (7,2)
• 83 residents (60,1)

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OCCUPATION
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• SMOKING HABITS

N
Non-smokers 55 41,6
Ex-smokers 17 12,9
Smokers 60 45,5
TOTAL 132 100
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SMOKING HABITS
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SMOKING DANSITY
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PREFERED TYPE OF CIGARETTES
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WHEN THEY START SMOKING?
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THE REASONS OF STARTING
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• STAGES of SMOKING CESSATION

N
Precontemplation 31 40,8
Contemplation 4 5,3
Preparation 25 32,8
Action 6 7,9
Maintenance 10 13,2
TOTAL 76 100
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• SMOKING CESSATION COUNSELING
• Smoking related diseases

N
All 82 77,4
gt70 9 8,5
30-70 5 4,7
lt30 5 4,7
None 5 4,7
TOTAL 106 100
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• SMOKING CESSATION COUNSELING
• Diseases not related to smoking

N
All 38 39,6
gt70 15 15,6
30-70 14 14,6
lt30 12 12,5
None 17 17,7
TOTAL 96 100
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Physicians should give smoking cessation
counseling in every visit.
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Smoking cessation counseling is a responsibility
for every physician.
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I could manage smoking cessation counseling.
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More physicians will provide smoking cessation
counseling if they know there is an effective
tool for guiding to quit.
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In our hospital, there is a need for a special
unit that provides smoking cessation counseling
and treatment.
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Do you ask all your patients their smoking
behavior?
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ANTI-SMOKING LEGISLATION

• Smoking is forbidden in closed public
  places

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What is the success rate of anti-smoking
legislation in practice?
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Do you smoke in practice?
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CONCLUSIONS

• Smoking prevalence in our research was found
  high as similar to previous trials made in Turkey
  
• ?(45,5) of the participants were smoking.

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• The smoking prevalence of doctors in our
  research was same with the population
• population doctors
• 43,6 45,5

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• Smoking cessation counseling rate is not enough
  because our participants dont know much about
  it.
• More physicians will provide smoking cessation
  counseling if they know there is an effective
  tool for guiding to quit (90 agreed)

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• There is a need for mobilizing tobacco control
  efforts.
• Our study reveals the smoking prevalence of
  doctors in different ages, sexes and specialties.
• It can be helpful in designing anti-tobacco
  efforts and assessing their efficacy.
• We believe anti-tobacco efforts sould start with
  education of physicians.

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• Take Home Messages
• Turkish doctors smoke more than their collegues
  in the world
• They are not motivated to quit smoking

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Doctors In Turkey Smoke More

• SAHIN EM, OZER C, DAGDEVIREN N, AKTURK Z
• Trakya University
• Faculty of Medicine
• Department of Family Practice