MMWR Morb Mortal Wkly Rep. 2005 May 27;54(20):505-9.
Tobacco use is projected to cause nearly 450 million deaths worldwide during the next 50 years. Health professionals can have a critical role in reducing tobacco use; even brief and simple advice from health professionals can substantially increase smoking cessation rates. Therefore, one of the strategies to reduce the number of smoking-related deaths is to encourage the involvement of health professionals in tobacco-use prevention and cessation counseling. Studies have collected information from health-profession students in various countries about their tobacco use and training as cessation counselors; however, no study has collected this information cross-nationally by using a consistent survey methodology. The World Health Organization (WHO), CDC, and the Canadian Public Health Association (CPHA) developed the Global Health Professionals Survey (GHPS) to collect data on tobacco use and cessation counseling among health-profession students in all WHO member states. This report summarizes findings from the GHPS Pilot Study, which consisted of 16 surveys conducted in 10 countries among third-year students in four health-profession disciplines (dentistry, medicine, nursing, and pharmacy) during the first quarter of 2005. The findings indicated that current cigarette smoking among these students was higher than 20% in seven of the 10 countries surveyed. Nevertheless, 87%-99% of the students surveyed believed they should have a role in counseling patients to quit smoking; only 5%-37% of these third-year students had actually received formal training in how to conduct such counseling. Schools for health professionals, public health organizations, and education officials should work together to design and implement training in smoking-cessation counseling for all health-profession students.
预计在未来50年里,全球范围内烟草使用将导致近4.5亿人死亡。卫生专业人员在减少烟草使用方面可发挥关键作用;即使是卫生专业人员给出的简短且简单的建议,也能大幅提高戒烟率。因此,减少与吸烟相关死亡人数的策略之一是鼓励卫生专业人员参与烟草使用预防和戒烟咨询工作。已有研究收集了不同国家卫生专业学生的烟草使用情况及其作为戒烟咨询员的培训信息;然而,尚无研究采用一致的调查方法在跨国层面收集此类信息。世界卫生组织(WHO)、美国疾病控制与预防中心(CDC)以及加拿大公共卫生协会(CPHA)联合开展了全球卫生专业人员调查(GHPS),以收集世卫组织所有成员国卫生专业学生的烟草使用及戒烟咨询数据。本报告总结了GHPS试点研究的结果,该研究于2005年第一季度在10个国家针对四个卫生专业学科(牙科、医学、护理和药学)的三年级学生开展了16项调查。结果表明,在接受调查的10个国家中,有7个国家的这些学生当前吸烟率高于20%。尽管如此,87% - 99%的受访学生认为他们应在为患者提供戒烟咨询方面发挥作用;而这些三年级学生中,只有5% - 37%实际接受过如何进行此类咨询的正规培训。卫生专业院校、公共卫生组织和教育官员应共同努力,为所有卫生专业学生设计并实施戒烟咨询培训。