Barengo Noël C, Sandström H Patrick, Jormanainen Vesa J, Myllykangas Markku T
Department of Public Health and General Practice, University of Kuopio, Finland.
Soz Praventivmed. 2005;50(6):355-60. doi: 10.1007/s00038-005-4097-z.
To investigate whether smoking by general practitioners (GPs) and gender influence smoking cessation advice.
A self-administered questionnaire, originally developed by the WHO and modified according to the Finnish health care system was sent by mail to physicians who were members of the Finnish Medical Association (FMA). Participants were restricted to those who were living in Finland and were younger than 65 years. Numbers of participants was 3,057 and the response rate 69%.
Smoking male GPs gave less smoking cessation advice only to patients with a stomach ulcer or patients using oral contraceptive pills compared with their non-smoking colleagues. Male GPs gave less smoking cessation advice to pregnant patients or patients using contraceptive pills than female GPs. Female smoking GPs less likely advised patients who were pregnant or who were using oral contraceptive pills to stop smoking than non-smoking female GPs (p <0.001). The percentage of GPs who have never distributed smoking cessation information was lower in men (41%) than in women (45%; p-value: 0.052).
Minor differences in anti-smoking advice to patients between smoking and non-smoking general practitioners were found. The little involvement of GPs in health promotion activities regarding tobacco control is of concern.
调查全科医生（GP）吸烟及性别是否会影响戒烟建议。
一份最初由世界卫生组织制定并根据芬兰医疗保健系统修改的自填式问卷，通过邮件发送给芬兰医学协会（FMA）的会员医生。参与者仅限于居住在芬兰且年龄小于65岁的人。参与者人数为3057人，回复率为69%。
与不吸烟的同事相比，吸烟的男性全科医生仅对患有胃溃疡的患者或使用口服避孕药的患者提供较少的戒烟建议。男性全科医生对孕妇或使用避孕药的患者提供的戒烟建议比女性全科医生少。吸烟的女性全科医生比不吸烟的女性全科医生更不可能建议怀孕或使用口服避孕药的患者戒烟（p<0.001）。从未分发过戒烟信息的全科医生比例男性（41%）低于女性（45%；p值：0.052）。
发现吸烟和不吸烟的全科医生在向患者提供的戒烟建议方面存在细微差异。全科医生在烟草控制健康促进活动中的参与度较低令人担忧。
