Ng Nawi, Prabandari Yayi Suryo, Padmawati Retna Siwi, Okah Felix, Haddock C Keith, Nichter Mark, Nichter Mimi, Muramoto Myra, Poston Walker S C, Pyle Sara A, Mahardinata Nurazid, Lando Harry A
Department of Public Health, Faculty of Medicine, Gadjah Mada University, IKM Building 3rd Floor, Farmako Street, North Sekip, Jogjakarta 55281, Indonesia.
Tob Control. 2007 Jun;16(3):190-6. doi: 10.1136/tc.2006.018895.
To explore Indonesian physician's smoking behaviours, their attitudes and clinical practices towards smoking cessation.
Cross-sectional survey.
Physicians working in Jogjakarta Province, Indonesia, between October and December 2003.
447 of 690 (65%) physicians with clinical responsibilities responded to the survey (236 men, 211 women), of which 15% were medical faculty, 35% residents and 50% community physicians.
22% of male (n = 50) and 1% of female (n = 2) physicians were current smokers. Approximately 72% of physicians did not routinely ask about their patient's smoking status. A majority of physicians (80%) believed that smoking up to 10 cigarettes a day was not harmful for health. The predictors for asking patients about smoking were being male, a non-smoker and a medical resident. The odds of advising patients to quit were significantly greater among physicians who perceived themselves as sufficiently trained in smoking cessation.
Lack of training in smoking cessation seems to be a major obstacle to physicians actively engaging in smoking cessation activities. Indonesian physicians need to be educated on the importance of routinely asking their patients about their tobacco use and offering practical advice on how to quit smoking.
探讨印度尼西亚医生的吸烟行为、他们对戒烟的态度和临床实践。
横断面调查。
2003年10月至12月期间在印度尼西亚日惹省工作的医生。
690名承担临床职责的医生中有447名（65%）对调查做出了回应（236名男性，211名女性），其中15%是医学教员，35%是住院医师，50%是社区医生。
22%的男性医生（n = 50）和1%的女性医生（n = 2）为当前吸烟者。约72%的医生没有常规询问患者的吸烟状况。大多数医生（80%）认为每天吸10支烟对健康无害。询问患者吸烟情况的预测因素为男性、不吸烟者和住院医师。在认为自己接受过充分戒烟培训的医生中，建议患者戒烟的几率显著更高。
缺乏戒烟培训似乎是医生积极参与戒烟活动的主要障碍。需要对印度尼西亚医生进行教育，使其了解常规询问患者烟草使用情况以及提供如何戒烟实用建议的重要性。
