Soto Mas Francisco G, Balcázar Héctor G, Valderrama Alberola Julia, Hsu Chiehwen Ed
College of Education, University of Texas at El Paso, Texas, USA.
BMC Public Health. 2008 Jan 8;8:5. doi: 10.1186/1471-2458-8-5.
Physician advice is an important motivator for attempting to stop smoking. However, physicians' lack of intervention with smokers has only modestly improved in the last decade. Although the literature includes extensive research in the area of the smoking intervention practices of clinicians, few studies have focused on Hispanic physicians. The purpose of this study was to explore the correlates of tobacco cessation counseling practices among Hispanic physicians in the US.
Data were collected through a validated survey instrument among a cross-sectional sample of self-reported Hispanic physicians practicing in New Mexico, and who were members of the New Mexico Hispanic Medical Society in the year 2001. Domains of interest included counseling practices, self-efficacy, attitudes/responsibility, and knowledge/skills. Returned surveys were analyzed to obtain frequencies and descriptive statistics for each survey item. Other analyses included: bivariate Pearson's correlation, factorial ANOVAs, and multiple linear regressions.
Respondents (n = 45) reported a low level of compliance with tobacco control guidelines and recommendations. Results indicate that physicians' familiarity with standard cessation protocols has a significant effect on their tobacco-related practices (r = .35, variance shared = 12%). Self-efficacy and gender were both significantly correlated to tobacco related practices (r = .42, variance shared = 17%). A significant correlation was also found between self-efficacy and knowledge/skills (r = .60, variance shared = 36%). Attitudes/responsibility was not significantly correlated with any of the other measures.
More resources should be dedicated to training Hispanic physicians in tobacco intervention. Training may facilitate practice by increasing knowledge, developing skills and, ultimately, enhancing feelings of self-efficacy.
医生的建议是尝试戒烟的重要动力。然而，在过去十年中，医生对吸烟者缺乏干预的情况仅略有改善。尽管文献中包含了关于临床医生吸烟干预实践领域的广泛研究，但很少有研究关注西班牙裔医生。本研究的目的是探讨美国西班牙裔医生戒烟咨询实践的相关因素。
通过一份经过验证的调查问卷，收集了新墨西哥州自我报告为西班牙裔的执业医生的横断面样本数据，这些医生均为2001年新墨西哥州西班牙裔医学协会的成员。感兴趣的领域包括咨询实践、自我效能感、态度/责任感以及知识/技能。对回收的调查问卷进行分析，以获取每个调查项目的频率和描述性统计数据。其他分析包括：双变量皮尔逊相关性分析、析因方差分析和多元线性回归分析。
受访者（n = 45）报告称对烟草控制指南和建议的遵守程度较低。结果表明，医生对标准戒烟方案的熟悉程度对其与烟草相关的实践有显著影响（r = 0.35，共享方差 = 12%）。自我效能感和性别均与烟草相关实践显著相关（r = 0.42，共享方差 = 17%）。自我效能感与知识/技能之间也存在显著相关性（r = 0.60，共享方差 = 36%）。态度/责任感与其他任何指标均无显著相关性。
应投入更多资源对西班牙裔医生进行烟草干预培训。培训可以通过增加知识、培养技能并最终增强自我效能感来促进实践。
