Agence de la santé et des services sociaux de Montréal, Direction de sante publique, Montréal, QC.
Can J Public Health. 2010 Jul-Aug;101(4):290-3. doi: 10.1007/BF03405288.
Smoking cessation counseling practices may differ between physicians who smoke and those who have quit or never smoked.
Of 917 general practitioners (GP) in Montreal mailed self-report questionnaires in 2000 and 2004, 610 provided data on their smoking status and counseling practices.
Seven percent were current smokers, 32% were former smokers, and 61% were never-smokers. Current smokers were more interested than never- or former smokers in learning about counseling methods (64%, 56%, 45%, respectively; p = 0.018). In multivariable analyses, current smokers were less likely than never-smokers to ascertain the smoking status of their patients (OR 0.6, 95% CI 0.2-1.6); to provide advice on how to quit (OR 0.6, 0.3-1.3); and to provide complete cessation counseling coverage (OR 0.5, 0.2-1.1). Former smokers were more likely to provide adjunct support (OR 1.5, 1.0-2.4).
GP smoking status was associated with the content of their cessation interventions with patients who smoke. Taking physician smoking status into consideration in the design of cessation training programs may improve cessation counseling interventions.
吸烟医生和已戒烟或从不吸烟医生之间的戒烟咨询实践可能存在差异。
2000 年和 2004 年，对邮寄给蒙特利尔 917 名全科医生（GP）的自我报告问卷进行了分析，其中 610 名医生提供了他们的吸烟状况和咨询实践数据。
7%为当前吸烟者，32%为曾经吸烟者，61%为从不吸烟者。当前吸烟者比从不吸烟者或曾经吸烟者更有兴趣了解咨询方法（分别为 64%、56%、45%；p = 0.018）。在多变量分析中，与从不吸烟者相比，当前吸烟者更不可能确定患者的吸烟状况（OR 0.6，95%CI 0.2-1.6）；提供有关戒烟的建议（OR 0.6，0.3-1.3）；并提供完整的戒烟咨询覆盖范围（OR 0.5，0.2-1.1）。曾经吸烟者更有可能提供辅助支持（OR 1.5，1.0-2.4）。
GP 的吸烟状况与其对吸烟患者的戒烟干预内容有关。在设计戒烟培训计划时考虑医生的吸烟状况可能会改善戒烟咨询干预。
