Juárez-Jiménez M V, Valverde-Bolívar F J, Pérez-Milena A, Moreno-Corredor A
Médica de Familia, Centro de Salud El Valle, Servicio Andaluz de Salud, España.
Médico de Familia, Unidad Docente de Medicina Familiar y Comunitaria, Distrito Sanitario de Jaén, Servicio Andaluz de Salud, Jaén, España.
Semergen. 2015 Sep;41(6):296-304. doi: 10.1016/j.semerg.2014.07.002. Epub 2014 Sep 19.
As there are few studies on the smoking habits of specialists training in health sciences (residents), it is of interest to determine the prevalence of smoking, nicotine dependence and motivation for change, and their relationship with other variables (personal, work and consumption of other drugs).
A multicentre, cross-sectional study using a questionnaire was conducted in 2012. All the residents who were studying in Teaching Health Centres in Andalusia (Spain) completed a questionnaire, which was sent by e-mail, collecting: age, sex, specialty, country of origin, qualitative-quantitative consumption of tobacco, age of onset/cessation, Fagerström test and stage of change (Proschaka).
A total of 2667 residents (63% of total) completed the questionnaire. The mean age was 29.1 years (± 5.2), 69% female, 89% Spanish, and 86% physicians. Of the 17% who smoked (daily pattern-47%, intermittently-41%, related to leisure-3%), starting at 17.4 years (±3.5) and mean of 7.5 cigarettes per day (±7.1), higher medical specialties (P=.067 ANOVA), and in men (P=.074, Student-t). More than three-quarters (82%) had a low nicotine dependence, being higher in hospital medical specialties (P=.078 χ(2)). Of the total, 7% were former smokers, and 48% wanted to quit smoking (contemplation 38%, preparation 10%). In the multivariate analysis there was a link between smoking and alcohol consumption (OR 2.84) and illegal drugs (OR 3.57). There were no differences by age or country.
The consumption of tobacco in residents is less than the general population, with a low dependence and better willingness to change. The period of specialised training is a good time to offer tobacco interventions.
鉴于针对健康科学专业培训人员(住院医师)吸烟习惯的研究较少,确定吸烟率、尼古丁依赖程度和戒烟动机,以及它们与其他变量(个人、工作和其他药物使用情况)之间的关系具有重要意义。
2012年开展了一项多中心横断面研究,采用问卷调查方式。所有在西班牙安达卢西亚教学健康中心学习的住院医师均通过电子邮件填写了一份问卷,收集的信息包括:年龄、性别、专业、原籍国、烟草的定性定量消费情况、开始/戒烟年龄、法格斯特龙测试以及改变阶段(普罗查斯卡模型)。
共有2667名住院医师(占总数的63%)完成了问卷。平均年龄为29.1岁(±5.2岁),女性占69%,西班牙人占89%,医师占86%。在17%的吸烟者中(每日吸烟模式占47%,间歇性吸烟占41%,与休闲相关占3%),开始吸烟年龄为17.4岁(±3.5岁),平均每天吸烟7.5支(±7.1支),在高等医学专业(方差分析P = 0.067)以及男性中(独立样本t检验P = 0.074)吸烟率更高。超过四分之三(82%)的人尼古丁依赖程度较低,在医院医学专业中该比例更高(卡方检验P = 0.078)。在总人数中,7%为曾经吸烟者,48%想要戒烟(思考阶段占38%,准备阶段占10%)。多因素分析显示吸烟与饮酒(比值比2.84)和非法药物使用(比值比3.57)之间存在关联。年龄和国家方面无差异。
住院医师的吸烟率低于普通人群,尼古丁依赖程度低且戒烟意愿较好。专科培训阶段是提供烟草干预措施的好时机。