Huang Kaiyong, Abdullah Abu S, Liao Jing, Huo Haiying, Yang Li, Zhang Zhiyong, Winickoff Jonathan P, Nong Guangmin
School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021 China.
Global Health Program, Duke Kunshan University, Duke Avenue, Kunshan, Jiangsu 215316 China ; Duke Global Health Institute, Duke University, Durham, North Carolina USA ; Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts USA.
Tob Induc Dis. 2015 Apr 7;13(1):10. doi: 10.1186/s12971-015-0035-x. eCollection 2015.
Pediatricians play an important role in promoting smoking cessation among the parents of young children as more behavioral counseling and cessation treatment are made available in the Chinese healthcare system. However, beliefs about the effectiveness of these interventions can influence pediatricians' recommendations to their patients. This study examined pediatricians' beliefs regarding effectiveness of counseling and medications for smoking cessation.
A cross-sectional survey of pediatricians was conducted in thirteen conveniently selected southern Chinese hospitals, during September to December 2013. A self-administered questionnaire was used for data collection. We used chi square tests and multinomial logistic regression analysis to identify factors associated with beliefs regarding effectiveness of counseling and medications for smoking cessation.
Beliefs of the respondents (504/550; 92% response rate) were divided regarding the effectiveness of counseling and medications for smoking cessation. Sixty percent believed that physician counseling is effective for smoking cessation; 53% believed pharmacological products (or medications) are effective. Factors that were associated with positive beliefs towards the effectiveness of counseling included: believing about the professional responsibility to discuss smoking cessation, being confident in discussing smoking cessation or SHS exposure reduction with patients' parents, believing that health professionals should routinely ask about their patients smoking habits, believing that health professionals should routinely advise their smoking patients to quit smoking, possessing adequate knowledge in quitting smoking, and being able to assess smokers different stages of readiness to quit. Most of the above factors were also associated with the belief that medication is effective for smoking cessation.
A substantial proportion of Chinese pediatricians believed that cessation counseling and medications are not effective, which is not supported by current evidence in the field. Several factors including individual, practice level and health system level characteristics were associated with their belief. Training efforts are needed to influence pediatricians' beliefs regarding the effectiveness of cessation counseling and medications.
随着中国医疗体系中提供了更多的行为咨询和戒烟治疗，儿科医生在促进幼儿家长戒烟方面发挥着重要作用。然而，对这些干预措施有效性的看法会影响儿科医生向患者提供的建议。本研究调查了儿科医生对戒烟咨询和药物有效性的看法。
2013年9月至12月，在中国南方13家方便选取的医院对儿科医生进行了横断面调查。采用自填式问卷收集数据。我们使用卡方检验和多项逻辑回归分析来确定与戒烟咨询和药物有效性看法相关的因素。
受访者（504/550；92%的回复率）对戒烟咨询和药物的有效性看法不一。60%的人认为医生咨询对戒烟有效；53%的人认为药物产品（或药物）有效。与对咨询有效性持积极看法相关的因素包括：认为有专业责任讨论戒烟，对与患者家长讨论戒烟或减少二手烟暴露有信心，认为卫生专业人员应常规询问患者的吸烟习惯，认为卫生专业人员应常规建议吸烟患者戒烟，具备足够的戒烟知识，以及能够评估吸烟者不同的戒烟准备阶段。上述大多数因素也与认为药物对戒烟有效的看法相关。
相当比例的中国儿科医生认为戒烟咨询和药物无效，而该领域目前的证据并不支持这一观点。包括个人、实践层面和卫生系统层面特征在内的几个因素与他们的看法相关。需要开展培训工作来影响儿科医生对戒烟咨询和药物有效性的看法。
