Salgado M Victoria, Mejía Raúl M, Kaplan Celia P, Pérez-Stable Eliseo J
Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina.
Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina.
J Gen Intern Med. 2017 May;32(5):549-555. doi: 10.1007/s11606-016-3890-0. Epub 2016 Oct 11.
Physicians in Argentina smoke at rates similar to the general population, and do not have a clear role in tobacco control strategies.
To describe the attitudes and knowledge of medical students and recent graduates towards smoking behavior in Argentina.
Cross-sectional self-administered online survey conducted in 2011.
Medical students and recent medical graduates from the University of Buenos Aires.
Attitudes and knowledge were evaluated by responses to 16 statements regarding the effects of smoking cigarettes and the role of physicians in tobacco control. Rates of agreement with a full ban on indoor smoking in different public settings were assessed.
The sample included 1659 participants (response rate: 35.1 %), 453 of whom (27.3 %) were current smokers. Only 52 % of participants agreed that doctors should set an example for their patients by not smoking, 30.9 % thought that medical advice had little effect on patients' cessation behavior, and 19.4 % believed that physicians could decline to care for smoking patients who failed to quit. In adjusted logistic regression models, current smokers had less supportive attitudes about tobacco control and were less likely than non-smokers to agree with a full indoor smoking ban in hospitals (OR: 0.30; 95 % CI 0.16-0.58), universities (OR: 0.55; 95 % CI 0.41-0.73), workplaces (OR: 0.67; 95 % CI 0.50-0.88), restaurants (OR: 0.42; 95 % CI 0.33-0.53), cafes (OR: 0.41; 95 % CI 0.33-0.51), nightclubs (OR: 0.32; 95 % CI 0.25-0.40), and bars (0.35; 95 % CI 0.28-0.45). Recent medical graduates had more accurate knowledge about cessation and were more likely to agree with a full smoking ban in recreational venues.
Although most participants reported a strong anti-tobacco attitude, a proportion still failed to recognize the importance of their role as physicians in tobacco control strategies. Current smokers and current students were less likely to support indoor smoking bans. Specific educational curricula could address these factors.
阿根廷医生的吸烟率与普通人群相似，且在烟草控制策略中没有明确的作用。
描述阿根廷医学生和近期毕业生对吸烟行为的态度和知识。
2011年进行的横断面自填式在线调查。
布宜诺斯艾利斯大学的医学生和近期医学毕业生。
通过对16条关于吸烟影响和医生在烟草控制中作用的陈述的回答来评估态度和知识。评估了在不同公共场合完全禁止室内吸烟的同意率。
样本包括1659名参与者（回复率：35.1%），其中453人（27.3%）为当前吸烟者。只有52%的参与者同意医生应该通过不吸烟为患者树立榜样，30.9%的人认为医学建议对患者戒烟行为影响不大，19.4%的人认为医生可以拒绝为未能戒烟的吸烟患者提供治疗。在调整后的逻辑回归模型中，当前吸烟者对烟草控制的支持态度较少，与非吸烟者相比，他们不太可能同意在医院（比值比：0.30；95%置信区间0.16 - 0.58）、大学（比值比：0.55；95%置信区间0.41 - 0.73）工作场所（比值比：0.67；95%置信区间0.50 - 0.88）、餐馆（比值比：0.42；95%置信区间0.33 - 0.53）、咖啡馆（比值比：0.41；95%置信区间0.33 - 0.51）、夜总会（比值比：0.32；95%置信区间0.25 - 0.40）和酒吧（0.35；95%置信区间0.28 - 0.45）完全禁止室内吸烟。近期医学毕业生对戒烟有更准确的知识，并且更有可能同意在娱乐场所完全禁止吸烟。
尽管大多数参与者报告了强烈的反烟草态度，但仍有一部分人没有认识到他们作为医生在烟草控制策略中的作用的重要性。当前吸烟者和在校学生不太可能支持室内吸烟禁令。特定的教育课程可以解决这些因素。
