Department of Preventive Medicine and Health Education, School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai 200032, China.
Department of Politics East China Normal University, Shanghai 200241, China.
Int J Environ Res Public Health. 2019 Aug 30;16(17):3175. doi: 10.3390/ijerph16173175.
The use of electronic cigarettes (e-cigarettes) is gaining popularity, so it is important to evaluate physicians' understanding of e-cigarettes. This study assessed the beliefs, attitudes, and confidence in e-cigarette counseling among Chinese physicians and explored the factors related to asking patients about e-cigarette use. : Physicians from across China were invited to participate in a questionnaire survey using the platform provided by DXY (www.dxy.cn) in 2018. In total, 1023 physicians completed the online survey. Descriptive analyses were used to characterize the participants, and multivariate logistic regression analyses were applied to identify predictors of physicians' asking about patients' e-cigarette use. : Only 46.3% of respondents agreed that e-cigarettes had adverse health effects, and 66.8% indicated that e-cigarettes can be regarded as a type of smoking cessation treatment. We found that 61.3% thought it was important to discuss e-cigarettes with patients, and 71.7% reported feeling confident about their ability in counseling about e-cigarettes. Respondents who had used e-cigarettes (OR = 2.05; 95% CI: 1.16-2.63), had received training about e-cigarettes (OR = 3.13; 95% CI: 2.17-4.52), or were confident about their ability to answer patients' question about e-cigarettes (OR = 2.45; 95% CI: 1.65-3.65) were more likely to ask patients about e-cigarette use. Physicians who showed a supportive attitude toward using e-cigarettes to quit smoking (OR = 0.79; 95% CI: 0.63-0.99) were less likely to ask about patients' e-cigarettes use frequently. : Chinese physicians appeared to ignore the adverse health effects of e-cigarettes, and considered e-cigarettes as a smoking cessation treatment. Comprehensive training and regulations are needed to help physicians incorporate the screening of e-cigarette use into routine practice and provide patients truthful information as new data emerge.
电子烟（e-cigarettes）的使用越来越普及，因此评估医生对电子烟的理解非常重要。本研究评估了中国医生对电子烟的信念、态度和咨询信心，并探讨了与询问患者电子烟使用情况相关的因素。
2018 年，邀请来自中国各地的医生使用丁香园（www.dxy.cn）提供的平台参加问卷调查。共有 1023 名医生完成了在线调查。采用描述性分析对参与者进行特征描述，并应用多变量逻辑回归分析确定医生询问患者电子烟使用情况的预测因素。
只有 46.3%的受访者同意电子烟对健康有不良影响，66.8%的受访者表示电子烟可以被视为一种戒烟治疗方法。我们发现 61.3%的人认为与患者讨论电子烟很重要，71.7%的人表示对自己在电子烟咨询方面的能力有信心。使用过电子烟的受访者（OR=2.05；95%CI：1.16-2.63）、接受过电子烟培训的受访者（OR=3.13；95%CI：2.17-4.52）或对自己回答患者关于电子烟问题的能力有信心的受访者（OR=2.45；95%CI：1.65-3.65）更有可能询问患者电子烟的使用情况。对使用电子烟戒烟持支持态度的医生（OR=0.79；95%CI：0.63-0.99）不太可能频繁询问患者电子烟的使用情况。
中国医生似乎忽略了电子烟的健康危害，并将电子烟视为一种戒烟治疗方法。需要综合培训和法规来帮助医生将电子烟使用筛查纳入常规实践，并在新数据出现时为患者提供真实信息。
