Bafunno Daniela, Catino Annamaria, Lamorgese Vito, Longo Vito, Montrone Michele, Pesola Francesco, Pizzutilo Pamela, Petrillo Patrizia, Varesano Niccolò, Zacheo Antonella, Del Bene Gabriella, Lapadula Vittoria, Mastrandrea Angelica, Ricci Donata, Di Lauro Alessandra, Cassiano Sandro, Galetta Domenico
IRCCS Istituto Tumori "Giovanni Paolo II" 65, Viale Orazio Flacco, 70124, Bari, Italy.
J Community Health. 2021 Jun;46(3):597-602. doi: 10.1007/s10900-020-00907-8.
Smoking is recognized as the major cause of lung cancer. Healthcare professionals play an important role in lung cancer prevention policies, as they act as a source of guidance for patients and advocates. The following survey evaluated prevalence, knowledge, and attitudes toward tobacco smoking among a sample of workers in "IRCCS Istituto Tumori "Giovanni Paolo II" of Bari, an Italian cancer hospital. An anonymous questionnaire was completed by 104 healthcare professionals to collect personal and occupational data about smoking status, knowledge about the harms of smoking, current legislation in place, Second-Hand Smoke (SHS) awareness, and, for ex-smokers, the reasons for quitting. Among participants, 17.8% were current smokers, 26.2% former smokers, and 56% never smoked. Only 40% acknowledged that the smoking ban is generally respected, and 63.2% reported that they smoke during working hours. Most of the participants perceived tobacco control policy as an efficient way to protect public health. Currently, the implementation of Italian anti-smoking legislation has so far improved neither smoking cessation rates nor the will to quit smoking completely. Our experience highlights that to date the anti-smoking strategies have limited efficacy even in a cancer center; in fact, there is still a large prevalence of smokers among hospital personnel. Therefore, it is strongly suggested that interventions be shared with all healthcare workers, specifically aimed at developing a culture of health promotion.
吸烟被认为是肺癌的主要病因。医疗保健专业人员在肺癌预防政策中发挥着重要作用，因为他们是患者的指导来源和倡导者。以下调查评估了意大利巴里一家癌症医院“IRCCS 乔瓦尼·保罗二世肿瘤研究所”的一组工作人员中吸烟的流行情况、知识水平和态度。104名医疗保健专业人员填写了一份匿名问卷，以收集有关吸烟状况的个人和职业数据、对吸烟危害的了解、现行立法、二手烟意识，对于曾经吸烟者，还包括戒烟原因。在参与者中，17.8%为当前吸烟者，26.2%为曾经吸烟者，56%从不吸烟。只有40%的人承认吸烟禁令普遍得到遵守，63.2%的人报告说他们在工作时间吸烟。大多数参与者认为烟草控制政策是保护公众健康的有效方式。目前，意大利反吸烟立法的实施迄今既未提高戒烟率，也未提高完全戒烟的意愿。我们的经验表明，到目前为止，即使在癌症中心，反吸烟策略的效果也有限；事实上，医院工作人员中吸烟者的比例仍然很高。因此，强烈建议与所有医疗保健工作者分享干预措施，特别是旨在培养健康促进文化的措施。
