AlMulla Ahmad, Kouyoumjian Silva, ElNakib Nour
Medicine, Tobacco Control Center, WHO Collaborative Center, Hamad Medical Corporation, Doha, Qatar.
Medicine, Tobacco Control Center, WHO Collaborative Center, Hamad Medical Corporation, Doha, Qatar
BMJ Open. 2021 Apr 1;11(4):e044379. doi: 10.1136/bmjopen-2020-044379.
One effective approach of tobacco control is to encourage the role and the participation of healthcare workers in the prevention efforts against tobacco use. This study aimed to determine the prevalence of tobacco use among governmental healthcare workers in Qatar, to assess healthcare workers' knowledge, attitude and practice of tobacco cessation and to predict factors associated with above average tobacco cessation practice scores.
A cross-sectional survey study was conducted among healthcare workers working in Hamad Medical Corporation and Primary Healthcare Centres in Qatar using a self-administered online questionnaire in 2019.
Hamad Medical Corporation and Primary Healthcare Centres in Qatar.
Governmental healthcare workers aged 18 years and above (n=7214).
The response rate of our online survey was 20.6% (7214/35 000). Of the 7214 healthcare workers, 16.3% (n=1178) were current tobacco users. In particular, the prevalence of tobacco use among physicians was 11.0%. Fifty-two per cent of healthcare workers (n=2338) attained an average knowledge score (12-17), 71.8% (n=3094) attained positive attitude scores (8-12) and 57.1% (n=3052) attained above average practice scores (12-26). Among the different professions, physicians were having the highest mean knowledge (15.3±4.7), attitude (9.4±1.9) and practice (13.7±6.1) scores. Multivariate analysis showed that having good knowledge (adjusted OR (AOR)=2.8; p<0.0001) and training (AOR=2.4; p<0.0001) were the strongest factors associated positively with above average tobacco cessation practice scores.
Healthcare workers in Qatar have a relatively similar prevalence of tobacco use than earlier studies with no significant increase. Investing more in training programmes for healthcare workers are needed to root out this negative behaviour and to increase their skills to assist users to quit.
烟草控制的一种有效方法是鼓励医护人员在预防烟草使用方面发挥作用并参与其中。本研究旨在确定卡塔尔政府医护人员中的烟草使用流行率，评估医护人员对戒烟的知识、态度和实践情况，并预测与高于平均水平的戒烟实践得分相关的因素。
2019年，在卡塔尔的哈马德医疗公司和初级医疗保健中心工作的医护人员中开展了一项横断面调查研究，使用的是自行填写的在线问卷。
卡塔尔的哈马德医疗公司和初级医疗保健中心。
年龄在18岁及以上的政府医护人员（n = 7214）。
我们在线调查的回复率为20.6%（7214/35000）。在7214名医护人员中，16.3%（n = 1178）为当前烟草使用者。特别是，医生中的烟草使用流行率为11.0%。52%的医护人员（n = 2338）获得了平均知识得分（12 - 17分），71.8%（n = 3094）获得了积极态度得分（8 - 12分），57.1%（n = 3052）获得了高于平均水平的实践得分（12 - 26分）。在不同职业中，医生的平均知识得分（15.3±4.7）、态度得分（9.4±1.9）和实践得分（13.7±6.1）最高。多变量分析显示，拥有良好的知识（调整后的比值比（AOR）= 2.8；p < 0.0001）和培训（AOR = 2.4；p < 0.0001）是与高于平均水平的戒烟实践得分呈正相关的最强因素。
与早期研究相比，卡塔尔医护人员的烟草使用流行率相对相似，没有显著增加。需要对医护人员的培训项目投入更多资金，以根除这种不良行为，并提高他们帮助使用者戒烟的技能。
