Cummings K M, Giovino G, Sciandra R, Koenigsberg M, Emont S L
Department of Cancer Control and Epidemiology, Roswell Park Memorial Institute, Buffalo, New York 14263.
Am J Prev Med. 1987 Mar-Apr;3(2):69-75.
This is a study of physicians' stop-smoking advice to patients in a university-affiliated family medicine outpatient center. The study population consisted of 311 cigarette-smoking patients of 28 family-practice residents. Patients were monitored for three months to assess changes in their smoking habits and to measure the effects of advice from their physicians. Reports of advice were correlated with both patient and physician characteristics. Forty-one percent of the patients said they had been told by their physician to stop smoking during the three-month follow-up period. Heavy smokers (more than 26 cigarettes a day) (p = .02) and those being treated for tobacco-related conditions (p = .06) were most likely to report that their physician had advised them to quit smoking. Patients seen by a physician who was a cigarette smoker were less likely to report stop-smoking advice than patients seen by a nonsmoking physician (26 percent versus 44 percent, p = .02). Selectivity in the types of patients advised to quit smoking appears to reflect the physicians' personal judgments about the patients' likelihood of following their advice.
这是一项关于在一所大学附属医院的家庭医学门诊中心，医生向患者提供戒烟建议的研究。研究对象包括28名家庭医学住院医师的311名吸烟患者。对患者进行了为期三个月的监测，以评估他们吸烟习惯的变化，并衡量医生建议的效果。建议报告与患者和医生的特征都有关联。41%的患者表示，在三个月的随访期内，他们的医生曾告知他们戒烟。重度吸烟者（每天超过26支烟）（p = 0.02）以及因烟草相关疾病接受治疗的患者（p = 0.06）最有可能报告称他们的医生建议他们戒烟。由吸烟医生诊治的患者比由不吸烟医生诊治的患者报告收到戒烟建议的可能性更低（26%对44%，p = 0.02）。在建议戒烟的患者类型上存在的选择性似乎反映了医生对患者听从其建议可能性的个人判断。
