Sakka Samir, Al-Shatanawi Tariq N, Bataineh Dina Ziad, Haddad Waleed, Al Tamimi Shawkat, Al Salamat Husam, Al-Mistarehi Abdel-Hameed, Alsulaiman Jomana, Kheirallah Khalid
Department of Surgery, Faculty of Medicine, Al-Balqa Applied University, Al Salt-19117, Jordan.
Department of Public Health and Community Medicine, Faculty of Medicine,Al-Balqa Applied University, Al-Salt, Jordan.
Pharm Pract (Granada). 2022 Jan-Mar;20(1):2637. doi: 10.18549/PharmPract.2022.1.2637. Epub 2022 Feb 25.
With more than one billion current smokers, 80% of them living in low and middle-income countries, tobacco smoking is considered a global public health problem. Jordan has one of the highest estimate rates of tobacco use in the region and world. Still, tobacco use interventions, that could significantly reduce the number of smoking-related diseases and reduce health care costs, are scarce. While such interventions could be carried out by community pharmacists, given their unique position to counsel patients and provide effective cessation interventions, the role of community pharmacists in tobacco control services in Jordan has never been fully investigated.
This study aimed at assessing the community pharmacists' knowledge, attitudes, and practice towards smoking cessation and identifying their perceived barriers for smoking cessation counselling utilizing a sample of community pharmacists in Northern Jordan.
A cross-sectional study was conducted among community pharmacies in Irbid city, North of Jordan, between April and August 2018. A random sample of 95 pharmacies was selected using the multistage random sampling technique. A structured English questionnaire, consisting of 5 parts, was used. The Survey assessed pharmacists' socio-demographics, knowledge, attitude, practice and perceived barriers related to tobacco use cessation services.
One hundred and fifty pharmacists completed the survey. Their mean age was 30.71±10.10 years. The mean of pharmacists' knowledge score was 3.74±0.38, while their positive and negative attitude were 3.87±0.43 and 3.18±0.66 respectively. Pharmacists' mean smoking cessation practice was 2.01+0.64. Barriers to providing cessation interventions included the lack of training on nicotine replacement therapy products (86%), the lack of smoking cessation programs (84%) and low demands from smokers (83.3%).
While knowledge related to tobacco use cessation services among the community pharmacists was sub-optimal, a good positive attitude and a low practice levels were observed. The lack of educational materials, low patients' demand, knowledge deficits, low training and the lack of cessation programs have been identified as barriers hindering the provision of smoking cessation services. Furthermore, the study identified factors that will increase community pharmacists' participation in smoking cessation, help in raising pharmacists' awareness of smoking as a public health problem and the importance of their role.
目前全球有超过10亿吸烟者，其中80%生活在低收入和中等收入国家，吸烟被视为一个全球公共卫生问题。约旦是该地区及全球烟草使用率估计最高的国家之一。然而，能够显著减少与吸烟相关疾病数量并降低医疗成本的烟草使用干预措施却很稀缺。鉴于社区药剂师在为患者提供咨询和有效戒烟干预方面具有独特地位，他们在约旦烟草控制服务中的作用从未得到充分研究。
本研究旨在评估约旦北部社区药剂师对戒烟的知识、态度和实践，并确定他们在提供戒烟咨询时所感知到的障碍。
2018年4月至8月期间，在约旦北部伊尔比德市的社区药房进行了一项横断面研究。采用多阶段随机抽样技术，随机抽取了95家药房。使用一份由5部分组成的结构化英文问卷。该调查评估了药剂师的社会人口统计学特征、与烟草使用戒烟服务相关的知识、态度、实践和感知到的障碍。
150名药剂师完成了调查。他们的平均年龄为30.71±10.10岁。药剂师的知识得分平均为3.74±0.38，而他们的积极态度和消极态度得分分别为3.87±0.43和3.18±0.66。药剂师的平均戒烟实践得分为2.01 + 0.64。提供戒烟干预的障碍包括缺乏尼古丁替代疗法产品培训（86%）、缺乏戒烟项目（84%）以及吸烟者需求低（83.3%）。
虽然社区药剂师对烟草使用戒烟服务的知识水平欠佳，但观察到他们有良好的积极态度且实践水平较低。缺乏教育材料、患者需求低、知识不足、培训少以及缺乏戒烟项目被确定为阻碍提供戒烟服务的障碍。此外，该研究确定了能够增加社区药剂师参与戒烟的因素，有助于提高药剂师对吸烟作为公共卫生问题的认识以及他们作用的重要性。
