Public Health Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
School of Medicine, Clinical Sciences Building, City Hospital, University of Nottingham, Nottingham, United Kingdom.
Int J Public Health. 2022 Oct 31;67:1605073. doi: 10.3389/ijph.2022.1605073. eCollection 2022.
A cross sectional study of HCPs working in public MCH clinics in Assiut city was conducted to explore their knowledge, attitudes and counselling practices regarding prevention of SHS exposure among pregnant women and children. Descriptive and regression analyses were performed. 367 HCPs participated in the study, 12% of whom were smokers. The majority were nurses (45%). A considerable proportion of HCPs reported being exposed to SHS in workplace (70%) and home (52%). About half HCP reported high SHS knowledge (56%), supportive attitude towards preventing SHS exposure (53%), and having good counselling practice regarding SHS exposure (52%). Being a GP and serving urban communities were significantly associated with high knowledge. Being female, serving a rural population, receiving training on smoking cessation services, not being exposed to SHS at home, and having a supportive attitude towards prevention of SHS exposure were significantly associated with good counselling practice. Awareness, attitudes and counselling practice of HCPs should be improved. Training for HCPs and enforcement of smoke free polices are needed to improve awareness and facilitate changes in social norms.
本研究采用横断面研究方法，对艾西尤特市公立 MCH 诊所的卫生保健人员（HCPs）进行调查，以探讨他们对预防孕妇和儿童接触 SHS 的知识、态度和咨询实践。进行了描述性和回归分析。367 名 HCPs 参与了这项研究，其中 12%的人吸烟。大多数是护士（45%）。相当一部分 HCPs 报告说在工作场所（70%）和家中（52%）接触过 SHS。约一半的 HCPs 报告了较高的 SHS 知识（56%）、对预防 SHS 暴露的支持态度（53%）以及良好的 SHS 暴露咨询实践（52%）。作为全科医生和服务于城市社区与高知识水平显著相关。女性、服务于农村人口、接受过戒烟服务培训、家中未接触 SHS 以及对预防 SHS 暴露持支持态度与良好的咨询实践显著相关。应提高 HCPs 的意识、态度和咨询实践。需要对 HCPs 进行培训并执行无烟政策，以提高意识并促进社会规范的改变。
