Department of Family Medicine and Primary Care, Faculty of Health Sciences, School of Medicine, University of the Witwatersrand, Johannesburg.
S Afr Fam Pract (2004). 2024 Oct 29;66(1):e1-e11. doi: 10.4102/safp.v66i1.5996.
Despite its hampering influence on the willingness of healthcare professionals (HCPs) to implement tobacco cessation treatments, the tobacco use status of these professionals remains understudied in South Africa.
This cross-sectional study, which sampled 444 HCPs, was conducted in five community health centres in Soweto. A self-administered questionnaire collected information on socio-demography, tobacco use, quit attempts and readiness to implement tobacco cessation treatments for their patients.
The mean age was 41 years. Most were female, 80% (n = 355); single, 54.1% (n = 240) and black professionals, 91.6% (n = 405). About 22% (n = 96) were ever-users of tobacco, 12.6% (n = 56) current users and 9% (n = 40) ex-users. About 56.6% (n = 30) of current users had contemplated quitting in the past year. Approximately 68% (n = 300) and 82.2% (n = 365) of respondents were ready and willing to implement tobacco cessation treatments, respectively. Only 32% (n = 143) of respondents had received any training on tobacco use and cessation treatments. There was no significant association between tobacco use and readiness to implement cessation treatments (p = 0.50).
Tobacco use is prevalent among HCPs and does not influence the implementation of cessation treatments in South African primary health care. Although most reported readiness and willingness to quit tobacco use, more training is required in both formal education and continued professional development.Contribution: This study demonstrates the alarming rate of tobacco product use among primary health care professionals in South Africa. While there is a strong willingness to implement tobacco cessation treatments for their patients, most healthcare professionals still require training to enhance their self-efficacy.
尽管烟草使用状况会对医疗保健专业人员（HCP）实施戒烟治疗的意愿产生阻碍作用，但在南非，针对这些专业人员的烟草使用状况的研究仍不够充分。
本横断面研究在索韦托的 5 个社区卫生中心对 444 名 HCP 进行了抽样调查。通过自填式问卷收集了社会人口统计学、烟草使用、戒烟尝试以及为患者实施戒烟治疗的准备情况等信息。
平均年龄为 41 岁。大多数为女性（80%，n=355）、单身（54.1%，n=240）和黑人专业人员（91.6%，n=405）。约 22%（n=96）为曾用烟草者，12.6%（n=56）为当前使用者，9%（n=40）为前使用者。大约 56.6%（n=30）的当前使用者在过去一年曾考虑过戒烟。大约 68%（n=300）和 82.2%（n=365）的受访者分别表示准备和愿意实施戒烟治疗。仅有 32%（n=143）的受访者接受过任何关于烟草使用和戒烟治疗的培训。烟草使用与实施戒烟治疗的准备情况之间无显著关联（p=0.50）。
烟草使用在 HCP 中很普遍，不会影响南非初级卫生保健中戒烟治疗的实施。尽管大多数人表示准备和愿意戒烟，但在正规教育和持续专业发展方面都需要更多培训。本研究表明，南非初级卫生保健专业人员中烟草产品的使用率令人震惊。尽管大多数卫生保健专业人员表示愿意为患者实施戒烟治疗，但大多数人仍需要培训以增强其自我效能感。
