Salehin Masudus, Lam Louisa, Rahman Muhammad Aziz
Institute of Health and Wellbeing, Federation University Australia, Berwick, VIC 3806, Australia.
Collaborative Evaluation and Research Centre (CERC), Federation University Australia, Berwick, VIC 3806, Australia.
Int J Environ Res Public Health. 2025 Jan 15;22(1):113. doi: 10.3390/ijerph22010113.
Studies showed healthcare professionals who are non-smokers are more likely to deliver smoking cessation advice to their patients than those who are smokers. However, healthcare professionals continue to smoke across the globe. This scoping review assessed the available data on the prevalence and predictors of smoking among healthcare professionals in Australia. Following the PRISMA extension for the Scoping Review checklist, a systematic literature search was conducted on CINAHL, MEDLINE, APA PsycINFO, Scopus, Web of Science, and Cochrane Library in August 2024. Articles published between 1990 and 2024 were considered, and finally, 26 papers met the inclusion and exclusion criteria. Australian healthcare professionals showed varying smoking prevalence. For physicians, it was 10.2% in 1990 to 7.4% in 2013; among dentists, 6% in 1993 to 4.9% in 2004; and among nurses, 21.7% in 1991 and 10.3% during 2014-15. The highest smoking rates were observed among Aboriginal health workers (AHWs): 63.6% in 1995 to 24.6% in 2021. Age was a positive predictor for smoking among nurses, and so was male gender among dentists, physicians, and nurses; other predictors included area of specialty, lower emotional wellbeing, etc. This review highlighted a declining trend in smoking among healthcare professionals in Australia; however, it was not proportionate among the different health specialties.
研究表明，与吸烟者相比，不吸烟的医疗保健专业人员更有可能向患者提供戒烟建议。然而，全球范围内的医疗保健专业人员仍在吸烟。这项范围综述评估了澳大利亚医疗保健专业人员吸烟率及预测因素的现有数据。按照《系统综述和荟萃分析扩展版范围综述清单》，于2024年8月在护理学与健康领域数据库（CINAHL）、医学期刊数据库（MEDLINE）、美国心理学会心理学文摘数据库（APA PsycINFO）、Scopus数据库、科学引文索引数据库（Web of Science）和考克兰图书馆进行了系统的文献检索。纳入了1990年至2024年发表的文章，最终有26篇论文符合纳入和排除标准。澳大利亚医疗保健专业人员的吸烟率各不相同。对于医生而言，1990年为10.2%，2013年为7.4%；对于牙医，1993年为6%，2004年为4.9%；对于护士，1991年为21.7%，2014 - 2015年期间为10.3%。原住民营卫生工作者（AHW）的吸烟率最高：1995年为63.6%，2021年为24.6%。年龄是护士吸烟的正向预测因素，男性性别是牙医、医生和护士吸烟的正向预测因素；其他预测因素包括专业领域、较低的情绪健康水平等。该综述强调了澳大利亚医疗保健专业人员吸烟率呈下降趋势；然而，不同健康专业之间的下降幅度并不成比例。
