澳大利亚全科医生对电子烟作为戒烟辅助工具的知识、态度及处方意向：一项全国性基线及12个月随访调查。

Australian general practitioners' knowledge, attitudes and prescribing intentions for e-cigarettes as a smoking cessation aid: a nationwide baseline and 12-month follow up survey.

作者信息

Selamoglu Melis, Malamardi Sowmya, Erbas Bircan, Wilson Hester, Brown Jamie, Barton Chris

机构信息

Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.

出版信息

Harm Reduct J. 2025 Mar 18;22(1):35. doi: 10.1186/s12954-025-01175-2.

DOI:10.1186/s12954-025-01175-2

PMID:40102812

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11916968/

Abstract

BACKGROUND

The Australian Government introduced a major policy change tightening regulations regarding the access to nicotine containing e-cigarettes in October 2021. We assessed general practitioners' (GPs) knowledge, attitudes, beliefs and intentions to prescribe nicotine containing e-cigarettes for smoking cessation. We compared baseline data near the time of policy change with data collected from these GPs 12-months later.

METHODS

GPs were invited to complete a repeated cross-sectional survey based on the Theory of Planned Behaviour between December 2021 and March 2022 (T1) and again, between January and April 2023 (T2). Survey questions assessed knowledge, attitudes, beliefs and intention to prescribe e-cigarettes for smoking cessation.

RESULTS

A total of 264 GPs completed the baseline (T1) survey and 94 provided responses at follow-up (T2). Over half of responders were female (T1 n = 170, 64.4%, T2 n = 57, 60.6%) and roughly one third were aged between 30 and 39 years (T1 n = 80, 37.2%, T2 n = 28, 29.8%). Participants who agreed e-cigarettes were suitable smoking cessation aids were more willing to recommend e-cigarettes to patients at T1 and T2 (T1 n = 29, 87.9%, vs. T2 n = 20, 100%). Knowledge about e-cigarettes was limited and did not change between T1 and T2. Participants who had greater confidence in their ability to talk to and answer patient questions about e-cigarettes were more likely to recommend them for smoking cessation at both T1 and T2 (T1 n = 24, 70.6% vs. T2 n = 17, 85.0%).

CONCLUSION

Since tightening the regulation of nicotine containing e-cigarettes, there has been little change in Australian GPs' perceptions of e-cigarettes as smoking cessation aids. Australian GPs are poorly educated about vaping and knowledge about e-cigarettes remained limited, however, GPs at follow-up were more confident in their ability to discuss e-cigarettes with their patients. The findings from this survey may help guide policy and develop strategies to support the implementation of smoking cessation guidelines that incorporate the use of e-cigarettes as smoking cessation aids in Australia.

摘要

背景

2021年10月，澳大利亚政府实施了一项重大政策变革，收紧了对含尼古丁电子烟获取的监管规定。我们评估了全科医生（GP）对于开具含尼古丁电子烟用于戒烟的知识、态度、信念和意图。我们将政策变革前后的基线数据与12个月后从这些全科医生处收集的数据进行了比较。

方法

邀请全科医生在2021年12月至2022年3月期间（T1）以及2023年1月至4月期间（T2）完成一项基于计划行为理论的重复横断面调查。调查问题评估了关于开具电子烟用于戒烟的知识、态度、信念和意图。

结果

共有264名全科医生完成了基线（T1）调查，94名在随访（T2）时提供了回复。超过一半的回复者为女性（T1时n = 170，64.4%；T2时n = 57，60.6%），约三分之一年龄在30至39岁之间（T1时n = 80，37.2%；T2时n = 28，29.8%）。在T1和T2时，认为电子烟是合适戒烟辅助工具的参与者更愿意向患者推荐电子烟（T1时n = 29，87.9%；T2时n = 20，100%）。关于电子烟的知识有限，且在T1和T2之间没有变化。对与患者谈论并回答关于电子烟问题的能力更有信心的参与者在T1和T2时都更有可能推荐电子烟用于戒烟（T1时n = 24，70.6%；T2时n = 17，85.0%）。

结论

自收紧对含尼古丁电子烟的监管以来，澳大利亚全科医生对电子烟作为戒烟辅助工具的认知几乎没有变化。澳大利亚全科医生对电子烟的了解程度较低且关于电子烟的知识仍然有限，然而，随访时的全科医生在与患者讨论电子烟方面更有信心。本次调查结果可能有助于指导政策制定并制定策略，以支持在澳大利亚实施将使用电子烟作为戒烟辅助工具纳入其中的戒烟指南。