Bener A, Gomes J, Anderson J A, Abdullah S
Department of Community Medicine, Faculty of Medicine, United Arab Emirates University, Al-Ain.
Med Educ. 1994 Mar;28(2):151-7. doi: 10.1111/j.1365-2923.1994.tb02536.x.
A cross-sectional prospective study was conducted between the period December 1991 and November 1992, to identify the extent of smoking among practising doctors and other health professionals in general hospitals and health clinics in Al-Ain, United Arab Emirates. The study population consisted of 300 health professionals (doctors, specialists both clinical and non-clinical, pharmacists and dentists). They were handed self-administered questionnaires adapted from the World Health Organization standard questionnaire on smoking among health professionals. Among the responding 268 (89%) health professionals 197 (73.5%) were men, and 71 (26.5%) women. Among the men health professionals 86 (43.7%) were current smokers, 24 (12.2%) were ex-smokers and 87 (44.2%) were non-smokers, while among the women health professionals 4 (5.6%) were smokers, 1 (1.4%) was an ex-smoker and 66 (93%) were non-smokers. Doctors were uniformly aware of the detrimental effects of smoking, particularly its association with lung cancer, coronary artery disease, chronic bronchitis, and laryngeal cancer, and this was the major reason for their abstaining or wanting to quit the habit. The relationship of smoking with bladder cancer, soft tissue lesion (mouth and lip) and neonatal death was not well appreciated. Counselling patients about the hazards of smoking was practised significantly less often by doctors who smoked. The majority (83.6%) expressed the need for specific training for counselling patients to stop smoking. The options favoured by the health professionals for preventing smoking included a ban on tobacco advertising, specific health warnings on cigarette packets and restriction on smoking in public places, particularly in hospitals and clinics.
1991年12月至1992年11月期间进行了一项横断面前瞻性研究,以确定阿拉伯联合酋长国艾因市综合医院和健康诊所中执业医生及其他卫生专业人员的吸烟程度。研究对象包括300名卫生专业人员(医生、临床和非临床专科医生、药剂师和牙医)。他们收到了根据世界卫生组织关于卫生专业人员吸烟情况的标准问卷改编的自填式问卷。在回复的268名(89%)卫生专业人员中,197名(73.5%)为男性,71名(26.5%)为女性。在男性卫生专业人员中,86名(43.7%)为当前吸烟者,24名(12.2%)为既往吸烟者,87名(44.2%)为非吸烟者;而在女性卫生专业人员中,4名(5.6%)为吸烟者,1名(1.4%)为既往吸烟者,66名(93%)为非吸烟者。医生们一致意识到吸烟的有害影响,尤其是其与肺癌、冠状动脉疾病、慢性支气管炎和喉癌的关联,这是他们戒烟或想要戒烟的主要原因。吸烟与膀胱癌、软组织病变(口腔和嘴唇)及新生儿死亡之间的关系并未得到充分认识。吸烟的医生向患者提供吸烟危害咨询的频率明显较低。大多数(83.6%)表示需要接受针对向患者提供戒烟咨询的特定培训。卫生专业人员支持的预防吸烟措施包括禁止烟草广告、在香烟包装上设置特定健康警示以及限制在公共场所吸烟,尤其是在医院和诊所。