Ortiz Marrón H, Palancar de la Torre J L, Cañamares Recuenco V, Molina Ruiz W, González de Vega C, Navarro Blanco A
Unidad de Docencia e Investigación, Area 4 de Atención Primaria del Insalud de Madrid.
Rev Esp Salud Publica. 1996 May-Jun;70(3):295-302.
In developed countries, tobaccoism constitutes the main public health problem capable of prevention. Health professionals comprise the sector with the greatest power of influence in reducing smoking habits. Nevertheless, cooperation is determined by their own personal habits and attitudes to smoking. This study describes the prevalence of smoking and attitudes towards tobaccoism amongst primary medical care personnel within Area 4 of Insalud in Madrid.
Of the 910 workers surveyed, 803 responded (response rate: 88%). 42.3% were smokers (35.3% on a daily basis and 7% occasionally) and the average smoker consumed 17 cigarrettes per day. 25.9% were ex-smokers and 31.7% non-smokers. 95% of non-smokers and 85% of smokers considered that smoking should be forbidden in medical centres (p << 0.001). 11% of smokers did so in front of patients (10% of doctors and 3.3% of nursing staff). 58.4% of smokers stated that they would participate in an assistance scheme designed to help them give up the habit.
Results indicate that there still exists a large percentage of primary medical care personnel that smoke and that attitudes are not those that would be expected from a group of people seen as an example by others. Priority must be given to intensifying awareness, assisting people to give up smoking and to training courses.
在发达国家，吸烟是主要的可预防的公共卫生问题。卫生专业人员是在减少吸烟习惯方面最具影响力的部门。然而，他们之间的合作取决于个人吸烟习惯和对吸烟的态度。本研究描述了马德里自治区卫生服务局第4区基层医疗人员的吸烟率及对吸烟问题的态度。
在910名接受调查的工作人员中，803人做出回应（回应率：88%）。42.3%为吸烟者（35.3%每日吸烟，7%偶尔吸烟），吸烟者平均每天吸17支烟。25.9%为曾经吸烟者，31.7%为非吸烟者。95%的非吸烟者和85%的吸烟者认为医疗中心应禁止吸烟（p << 0.001）。11%的吸烟者在患者面前吸烟（医生中占10%，护理人员中占3.3%）。58.4%的吸烟者表示愿意参加旨在帮助他们戒烟的援助计划。
结果表明，仍有很大比例的基层医疗人员吸烟，而且他们的态度与人们期望被视为榜样的群体应有的态度不符。必须优先加强宣传、帮助人们戒烟并开展培训课程。
