Berman B A, Yancey A K, Bastani R, Grosser S C, Staveren A, Williams R A, Lee D
Division of Cancer Prevention and Control Research, Jonsson Comprehensive Center, UCLA 90024-3511, USA.
J Natl Med Assoc. 1997 Aug;89(8):534-42.
While African American physicians can play a key role in encouraging black patients who smoke to quit, little is known about the views and activities of these physicians with respect to antitobacco programming. In the process of developing a protocol for encouraging physicians' smoking cessation intervention, 96 African-American physicians completed a survey indicating their knowledge, attitudes, and practices relating to stop smoking counseling. Few physicians reported patient help-seeking behavior and 47.9% cited lack of patient motivation as a key barrier to intervention. Only 46.8% believed that it is possible to accomplish a lot of cessation help in a few minutes time, and 34.4% believed that setting up and maintaining an office protocol would require a great deal of effort. Explaining health risks (71.9%) and enrolling patients in programs (66.6%) were perceived as keys to patient cessation; fewer than half of the physicians surveyed discuss specific strategies for quitting with their patients. Physicians indicated a willingness to offer more counseling in the future and were open to a range of strategies for learning more about effective approaches. Our findings support the need for dissemination of such information, particularly among specialists, to support antitobacco efforts among African-American physicians.
虽然非裔美国医生在鼓励吸烟的黑人患者戒烟方面可以发挥关键作用，但对于这些医生在反烟草项目方面的观点和活动却知之甚少。在制定鼓励医生进行戒烟干预的方案过程中，96名非裔美国医生完成了一项调查，表明了他们在戒烟咨询方面的知识、态度和做法。很少有医生报告患者寻求帮助的行为，47.9%的医生认为患者缺乏动力是干预的关键障碍。只有46.8%的医生认为有可能在几分钟内提供大量的戒烟帮助，34.4%的医生认为制定和维持办公室方案需要付出很大努力。解释健康风险（71.9%）和让患者参加项目（66.6%）被视为帮助患者戒烟的关键；接受调查的医生中不到一半会与患者讨论具体的戒烟策略。医生们表示愿意在未来提供更多咨询，并对一系列了解有效方法的策略持开放态度。我们的研究结果支持传播此类信息的必要性，特别是在专科医生中，以支持非裔美国医生的反烟草工作。
