Abstract

Research Article

Assessment of physicians’ knowledge, attitudes, and practices regarding smoking cessation management in the Gaza Strip

Khaled Hani Alkhodari, Bakr Khadr Abo Jarad, Ahmed Ismail Al-Bahbhani, Sadi Yehia Nkhala, Ali Naim Al-Buhisi and Khamis Abdelkarim Elessi

Published: 11 February, 2020 | Volume 4 - Issue 1 | Pages: 001-005

Background: Despite its negative effects, approximately 23% of Palestinians (≥ 18 years) smoke cigarettes. Studies have shown physicians to be an important channel for smoking cessation intervention. This investigation examines physicians’ smoking-related knowledge, attitudes, and behaviors in the Gaza strip (Palestinian Territories).

Methods and findings: A convenience sample of 154 physicians in medical and surgical units took part in this investigation (87.7% response rate). The data show that 37.8% of physicians in Gaza smoke, and most of them about 72% smoke in the hospital’s public spaces, thereby implicitly giving public approval for smoking. While 82.4% reported that they advise patients who smoke to stop, the majority (59%) also believe that their own smoking habits negatively influence the impact of that advice.

Unfortunately, our survey showed that physicians’ knowledge levels towards smoking addiction and management were lower than expected (e.g. only 34% knew that nicotine dependence is a psychiatric disorder that necessitates treatment). The physicians in this study believed that the primary barriers to failure of their patients’ smoking cessation were the perceived lack of will (81.3%), and the strength of patients’ addiction (67.9%). Moreover, (61%) of physicians did not spend enough time to convince their patients to quit smoking.

Conclusion: Smoking is common among Gaza-strip physicians, and unfortunately, most of them smoke in the hospital’s public spaces. Many obstacles face the smoking cessation program that some physicians linked it to patients, and others linked it to the health-care system. Furthermore, smokers in Gaza receive poor care regarding assessment, referral, and management of their smoking habit.

Read Full Article HTML DOI: 10.29328/journal.jatr.1001010 Cite this Article Read Full Article PDF

References

  1. Forouzanfar MH, Afshin A, Alexander LT, Biryukov S, Brauer M, et al. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016; 388: 1659-1724. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27733284
  2. WHO Regional Office for Europe. Tobacco control in the WHO European Region. 2017.
  3. Palestinian Family Survey 2010 Final Report. Palest Cent Bur Stat Ramallah-Palestine. 2013.
  4. Jiang Y, Ong MK, Tong EK, Yang Y, Nan Y, et al. Chinese Physicians and Their Smoking Knowledge, Attitudes, and Practices. Am J Prev Med. 2007; 33: 15–22. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17572306
  5. Abdullah AS, Stillman FA, Yang L, Luo H, Zhang Z, et al. Tobacco use and smoking cessation practices among physicians in developing countries: A literature review (1987-2010). Int J Environ Res Public Health. 2013; 11: 429–455. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/24380976
  6. Dülger S, Doğan C, Dikiş ÖŞ, Yıldırım E, Tapan U, et al. Analysis of the Role of Physicians in the Cessation of Cigarette Smoking Based on Medical Specialization. Clinics. 2018; 73: 347. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29694604
  7. McCrabb S, Baker AL, Attia J, Balogh ZJ, Lott N, et al. Hospital smoke-free policy: compliance, enforcement, and practices. A staff survey in two large public hospitals in Australia. Int J Environ Res Public Health. 2017; 14: 1358. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29117149
  8. World Health Organization, Abdullah AS, Stillman FA, Yang L, Luo H, et al. Heart disease and stroke statistics—2018 update: a report from the American Heart Association. Circulation. 2018; 3: 1–7. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29386200
  9. Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann‐Boyce J, et al. Physician advice for smoking cessation. Cochrane Database Syst Rev. John Wiley & Sons, Ltd; 2013.
  10. World Health Organization. WHO report on the global tobacco epidemic, 2011: warning about the dangers of tobacco. 2011; 152: 1–152.
  11. Supporting smoking cessation: a guide for health professionals. Royal Australian College of General Practitioners (RACGP). 2011.
  12. Shkedy Y, Feinmesser RM, Mizrachi A. Smoking habits among Israeli hospital doctors: a survey and historical review. Isr Med Assoc J. 2013; 15: 339–341. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/23943976
  13. Nelson DE, Giovino GA, Emont SL, Brackbill R, Cameron LL, et al. Trends in cigarette smoking among US physicians and nurses. JAMA. 1994; 271: 1273–1275. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/8151902
  14. Mizher IY, Fawaqa SI, Sweileh WM. Prevalence and personal attitudes towards tobacco smoking among Palestinian healthcare professionals: a cross-sectional study. Addict Sci Clin Pract. 2018; 13: 17. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30053911  
  15. AL S, for the U.S. Preventive Services Task Force. Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women: U.S. preventive services task force recommendation statement. Ann Intern Med. 2015; 163: 622–634.
  16. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fifth edit. Arlington, VA: American Psychiatric Association. 2013.
  17. Pipe A, Sorensen M, Reid R. Physician smoking status, attitudes toward smoking, and cessation advice to patients: An international survey. Patient Educ Couns. 2009; 74: 118–123. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18774670
  18. Desalu OO, Adekoya AO, Elegbede AO, Dosunmu A, Kolawole TF, et al. Knowledge of and practices related to smoking cessation among physicians in Nigeria. J Bras Pneumol. 2009; 35: 1198–1203. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20126921

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More