Are primary health care providers prepared to implement an anti-smoking program in Syria?

Abstract:

OBJECTIVE:To document primary health care (PHC) providers' tobacco use, and how this influences their smoking cessation practices and attitudes towards tobacco-control policies. METHODS:Anonymous questionnaires were distributed to PHC providers in 7 randomly selected PHC centers in Aleppo, Syria. RESULTS:All PHC providers completed the questionnaires (100% response rate). A quarter of these providers smoke cigarettes and more than 10% smoke waterpipes. Physicians who smoke were less likely to advise patients to quit (OR=0.29; 95% CI, 0.09-0.95), assess their motivation to quit (OR=0.13, 95% CI=0.02-0.72), or assist them in quitting (OR=0.24, 95% CI=0.06-0.99). PHC providers who smoke were less likely to support a ban on smoking in PHC settings (68.2% vs. 89.1%) and in enclosed public places (68.2% vs. 86.1%) or increases in the price of tobacco products (43.2% vs. 77.4%) (P<0.01 for all comparisons). CONCLUSIONS:Smoking, including waterpipe, continues to be widespread among PHC providers in Syria and will negatively influence implementation of anti-smoking program in PHC settings. PRACTICE IMPLICATIONS:Smoking awareness and cessation interventions targeted to PHC providers, and training programs to build providers' competency in addressing their patients' smoking is crucial in Syria.

journal_name

Patient Educ Couns

authors

Asfar T,Al-Ali R,Ward KD,Vander Weg MW,Maziak W

doi

10.1016/j.pec.2010.11.011

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

201-5

issue

2

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(10)00696-8

journal_volume

85

pub_type

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