Investigation On Smoking Status And Tobacco Control Behavior Of Community General Practitioners In Shanghai

Significance:The tobacco epidemic is one of the most serious public health problems in the world. Smoking is hazardous to human health, and it is an important risk factor for many diseases. Doctors who are the defenders of health can play an important role in the prevention and control of tobacco work. General practitioners who are in close contact with patients can play an irreplaceable role in the prevention of disease control in the community. General practitioners are also one of the strong implementers to carry out the interventions of tobacco control. Before the smoking cessation services, we need to how the smoking status of general practitioners become and know how general practitioners provide tobacco control services. It is lack of such a research now. So we intend to investigate general practitioners on the part of the community service centers in Shanghai by this project in order to realize smoking and tobacco control work status of general practitioners and analysis the related factors. It will have a very important significance to reduce the smoking rate of general practitioners and to improve their consciousness and skills of tobacco control. And it can also provide a reference to carry out tobacco control services of general practitioners and to make public health policies by relevant administrative departments.Objective:To investigate the smoking status, behaviors and tobacco control services of general practitioners in community health centers of Shanghai, as to provide scientific evidence for developing smoking cessation activity and improving the ability of tobacco control service.Method:This research adopted the method of cross-sectional survey.Results:1. Smoking status of general practitioners1) General situation:the total smoking rate of general practitioners in this survey was17.4%.The smoking rate of male was46.2%, and the present smoking rate of male was33.3%. The smoking rate of female was0.3%, and the present smoking rate of female was0.0%. 2) Impact of different factors on the smoking status of general practitioners of male:the male smoking rate was significantly higher than female; the smoking rate of bachelor degree or above was significantly lower than technical secondary educated and college degree; the smoking rate difference between age groups was not found statistically significant; the smoking rate difference between Western medicine and traditional Chinese medicine was not found statistically significant; the smoking rate differences between junior titles and other titles was not found statistically significant.2. Investigation of Current smokers in general practitioners:1) Smoking age:general practitioners mostly started smoking at21-30years old, accounting for56.4%. General practitioners who started smoking before20-year-old accounted for36.4%. The minimum of smoking age was5years, and the longest was40years, and the average was23years.2) Smoking causes:smoking causes were, in order, smoking habit, alleviating the pressure of the work, social needs and passing spare time.3) The average amount of smoking:most proportion was10and the following, accounting for51.9%.4) Assessment of nicotine dependence:the proportion of very low nicotine dependence was52.7%.5) Smoking cessation and methods:the number of smoking cessation in doctors was25at present, and the quit rates was28.7%. The methods of smoking cessation in doctors were to rely on self-determination, to receive psychological treatment and drug treatment.3. Tobacco control services provided by general practitioners1)32.7%of the general practitioners often or sometimes took the initiative to ask patients about smoking at work.55.0%of the general practitioners often or sometimes asked patients to quit smoking at work.24.5%of the general practitioners often or sometimes asked patients about intentions to quit smoking at work. Non-smokers of current were more active than current smokers in tobacco control behaviors.2) Service time of smoking cessation by general practitioners:In the practical work, the proportion of time under3minutes was highest, accounting for53.5%. General practitioners thought the most feasible service time was1-3minutes, accounting for33.5%. 3) Attitudes of general practitioners to add smoking cessation service content into work:Most doctors (83.9%) were willing to add smoking cessation service content into work. Non-smokers of current were more active than current smokers in attitudes of tobacco control.4) Relationship between smoking status and tobacco control of general practitioners Non-smokers of current were more active than current smokers in tobacco control behaviors such as tobacco control services, advices, assessments.Conclusions:The tobacco smoking rates of general practitioners in this survey were higher than foreign countries. Tobacco control behaviors of general practitioners in inquiries, suggestions, and evaluations were also inadequate, and the tobacco control service capabilities were to be improved. Considering the smoking status and tobacco control situation of general practitioners in Shanghai, it is necessary to support tobacco control policies enough. We should provide tobacco control education and training for general practitioners to reduce their smoking rate, to improve their knowledge, skills and consciousness of tobacco control, and to promote tobacco control work.