Indian J Community Med. 2011 Apr;36(2):104-8. doi: 10.4103/0970-0218.84127.
Preparedness for tobacco control among postgraduate residents of a medical college in bangalore.
Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
Prem K Mony, Sylvia Jayakumar
Affiliations
Affiliations
- Division of Epidemiology, St. John's Research Institute, Koramangala, Bangalore, India.
PMID: 21976793
PMCID: PMC3180933 DOI: 10.4103/0970-0218.84127
Abstract
BACKGROUND: Tobacco use is a major cause of avoidable mortality. Postgraduate doctors in training are an important group of physicians likely to influence patients' tobacco use/cessation.
OBJECTIVE: To assess preparedness for tobacco control among clinical postgraduate residents of a medical college in southern India.
MATERIALS AND METHODS: A cross-sectional study was undertaken among all clinical postgraduate residents enrolled in St. John's Medical College, Bangalore, to assess knowledge, attitude, and practice regarding tobacco cessation in their patients. A self-administered, anonymous questionnaire was used. Simple descriptive analysis was undertaken.
RESULTS: The overall response rate was 66% (76/116). Mean (S.D.) knowledge score on tobacco use prevalence and disease burden was 6.2 (2.0) out of 10. About 25% of them were not aware of nicotine replacement therapy as a treatment option for tobacco cessation. Nearly two thirds of them expected their patients to ask for assistance with quitting and nearly half were sceptical about patients' ability to quit. While 80% of them enquired routinely about tobacco use in their patients, only 50% offered advice on quitting and less than a third assessed readiness to quit or offered assistance with quitting in their patients.
CONCLUSION: Our study revealed suboptimal levels of knowledge and tobacco cessation practice among postgraduate residents. Attitudes toward tobacco cessation by their patients was however generally positive and there was substantial interest in further training in tobacco control. Reorienting postgraduate medical education to include tobacco control interventions would enable future physicians to be better equipped to deal with nicotine addiction.
Keywords: India; postgraduate medical education; tobacco cessation
References
- Indiana Med. 1996 Mar-Apr;89(2):199-204 - PubMed
- Cochrane Database Syst Rev. 2008 Apr 16;(2):CD000165 - PubMed
- Acad Med. 1994 May;69(5):362-9 - PubMed
- Prev Med. 2004 Sep;39(3):507-16 - PubMed
- Am J Prev Med. 2003 Jan;24(1):101-5 - PubMed
- ScientificWorldJournal. 2005 May 13;5:410-9 - PubMed
- Natl Med J India. 2010 Nov-Dec;23(6):340-3 - PubMed
- Obstet Gynecol Clin North Am. 2003 Sep;30(3):583-99, viii - PubMed
- Arch Pediatr Adolesc Med. 1995 Apr;149(4):430-5 - PubMed
- J Gen Intern Med. 2002 May;17(5):373-6 - PubMed
- J Gen Intern Med. 1991 Jan-Feb;6(1):9-17 - PubMed
- Indian J Psychiatry. 2007 Oct;49(4):277-82 - PubMed
- J Consult Clin Psychol. 1991 Apr;59(2):295-304 - PubMed
- Prog Clin Biol Res. 1984;156:131-40 - PubMed
- J Gen Intern Med. 2003 Dec;18(12):1023-7 - PubMed
- Prev Med. 1995 Mar;24(2):201-12 - PubMed
- Eur J Vasc Endovasc Surg. 2007 Oct;34(4):397-404 - PubMed
- Pediatrics. 1995 Aug;96(2 Pt 1):326-30 - PubMed
- Indian J Chest Dis Allied Sci. 1990 Jan-Mar;32(1):1-9 - PubMed
- Ann Intern Med. 2002 Mar 19;136(6):429-37 - PubMed
- J Am Board Fam Pract. 2001 Sep-Oct;14(5):343-51 - PubMed
- JAMA. 2000 Jun 28;283(24):3244-54 - PubMed
- Acad Psychiatry. 2005 Jul-Aug;29(3):256-61 - PubMed
Publication Types