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AlAteeq M, Alrashoud AM, Khair M, et al. Smoking cessation advice: the self-reported attitudes and practice of primary health care physicians in a military community, central Saudi Arabia. Patient Prefer Adherence. 2016;10:651-8doi: 10.2147/PPA.S103010.
AlAteeq, M., Alrashoud, A. M., Khair, M., & Salam, M. (2016). Smoking cessation advice: the self-reported attitudes and practice of primary health care physicians in a military community, central Saudi Arabia. Patient preference and adherence, 10651-8. https://doi.org/10.2147/PPA.S103010
AlAteeq, Mohammed, et al. "Smoking cessation advice: the self-reported attitudes and practice of primary health care physicians in a military community, central Saudi Arabia." Patient preference and adherence vol. 10 (2016): 651-8. doi: https://doi.org/10.2147/PPA.S103010
AlAteeq M, Alrashoud AM, Khair M, Salam M. Smoking cessation advice: the self-reported attitudes and practice of primary health care physicians in a military community, central Saudi Arabia. Patient Prefer Adherence. 2016 Apr 26;10:651-8. doi: 10.2147/PPA.S103010. eCollection 2016. PMID: 27175065; PMCID: PMC4854249.
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Patient Prefer Adherence. 2016 Apr 26;10:651-8. doi: 10.2147/PPA.S103010. eCollection 2016.

Smoking cessation advice: the self-reported attitudes and practice of primary health care physicians in a military community, central Saudi Arabia.

Patient preference and adherence

Mohammed AlAteeq, Abdulaziz M Alrashoud, Mohammed Khair, Mahmoud Salam

Affiliations

  1. Department of Family Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
  2. College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
  3. King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

PMID: 27175065 PMCID: PMC4854249 DOI: 10.2147/PPA.S103010

Abstract

BACKGROUND: Brief advice on smoking cessation from primary health care (PHC) physicians reduces smoking prevalence. However, few studies have investigated the provision of such advice by PHC physicians providing services to military communities. The aim of this study was to evaluate PHC physicians' attitudes toward and practice of delivering smoking cessation advice to smokers in a military community in central Saudi Arabia.

METHODS: A self-reported survey of PHC physicians was conducted in 2015 using a previously validated tool. The age, sex, educational level, job title, experience and previous smoking cessation training of each physician was recorded. Attitude (ten statements) and practice (six statements) were evaluated on a five-point Likert scale. Scoring system was applied and percentage mean scores (PMS) were calculated. Descriptive/statistical analyses were applied to identify factors that were significantly associated with a positive attitude and favorable practice (PMS >65 each). P-values <0.05 were considered to be significant.

RESULTS: Response rate was 73/150 (48.6%), of which equal sex distribution (52%:48%) was observed, with a mean age of 35.3±9.6 years. General practitioners constituted 71.4%, followed by consultants (17.9%) and specialists (10.7%). Those with a postgraduate education formed 49.3%, while experience averaged 9.5±9.2 years. Approximately 56% had not attended a smoking cessation educational program in the previous year. Approximately 75% of physicians had a positive attitude (PMS =72.4±11.2), while 64.4% reported favorable practice (PMS =65.3±27.7). Higher education levels were significantly more associated with positive attitude than lower education levels (adj. odds ratio [OR] 95% confidence interval [CI] =17.9 [1.3-242.3]; adj. P=0.03). More experienced physicians (adj. OR [95% CI] =9.5 [1.6-54.6]) and those with positive attitude (adj. OR [95% CI] =6.1 [1.6-23.3]) were more likely to report a favorable practice, compared to the less experienced (adj. P=0.012) and physicians with a negative attitude (adj. P=0.008).

CONCLUSION: Provision of smoking cessation advice by primary health care physicians serving a military community is significantly associated with their attitude and years of experience. Patients who are seeking smoking cessation advice should be referred to physicians with higher levels of education. Routinely scheduled training on proper delivery of smoking cessation advice may increase physicians' confidence; improve their attitude, and subsequently, their practice.

Keywords: Saudi Arabia; attitude; practice; primary health care; smoking cessation advice

References

  1. Thorax. 2000 Dec;55(12 ):987-99 - PubMed
  2. Ital J Pediatr. 2015 Sep 15;41:63 - PubMed
  3. Ann Intern Med. 2002 Mar 19;136(6):429-37 - PubMed
  4. Iran J Nurs Midwifery Res. 2011 Winter;16(1):34-40 - PubMed
  5. J Epidemiol Glob Health. 2015 Jun;5(2):117-23 - PubMed
  6. Cochrane Database Syst Rev. 2008 Apr 16;(2):CD000165 - PubMed
  7. East Mediterr Health J. 2010 Jun;16(6):671-6 - PubMed
  8. Saudi Dent J. 2015 Apr;27(2):99-104 - PubMed
  9. JAMA. 1988 May 20;259(19):2883-9 - PubMed
  10. Saudi Med J. 2009 Jul;30(7):876-81 - PubMed
  11. MMWR Morb Mortal Wkly Rep. 2007 Nov 9;56(44):1157-61 - PubMed
  12. Public Health. 1995 Jan;109(1):47-55 - PubMed
  13. Addiction. 2005 Oct;100(10):1423-31 - PubMed

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