Smoking Prevalence, Knowledge and Perceptions on Tobacco Control Among Healthcare Professionals: A Survey in an Italian Cancer Center.
Anti-smoking in-hospital policy
Cigarette smoking
Healthcare workers
Journal
Journal of community health
ISSN: 1573-3610
Titre abrégé: J Community Health
Pays: Netherlands
ID NLM: 7600747
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
pubmed:
14
8
2020
medline:
26
11
2021
entrez:
14
8
2020
Statut:
ppublish
Résumé
Smoking is recognized as the major cause of lung cancer. Healthcare professionals play an important role in lung cancer prevention policies, as they act as a source of guidance for patients and advocates. The following survey evaluated prevalence, knowledge, and attitudes toward tobacco smoking among a sample of workers in "IRCCS Istituto Tumori "Giovanni Paolo II" of Bari, an Italian cancer hospital. An anonymous questionnaire was completed by 104 healthcare professionals to collect personal and occupational data about smoking status, knowledge about the harms of smoking, current legislation in place, Second-Hand Smoke (SHS) awareness, and, for ex-smokers, the reasons for quitting. Among participants, 17.8% were current smokers, 26.2% former smokers, and 56% never smoked. Only 40% acknowledged that the smoking ban is generally respected, and 63.2% reported that they smoke during working hours. Most of the participants perceived tobacco control policy as an efficient way to protect public health. Currently, the implementation of Italian anti-smoking legislation has so far improved neither smoking cessation rates nor the will to quit smoking completely. Our experience highlights that to date the anti-smoking strategies have limited efficacy even in a cancer center; in fact, there is still a large prevalence of smokers among hospital personnel. Therefore, it is strongly suggested that interventions be shared with all healthcare workers, specifically aimed at developing a culture of health promotion.
Identifiants
pubmed: 32789714
doi: 10.1007/s10900-020-00907-8
pii: 10.1007/s10900-020-00907-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
597-602Références
Longo, D. R., Johnson, J. C., Kruse, R. L., et al. (2001). A prospective investigation of the impact of smoking bans on tobacco cessation and relapse. Tobacco Control, 10, 267–272. doi: https://doi.org/10.1136/tc.10.3.267 .
doi: 10.1136/tc.10.3.267
pubmed: 11544392
pmcid: 1747578
Martinez, C., Garcia, M., Mendez, E., et al. (2008). Barriers and challenges for tobacco control in a smoke-free hospital. Cancer Nurs, 31, 88–94. doi: https://doi.org/10.1097/01.NCC.0000305708 . 37530.ee.
doi: 10.1097/01.NCC.0000305708
pubmed: 18490882
Fernández, E., Martínez, C., & Alonso, B. (2010). Tobacco-free hospital campuses in Europe. Tobacco Control. E-letter available at: http://tobaccocontrol.bmj.com/content/18/6/451/reply#tobaccocontrol_el_3371 ).
WHO. Framework Convention on Tobacco Control (WHO FCTC). (2008). Geneva: World Health Organization.
Warren, G. W., Alberg, A. J., Cummings, K. M., et al. (2020). Smoking Cessation After a Cancer Diagnosis Is Associated With Improved Survival. J Thorac Oncol, 15(5), 705–708. https://doi.org/10.1016/j.jtho.2020.02.002 .
doi: 10.1016/j.jtho.2020.02.002
pubmed: 32197939
Warren, G. W., Dibaj, S., Hutson, A., et al. (2015). Identifying targeted strategies to improve smoking cessation support for cancer patients. J Thorac Oncol., 10, 1532–1537.
doi: 10.1097/JTO.0000000000000659
Toll, B. A., Brandon, T. H., Gritz, E. R., et al. (2013). Assessing tobacco use by cancer patients and facilitating cessation: an American Association for Cancer Research policy statement. Clin Cancer Res, 19, 1941–1948.
doi: 10.1158/1078-0432.CCR-13-0666
IIS/OSFAD. National smoking assessment. https://iss-ofad.azurewebsites.net/wp-content/uploads/2019/06/PACIFICI-31-maggio-2019.pdf . Accessed 18 August 2019.
Pianori, D., Gili, A., & Masanotti, G. (2017). Changing the smoking habit: prevalence, knowledge and attitudes among Umbrian hospital healthcare professionals. J Prev Med Hyg, 58(1), E72–E78.
pubmed: 28515635
pmcid: 5432782
Nilan, K., McKeever, T. M., McNeill, A., et al. Prevalence of tobacco use in healthcare workers: A systematic review and metaanalysis (2019). PLoS One. 14(7): e0220168.
doi: 10.1371/journal.pone.0220168
Jike, M., Nakaita, I., Uchiyama, M., et al. (2019). Prevalence of Smoking Among 4 Licensed Types of Nursing Personnel in Japan: An Epidemiological Study. Asia Pacific Journal of Public Health, 31(5), 454–462.
doi: 10.1177/1010539519854875
Croyle, R., Morgan, G., & Fiore, M. (2019). Addressing a Core Gap in Cancer Care: The NCI Cancer Moonshot Initiative to Help Oncology Patients Stop Smoking. N Engl J Med., 380, 512–515. doi: https://doi.org/10.1056/NEJMp1813913 .
doi: 10.1056/NEJMp1813913
pubmed: 30601710
pmcid: 6414811
Martinez, C., Fu, M., Martinez-Sanchez, J. M., Anton, L., et al. (2014). Impact of a long-term tobacco-free policy at a comprehensive cancer center: a series of cross-sectional surveys. BMC public health., 14, 1228. https://doi.org/10.1186/1471-2458-14-1228
doi: 10.1186/1471-2458-14-1228
pubmed: 25427959
pmcid: 4289238
Reile, R., & Pärna, K. (2018). Do physicians address their patients’ smoking behavior? Results from a nationwide survey among physicians in Estonia. Public health, 161, 1–4.
doi: 10.1016/j.puhe.2018.02.009
Muzi, G., Dell’Omo, M., Crespi, E., et al. (2001). Smoking in the workplace. Study at a hospital in central Italy. Med Lav, 92, 54–60.
pubmed: 11367828
Masia, M. D., Solinas, G., Piana, A., et al. (2006). Smoking habit and behavior among health professionals. Ann Ig, 18, 261–269.
pubmed: 16821503
Ficarra, M. G., Gualano, M. R., Capizzi, S., et al. (2010). Tobacco use prevalence, knowledge and attitudes among Italian hospital healthcare professionals. Eur J Public Health, 21(1), 29e34. doi: https://doi.org/10.1093/eurpub/ckq017 .
doi: 10.1093/eurpub/ckq017
Callinan, J. E., Clarke, A., Doherty, K., et al. (2010). Legislative smoking bans for reducing secondhand smoke exposure, smoking prevalence and tobacco consumption. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD005992.pub2
doi: 10.1002/14651858.CD005992.pub2
pubmed: 20393945
Fiore, M. C., Jaén, C., Baker, T., et al. (2008). Treating Tobacco Use and Dependence: 2008 Update. U.S. Department of Health and Human Services; Rockville, MD.
US Department of Health and Human Services. (2020). Smoking cessation: a report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2020 [accessed 2020 May 21].