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Use of Smoking Cessation Interventions by Physicians in Argentina

Published online by Cambridge University Press:  21 November 2014

Veronica Schoj ,
Raul Mejia ,
Mariela Alderete ,
Celia P. Kaplan ,
Lorena Peña ,
Steven E. Gregorich ,
Ethel Alderete  and
Eliseo J. Pérez-Stable
Veronica Schoj
Affiliation:
Fundacion Interamericana del Corazon Argentina, Buenos Aires, Argentina
Raul Mejia
Affiliation:
Centro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina
Mariela Alderete
Affiliation:
Fundacion Interamericana del Corazon Argentina, Buenos Aires, Argentina
Celia P. Kaplan
Affiliation:
Department of Medicine, Division of General Internal Medicine, Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco
Lorena Peña
Affiliation:
Centro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina
Steven E. Gregorich
Affiliation:
Department of Medicine, Division of General Internal Medicine, Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco
Ethel Alderete
Affiliation:
Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET); Universidad Nacional de Jujuy, Argentina
Eliseo J. Pérez-Stable*
Affiliation:
Centro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina Department of Medicine, Division of General Internal Medicine, Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco
*
Address for correspondence: Eliseo J. Pérez-Stable, MD, Department of Medicine, Division of General Internal Medicine, Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco, 3333 California Street, San Francisco, CA 94143-0856. Email: eliseops@medicine.ucsf.edu
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Abstract

Background: Physician-implemented interventions for smoking cessation are effective but infrequently used. We evaluated smoking cessation practices among physicians in Argentina.

Methods: A self-administered survey of physicians from six clinical systems asked about smoking cessation counselling practices, barriers to tobacco use counselling and perceived quality of training received in smoking cessation practices.

Results: Of 254 physicians, 52.3% were women, 11.8% were current smokers and 52% never smoked. Perceived quality of training in tobacco cessation counselling was rated as very good or good by 41.8% and as poor/very poor by 58.2%. Most physicians (90%) reported asking and recording smoking status, 89% advised patients to quit smoking but only 37% asked them to set a quit date and 44% prescribed medications. Multivariate analyses showed that Physicians' perceived quality of their training in smoking cessation methods was associated with greater use of evidence-based cessation interventions. (OR = 6.5; 95% CI = 2.2–19.1); motivating patients to quit (OR: 7.9 CI 3.44–18.5), assisting patients to quit (OR = 9.9; 95% CI = 4.0–24.2) prescribing medications (OR = 9.6; 95% CI = 3.5–26.7), and setting up follow-up (OR = 13.0; 95% CI = 4.4–38.5).

Conclusions: Perceived quality of training in smoking cessation was associated with using evidence-based interventions and among physicians from Argentina. Medical training programs should enhance the quality of this curriculum.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 11 , Issue 3 , September 2016 , pp. 188 - 197
Copyright
Copyright © The Author(s) 2014 

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