Smoking Knowledge, Attitude, and Practices Among Health Care Professionals from Sulaymaniyah City/Iraq

Darya Saeed Abdulateef, Azheen Jamil Ali, Darwn Saeed Abdulateef, M I Glad Mohesh, Darya Saeed Abdulateef, Azheen Jamil Ali, Darwn Saeed Abdulateef, M I Glad Mohesh

Abstract

Background: Smoking is a serious risk to health globally. Health care professionals play a key role in the prevention of smoking as they are considered a role model by patients.

Objectives: The aims of this study are to evaluate smoking rate among physicians and dentists from Sulaymaniyah, Iraqi Kurdistan, Iraq, and to understand their knowledge and attitudes toward tobacco smoking.

Methods: A cross-sectional web-based survey was conducted involving physicians and dentists working in both University of Sulaimani and Sulaymaniyah Teaching Hospitals. A questionnaire created based on World Health Organization Global Health Professional Survey with slight modifications was emailed to the study participants and the responses received were analyzed.

Results: Incidence of smoking among physicians and dentists was 26.5%, with a significantly higher rate among male compared to female health care professionals. The mean age of starting smoking was 22.3 (±4.8) years. Only 7.3% of health care professionals received formal training on smoking cessation. All responders agreed that smoking is harmful to health. However, ever smokers compared to never smokers were less likely to agree that health care professionals should set a positive impact by not smoking.

Conclusion: Smoking rate is high among physicians and dentists from Sulaymaniyah city/Iraq, and at the same time, there is a low rate of training on smoking cessation.

Keywords: Iraq; Sulaymaniyah; attitude; dentists; physicians; smoking.

References

    1. Centers for Disease Control and Prevention . Smoking and Tobacco Use. Health Effects; [Accessed October 8, 2009]. Available at: .
    1. Smith SS, Beckley T, Fiore MC. Health care provider use of guideline-based smoking cessation interventions: results from the 2003. WMJ. 2005;140:28–31.
    1. Moreno-Lopez LA, Esparza-Gomez GC, Gonzalez-Navarro A, Cerero-Lapiedra R, González-Hernández MJ, Domínguez-Rojas V. Risk of oral cancer associated with tobacco smoking, alcohol consumption and oral hygiene: a case-control study in Madrid, Spain. Oral Oncol. 2000;36(2):170–174.
    1. Warnakulasuriya S. Bidi smokers at increased risk of oral cancer. Evid Based Dent. 2005;6(1):19.
    1. Warnakulasuriya S, Sutherland G, Scully C. Tobacco, oral cancer, and treatment of dependence. Oral Oncol. 2005;41(3):244–260.
    1. Johnson GK, Slach NA. Impact of tobacco use on periodontal status. J Dent Educ. 2001;65(4):313–321.
    1. Palmer RM, Wilson RF, Hasan AS, Scott DA. Mechanisms of action of environmental factors–tobacco smoking. J Clin Periodontol. 2005;32(suppl 6):180–195.
    1. Ferguson P, Small WP. Further study of the smoking habits of hospital nurses. Health Bull. 1985;43:13–18.
    1. Olsen AD, Fugleholm AM, Rasmussen S, et al. Smoking behaviour and exposure to passive smoking among hospital employees 1992–1999. Ugeskr Laeger. 2000;162:5623–5627.
    1. Tapia-Conyer R, Cravioto P, de la Rosa B, Galván F, García-de la Torre G, Kuri P. Cigarette smoking: knowledge and attitudes among Mexican physicians. Salud Publica Mex. 1997;39:507–512.
    1. Kawakami M, Nakamura S, Fumimoto H, Takizawa J, Baba M. Relation between smoking status of physicians and their enthusiasm to offer smoking cessation advice. Intern Med. 1997;36:162–165.
    1. Nielsen PE, Falk J, Danielsen US. Smoking habits and attitudes towards the tobacco issue among health professionals in Denmark in 1996. Ugeskr Laeger. 2000;162:4140–4144.
    1. Davis RM. When doctors smoke. Tob Control. 1993;2:187–188.
    1. Willaing I, Ladelund S. Smoking behavior among hospital staff still influences attitudes and counseling on smoking. Nicotine Tob Res. 2004;6:369–375.
    1. Smith DR, Leggat PA. An international review of tobacco smoking in the medical profession: 1974–2004. BMC Public Health. 2007;7:115.
    1. La Torre G, Saulle R, Unim B, et al. Knowledge, attitudes, and smoking behaviours among physicians specializing in public health: a multicentre study. Biomed Res Int. 2014;2014:1–8.
    1. Lancaster T, Stead L, Silagy C, Sowden A. Effectiveness of interventions to help people stop smoking, findings from the Cochrane Library. BMJ. 2000;321(7257):355–358.
    1. Davoli M, Minozzi S. Sintesi delle revisioni sistematiche sulla efficacia degli interventi di cessazione del fumo [Overview of systematic reviews on efficacy of smoking cessation intervention] Epidemiol Prev. 2002;26(6):282–287.
    1. Ferketich AK, Gallus S, Colombo P, et al. Physician delivered advice to quit smoking among Italian smokers. Am J Prev Med. 2008;35(1):60–63.
    1. Hussain SF, Tjeder-Burton S, Campbell IA, Davies PD. Attitudes to smoking and smoking habits among hospital staff. Thorax. 1993;48:174–175.
    1. Ramseier CA, Warnakulasuriya S, Needleman IG, et al. Consensus report: 2nd European workshop on tobacco use prevention and cessation for oral health professionals. Int Dent J. 2010;60(1):3–6.
    1. Hoseainrezaee H, Khodabandeh S, Kheradmand A, Pilehvarzadeh M. Frequency of smoking and specialized awareness among doctors and nurses of hospitals in Kerman, Iran. Addict Health. 2013;5(1–2):51–56.
    1. Zafar M. Prevalence of smoking and associated risk factors among medical professionals in hospitals of Karachi, Pakistan. Int J Prev Med. 2014;5(4):457–462.
    1. Behbehani NN, Hamadeh RR, Macklai NS. Knowledge of and attitudes towards tobacco control among smoking and non-smoking physicians in 2 Gulf Arab states. Saudi Med J. 2004;25:585–591.
    1. Shishani K, Nawafleh H, Jarrah S, Froelicher ES. Smoking patterns among Jordanian health professionals: a study about the impediments to tobacco control in Jordan. Eur J Cardiovasc Nurs. 2011;10(4):221–227.
    1. Awan KH, Hammam MK, Warnakulasuriya S. Knowledge and attitude of tobacco use and cessation among dental professionals. Saudi Dent J. 2015;27:99–104.
    1. Kaneita Y, Ohida T, Uchida T. Prevalence and correlates of smoking among Japanese physicians: result from the 2008 survey on the smoking activities of Japan Medical Association members. Nippon Ishikai Zasshi. 2009;138:770–777.
    1. WHO. World Health Organization . Report on the Global Tobacco Epidemic, Country Profile. Iraq: 2015. Available at: .
    1. Baey HA, Wahhudi MMA, Hashim HM, Ali OH, Nadhim N, Shamkhi BA. Smoking among health care providers, identification of associated factors in Hilla City during the year 2011. Med J Babylon. 2011;8(4):69–81.
    1. Ramzi ZhS. Prevalence of cigarette smoking among Sulaimani University students. Sulaimani Dent J. 2014;1:51–56.
    1. Al-Windi A, Majeed BN. Prevalence and predictors of smoking among a healthy working population: epidemiological study among healthy workers in Kurdistan, Iraq (ESHWKI) J Chin Clin Med. 2010;5(10):585–590.
    1. Ficarra MG, Gualano MR, Capizzi S, et al. Tobacco use prevalence, knowledge and attitudes among Italian hospital healthcare professionals. Eur J Public Health. 2010;21(1):29–34.
    1. Al-Lawati JA, Nooyi SC, Al-Lawati AM. Knowledge, attitudes and prevalence of tobacco use among physicians and dentists in Oman. Ann Saudi Med. 2009;29(2):128–133.
    1. Saglam L, Bayraktar R, Kadioglu EE, Acemoglu H. Smoking prevalance and the degree of nicotine dependence among healthcare workers at the Ataturk University Medical Facility. Eurasian J Med. 2010;42(2):74.
    1. World Health Organization (Media Center) The International Survey on Health Professionals in Tobacco. Eastern Mediterranean Region; 2005. [Accessed December 2015]. Available at: .
    1. Shkedy Y, Feinmesser RM, Mizrachi A. Smoking habits among Israeli hospital doctors: a survey and historical review. Isr Med Assoc J. 2013;15(7):339–341.
    1. Hodgetts G, Broers T, Godwin M. Smoking behaviour, knowledge and attitudes among family medicine physicians and nurses in Bosnia and Herzegovina. BMC Fam Pract. 2004;5(1):12.
    1. Morrell HER, Cohen LM, Dempsey JP. Smoking prevalence and awareness among undergraduate and health care students. Am J Addict. 2008;17:181–186.
    1. Colleen C, Heath F, Thompson RL. A meta-analysis of response rates in web- or internet-based surveys. Educ Psychol Meas. 2000;60:821–826.

Source: PubMed

3
S'abonner