Assessment of smoking in a medical center hospital - What has changed after 15 years?

Abstract

Attitude of healthcare professionals towards smoking is crucial for any long-term prevention and smoking cessation program. In Portugal, a restriction upon smoking in enclosed public places has been in effect since 2008. The aim of this study was to analyze smoking habits of Medical Professionals of a Central Hospital in 2014. Results were compared with those obtained in 1999, using a similar questionnaire, assessing the impact of legislation. Data were collected through a anonymous questionnaire distributed by all physicians (423 doctors), yielding 171 replies. Response rate increased from 19% in 1999 to 40.4% . All participants were asked about their demographic profile. Smokers were asked about habits and behavior towards smoking, legislation knowledge and importance of cessation programs. Results are shown in Table 1.

In 2014, prevalence of smoking among medical professionals was 14,6%, lower than the prevalence of smoking in Portugal (about 25%) and medical professionals in 1999 (21%). About half have tried to quit at least once, 8% of them by specialised support. Majority had a low level of nicotine dependence (Fargerström Test). All participants recognized importance of Smoking Cessation Program but only 44% would like to attend it. Prevalence of smoking among medical professionals decreased between 1999 and 2014. Implementation of legislation appears to have had a positive impact on tobacco control as well as other strategies.