A survey of smoking cessation knowledge, training, and practice among U.S. Army general medical officers

Autor: Jean M. Johnson, Matthew J Hepburn, John A. Ward, Jenice N. Longfield
Rok vydání: 2000
Předmět:
Zdroj: American journal of preventive medicine. 18(4)
ISSN: 0749-3797
Popis: Historically, cigarette-smoking rates have been higher among military personnel than among civilians, although recently these rates have decreased.In March 1997, a questionnaire assessing (1) training received on smoking cessation, (2) objective knowledge of smoking-cessation techniques, (3) frequency of practice habits, and (4) personal tobacco use among physicians, was successfully mailed to 232 of the total population of 279 Army general medical officers (GMOs).One-hundred-fifty (65%) GMOs returned questionnaires. Of these, 3.3% reported personal cigarette smoking, and 7.3% regularly used smokeless tobacco. During internship, few (13%) GMOs received smoking-cessation training. Primary care programs provided training more frequently than did surgery internship programs. The mean score on the objective knowledge portion was 72%. GMOs had a variable practice pattern in their use of smoking-cessation techniques (percent answering "usually" or "always"): helping patients set quit dates (35%), offering to prescribe the nicotine patch (59%), referring patients to a behavior-modification program (86%). Physicians who received training during internship were significantly more likely (p0.01) to help their patients set a quit date. Training did not result in a statistically increased frequency of other practice habits.GMOs received minimal training on smoking cessation during internship. GMOs refer patients to smoking-cessation classes, reflecting the strategy of the Army Health Promotion program. Strategies to increase the frequency that GMOs prescribe nicotine replacement and assist patients in setting a quit date are needed. Military smoking-cessation efforts may provide valuable lessons for the civilian community.
Databáze: OpenAIRE