Health Care Workers’ Knowledge, Attitudes and Practices on Tobacco Use in Economically Disadvantaged Dominican Republic Communities
| Autor: | John Grable, Scott McIntosh, José Javier Sánchez, Arisleyda Bautista, Kelly Thevenet-Morrison, Heather Holderness, Deborah J. Ossip, Sergio Diaz, Michael G. Prucha, Zahira Quiñones de Monegro, Susan G. Fisher |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
Attitude of Health Personnel Health Personnel Health Toxicology and Mutagenesis medicine.medical_treatment education Psychological intervention Developing country global health lcsh:Medicine Article socioeconomic status Poverty Areas Environmental health tobacco cessation Health care Global health Humans Medicine low-middle income country Developing Countries Socioeconomic status business.industry Dominican Republic Smoking Tobacco control lcsh:R Public Health Environmental and Occupational Health Tobacco Use Disorder 3. Good health Disadvantaged primary health care Smoking cessation Female Smoking Cessation Clinical Competence business |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 12, Iss 4, Pp 4060-4075 (2015) International Journal of Environmental Research and Public Health Volume 12 Issue 4 Pages 4060-4075 |
| ISSN: | 1660-4601 |
| Popis: | Tobacco use is increasing globally, particularly in low and middle-income countries like the Dominican Republic (DR) where data have been lacking. Health care worker (HCW) interventions improve quit rates asking patients about tobacco use at each visit is an evidence-based first step. This study provides the first quantitative examination of knowledge, attitudes and practices of DR HCWs regarding tobacco use. All HCWs (N = 153) in 7 economically disadvantaged DR communities were targeted with anonymous surveys. Approximately 70% (N = 107) completed the primary outcome item, asking about tobacco use at each encounter. Despite > 85% strongly agreeing that they should ask about tobacco use at each encounter, only 48.6% reported doing so. While most (94.39%) strongly agreed that smoking is harmful, knowledge of specific health consequences varied from 98.13% for lung cancer to 41.12% for otitis media. Few received training in tobacco intervention (38.32%). Exploratory analyses revealed that always asking even if patients are healthy, strongly agreeing that tobacco causes cardiac disease, and always advising smoke-free homes were associated with always asking. Overall, results demonstrate a disconnect between HCW belief and practice. Though most agreed that always asking about tobacco was important, fewer than half did so. Gaps in HCW knowledge and practices suggest a need for education and policy/infrastructure support. To our knowledge, this is the first reported survey of DR HCWs regarding tobacco, and provides a foundation for future tobacco control in the DR. |
| Databáze: | OpenAIRE |
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