Physician Smoking Status May Influence Cessation Counseling Practices (Quantitative Research) (Report)

Primary care physicians have a unique opportunity to systematically deliver effective smoking cessation treatment to their patients who smoke, (1,2) and smoking cessation counseling by physicians is now considered to be an evidence-based practice. In the 2005 Canadian Tobacco Use Monitoring Survey (CTUMS), 73% of current smokers had visited a physician in the past year, but only 51% said they had received advice to quit or reduce smoking; and 57% were given information on smoking cessation aids. (3) Several physician-related characteristics are positively associated with favourable smoking cessation interventions, including: older age; (4) female gender; (4-6) working in urban areas4 and in private settings; (7) positive beliefs and attitudes about the effectiveness of counseling; (8-12) favourable perceptions about patient responsiveness to advice; (13,14) perceived self-efficacy; (7) and having received training in smoking cessation. (4,5) A number of reports (4,5,15-24) suggest that physician smoking status relates to the quantity and quality of cessation counseling. In this analysis, we hypothesized that physicians who smoke have less favourable beliefs and attitudes and more perceived barriers to counseling than non-smoking physicians and would therefore be less likely to intervene with smokers. METHODS

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