Cigarette Smoking Status and Smoking Cessation
Counseling of Chinese Physicians in Wuhan, Hubei Province
This version was published on July 1, 2008
Asia-Pacific Journal of Public Health, Vol. 20, No. 3, 183-192 (2008)
Han Zao Li, PhD,
Department of Psychology, University of Northern British Columbia, Canada, [email protected]
Weixing Sun, MD
Surgery Department, The Third Hospital
Fangmei Cheng, MD
Surgery Department, The Third Hospital
Xiangrong Wang, MD
Surgery Department, Wuhan Iron and Steel Plant Affiliated Hospital
Weiping Liu, MD
Surgery Department, Huazhong Science and Technology University Affiliated Hospital
Aisheng Wang, MD
Surgery Department, Wuhan University Affiliated Hospital Wuhan, Hubei Province, China
Among the 347 physicians surveyed, 58% of the male physicians and 18.8% of the female physicians were current cigarette smokers; 54.4% of the male and 70.4% of the female physicians often or always provided smoking cessation counseling for patients; 37.5% of the physicians thought that for a Chinese smoker, cigarette smoking served as a social lubricant; 31.5% thought it a habit; 21.7% thought it a stress reliever; and 9.2% thought it a social status symbol. The following 5 variables were significantly associated with physicians' smoking cessation counseling frequency: their smoking status, perceived success in their past counseling, perceived influence, perceived exemplary role, and perceived responsibility. To increase physicians' smoking cessation counseling, the Chinese Ministry of Health would need to discourage physicians to smoke and appeal to their sense of responsibility to help patients quit smoking.
Imagine being a fly and the wall and watching an actively feeding drug addict to try and counsel their patients in how to successfully arrest their own chemical dependency. What follows are a few quotes from this paper. Still one rule ... none today!
"A nationwide survey of Chinese adults revealed that prevalence was 63% among men and 3.8% among women in 19966 and 66% among men and 3.08% among women in 2002.7 The prevalence is even higher in regional studies in which it was found that 70% to 87% of Chinese males smoked."
"Specialty. Pediatricians had the highest smoking prevalence (52.6%), followed by gynecologists (50.0%), surgeons (48.5%), and anesthetists (46.7%). In comparison, internal medicine physicians and traditional Chinese doctors had lower smoking rates, 40.9% and 42.9%, respectively. The rates of moderate to heavy smokers were 50% among anesthetists, 39.6% among surgeons, 33.3% among traditional medicine doctors, 33.3% among gynecologists, 30.75% among pediatricians, and 25.7% among internal medicine doctors."
"When asked whether they had counseled their patients about cigarette smoking in the previous year, 82.8% answered always or often or sometimes. Among those who counseled their patients about cigarette smoking, 7.6% felt that they were very successful and 36.1% said that they were somewhat successful."
"From 1996 to 2005, the prevalence of cigarette smoking decreased slightly among male physicians in Wuhan: from 61.3% to 58.0%. This prevalence is compatible with those in the general population (63%).6 More physicians in 2005 were in the often and sometimes categories than in 1996. In comparison with physicians sampled in Li and Rosenblood's study in 1996, fewer physicians in the present study are current smokers, but the smokers consume more cigarettes per day."
"There is a significant increase in smoking among female physicians. In 1987, 4.8% of the female physicians smoked; in 1996, it was 12.2%, and in 2005, it was 18.8%. Much lower female smoking prevalence was reported among Chinese medical students: in 2 surveys of medical students in China, female smoking rates were 1.81%18 and 4.4%,17 respectively."
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