National survey of U.S. health professionals’ smoking prevalence, cessation practices, and beliefs

摘要: Background: Tobacco dependence treatment efforts have focused on primary care physicians (PCPs), but evidence suggests that they are insufficient to help most smokers quit. Other health professionals also frequently encounter smokers, their smoking prevalence, cessation practices, and beliefs less well known. Methods: The study included 2,804 subjects from seven professional groups: PCPs, emergency medicine physicians, psychiatrists, registered nurses, dentists, dental hygienists, pharmacists. Outcomes self-reported status, beliefs. Multivariate regression was used examine factors associated with (except pharmacists) self-reportedly performing the "5 A's": asking, advising, assessing, assisting, or arranging follow-up about tobacco. Results: Health a low prevalence (<6%), except nurses (13%). Many report asking (87.3%-99.5%) advising (65.6%-94.9%) much assessing smokers' interest (38.7%-84.8%), assisting (16.4%―63.7%), (1.3%-23.1%). Controlling for practice demographics, positively in multivariate analyses multiple components of 5 A's include awareness Public Service guidelines, having had training, believing an important responsibility. Negative associations being current smoker, not PCP, uncomfortable patients if smoke, counseling appropriate service, reporting competing priorities. Conclusion: U.S. fully A's. common barriers facilitators identified may inform strategies increasing involvement all conducting tobacco treatments.