Behaviors, attitudes and opinions of medical students in the field of smoking and anti-smoking counseling in two countries of Central and Eastern Europe
DOI:
https://doi.org/10.15584/ejcem.2020.3.8Keywords:
anti-smoking education, cessation training, ciggarete smoking, medical students, tobbaco smokingAbstract
Introduction. Europe is the region with the greatest proportion of deaths (16%) attributable to tobacco smoking worldwide. Medical students and physicians should set an example of tobacco-smoking abstinence for their patients.
Aim. The aim of the study was to compare opinions on behaviors and attitudes of Czech and Polish medical students about tobacco smoking and the position of a physician in anti-smoking counseling.
Material and methods. The Global Health Professions Student Survey (GHPSS) was conducted among 707 medical students in Czech Republic in 2011 and among 1164 medical students in Poland.
Results. Twety percent of polish and 25,7% of Czech medical students declared current tobacco smoking. Eighty-one percent in Poland and 60% in Czech Republic felt that physicians should be trained in smoking cessation techniques but only 27% of the medical students in Poland and 2,8% in Czech Republic, declared that such a course had been realized during the course of their education.
Conclusion. Over a fifth of Polish students and a quarter of Czech students declared themselves as active smokers. It is worrying that about half of Polish students were exposed to environmental tobacco smoke, while only one-fifth of Czech students declared such exposure. Polish and Czech students agreed that the doctor will play an important role in the patient’s smoking cessation process and that physicians should give advice on quitting smoking.
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References
Carter M, Abnet C, Feskanich D, et al. Smoking and Mortality—Beyond Established Causes. N Eng J Med. 2015; 372:631–640.
Marcon A, Pesce G, Calciano L, et al. Trends in smoking initiation in Europe over 40 years: a retrospective cohort study. PLoS One. 2018;13(8):e0201881.
WHO. Tobacco. Key Facts. https://www.who.int/news-room/fact-sheets/detail/tobacco. Aceessed January 10, 2020.
Pesce G, Marcon A, Calciano L, et al. Time and age trends in smoking cessation in Europe. PLoS One. 2019; 14(2):e0211976.
Bilano V, Gilmour S, Moffiet T, et al. Global trends and projections for tobacco use, 1990–2025: an analysis of smoking indicators from the WHO Comprehensive Information Systems for Tobacco Control. Lancet. 2015;385:966-976.
Zatoński W, Zatoński M, Janik-Koncewicz K, et al. Hundred years of cigarette smoking in Poland: three phases of the tobacco epidemic. J Health Inequal. 2017;3(2):118-122.
Kruk W, Hubert-Lutecka A, Zając K, et al. Palenie tytoniu przez studentów – skala problemu. Medycyna Ogólna i Nauki o Zdrowiu.2014;20:433-438.
van Beek K, Kuipers M, Lignac O, et al. Smoking in bars in eight European countries in 2010 and 2016: an observational comparative study. Eur J Public Health. 2019;29(1):159-163.
Choi S, Stommel M. Impact of age at smoking initiation on smoking-related morbidity and all-cause mortality. Am J Prev Med. 2017;53(1):33-41.
Hoffman S, Tan C. Overview of systematic reviews on the health-related effects of government tobacco control policies. BMC Public Health. 2015;15:744.
Bosdriesz J, Willemsen M, Stronks K, et al. Tobacco control policy and socio-economic inequalities in smoking in 27 European countries. Drug Alcohol Dependence. 2016;165:79-86.
Accordini S, Calciano L, Johannessen A, et al. A three-generation study of tobacco smoking with asthma. Int J Epidemiol. 2018; 47(4):1106-1117.
GBD 2015 SDG Collaborators. Measuring the health-related Sustainable Development Goals in 188 countries: a baseline analysis from the Global Burden of Disease Study 2015. Lancet. 2016;388:1813-1850.
Frazer K, Callinan JE, McHugh J, et al. Legislative smoking bans for reducing harms from secondhand smoke exposure, smoking prevalence and tobacco consumption. Cochrane Database Syst Rev. 2016;2(2):CD005992.
Ja-yin L, Hyunmi A, Hyeonkyeong L. Factors Affecting Secondhand Smoke Avoidance Behavior of Vietnamese Adolescents. Int J Environ Res Public Health. 2018;15(8):1632.
Geraee N, Kaveh M, Shojaeizadeh D, et al. Impact of media literacy education on knowledge and behavioral intention of adolescents in dealing with media messages according to stages of change. J Adv Med Educ Prof. 2015;3:9-14.
Glantz S, Palmrey W. Passive smoking and heart disease. Epidemiology, physiology and biochemistry. Circulation. 1991;83:1-12.
Khorasanchi Z, Bahrami A, Avan A, et al. Passive smoking is associated with cognitive and emotional impairment in adolescent girls. J Gen Psychol. 2019:146(1):68-78.
Wang Z, Xie J, Wu C, et al. Correlation Between Smoking and Passive Smoking with Multiple Sclerosis and the Underlying Molecular Mechanisms. Med Sci Monit. 2019; 25:893-902.
Tsai J, David M. Homa, D, et al. Exposure to Secondhand Smoke Among Nonsmokers — United States, 1988–2014. MMWR Morb Mortal Wkly Rep. 2018;67(48):1342-1346.
Holmes C, King B, Babb S. Stuck in neutral: stalled progress in statewide comprehensive smoke-free laws and cigarette excise taxes, United States, 2000–2014. Prev Chronic Dis. 2016;13:150409.
Binkowska‐Bury M, Sałacińska I, Więch P, Januszewicz P. Tobacco smoking among first year students of Rzeszow universities. Medycyna Ogólna i Nauki o Zdrowiu. 2015;21(1):101-106.
Gromadecka-Sutkiewicz M, Klos J, Marinkowski J, et al. Is non-smoking becoming fashionable among medical students? Comparison of test results from 2000 and 2012. Probl Hig Epidemiol. 2014;95(2):465-470.
Suwała M, Dziankowska-Zaborszczyk E. Tobacco smoking prevalence and reasons motivating to non-smoking among future dentists and physicians. Probl Hig Epidemiol. 2016;97(4):357-362.
Zhu S, Lee M, Zhuang Y, et al. Interventions to increase smoking cessation at the population level: How much progress has been made in the last two decades? Tob Control. 2012;21(2):110-118.
Pati S. Putting Tobacco Cessation and Prevention into Undergraduate Medical Education. Int J Prev Med. 2014;5(1):69-75.
WHO report on the global tobacco epidemic 2017. https://www.who.int/tobacco/global_report/2017/en/. Aceessed January 14, 2019.
Hrubá D. Antismoking education in Czech medical and dental faculties. European Journal of Dental Education. 2004;8(4).
Králíková E. Tobacco dependence treatment guidelines. Vnitrní Lékarství. 2015:1.
National Center for Chronic Disease Prevention and Health Promotion, The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General. 2014
Szczęch B, Dyzmann-Sroka A, Kubiak A. Analysis of awareness of health consequences of tobacco use among selected social groups. Probl Hig Epidemiol. 2014;95(4):871-879.
Yang, Tingzhong, Yu, et al. Global Health Professions Student Survey (GHPSS) in Tobacco Control in China. American Journal of Health Behavior. 2015;5:732-741.
Warren C, Sinha N, Lee J, et al. Tobacco use, exposure to secondhand smoke, and cessation counseling among medical students: cross-country data from the Global Health Professions Student Survey (GHPSS). BMC Public Health. 2011;11:72.
Saulle R, Bontempi C, Baldo V, et al. GHPSS multicenter Italian survey: smoking prevalence, knowledge and attitudes, and tobacco cessation training among third-year medical students. Tumori. 2013;99:17-22.
WHO report on the global tobacco epidemic, 2019. https://www.who.int/tobacco/surveillance/policy/country_profile/cze.pdf?ua=1. Aceessed January 15, 2019.
https://www.who.int/tobacco/surveillance/policy/country_profile/pol.pdf?ua=1. Aceessed January 15, 2019.
La Torre G, Kirch W, Bes-Rastrollo M, et al. Tobacco use among medical students in Europe: results of a multicentre study using the Global Health Professions Student Survey. Public Health. 2012;126(2):159-164.
Yang T, Rockett I, Li M, et al. Tobacco advertising, environmental smoking bans, and smoking in Chinese urban areas. Drug Alcohol Depend. 2012;124(1):121-127.
Saade G, Warren C, Jones N, Mokdad A. Tobacco use and cessation counseling among health professional students: Lebanon Global Health Professions Student Survey. J Med Liban. 2008;57(4):243-247.
Global Adult Tobacco Survey. http://www.who.int/tobacco/surveillance/en_tfi_gats_poland_report_2010.pdf. Aceessed January 15, 2019.
La Torre G, Saulle R, Unim B, et al. Knowledge, attitudes, and smoking behaviours among physicians specializing in public health: a multicentre study. Biomed Res Int. 2014;2014:516734.
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