A missed opportunity. Teaching medical students to help their patients successfully quit smoking

JAMA ◽  
1994 ◽  
Vol 271 (8) ◽  
pp. 624-626 ◽  
Author(s):  
M. C. Fiore
Author(s):  
Sajjan Madappady ◽  
Hemant Kumar ◽  
S. Jayaram ◽  
Krutarth Brahmbhatt ◽  
Manjula Anil ◽  
...  

Background: Tobacco kills more than seven million people each year. In India tobacco kills nearly one million people each year and many of these deaths occur among people who are very young. Studies indicate that approximately 70% of all tobacco users would like to quit smoking and tobacco use.Methods: A non-randomized, cross sectional study was conducted in a Medical College in Mangaluru (Karnataka) which included medical students from first year to third year. A module developed by “Quit Tobacco International” was used for the purpose of training and counselling the selected medical students, focusing on the specific effects of tobacco, depicting simulated case scenarios.Results: A total of 404 medical students were included in the study. It was observed that 15.9% males and 5.3% females among first year students, 21.0% males and 5.3% females among second year students and 24.6% males and 9.2% females among third year students had smoked at some point in their life while the among current users, the prevalence of smoking was found to be much higher i.e. 8.7% and 2.6% among first year students, 9.9% and 3.5% among second year students; while it as highest among third year students i.e. 14% and 4.6%; among boys and girls respectively.Conclusions: The study brings out the need for inclusion of structured teaching and training of our medical students on harmful effects of tobacco use and its cessation techniques.


2014 ◽  
Vol 40 (2) ◽  
pp. 102-110 ◽  
Author(s):  
Stella Regina Martins ◽  
Renato Batista Paceli ◽  
Marco Antônio Bussacos ◽  
Frederico Leon Arrabal Fernandes ◽  
Gustavo Faibischew Prado ◽  
...  

OBJECTIVE: Water-pipe tobacco smoking is becoming increasingly more common among young people. The objective of this study was to estimate the prevalence of the use of water pipes and other forms of tobacco use, including cigarette smoking, among medical students, as well as to examine the attitudes, beliefs, and knowledge of those students regarding this issue. METHODS: We administered a questionnaire to students enrolled in the University of São Paulo School of Medicine, in São Paulo, Brazil. The respondents were evaluated in their third and sixth years of medical school, between 2008 and 2013. Comparisons were drawn between the two years. RESULTS: We evaluated 586 completed questionnaires. Overall, the prevalence of current cigarette smokers was low, with a decline among males (9.78% vs. 5.26%) and an increase among females (1.43% vs. 2.65%) in the 3rd and 6th year, respectively. All respondents believed that health professionals should advise patients to quit smoking. However, few of the medical students who smoked received physician advice to quit. Experimentation with other forms of tobacco use was more common among males (p<0.0001). Despite their knowledge of its harmful effects, students experimented with water-pipe tobacco smoking in high proportions (47.32% and 46.75% of the third- and sixth-year students, respectively). CONCLUSIONS: The prevalence of experimentation with water-pipe tobacco smoking and other forms of tobacco use is high among aspiring physicians. Our findings highlight the need for better preventive education programs at medical schools, not only to protect the health of aspiring physicians but also to help them meet the challenge posed by this new epidemic.


2015 ◽  
Vol 31 (2) ◽  
pp. 172-181 ◽  
Author(s):  
Judith K. Ockene ◽  
Rashelle B. Hayes ◽  
Linda C. Churchill ◽  
Sybil L. Crawford ◽  
Denise G. Jolicoeur ◽  
...  

1970 ◽  
Vol 10 (4) ◽  
pp. 280-283 ◽  
Author(s):  
MNA Siddiqui ◽  
S Sultana ◽  
T Sharif ◽  
ARMS Ekram

Objective: To assess trends of smoking and the relation between smoking behavior of undergraduate medical students and their attitudes towards smoking and treatment of tobacco dependence. Methodology: Data was collected from the medical students of Rajshahi Islami Bank Medical College, Bangladesh. A total of 200 male students completed the anonymous questionnaire. Response rate was 80.0%. Results: Of the respondents 20% and 80% were regular smokers and non-smokers respectively. Only 32.50 % of the regular smokers smoke less than ten cigarettes, 30.0 % smoke ten to twenty cigarettes whereas, 37.50% smoke more than 20 cigarettes per day. 25% started smoking at nineteen years of age, 22.5% started before this age and 27.5% and 25.0 % started at twenty and twenty one years of ages respectively. 70% started smoking just for pleasure. Only 29.72% smoke light cigarettes whereas 33.78% and 36.48% smoke medium and heavy cigarettes respectively. Almost 75% smokers agreed with the fact that smoking is harmful to health and 45% realized that their cigarette smoke bother others and again 70% of smokers have attempted to quit smoking but failed and 42.5% still wanted to quit smoking. About 55% of smokers complained that they suffer from chronic cough, 60% were lacking concentration in their studies and 45% felt that they were short of memory. Conclusions: Attitudes of smokers were significantly different on most items of tobacco, but knowledge of tobacco problem in the undergraduate medical students was not sufficient. Teaching about tobacco and related issues remains essential in the undergraduate medical course. Key words: Smoking; hazardous; cigarette; students; medical rducation; vurriculum DOI: http://dx.doi.org/10.3329/bjms.v10i4.9501 BJMS 2011; 10 (4): 280-283


2013 ◽  
Vol 39 (5) ◽  
pp. 579-584 ◽  
Author(s):  
Ivane Chkhaidze ◽  
Nino Maglakelidze ◽  
Tamaz Maglakelidze ◽  
Nikolai Khaltaev

OBJECTIVE: Smoking is a serious problem that has a devastating impact on health. The objective of this study was to describe the prevalence of and factors influencing smoking among medical and non-medical students in Tbilisi, Georgia, as well as to determine whether medical education has an impact on smoking. METHODS: A cross-sectional study was carried out at Tbilisi State Medical University and Tbilisi State University, both of which are located in Tbilisi, Georgia. A total of 400 4th-year students (200 students at each university) were asked to complete standardized questionnaires. RESULTS: Of the sample as a whole, 48.75% were identified as smokers and 51.25% were identified as nonsmokers. The mean age was 20.24 years among smokers and 20.26 years among nonsmokers. Of the medical students, 49.5% were smokers, as were 48.0% of the non-medical students. The male-to-female ratio in the study population was 0.9:1.1. Smoking was found to have a strong relationship with gender, males accounting for 65% of all smokers. Of the smokers, 56.9% stated that they would like to quit smoking (for health or financial reasons). Of the medical students, 59.5% expressed a willingness to quit smoking, as did 54.2% of the non-medical students. CONCLUSIONS: There is a need to improve smoking education for undergraduate students. Special attention should be given to the inclusion of anti-smoking education in undergraduate curricula, as well as to the implementation of smoking prevention campaigns at institutions of higher education. However, such measures will be effective only if tobacco control policies are strictly enforced on the national level as well.


2016 ◽  
Vol 54 (202) ◽  
pp. 55-62 ◽  
Author(s):  
Ebru Turhan ◽  
Tacettin Inandi ◽  
Meltem Col ◽  
Resul Bugdayci ◽  
Olga Eker ◽  
...  

Introduction: Tobacco use is an important public health problem around the world. Aim of this study is to assess attitudes,belief and observation of the students on smoking cessation and medical education.Methods: This study is part of a multi-country study called “Global Health Profession Student Survey”. The study population consisted of third year medical students in Turkey. The sample consisted of a total of 1834 medical students from randomly selected 12 medical schools.Results: Of the students, 1209 (92.1%)thought that health professionals should get specific training on cessation techniques, and that health professionals should serve as "role models" for their patients and the public. The percentage of the students who answered “Health professionals should routinely advise their patients who smoke to quit smoking” was 1211 (93.3%). Of the students, 1204 (60.8%) responded that health professionals who use other tobacco products were less likely to advise patients to stop smoking. The percentage of the students who had received a formal training on smoking cessation approaches was 48.2% (1196). Of the students, 91.5% (1203) had heard of nicotine replacement therapies in tobacco cessation programs. More than half of smokers tried to quit smoking last year, and majority of them did not take professional help or advice.Conclusions: Majority of students are aware of health professionals’ role on smoking cessation. Most of the students are willingness to take specific formal training on tobacco. Student’s behaviours and attitudes were different by gender and smoking status. Improvement of tobacco cessation issues in medical curricula will be beneficial. Keywords: Attitudes; Beliefs; Medical education; Medical students; Smoking cessation. | PubMed


2009 ◽  
Vol 18 (1) ◽  
pp. 95-100 ◽  
Author(s):  
JACOB M. APPEL

As a result of workplace clean air regulations and strict guidelines imposed by the Joint Commission on Accreditation of Healthcare Organizations in 1993, most hospitals in the United States are now virtually smoke free. Although evidence suggests that these restrictions both cause smoking employees to consume fewer cigarettes per day and induce some employees to quit smoking entirely, the policies have also driven many healthcare providers—including physicians—onto the public sidewalks for their cigarette breaks. Patients entering many hospitals pass white-coated medical students and residents puffing away at the curbside.


2019 ◽  
Vol 20 (4) ◽  
pp. 169-172
Author(s):  
Srijana Pradhananga ◽  
S. Singh ◽  
P.P. Panta

Smoking is a leading risk factor for early death and disability worldwide. Medical students and physicians are the ideal persons to educate patients about hazards of smoking. Today’s medical students will play a prominent role in future to prevent and control tobacco use. Still, the problem of smoking among the medical students is common worldwide but the pattern and extent of the problem varies from place to place. Aim of this study was to find out prevalence of smoking among medical students, factors contributing to their smoking habits, their exposure to passive smoking and to know about their knowledge about smoking related health problems. This is a cross sectional study, conducted among all first and second year MBBS students during July-September 2018. Self administered questionnaire were given to all the participants and collected after it was filled up. One hundred seventy four students participated in the study. Prevalence of smoking was 5.2% and all the students who smoked were male. The most important cause for initiation of smoking was peer pressure (56%). The average cigarettes smoked was seven sticks per day. Though 80% students knew about hazards of passive smoking, almost half of them were exposed to passive smoking. In our study we found that most of the students do not counsel their patients regarding hazards of smoking and only few participants were found to advise and encourage their patients to quit smoking.


2009 ◽  
Vol 16 (03) ◽  
pp. 384-389
Author(s):  
NOREEN RAHAT HASHMI ◽  
Khalid Maqsood ◽  
SEEMA DAUD ◽  
Shezad Saleem ◽  
IRAM MANZOOR ◽  
...  

Objective: To determine the smoking patterns of medical students of 4th year MBBS. Design: A cross-sectional survey. Setting:Lahore Medical and Dental College (LMDC), Lahore, Pakistan. P e r i o d : From November to December 2006. M e t h o d o l o g y : The 50 medicalstudents of 4th year MBBS, who were current smokers. A structured questionnaire was used to collect the data. Descriptive statistics wasdetermined in terms of percentages. Results: In present study, 48% students started smoking between 14-17 years of age, 34% started tosmoke between ages 18-21 years and 18% of them had been smoking for past 4-6 yrs. Main reason to commence smoking included curiosity(27%), need to look glamorous (22%), peer pressure (16%) and stress relieving (10%). When probed about numbers of cigarettes smoked daily,the response of majority was that 32% of students admitted to smoking 1 -5 cigarettes, similar number admitted to smoking 6-10 cigarettes, and30% of students smoked more than 20 cigarettes. Among the respondents, 41 % had a brother who was a smoker and 37% had a father whowas a smoker. More than half the respondents (58%) said that their parents were unaware of their smoking habit. Regarding awareness aboutthe medical hazards of smoking, 31% of students named cancer, 29% mentioned heart disease, 18% were familiar with COPD and only 7%referred to stroke. The main concerns of respondents regarding smoking were fear of being discovered by their parents (22%), psychologicaldependence (20%) and physical dependence (18%). Only 50% of students tried to quit smoking, using hypnosis and substitutes like nicotinegum and nicotine patches. Conclusion: Tobacco smoking among medical students is alarming. These findings not only raise concerns for thefuture health of our medical students but also their credibility and effectiveness as health promoters for population at large.


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