scholarly journals Behaviors, attitudes and opinions of medical students in the field of smoking and anti-smoking counseling in two countries of Central and Eastern Europe

2020 ◽  
Vol 18 (3) ◽  
pp. 206-213
Author(s):  
Paulina Hejda ◽  
◽  
Agnieszka Hubert-Lutecka ◽  
Zdzisława Chmiel ◽  
Adam Sidor ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Czech Republic ◽  
Medical Students ◽  
Tobacco Smoke ◽  
Tobacco Smoking ◽  
Central And Eastern Europe ◽  
Smoking Abstinence ◽  
Student Survey ◽  
Quitting Smoking ◽  
Current Tobacco

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.

Attitude of medical students to regulatory measures related to tobacco smoking

2011 ◽  
Vol 152 (21) ◽  
pp. 828-833 ◽  
Author(s):  
Ildikó Tóth ◽  
József Rinfel ◽  
János Oberling ◽  
László Prugberger ◽  
Lajos Nagy
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Tobacco Control ◽  
Tobacco Smoke ◽  
Tobacco Smoking ◽  
Control Measures ◽  
Smoking Ban ◽  
Student Survey ◽  
Public Places ◽  
Regulatory Measures

In some countries strict tobacco control measures successfully reduced the number of smokers. Although these measures do not have immediate effects, they may serve as investments in the future healthcare. Health care experts should take part actively in the decision making. Aims: To investigate medical students’ relation to smoking and their attitudes about tobacco control measures. Methods: Authors applied the Hungarian translation of the Global Health Professionals Student Survey. Medical students from the first and fifth year filled in the survey anonymously during the seminars. Statistical analysis was performed with SPSS. Results: Altogether 245 students completed the questionnaire. It was found that the knowledge of students about health damages caused by tobacco smoking was very good. However, a large number of students are exposed to tobacco smoke (68% of them at home and 85% at public places). Their opinion about tobacco control measures reflects recent law, as only 43% of the students would support a smoking ban in bars and discotheques. Conclusions: Hungarian health care experts have to take part with more effort in the prevention of tobacco smoking. Medical students have to be trained in this field. Orv. Hetil., 2011, 152, 828–833.

scholarly journals Effects of smoking cessation on biological monitoring markers in urine

2020 ◽  
Vol 42 (1) ◽  
Author(s):  
Yuya Kawasaki ◽  
Yun-Shan Li ◽  
Yuko Ootsuyama ◽  
Kazuhiko Nagata ◽  
Hiroshi Yamato ◽  
...  
Keyword(s):  
Dna Damage ◽  
Smoking Cessation ◽  
Tobacco Smoke ◽  
Smoking Status ◽  
Smoking Cessation Program ◽  
Tobacco Smoke Exposure ◽  
Urinary Cotinine ◽  
Quit Smoking ◽  
Urinary Levels ◽  
Quitting Smoking

Abstract Introduction Urinary nicotine and cotinine levels are often measured as biomarkers for tobacco smoke exposure. However, these biomarkers are not appropriate to evaluate the effects of quitting smoking for several days, because of their short half-lives. In this study, we focused on the changes in the urinary 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) levels of 55 patients in a smoking cessation program, because of the long half-life. At the same time, urinary 7-methylguanine (m7Gua) and 8-hydroxy-2′-deoxyguanosine (8-OHdG), as DNA damage markers of cigarette smoking, were also measured. Results In the subjects who completed the quit-smoking program (18 subjects out of 55), the urinary nicotine and cotinine levels decreased to 1.7 and 0.2% at 8 weeks after the first visit to the clinic. By contrast, the NNAL levels decreased to 12.3% at 8 weeks after quitting smoking. During the same period, the urinary m7Gua levels significantly decreased, from 27.32 μg/mg creatinine to 14.17 μg/mg creatinine by the elimination of subjects who showed increased levels of NNAL during the smoking cessation program. The 8-OHdG levels were also reduced within the same period, but were not significantly different. From the all data analysis, the urinary levels of cotinine and NNAL positively correlated with the level of m7Gua. Conclusions NNAL may be an appropriate exposure marker for evaluating the smoking status of patients in a smoking cessation program. The urinary cotinine and NNAL levels positively correlated with the m7Gua levels.

Medical students’ smoking habits and attitudes about cessation

2011 ◽  
Vol 152 (12) ◽  
pp. 469-474 ◽  
Author(s):  
József Rinfel ◽  
János Oberling ◽  
Ildikó Tóth ◽  
László Prugberger ◽  
Lajos Nagy
Keyword(s):  
Smoking Cessation ◽  
Statistical Analysis ◽  
Medical Students ◽  
Global Health ◽  
Health Professionals ◽  
Smoking Habits ◽  
First Year ◽  
Student Survey ◽  
Stop Smoking ◽  
Academic Study

Medical years are very important in shaping the attitudes of future doctors. It is proven that doctors who smoke do not advise their patient to stop smoking. We have to know the students’ smoking habits and attitudes about smoking cessation to make them interested in the fight against tobacco. Aims: To investigate medical students’ smoking habits and attitudes about cessation. Methods: We applied the Hungarian translation of the Global Health Professionals Student Survey. Medical students from the first and fifth year filled in the survey anonymously during the seminars. Statistical analysis was performed with SPSS. Results: In both years 245 students filled in the questionnaire. In the first year 30.8%, in the fifth year 38.9% of the students were defined as smokers. During the academic study the number of daily smokers and the number of smoked cigarettes increases. Students require training about smoking cessation, however they would entrust it to a specialist. Conclusions: Based on our data we need a teaching block in the curricula about smoking and smoking cessation. Orv. Hetil., 2011, 152, 469–474.

Interventions for smoking cessation in patients admitted with Acute Coronary Syndrome: a review

2017 ◽  
Vol 94 (1108) ◽  
pp. 116-120 ◽  
Author(s):  
Omar M Chehab ◽  
Habib A Dakik
Keyword(s):  
Smoking Cessation ◽  
Acute Coronary Syndrome ◽  
Tobacco Smoking ◽  
Meta Analysis ◽  
Smoking Abstinence ◽  
Telephone Counselling ◽  
Pharmacological Interventions ◽  
Acute Setting ◽  
Behavioural Interventions ◽  
Coronary Syndrome

Tobacco smoking contributes to about six million deaths per year and is predicted to increase in the future. Several pharmacological interventions are used for smoking cessation. Trials using nicotine replacement therapy (NRT) in acute coronary syndrome (ACS) showed inconclusive results. Furthermore, three trials using bupropion in patients admitted with ACS failed to show improvement in smoking cessation compared with placebo. Interestingly, only one trial using varenicline was successful in achieving smoking abstinence in the acute setting. With regard to behavioural interventions, a meta-analysis found that telephone counselling was successful in both the acute and stable settings, with greater effect in the acute setting. The best results for smoking cessation were found in trials that used a combination of pharmacological and behavioural interventions. The objective of this report is to review the results of studies on interventions used for smoking cessation after an ACS.

scholarly journals Smoking Cessation Among Cancer Patients in Central and Eastern Europe: Call for Action

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 84s-84s
Author(s):  
M. Cedzyńska ◽  
M. Marta ◽  
P. Koczkodaj ◽  
I. Przepiorka
Keyword(s):  
Quality Of Life ◽  
Smoking Cessation ◽  
Eastern Europe ◽  
Cancer Patients ◽  
Cancer Care ◽  
Central And Eastern Europe ◽  
Cancer Centers ◽  
Quit Smoking ◽  
Quitting Smoking

Background: Despite the fact that smoking has been linked not only to the development of cancer, but also to prognosis upon diagnosis and risk of death during treatment, many cancer patients continue to smoke. Quitting smoking can be beneficial also after cancer diagnosis, regardless of stage and prognosis. Those benefits are: improved survival outcomes, reduced risk of recurrence and second primary formation, increase treatment response to chemo and radiotherapy, reduced treatment-related complications, better self-reported quality of life related to disease and treatment than among smokers and less pain. The evidence is strong enough to incorporate tobacco dependence treatment into routine cancer care, but in majority of countries in central and eastern Europe (CEE) there are no actions taken to help cancer patients to quit smoking. Aim: To identify main barriers in providing smoking cessation to cancer patients in central and eastern Europe. Methods: Data were collected from participants of Workshop on Tobacco Control and Cessation organized by Cancer Center and Institute of Oncology, Poland and the National Cancer Institute, US. Following countries provided detailed data: Armenia, Georgia, Hungary, Kazakhstan, Kirgizstan, Lithuania, Poland, Macedonia, Serbia. The areas that were investigated: guidelines on smoking cessation dedicated to cancer patients, quit smoking programs for cancer patients, existing literature on barriers for delivery smoking cessation advice and personal opinion of tobacco control experts regarding those barriers. Results: I. Guidelines for smoking cessation among cancer patients have been published only in one country (Serbia) out of nine analyzed countries of the region. II. Programs on smoking cessation dedicated to cancer patients were implemented only in two countries: 1: Poland. Pilot program within National Health Program in 2015 (3 months in cancer centers in two cities). 2: Hungary. In 2012 pilot project. In 2017 National Institute for Pulmonology run 3 workshops on smoking cessation for cancer nurses. III. There is no literature on barriers in incorporating smoking cessation into cancer care in the CEE region. IV. Experts opinions are consistent with worldwide literature findings-the main barriers are lack of knowledge, lack of training, overloading with work focused on diagnosis and cancer treatment, difficulties in implementing systemic changes. Conclusion: There is a strong need to take action in central and eastern Europe to engage oncologists and other cancer healthcare providers into smoking cessation. It is crucial to increase the knowledge on benefits of quitting smoking for cancer patients' health and results of cancer treatment. Sustainable change can be achieved by publishing guidelines and implementing training programs that address the attitudes and beliefs. Implementing systemic changes within cancer centers might be required to improve survival and quality of life of cancer patients in central and eastern European region.

scholarly journals Determinants and Prevalence of Tobacco Smoking among Medical Students at Jazan University, Saudi Arabia

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Mohammed Alkhalaf ◽  
Abdullatif Suwyadi ◽  
Eissa AlShamakhi ◽  
Hassan Oribi ◽  
Zain Theyab ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Saudi Arabia ◽  
Medical Students ◽  
Tobacco Smoking ◽  
Passive Smoking ◽  
Age Of Onset ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Electronic Survey ◽  
Academic Year

Tobacco smoking has a significant role in health deterioration worldwide; it can lead to many dangerous diseases. Tobacco smoking among medical students is common worldwide, but the prevalence and determinants vary from one community to another. Data from medical students in Saudi Arabia is limited. This study was conducted to estimate the prevalence and determinants of smoking among medical students at the College of Medicine, Jazan University, Saudi Arabia. A cross-sectional study using a self-administered electronic survey was conducted to estimate tobacco smoking’s prevalence and characteristics among medical students at Jazan University. The survey includes information on the gender, academic year, academic performance, type of tobacco smoking, and age of onset of the participants’ tobacco smoking. Other data, like the prevalence of passive smoking and social factors, were considered, too. The sample size was 354, 51.7% males and 48.3% females, students with a response rate of 38.02%. The prevalence of smoking among medical students was 12.4%, while passive smoking prevalence was 39.9% of all medical students. The research shows that 18.6% of male and 5.9% of female medical students were active smokers. Regarding the type of tobacco, we found that 47% of male smokers used waterpipe, while the percentage among female smokers using waterpipe reached 77.8%. The age of onset of smoking for 34.9% of the smokers was between 18 and 21 years old. The prevalence of smoking is inversely proportional to the GPA. Additionally, 71.1% of the smokers did not have a smoker friend, and only 13.3% of the smokers were motivated to quit. University age is critical for smoking habits, and the smoking cessation rate was low. More campaigns should be done in universities to increase smoking cessation awareness, and smoking cessation clinics should be activated at universities.

scholarly journals A study of prevalence of tobacco use and related factors among medical students as per the Global Health Professions Student Survey protocol

2020 ◽  
Vol 8 (6) ◽  
pp. 2243
Author(s):  
Manmohan Brar ◽  
Neha Chaudhary ◽  
T. S. Ramakrishnan ◽  
Avneet Randhawa
Keyword(s):  
Smoking Cessation ◽  
Medical Students ◽  
Global Health ◽  
Tobacco Use ◽  
Health Professions ◽  
Smoking Ban ◽  
Student Survey ◽  
Public Places ◽  
Professional Students ◽  
And Training

Background: Physicians who smoke are less likely to ask patients about their smoking and initiate cessation interventions. Hence it is important to study the prevalence of tobacco use, attitude and training of health professional students. Objectives were to study prevalence and attitudes towards tobacco use and training related to tobacco cessation.Methods: Armed Forces Medical college-based cross-sectional survey by anonymous, self-administered questionnaire as per Global Health Professions Student Survey (GHPSS) was conducted. Data was compiled and analyzed for various variables as per the GHPSS questionnaire.Results: Forty-two percent of the students had ever smoked cigarettes and 24% were current smokers. Nearly one in five had tried their first cigarette before 20 years of age. Male gender was associated with smoking. There is a significant association between not smoking and support for smoking ban in public places. Almost all the respondents (98.1%) thought smoking should be banned in all enclosed public places. In light of 20.6% of all respondents who smoked in college buildings during past this year indicated a gap between their knowledge, attitude and behavior. There was a strong desire to quit smoking but only 42% reported receiving help/ advice to stop smoking. Only one in ten reported receiving formal training in smoking cessation techniques.Conclusions: The fight against tobacco can get a boost through interventions aimed at health care professional students. Active Interventions should be made to address smoking issues among medical students. Skill based medical school curriculum should incorporate and emphasize on acquiring effective smoking cessation skills.

scholarly journals A Review of Android Apps for Smoking Cessation

2014 ◽  
Vol 10 (2) ◽  
pp. 106-115 ◽  
Author(s):  
Melanie E. Bennett ◽  
Kristin Toffey ◽  
Faith Dickerson ◽  
Seth Himelhoch ◽  
Emily Katsafanas ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Tobacco Smoking ◽  
Tablet Devices ◽  
Android Apps ◽  
Smoking Cessation Counselling ◽  
Search Terms ◽  
Quit Smoking ◽  
Quitting Smoking ◽  
On Line ◽  
Sources Of Support

Introduction: The use of applications (apps) on smartphones and tablet devices is a fast growing component of health behaviour change efforts, including smoking cessation. While the content and utility of iPhone apps for smoking cessation have been systematically reviewed, Android apps have not been examined.Aims: This study reviewed and evaluated free Android apps for smoking cessation available for download from Google Play and Amazon's USA homepage in January 2013.Methods: Apps were reviewed; those targeting smoking cessation were identified and examined to ensure that they targeted tobacco smoking and were focused on quitting. Remaining apps were independently rated by three reviewers for 24 clinical strategies for smoking cessation. Results: Overall, 284 free apps were identified using the search terms ‘quit smoking’, ‘smoking cessation’, and ‘stop smoking’; 113 apps that targeted smoking cessation were downloaded for further review. Of these, 21 targeted tobacco smoking and were focused on quitting. These apps had moderate to low ratings for the 24 strategies, indicating that they lacked several of the most helpful strategies for quitting smoking. The apps were strongest in helping users track the number of cigarettes smoked. None connected users to on-line sources of support, referred users to smoking cessation counselling, or recommended the use of nicotine replacement therapies.Conclusions: While Android apps for smoking cessation have some strengths, they would benefit from incorporating a broader range of strategies for helping people quit smoking.

scholarly journals Smoking cessation in the elderly and senile age

2021 ◽  
Vol 5 (7) ◽  
pp. 503-507
Author(s):  
O.N. Titova ◽  
◽  
O.A. Sukhovskaya ◽  
V.D. Kulikov ◽  
◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Life Expectancy ◽  
Elderly People ◽  
Tobacco Smoking ◽  
Large Scale ◽  
Premature Mortality ◽  
The Elderly ◽  
Quit Smoking ◽  
Quitting Smoking ◽  
The Impact

Tobacco smoking remains the main modifiable cause of premature mortality worldwide, which is associated with 12% of fatal outcomes among adults aged 30 years and older. The review is devoted to the problem of smoking cessation in elderly and senile patients. Less dependence on nicotine, but at the same time, less willingness to give up smoking are noted as patterns of elderly smokers. Also, there are gender differences in smoking cessation: men are less likely to quit or reduce smoking, to use medications or any services to help stop smoking and to talk to doctors about smoking. Special attention is paid to the problems that elderly people face when trying to quit smoking. In particular, it was noted that the potential opportunities for successful smoking cessation in elderly people are being missed due to the fact that doctors are less likely to offer them interventions or give them specific advice on quitting smoking. At the same time, large-scale prospective cohort studies have shown that the life expectancy of people who gave up tobacco smoking over the age of 65 was longer. The impact of smoking during the COVID-19 course is considered separately, and the expediency of initiating elderly smokers to quit smoking in the conditions of the COVID-19 pandemic is substantiated. KEYWORDS: tobacco smoking, mortality, life expectancy, senile age, treatment. FOR CITATION: Titova O.N., Sukhovskaya O.A., Kulikov V.D. Smoking cessation in the elderly and senile age. Russian Medical Inquiry. 2021;5(7):503–507 (in Russ.). DOI: 10.32364/2587-6821-2021-5-7-503-507.

scholarly journals Yoga as a Complementary Therapy for Smoking Cessation: Results From BreathEasy, a Randomized Clinical Trial

2018 ◽  
Vol 21 (11) ◽  
pp. 1517-1523 ◽  
Author(s):  
Beth C Bock ◽  
Shira I Dunsiger ◽  
Rochelle K Rosen ◽  
Herpreet Thind ◽  
Ernestine Jennings ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Smoking Cessation ◽  
Randomized Clinical Trial ◽  
Latent Class ◽  
Complementary Therapy ◽  
Dose Effect ◽  
Smoking Abstinence ◽  
Significant Group ◽  
Additional Work ◽  
Quitting Smoking

Abstract Introduction There is evidence that Yoga may be helpful as an aid for smoking cessation. Yoga has been shown to reduce stress and negative mood and may aid weight control, all of which have proven to be barriers to quitting smoking. This study is the first rigorous, randomized clinical trial of Yoga as a complementary therapy for smokers attempting to quit. Methods Adult smokers (N = 227; 55.5% women) were randomized to an 8-week program of cognitive-behavioral smoking cessation and either twice-weekly Iyengar Yoga or general Wellness classes (control). Assessments included cotinine-verified 7-day point prevalence abstinence at week 8, 3-month, and 6-month follow-ups. Results At baseline, participants’ mean age was 46.2 (SD = 12.0) years and smoking rate was 17.3 (SD = 7.6) cigarettes/day. Longitudinally adjusted models of abstinence outcomes demonstrated significant group effects favoring Yoga. Yoga participants had 37% greater odds of achieving abstinence than Wellness participants at the end of treatment (EOT). Lower baseline smoking rates (≤10 cigarettes/day) were also associated with higher likelihood of quitting if given Yoga versus Wellness (OR = 2.43, 95% CI = 1.09% to 6.30%) classes at EOT. A significant dose effect was observed for Yoga (OR = 1.12, 95% CI = 1.09% to 1.26%), but not Wellness, such that each Yoga class attended increased quitting odds at EOT by 12%. Latent Class Modeling revealed a 4-class model of distinct quitting patterns among participants. Conclusions Yoga appears to increase the odds of successful smoking abstinence, particularly among light smokers. Additional work is needed to identify predictors of quitting patterns and inform adjustments to therapy needed to achieve cessation and prevent relapse. Implications This study adds to our knowledge of the types of physical activity that aid smoking cessation. Yoga increases the odds of successful smoking abstinence, and does so in a dose-response manner. This study also revealed four distinct patterns of smoking behavior among participants relevant to quitting smoking. Additional work is needed to determine whether variables that are predictive of these quitting patterns can be identified, which might suggest modifications to therapy for those who are unable to quit.

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