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BMC Public Health
Published in: BMC Public Health 1/2008

Open Access 01-12-2008 | Research article

Correlates of tobacco cessation counseling among Hispanic physicians in the US: A cross-sectional survey study

Authors: Francisco G Soto Mas, Héctor G Balcázar, Julia Valderrama Alberola, Chiehwen Ed Hsu

Published in: BMC Public Health | Issue 1/2008

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Abstract

Background

Physician advice is an important motivator for attempting to stop smoking. However, physicians' lack of intervention with smokers has only modestly improved in the last decade. Although the literature includes extensive research in the area of the smoking intervention practices of clinicians, few studies have focused on Hispanic physicians. The purpose of this study was to explore the correlates of tobacco cessation counseling practices among Hispanic physicians in the US.

Methods

Data were collected through a validated survey instrument among a cross-sectional sample of self-reported Hispanic physicians practicing in New Mexico, and who were members of the New Mexico Hispanic Medical Society in the year 2001. Domains of interest included counseling practices, self-efficacy, attitudes/responsibility, and knowledge/skills. Returned surveys were analyzed to obtain frequencies and descriptive statistics for each survey item. Other analyses included: bivariate Pearson's correlation, factorial ANOVAs, and multiple linear regressions.

Results

Respondents (n = 45) reported a low level of compliance with tobacco control guidelines and recommendations. Results indicate that physicians' familiarity with standard cessation protocols has a significant effect on their tobacco-related practices (r = .35, variance shared = 12%). Self-efficacy and gender were both significantly correlated to tobacco related practices (r = .42, variance shared = 17%). A significant correlation was also found between self-efficacy and knowledge/skills (r = .60, variance shared = 36%). Attitudes/responsibility was not significantly correlated with any of the other measures.

Conclusion

More resources should be dedicated to training Hispanic physicians in tobacco intervention. Training may facilitate practice by increasing knowledge, developing skills and, ultimately, enhancing feelings of self-efficacy.
Literature
1.
Ferketich A, Khan Y, Wewers M: Are physicians asking about tobacco use and assisting with cessation? Results from the 2001–2004 national ambulatory medical care survey (NAMCS). Prev Med. 2006, 43 (6): 472-476. 10.1016/j.ypmed.2006.07.009.CrossRefPubMed
2.
Thorndike NA, Rigotti RE, Stafford RS, Singer DE: National patterns in the treatment of smokers by physicians. JAMA. 1998, 279 (8): 604-608. 10.1001/jama.279.8.604.CrossRefPubMed
3.
Thorndike AN, Regan S, Rigotti NA: The treatment of smoking by US physicians during ambulatory visits: 1994 2003. Am J Public Health. 2007, 97 (10): 1878-1883. 10.2105/AJPH.2006.092577.CrossRefPubMedPubMedCentral
4.
Campbell H, Sletten M, Petty T: Patient perceptions of tobacco cessation services in dental offices. J Am Dent Assoc. 1999, 130 (2): 219-226.CrossRefPubMed
5.
Zapka JG, Pbert L, Stoddard AM: Smoking cessation counseling with pregnant and postpartum women: a survey of community health centers. Am J Public Health. 2000, 90 (1): 78-84.CrossRefPubMedPubMedCentral
6.
Cummings KM, Giovino G, Sciandra R, Koenigsberg M, Emont SL: Physician advice to quit smoking: who gets it and who doesn't. Am J Prev Med. 1987, 3 (2): 69-75.PubMed
7.
Ockene J: Physicians' delivered interventions for smoking cessation: strategies for increasing effectiveness. Prev Med. 1987, 16 (5): 723-737. 10.1016/0091-7435(87)90054-5.CrossRefPubMed
8.
Orlandi MA: Promoting health and preventing disease in health care settings: an analysis of barriers. Prev Med. 1987, 16 (1): 119-130. 10.1016/0091-7435(87)90011-9.CrossRefPubMed
9.
Meredith LS, Yano EM, Hickey SC, Sherman SE: Primary care provider attitudes are associated with smoking cessation counseling and referral. Med Care. 2005, 43 (9): 929-934. 10.1097/01.mlr.0000173566.01877.ac.CrossRefPubMed
10.
Easton A, Husten C, Malarcher A, Elon L, Caraballo R, Ahluwalia I, Frank E: Smoking cessation counseling by primary care women physicians: Women Physicians' Health Study. Women Health. 2001, 32 (4): 77-91. 10.1300/J013v32n04_05.CrossRefPubMed
11.
Cabana MD, Rand C, Slish K, Nan B, Davis MM, Clark N: Pediatrician self-efficacy for counseling parents of asthmatic children to quit smoking. Pediatrics. 2004, 113 (1 Pt 1): 78-81. 10.1542/peds.113.1.78.CrossRefPubMed
12.
Klein JD, Levine LJ, Allan MJ: Delivery of smoking prevention and cessation services to adolescents. Arch Pediatr Adolesc Med. 2001, 155 (5): 597-602.CrossRefPubMed
13.
National Cancer Institute: Population based smoking cessation: proceedings of a conference on what works to influence cessation in the general population. Smoking and Tobacco Control Monograph 12. Bethesda, MD. NIH Pub. No. 00-4892. 2000
14.
Jaen C, Crabtree B, Zyzansky S, Goodwin M, Stange K: Making time for smoking cessation counseling. J Fam Pract. 1998, 46 (5): 425-428.PubMed
15.
Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, Rubin HR: Why don't physicians follow clinical practice guidelines?. JAMA. 1999, 282 (15): 1458-1464. 10.1001/jama.282.15.1458.CrossRefPubMed
16.
Soto Mas F, Papenfuss RL, Jacobson HE, Hsu CE, Urrutia-Rojas X, Kane WM: Hispanic physicians' tobacco intervention practices: a cross-sectional survey study. BMC Public Health. 5: 120-10.1186/1471-2458-5-120. 2005 (14 November)
17.
18.
Soto Mas F, Papenfuss R: Medicina y salud pública. Médico Interamericano. 1997, 16: 206-209.
19.
20.
21.
Lopez-Quintero C, Crum RM, Neumark YD: Racial/ethnic disparities in report of physician-provided smoking cessation advice: analysis of the 2000 National Health Interview Survey. Am J Public Health. 2006, 96 (12): 2235-2239. 10.2105/AJPH.2005.071035.CrossRefPubMedPubMedCentral
22.
Saha S, Taggart SH, Komaromy M, Bindman AB: Do patients choose physicians of their own race?. Health Aff. 2000, 19 (4): 76-83. 10.1377/hlthaff.19.4.76.CrossRef
23.
Cooper-Patrick L, Gallo JJ, Gonzales JJ, Vu HT, Powe NR, Nelson C, Ford DE: Race, gender, and partnership in the patient-physician relationship. JAMA. 1999, 282 (6): 583-589. 10.1001/jama.282.6.583.CrossRefPubMed
24.
Morales LS, Cunningham WE, Brown JA, Liu H, Hays RD: Are Latinos less satisfied with communication by health care providers?. J Gen Intern Med. 1999, 14 (7): 409-417. 10.1046/j.1525-1497.1999.06198.x.CrossRefPubMedPubMedCentral
25.
McKenzie JF, Jurs JL: Planning, implementing and evaluating health promotion programs. 1993, New York, NY: Macmillan Publishing Company
26.
Tschannen-Moran M, Woolfolk Hoy A: The differential antecedents of self-efficacy beliefs of novice and experienced teachers. Teach Teach Educ. 2007, 23 (6): 944-956.CrossRef
27.
Landon TM, Ehrenreich JT, Pincus DB: Self-efficacy: A comparison between clinically anxious and non-referred youth. Child Psychiatry Hum Dev. 2007, 38: 31-45. 10.1007/s10578-006-0038-1.CrossRefPubMed
28.
Prochaska JO, DiClemente CC, Norcross JC: In search of how people change. Am Psychol. 1992, 47: 1102-1114. 10.1037/0003-066X.47.9.1102.CrossRefPubMed
29.
U.S. Department of Health and Human Services: Healthy People 2010: Understanding and Improving Health. 2000, Washington, DC: U.S. Government Printing Office, 2
30.
Wechsler H, Levine S, Idelson R, Schor E, Coakley E: The physician's role in health promotion revisited-a survey of primary care practitioners. N Engl J Med. 1996, 334 (15): 996-998. 10.1056/NEJM199604113341519.CrossRefPubMed
31.
Jaen N, Strange K, Nutting P: Competing demands of primary care: a model for the delivery of clinical preventive services. J Fam Pract. 1994, 38 (2): 166-171.PubMed
32.
Hudmon KS, Prokhorov AV, Corelli RL: Tobacco cessation counseling: pharmacists' opinions and practices. Patient Educ Couns. 2006, 61 (1): 152-160. 10.1016/j.pec.2005.03.009.CrossRefPubMed
33.
Zapka JG, Fletcher KE, Ma Y, Pbert L: Physicians and smoking cessation. Development of survey measures. Eval Health Prof. 1997, 20 (4): 407-427. 10.1177/016327879702000403.CrossRefPubMed
34.
Bandura A: Self efficacy: The exercise of control. 1997, New York, NY: W. H. Freeman & Company
35.
Strecher V, DeVellis B, Becker M, Rosenstock I: The role of self-efficacy in achieving health behavior change. Health Educ Quart. 1986, 13: 73-91.CrossRef
36.
Gorin SS: Predictors of tobacco control among nursing students. Patient Educ Couns. 2001, 44 (3): 251-262. 10.1016/S0738-3991(00)00205-6.CrossRefPubMed
37.
Zapka JG, Fletcher K, Pbert L, Druker SK, Ockene JK, Chen L: The perceptions and practices of pediatricians: tobacco intervention. Pediatrics. 1999, 103 (5): e65-10.1542/peds.103.5.e65.CrossRefPubMed
38.
Goldstein MG, DePue JD, Monroe AD: A population-based survey of physician smoking cessation counseling practices. Prev Med. 1998, 27 (5 Pt 1): 720-729. 10.1006/pmed.1998.0350.CrossRefPubMed
39.
Saywell R, Jay S, Lukas P: Indiana family physician attitudes and practices concerning smoking cessation. Indiana Medicine. 1996, 89 (March/April): 149-156.PubMed
40.
Wall MA, Severson HH, Andrews JA, Lichtenstein E, Zoref L: Pediatric office-based smoking intervention: impact on maternal smoking and relapse. Pediatrics. 1995, 96 (4 Pt 1): 622-628.PubMed
41.
Greco PJ, Eisenberg JM: Changing physicians' practices. Guidelines for school health programs to prevent tobacco use and addition. N Engl J Med. 1993, 239 (5 Pt 3): 1271-1274. 10.1056/NEJM199310213291714.CrossRef
42.
Thorndike AN, Ferris TG, Stafford RS, Rigotti NA: Rates of U.S. physicians counseling adolescents about smoking. J Natl Cancer Inst. 1999, 91 (21): 1857-1862. 10.1093/jnci/91.21.1857.CrossRefPubMed
43.
Davis DA, Thomson MA, Oxman AD, Haynes RB: Changing physician performance, a systematic review of the effect of continuing medical education strategies. JAMA. 1995, 274 (9): 700-705. 10.1001/jama.274.9.700.CrossRefPubMed
44.
Frank E, Harvey LK: Prevention advice rates of women and men physicians. Arch Fam Med. 1996, 5 (4): 215-219. 10.1001/archfami.5.4.215.CrossRefPubMed
45.
46.
47.
48.
49.
Montano DE, Phillips WR: Cancer screening by primary care physicians: a comparison of rates obtained from physician self-report, patient survey, and chart audit. Am J Public Health. 1995, 85 (6): 795-800.CrossRefPubMedPubMedCentral
50.
51.
52.
Metadata
Title
Correlates of tobacco cessation counseling among Hispanic physicians in the US: A cross-sectional survey study
Authors
Francisco G Soto Mas
Héctor G Balcázar
Julia Valderrama Alberola
Chiehwen Ed Hsu
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2008
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-8-5

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