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Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

Tobacco use, exposure to secondhand smoke, and cessation counseling among medical students: cross-country data from the Global Health Professions Student Survey (GHPSS), 2005-2008

Authors: Charles W Warren, Dhirendra N Sinha, Juliette Lee, Veronica Lea, Nathan R Jones

Published in: BMC Public Health | Issue 1/2011

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Abstract

Background

GHPSS is a school-based survey that collects self-administered data from students in regular classroom settings. GHPSS produces representative data at the national or city level in each country. This study aims to investigate the prevalence of tobacco use, exposure to secondhand smoke, and cessation counseling among medical students using the GHPSS data.

Methods

The Global Health Professions Student Survey (GHPSS) was conducted among 3rd year medical students in 47 countries and the Gaza Strip/West Bank from 2005-2008 to determine the prevalence of tobacco use and amount of formal training in cessation counseling.

Results

In 26 of the 48 sites, over 20% of the students currently smoked cigarettes, with males having higher rates than females in 37 sites. Over 70% of students reported having been exposed to secondhand smoke in public places in 29 of 48 sites. The majority of students recognized that they are role models in society (over 80% in 42 of 48 sites), believed they should receive training on counseling patients to quit using tobacco (over 80% in 41 of 48 sites), but few reported receiving formal training (less than 40% in 46 of 48 sites).

Conclusion

Tobacco control efforts must discourage tobacco use among health professionals, promote smoke free workplaces, and implement programs that train medical students in effective cessation-counseling techniques.
Literature
1.
go back to reference Fiore MC, Jaen CR, Baker TB, Bailey WC, Benowitz N, Curry SJ, Dorfman SF, Froelicher ES, Goldstein MG, Healton CG, Henderson PN, Heyman RB, Koh HK, Kottke TE, Lando HA, Mecklenburg RE, Mermelstein RJ, Mullen PD, Orleans CT, Robinson L, Stitzer ML, Tommasello AC, Villejo L, Wewers ME: Treating tobacco use and dependence: 2008 update. 2008, Rockville, MD U.S. Department of Health and Human Services, U.S Public Health Service Fiore MC, Jaen CR, Baker TB, Bailey WC, Benowitz N, Curry SJ, Dorfman SF, Froelicher ES, Goldstein MG, Healton CG, Henderson PN, Heyman RB, Koh HK, Kottke TE, Lando HA, Mecklenburg RE, Mermelstein RJ, Mullen PD, Orleans CT, Robinson L, Stitzer ML, Tommasello AC, Villejo L, Wewers ME: Treating tobacco use and dependence: 2008 update. 2008, Rockville, MD U.S. Department of Health and Human Services, U.S Public Health Service
2.
go back to reference World Health Organization: MPOWER: A Policy Package to Reverse the Tobacco Epidemic. 2008, Geneva: World Health Organization World Health Organization: MPOWER: A Policy Package to Reverse the Tobacco Epidemic. 2008, Geneva: World Health Organization
3.
go back to reference Fang CY, Ma GX, Miller SM, Tan Y, Su X, Shive S: A brief smoking cessation intervention for Chinese and Korean American smokers. Prev Med. 2006, 43 (4): 321-324. 10.1016/j.ypmed.2006.06.009.CrossRefPubMed Fang CY, Ma GX, Miller SM, Tan Y, Su X, Shive S: A brief smoking cessation intervention for Chinese and Korean American smokers. Prev Med. 2006, 43 (4): 321-324. 10.1016/j.ypmed.2006.06.009.CrossRefPubMed
4.
go back to reference Ferreira-Borges C: Effectiveness of a brief counseling and behavioral intervention for smoking cessation in pregnant women. Prev Med. 2005, 41 (1): 295-302. 10.1016/j.ypmed.2004.11.013.CrossRefPubMed Ferreira-Borges C: Effectiveness of a brief counseling and behavioral intervention for smoking cessation in pregnant women. Prev Med. 2005, 41 (1): 295-302. 10.1016/j.ypmed.2004.11.013.CrossRefPubMed
5.
go back to reference Lancaster T, Stead L: Physician advice for smoking cessation. Cochrane Database Syst Rev. 2004, CD000165-4 Lancaster T, Stead L: Physician advice for smoking cessation. Cochrane Database Syst Rev. 2004, CD000165-4
6.
go back to reference Molyneux A, Lewis S, Leivers U, Anderton A, Antoniak M, Brackenridge A, Nilsson F, McNeill A, West R, Moxham J, Britton J: Clinical trial comparing nicotine replacement therapy (NRT) plus brief counseling, brief counseling alone, and minimal intervention on smoking cessation in hospital inpatients. Thorax. 2003, 58 (6): 484-488. 10.1136/thorax.58.6.484.CrossRefPubMedPubMedCentral Molyneux A, Lewis S, Leivers U, Anderton A, Antoniak M, Brackenridge A, Nilsson F, McNeill A, West R, Moxham J, Britton J: Clinical trial comparing nicotine replacement therapy (NRT) plus brief counseling, brief counseling alone, and minimal intervention on smoking cessation in hospital inpatients. Thorax. 2003, 58 (6): 484-488. 10.1136/thorax.58.6.484.CrossRefPubMedPubMedCentral
7.
go back to reference World Health Organization: WHO Framework Convention on Tobacco Control. 2003, Geneva: World Health Organization World Health Organization: WHO Framework Convention on Tobacco Control. 2003, Geneva: World Health Organization
8.
go back to reference Smith DR, Leggat PA: An international review of tobacco smoking among medical students. J Postgrad Med. 2007, 53 (1): 55-62. 10.4103/0022-3859.30333.CrossRefPubMed Smith DR, Leggat PA: An international review of tobacco smoking among medical students. J Postgrad Med. 2007, 53 (1): 55-62. 10.4103/0022-3859.30333.CrossRefPubMed
9.
go back to reference Warren CW, Jones NR, Chauvin J, Peruga A: Tobacco use and cessation counseling: Cross-country data from the Global Health Professions Student Survey (GHPSS), 2005-7. Tob Control. 2008, 17: 238-247. 10.1136/tc.2007.023895.CrossRefPubMed Warren CW, Jones NR, Chauvin J, Peruga A: Tobacco use and cessation counseling: Cross-country data from the Global Health Professions Student Survey (GHPSS), 2005-7. Tob Control. 2008, 17: 238-247. 10.1136/tc.2007.023895.CrossRefPubMed
10.
go back to reference Shah BV, Barnwell BG, Bieler GS: Software for the Statistical Analysis of Correlated Data (SUDAAN): User's Manual. 1997, Research Triangle Park, NC: Research Triangle Institute, Release 7.5. 1997 (software documentation) Shah BV, Barnwell BG, Bieler GS: Software for the Statistical Analysis of Correlated Data (SUDAAN): User's Manual. 1997, Research Triangle Park, NC: Research Triangle Institute, Release 7.5. 1997 (software documentation)
11.
go back to reference Donner A, Klar N: Design and Analysis of Cluster Randomization Trials in Health Research. 2000, New York, NY: Oxford University Press Inc Donner A, Klar N: Design and Analysis of Cluster Randomization Trials in Health Research. 2000, New York, NY: Oxford University Press Inc
12.
go back to reference Hinkle DE, Wiersma W, Jurs SG: Applied Statistics for the Behavioral Sciences. 2003, Boston, MA: Houghton Mifflin Company, 5 Hinkle DE, Wiersma W, Jurs SG: Applied Statistics for the Behavioral Sciences. 2003, Boston, MA: Houghton Mifflin Company, 5
13.
go back to reference Vakeflliu Y, Argjiri D, Poposhi I, Agron S, Melani AS: Tobacco smoking habits, beliefs, and attitudes among medical students in Tirana, Albania. Prev Med. 2002, 34: 370-3. 10.1006/pmed.2001.0994.CrossRefPubMed Vakeflliu Y, Argjiri D, Poposhi I, Agron S, Melani AS: Tobacco smoking habits, beliefs, and attitudes among medical students in Tirana, Albania. Prev Med. 2002, 34: 370-3. 10.1006/pmed.2001.0994.CrossRefPubMed
14.
go back to reference Frank E: Physician health and patient care. JAMA. 2004, 291: 634-10.1001/jama.291.5.637.CrossRef Frank E: Physician health and patient care. JAMA. 2004, 291: 634-10.1001/jama.291.5.637.CrossRef
15.
go back to reference Duncan C, Cumming SR, Hudes ES, Zahnd E, Coates TJ: Quitting smoking: reasons for quitting and predictor of cessation among medical patients. J Gen Intern Med. 1992, 7: 398-404. 10.1007/BF02599155.CrossRefPubMed Duncan C, Cumming SR, Hudes ES, Zahnd E, Coates TJ: Quitting smoking: reasons for quitting and predictor of cessation among medical patients. J Gen Intern Med. 1992, 7: 398-404. 10.1007/BF02599155.CrossRefPubMed
16.
go back to reference Nakashima M, Miura K, Morikawa Y, Nishijo M, Nakanishi Y, Sakurai M, Nakagawa H: Effect of smoke-free medical school on smoking behavior of medical students. Japanese J Pub Health. 2008, 55 (9): 647-54. Nakashima M, Miura K, Morikawa Y, Nishijo M, Nakanishi Y, Sakurai M, Nakagawa H: Effect of smoke-free medical school on smoking behavior of medical students. Japanese J Pub Health. 2008, 55 (9): 647-54.
17.
18.
go back to reference Brener ND, Kann L, McMannus T, Kinchen SA, Sundberg EC, Ross JG: Reliability of the 1999 Youth Risk Behavior Survey questionnaire. J Adolesc Health. 2002, 31: 336-42. 10.1016/S1054-139X(02)00339-7.CrossRefPubMed Brener ND, Kann L, McMannus T, Kinchen SA, Sundberg EC, Ross JG: Reliability of the 1999 Youth Risk Behavior Survey questionnaire. J Adolesc Health. 2002, 31: 336-42. 10.1016/S1054-139X(02)00339-7.CrossRefPubMed
21.
go back to reference Nett LM: The physician's role in smoking cessation: A present and future agenda. Chest. 1990, 97: 28S-32S.PubMed Nett LM: The physician's role in smoking cessation: A present and future agenda. Chest. 1990, 97: 28S-32S.PubMed
23.
go back to reference Richmond RL, Zwar NA: Role of the general practitioner in smoking cessation. Drug and Alcohol Review. 2006, 25: 21-26. 10.1080/09595230500494252.CrossRefPubMed Richmond RL, Zwar NA: Role of the general practitioner in smoking cessation. Drug and Alcohol Review. 2006, 25: 21-26. 10.1080/09595230500494252.CrossRefPubMed
24.
go back to reference Fiore MC, Keller PA, Curry SJ: Health system changes to facilitate the delivery of tobacco-dependence treatment. Am J Prev Med. 2007, 33 (6 Sippl): S349-S356. 10.1016/j.amepre.2007.09.001.CrossRefPubMed Fiore MC, Keller PA, Curry SJ: Health system changes to facilitate the delivery of tobacco-dependence treatment. Am J Prev Med. 2007, 33 (6 Sippl): S349-S356. 10.1016/j.amepre.2007.09.001.CrossRefPubMed
Metadata
Title
Tobacco use, exposure to secondhand smoke, and cessation counseling among medical students: cross-country data from the Global Health Professions Student Survey (GHPSS), 2005-2008
Authors
Charles W Warren
Dhirendra N Sinha
Juliette Lee
Veronica Lea
Nathan R Jones
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-72

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