Skip to main content
Top
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Research article

“Do as we say, not as we do?” the lifestyle behaviours of hospital doctors working in Ireland: a national cross-sectional study

Authors: Anthony O’ Keeffe, Blánaid Hayes, Lucia Prihodova

Published in: BMC Public Health | Issue 1/2019

Login to get access

Abstract

Background

This study was conducted to assess the lifestyle behaviours of a national sample of hospital doctors working in Ireland. We also sought to compare the prevalence of these behaviours in doctors to the general Irish population.

Methods

This was a national cross-sectional study of a randomised sample of hospital doctors working in Irish publicly funded hospitals and residential institutions. The final cohort consisted of 1749 doctors (response rate of 55%). All hospital specialties were represented except radiology. The following data were collected: sociodemographic data (age, sex), work grade (consultant, trainee) average hours worked over a two-week period, specialty and lifestyle behaviours (smoking, alcohol, physical activity). Lifestyle data for the general population was provided by the Healthy Ireland 2015 study.

Results

Half of participants were men (50.5%). Just over half of the sample were consultants (54.3%), with 45.7% being trainees. 9.3% of doctors surveyed were smokers, 88.4% consumed alcohol and 24.5% were physically inactive. Trainees were more likely to smoke and be physically inactive when compared to consultants. Smoking rates amongst doctors were lower than the general population (9.3% -v- 23%). Doctors were more likely to consume alcohol than the general population (88.4% -v- 71.7%) but less likely to engage in binge drinking on a typical drinking occasion (12.8% -v- 39.5%). Doctors were more compliant than the general population with minimum exercise targets (75.5% -v- 70.5%), but less likely to engage in health enhancing physical activity (19.1% -v- 33%).

Conclusions

While the prevalence of health behaviours amongst hospital doctors in Ireland compares favourably to the general population, their alcohol consumption and engagement in health enhancing physical activity suggest room for improvement. Continued health promotion and education on the importance of personal health behaviours is essential.
Appendix
Available only for authorised users
Literature
1.
go back to reference Doll R, Peto R, Boreham J, Sutherland I. Mortality from cancer in relation to smoking: 50 years observations on British doctors. Br J Cancer. 2005;92:426–9.CrossRef Doll R, Peto R, Boreham J, Sutherland I. Mortality from cancer in relation to smoking: 50 years observations on British doctors. Br J Cancer. 2005;92:426–9.CrossRef
2.
go back to reference Boyle P. Cancer, cigarette smoking and premature death in Europe: a review including the recommendations of European Cancer experts consensus meeting, Helsinki, October 1996. Lung Cancer. 1997;17:1–60.CrossRef Boyle P. Cancer, cigarette smoking and premature death in Europe: a review including the recommendations of European Cancer experts consensus meeting, Helsinki, October 1996. Lung Cancer. 1997;17:1–60.CrossRef
3.
go back to reference World Health Organisation. Global status report on alcohol and health; 2014. p. 1–392. World Health Organisation. Global status report on alcohol and health; 2014. p. 1–392.
5.
go back to reference Taub S, Morin K, Goldrich MS, Ray P, Benjamin RM, Higginson D, et al. Physician health and wellness. Occup Med (Chic Ill). 2006;56:77–82.CrossRef Taub S, Morin K, Goldrich MS, Ray P, Benjamin RM, Higginson D, et al. Physician health and wellness. Occup Med (Chic Ill). 2006;56:77–82.CrossRef
6.
go back to reference Frank E, Segura C, Shen H, Oberg E. Predictors of Canadian physicians’ prevention counseling practices. Can J Public Heal. 2010;101:390–5. Frank E, Segura C, Shen H, Oberg E. Predictors of Canadian physicians’ prevention counseling practices. Can J Public Heal. 2010;101:390–5.
7.
go back to reference Lobelo F, de Quevedo IG. The evidence in support of physicians and health care providers as physical activity role models. Am J Lifestyle Med. 2016;10:36–52.CrossRef Lobelo F, de Quevedo IG. The evidence in support of physicians and health care providers as physical activity role models. Am J Lifestyle Med. 2016;10:36–52.CrossRef
9.
go back to reference Frank E, Dresner Y, Shani M, Vinker S. The association between physicians’ and patients’ preventive health practices. Can Med Assoc J. 2013;185:649–54.CrossRef Frank E, Dresner Y, Shani M, Vinker S. The association between physicians’ and patients’ preventive health practices. Can Med Assoc J. 2013;185:649–54.CrossRef
10.
go back to reference Sebo P, Bouvier Gallacchi M, Goehring C, Künzi B, Bovier PA. Use of tobacco and alcohol by Swiss primary care physicians: a cross-sectional survey. BMC Public Health. 2007;7:5. Sebo P, Bouvier Gallacchi M, Goehring C, Künzi B, Bovier PA. Use of tobacco and alcohol by Swiss primary care physicians: a cross-sectional survey. BMC Public Health. 2007;7:5.
12.
go back to reference Smith DR, Leggat PA. An international review of tobacco smoking in the medical profession: 1974-2004. BMC Public Health 2007;7:115 Smith DR, Leggat PA. An international review of tobacco smoking in the medical profession: 1974-2004. BMC Public Health 2007;7:115
13.
go back to reference Tan NC, Aw L, Khin LW, Thirumoorthy T, Lim SH, Tai BC, et al. How do primary care physicians in Singapore keep healthy? Singap Med J. 2014;55:155–9. Tan NC, Aw L, Khin LW, Thirumoorthy T, Lim SH, Tai BC, et al. How do primary care physicians in Singapore keep healthy? Singap Med J. 2014;55:155–9.
14.
go back to reference McGrady FP, McGlade KJ, Cupples ME, Tully MA, Hart N, Steele K. Questionnaire survey of physical activity in general practitioners (PHIT GP study). Ulster Med J. 2007;76:91–7.PubMedPubMedCentral McGrady FP, McGlade KJ, Cupples ME, Tully MA, Hart N, Steele K. Questionnaire survey of physical activity in general practitioners (PHIT GP study). Ulster Med J. 2007;76:91–7.PubMedPubMedCentral
15.
go back to reference Sørensen JK, Pedersen AF, Bruun NH, Christensen B, Vedsted P. Alcohol and drug use among Danish physicians. A nationwide cross-sectional study in 2014. Dan Med J. 2015;62:1–8. Sørensen JK, Pedersen AF, Bruun NH, Christensen B, Vedsted P. Alcohol and drug use among Danish physicians. A nationwide cross-sectional study in 2014. Dan Med J. 2015;62:1–8.
17.
go back to reference Rosta J. Hazardous alcohol use among hospital doctors in Germany. Alcohol Alcohol. 2008;43:198–203.CrossRef Rosta J. Hazardous alcohol use among hospital doctors in Germany. Alcohol Alcohol. 2008;43:198–203.CrossRef
18.
go back to reference O’ Cathail M, O’ Callaghan M. A profile of hospital consultants: the health practices of a cohort of medical professionals. Ir Med J. 2013;106:134–6. O’ Cathail M, O’ Callaghan M. A profile of hospital consultants: the health practices of a cohort of medical professionals. Ir Med J. 2013;106:134–6.
19.
go back to reference Hayes B, Prihodova L, Walsh G, Doyle F, Doherty S. What’s up doc? A national cross-sectional study of psychological wellbeing of hospital doctors in Ireland. BMJ Open. 2017;7:e018023 Hayes B, Prihodova L, Walsh G, Doyle F, Doherty S. What’s up doc? A national cross-sectional study of psychological wellbeing of hospital doctors in Ireland. BMJ Open. 2017;7:e018023
22.
go back to reference Moskalewicz J, Sieroslawski J. Drinking population surveys guidance document for standardizing approach; 2010. Moskalewicz J, Sieroslawski J. Drinking population surveys guidance document for standardizing approach; 2010.
24.
go back to reference Craig CLC, Marshall AL, Sjostrom M, Bauman AE, Booth ML, et al. International physical activity questionnaire: 12 country reliability and validity. Med Sci Sport Exerc. 2003;35:1–7.CrossRef Craig CLC, Marshall AL, Sjostrom M, Bauman AE, Booth ML, et al. International physical activity questionnaire: 12 country reliability and validity. Med Sci Sport Exerc. 2003;35:1–7.CrossRef
26.
go back to reference Kannegaard PN, Kreiner S, Gregersen P, Goldstein H. Smoking habits and attitudes to smoking 2001 among hospital staff at a Danish hospital - comparison with a similar study 1999. Prev Med (Baltim). 2005;41:321–7.CrossRef Kannegaard PN, Kreiner S, Gregersen P, Goldstein H. Smoking habits and attitudes to smoking 2001 among hospital staff at a Danish hospital - comparison with a similar study 1999. Prev Med (Baltim). 2005;41:321–7.CrossRef
27.
go back to reference Broms U, Silventoinen K, Lahelma E, Koskenvuo M, Kaprio J. Smoking cessation by socioeconomic status and marital status: the contribution of smoking behavior and family background. Nicotine Tob Res. 2004;6:447–55.CrossRef Broms U, Silventoinen K, Lahelma E, Koskenvuo M, Kaprio J. Smoking cessation by socioeconomic status and marital status: the contribution of smoking behavior and family background. Nicotine Tob Res. 2004;6:447–55.CrossRef
28.
go back to reference The Royal College of Physicians of Ireland. Position statement: Occasional smoking and its associated health risks RCPI Policy Group on Tobacco June 2018. 2018. p. 1–9. The Royal College of Physicians of Ireland. Position statement: Occasional smoking and its associated health risks RCPI Policy Group on Tobacco June 2018. 2018. p. 1–9.
29.
go back to reference Rosta J, Aasland OG. Age differences in alcohol drinking patterns among Norwegian and German hospital doctors – a study based on national samples. Ger Med Sci GMS. 2010;8:Doc05.PubMed Rosta J, Aasland OG. Age differences in alcohol drinking patterns among Norwegian and German hospital doctors – a study based on national samples. Ger Med Sci GMS. 2010;8:Doc05.PubMed
30.
go back to reference Oreskovich MR, Shanafelt T, Dyrbye LN, Tan L, Sotile W, Satele D, et al. The prevalence of substance use disorders in American physicians. Am J Addict. 2015;24:30–8.CrossRef Oreskovich MR, Shanafelt T, Dyrbye LN, Tan L, Sotile W, Satele D, et al. The prevalence of substance use disorders in American physicians. Am J Addict. 2015;24:30–8.CrossRef
31.
go back to reference Hughes P, Storr C. Physician substance use by medical specialty. J Addcit Dis. 1999;18:23–37.CrossRef Hughes P, Storr C. Physician substance use by medical specialty. J Addcit Dis. 1999;18:23–37.CrossRef
32.
go back to reference Frank E, Segura C. Health practices of Canadian physicians. Can Fam Physician. 2009;55:810-1.e1-7 Frank E, Segura C. Health practices of Canadian physicians. Can Fam Physician. 2009;55:810-1.e1-7
33.
go back to reference Howe M, Leidel A, Krishnan SM, Weber A, Rubenfire M, Jackson EA. Patient-related diet and exercise counseling: do providers’ own lifestyle habits matter? Prev Cardiol. 2010;13:180–5.CrossRef Howe M, Leidel A, Krishnan SM, Weber A, Rubenfire M, Jackson EA. Patient-related diet and exercise counseling: do providers’ own lifestyle habits matter? Prev Cardiol. 2010;13:180–5.CrossRef
34.
go back to reference Pardo A, McKenna J, Mitjans A, Camps B, Violán M. Physical activity level and lifestyle-related risk factors from Catalan physicians. Prev Med (Baltim). 2012;55:256–7.CrossRef Pardo A, McKenna J, Mitjans A, Camps B, Violán M. Physical activity level and lifestyle-related risk factors from Catalan physicians. Prev Med (Baltim). 2012;55:256–7.CrossRef
37.
go back to reference Taris TW, Ybema JF, Beckers DGJ, Verheijden MW, Geurts SAE, Kompier MAJ. Investigating the associations among overtime work, health behaviors, and health: a longitudinal study among full-time employees. Int J Behav Med. 2011;18:352–60.CrossRef Taris TW, Ybema JF, Beckers DGJ, Verheijden MW, Geurts SAE, Kompier MAJ. Investigating the associations among overtime work, health behaviors, and health: a longitudinal study among full-time employees. Int J Behav Med. 2011;18:352–60.CrossRef
38.
go back to reference Ball S, Bax A. Self-care in medical education: effectiveness of health-habits interventions for first-year medical students. Acad Med. 2002;77:911–7.CrossRef Ball S, Bax A. Self-care in medical education: effectiveness of health-habits interventions for first-year medical students. Acad Med. 2002;77:911–7.CrossRef
40.
go back to reference Frank E, Elon L. A Quantitative assessment of a 4-year intervention that improved patient counseling through improving medical student health. MedGenMed. 2007;9(2):58. Frank E, Elon L. A Quantitative assessment of a 4-year intervention that improved patient counseling through improving medical student health. MedGenMed. 2007;9(2):58.
41.
go back to reference Baldisseri MR. Impaired healthcare professional. Crit Care Med 2007;35(2 Suppl):S106-16. Baldisseri MR. Impaired healthcare professional. Crit Care Med 2007;35(2 Suppl):S106-16.
42.
go back to reference Thorpe C, Ryan B, McLean SL, Burt A, Stewart M, Brown JB, et al. How to obtain excellent response rates when surveying physicians. Fam Pract. 2009;26:65–8.CrossRef Thorpe C, Ryan B, McLean SL, Burt A, Stewart M, Brown JB, et al. How to obtain excellent response rates when surveying physicians. Fam Pract. 2009;26:65–8.CrossRef
43.
go back to reference Tourangeau R, Yan T. Sensitive questions in surveys. Psychol Bull. 2007;133:859–83.CrossRef Tourangeau R, Yan T. Sensitive questions in surveys. Psychol Bull. 2007;133:859–83.CrossRef
44.
go back to reference Warburton DER, Nicol CW, Bredin SSD. R eview health benefits of physical activity : the evidence. Can Medial Assoc J. 2006;174:801–9.CrossRef Warburton DER, Nicol CW, Bredin SSD. R eview health benefits of physical activity : the evidence. Can Medial Assoc J. 2006;174:801–9.CrossRef
Metadata
Title
“Do as we say, not as we do?” the lifestyle behaviours of hospital doctors working in Ireland: a national cross-sectional study
Authors
Anthony O’ Keeffe
Blánaid Hayes
Lucia Prihodova
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-6451-8

Other articles of this Issue 1/2019

BMC Public Health 1/2019 Go to the issue