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Addiction Science & Clinical Practice
Published in: Addiction Science & Clinical Practice 1/2018

Open Access 01-12-2018 | Research

Prevalence and personal attitudes towards tobacco smoking among Palestinian healthcare professionals: a cross-sectional study

Authors: Isra Y. Mizher, Shahd I. Fawaqa, Waleed M. Sweileh

Published in: Addiction Science & Clinical Practice | Issue 1/2018

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Abstract

Background

Little is known about tobacco smoking behaviors of healthcare professionals in the Middle East where stress conditions are high and tobacco smoking regulations are either absent or loose. The objective of this study was to identify the prevalence of and attitudes toward tobacco smoking among healthcare professionals.

Methods

Trained senior medical students conducted a cross–sectional survey study in all governmental and non-governmental hospitals in Nablus city (Palestine) using a self-administered questionnaire containing both open-and closed-ended questions.

Results

In total, 708 healthcare professionals participated in the study. The mean age of the participants was 31.4 ± 9.6 years. Forty-five (6.4%) participants were ex-smokers, 419 (59.2%) were never smokers, and 244 (34.5%) were current tobacco smokers. One hundred and forty-two (58.2%) tobacco smokers reported that they smoke inside the hospital and 119 (48.8%) reported that they think of quitting smoking. Univariate analysis indicated that age, gender, marital status, family history of tobacco smoking, country of graduation, and night shifts were significantly associated with tobacco smoking status. No significant difference (p = 0.156) in prevalence of tobacco smoking was found between physicians and other healthcare professionals. Binary logistic regression indicated that older age, male gender, and having a positive family history of smoking were significant predictors of being a current tobacco smoker. Non-smokers had significantly higher frequency of patient counseling than current smokers.

Conclusion

Palestinian healthcare professionals have relatively higher prevalence of tobacco smoking compared to the general population. Urgent national intervention and strict implementation of “No Smoking Law” in health institutions and in public places are needed to root out this negative behavior.
Literature
1.
2.
3.
Motorykin O, Matzke MM, Waters KM, Massey Simonich SL. Association of carcinogenic polycyclic aromatic hydrocarbon emissions and smoking with lung cancer mortality rates on a global scale. Environ Sci Technol. 2013;47(7):3410–6.CrossRefPubMedPubMedCentral
4.
Islami F, Torre LA, Jemal A. Global trends of lung cancer mortality and smoking prevalence. Transl Lung Cancer Res. 2015;4(4):327–38.PubMedPubMedCentral
5.
6.
Palestinian Central Bureau of Statistics (PCBS): Palestinian Family Survey, 2010 (Final Report). In: Ramallah—State of Palestine; 2013.
7.
Palestinian Central Bureau of Statistics (PCBS) and the Ministry of Health (MoH): The Palestinian Central Bureau of Statistics (PCBS) and the Ministry of Health (MoH) are issuing a Press Release on the occasion of International Day of Giving up Smoking (Word No Tobacco Day) In: Rmallah—State of Palestine; 2012.
8.
Jawad M, Lee JT, Millett C. Waterpipe tobacco smoking prevalence and correlates in 25 Eastern Mediterranean and Eastern European countries: cross-sectional analysis of the Global Youth Tobacco Survey. Nicotine Tob Res. 2015;18(4):395–402.CrossRefPubMed
9.
Jaghbir M, Shreif S, Ahram M. Pattern of cigarette and waterpipe smoking in the adult population of Jordan. East Mediterr Health J. 2014;20(9):529–37.CrossRefPubMed
10.
11.
Joshi V, Suchin V, Lim J. Smoking cessation: barriers, motivators and the role of physicians—a survey of physicians and patients. Proc Singap Healthc. 2010;19(2):145–53.CrossRef
12.
Sreedharan J, Muttappallymyalil J, Venkatramana M. Nurses’ attitude and practice in providing tobacco cessation care to patients. J Prev Med Hyg. 2010;51(2):57–61.PubMed
13.
Abdullah AS, Guangmin N, Kaiyong H, Jing L, Yang L, Zhang Z, Winickoff JP. Implementing tobacco control assistance in pediatric departments of chinese hospitals: a feasibility study. Pediatrics. 2018;141(Supplement 1):S51–62.CrossRefPubMed
14.
Parna K, Rahu K, Rahu M. Smoking habits and attitudes towards smoking among Estonian physicians. Public Health. 2005;119(5):390–9.CrossRefPubMed
15.
Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2013;2017(12):165.
16.
Meshefedjian GA, Gervais A, Tremblay M, Villeneuve D, O’Loughlin J. Physician smoking status may influence cessation counseling practices. Can J Public Health. 2010;101(4):290–3.PubMed
17.
Shkedy YOFR, Mizrachi A. Smoking habits among Israeli hospital doctors: a survey and historical review. Israel Med Assoc J IMAJ. 2013;15(7):339–43.
18.
World Health Organization (WHO): WHO Study Group on Tobacco Product Regulation (TobReg), Waterpipe tobacco smoking: health effects, research needs and recommended actions for regulators. In: Edited by ed. n; 2015.
19.
World Health Organization (WHO). Global action plan for the prevention and control of NCDs 2013–2020. Geneva: World Health Organization; 2013.
20.
21.
Zinonos S, Zachariadou T, Zannetos S, Panayiotou AG, Georgiou A. Smoking prevalence and associated risk factors among healthcare professionals in Nicosia general hospital, Cyprus: a cross-sectional study. Tob Induc Dis. 2016;14(1):14.CrossRefPubMedPubMedCentral
22.
Borgan SM, Jassim G, Marhoon ZA, Almuqamam MA, Ebrahim MA, Soliman PA. Prevalence of tobacco smoking among health-care physicians in Bahrain. BMC Public Health. 2014;14(1):931.CrossRefPubMedPubMedCentral
23.
CDC. State-specific secondhand smoke exposure and current cigarette smoking among adults—United States, 2008. MMUR?. 2009;58(44):1232–5.
24.
Tucktuck M, Ghandour R, Abu-Rmeileh NME. Waterpipe and cigarette tobacco smoking among Palestinian university students: a cross-sectional study. BMC Public Health. 2017;18(1):1.CrossRefPubMedPubMedCentral
25.
Ficarra MG, Gualano MR, Capizzi S, Siliquini R, Liguori G, Manzoli L, Briziarelli L, Parlato A, Cuccurullo P, Bucci R, et al. Tobacco use prevalence, knowledge and attitudes among Italian hospital healthcare professionals. Eur J Public Health. 2011;21(1):29–34.CrossRefPubMed
26.
Juranić B, Rakošec Ž, Jakab J, Mikšić Š, Vuletić S, Ivandić M, Blažević I. Prevalence, habits and personal attitudes towards smoking among health care professionals. J Occup Med Toxicol. 2017;12(1):20.CrossRefPubMedPubMedCentral
27.
Palestinian Legislative Council: Public Health Law. In: Ramallah—Palestine; 2005.
28.
Akl EA, Jawad M, Lam WY, Co CN, Obeid R, Irani J. Motives, beliefs and attitudes towards waterpipe tobacco smoking: a systematic review. Harm Reduct J. 2013;10:12.CrossRefPubMedPubMedCentral
29.
Al-Haddad NS, Al-Habeeb TA, Abdelgadir MH, Al-Ghamdy YS, Qureshi NA. Smoking patterns among primary health care attendees, Al-Qassim region, Saudi Arabia. East Mediterr Health J. 2003;9(5–6):911–22.PubMed
30.
Mahfouz AA, Shatoor AS, Al-Ghamdi BR, Hassanein MA, Nahar S, Farheen A, Gaballah II, Mohamed A, Rabie FM. Tobacco use among health care workers in Southwestern Saudi Arabia. Biomed Res Int. 2013;2013:960292.CrossRefPubMedPubMedCentral
31.
Al-Lawati JA, Nooyi SC, Al-Lawati AM. Knowledge, attitudes and prevalence of tobacco use among physicians and dentists in Oman. Ann Saudi Med. 2009;29(2):128–33.CrossRefPubMedPubMedCentral
32.
Shishani K, Nawafleh H, Jarrah S, Froelicher ES. Smoking patterns among Jordanian health professionals: a study about the impediments to tobacco control in Jordan. Eur J Cardiovasc Nurs. 2011;10(4):221–7.CrossRefPubMed
33.
Abdullah AS, Stillman FA, Yang L, Luo H, Zhang Z, Samet JM. Tobacco use and smoking cessation practices among physicians in developing countries: a literature review (1987–2010). Int J Environ Res Public Health. 2013;11(1):429–55.CrossRefPubMedPubMedCentral
34.
Duaso M, Duncan D. Health impact of smoking and smoking cessation strategies: current evidence. Br J Community Nurs. 2012;17(8):356–63.CrossRefPubMed
35.
Stamatopoulou E, Stamatiou K, Voulioti S, Christopoulos G, Pantza E, Stamatopoulou A, Giannopoulos D. Smoking behavior among nurses in rural greece. Workplace Health Saf. 2014;62(4):132–4.CrossRefPubMed
36.
Lam TH, Jiang C, Chan YF, Chan SSC. Smoking cessation intervention practices in Chinese physicians: do gender and smoking status matter? Health Soc Care Community. 2011;19(2):126–37.PubMed
37.
Jiménez-Ruiz CA, Miranda JAR, Pinedo AR, Martinez EDH, Marquez FL, Cobos LP, Reina SS, Orive JIDG, Ramos PDL. Prevalence of and attitudes towards smoking among Spanish health professionals. Respiration. 2015;90(6):474–80.CrossRefPubMed
38.
Jawad M, Lee JT, Millett C. The relationship between waterpipe and cigarette smoking in low and middle income countries: cross-sectional analysis of the global adult tobacco survey. PLoS ONE. 2014;9(3):e93097.CrossRefPubMedPubMedCentral
39.
Jensen PD, Cortes R, Engholm G, Kremers S, Gislum M. Waterpipe use predicts progression to regular cigarette smoking among Danish youth. Subst Use Misuse. 2010;45(7–8):1245–61.CrossRefPubMed
40.
Mzayek F, Khader Y, Eissenberg T, Al Ali R, Ward KD, Maziak W. Patterns of water-pipe and cigarette smoking initiation in schoolchildren: Irbid longitudinal smoking study. Nicotine Tob Res. 2012;14(4):448–54.CrossRefPubMed
41.
Dugas E, Tremblay M, Low NC, Cournoyer D, O’Loughlin J. Water-pipe smoking among North American youths. Pediatrics. 2010;125(6):1184–9.CrossRefPubMed
42.
Jawad M, McEwen A, McNeill A, Shahab L. To what extent should waterpipe tobacco smoking become a public health priority? Addiction. 2013;108(11):1873–84.CrossRefPubMed
Metadata
Title
Prevalence and personal attitudes towards tobacco smoking among Palestinian healthcare professionals: a cross-sectional study
Authors
Isra Y. Mizher
Shahd I. Fawaqa
Waleed M. Sweileh
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Addiction Science & Clinical Practice / Issue 1/2018
Electronic ISSN: 1940-0640
DOI
https://doi.org/10.1186/s13722-018-0119-z

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