What Primary Care Health Workers Know and Do About Cigarette Smoking and Cancer Risk?
Keywords:
Smoking, knowledge, attitudes, behavior, cancer, primary careAbstract
Objective: Smoking habit is the most important preventable health problem of the world and Turkey. The objective of this study is to research the knowledge, behavior and attitude of primary care health workers about cigarette smoking and cancer risk.
Method: A cross-sectional analytic study is planned. A questionnaire with 82 questions is applied to 142 health workers of 16 primary health care centers in Buca. The questionnaire had three parts including knowledge, behavior and attitude parameters. For each group of parameters a composite index is developed. Data were analyzed on SPSS 11.0 package program by Pearson chi-square, independent t test and Pearson correlation test.
Results: In the study, 31% of participants were physicians, 23.2% were nurses, 35.2% were midwives and 10.6% were male-nurses. 36.6% of medical staff were current smokers, 12.0% were ex-smokers. The mean scores of knowledge, behavior and attitude parameters were 20.65 ± 4.81, 6.26 ± 3.51 and 9.73 ± 2.54 in order. There was a statistically significant relation between the attitude and behavior scores (r=0.334 p=0.015). There was no statistically significant relation between knowledge and attitude, behavior scores of participants.
Conclusion: Although the health workers have better knowledge and attitude for preventing and decreasing the effects of smoking, they still go on smoking. The health workers must be a good model for the community as non-smokers. Some other ways must be considered to increase awareness and sensitivity of health workers about smoking and cancer.
References
Akvardar Y, Aslan B, Ekici ZB, et al. Dokuz Eylül Üniversitesi Tıp Fakültesi dönem II öğrencilerinde sigara, alkol, madde kullanımı. Bağımlılık Dergisi, 2001;2:1-8
Arnold CL, Davis TC, Berkel HJ, et al. Smoking status, reading level, and knowledge of tobacco effects among low-ıncome pregnant women. Am J Prev Med 2001; 32:313320
Ashford A, Gemson D, Gorin SNS,et al. Cancer screening and prevention practices of inner-city physicians. Am J Prev Med 2000;19(1):59-62
Austoker J, Sanders D, Fowler G. Cancer prevention in primary care: smoking and cancer: smoking cessation. BMJ 1994;308:1478-1482.
Austoker J. Cancer prevention in primary care cancer prevention: setting the scene. BMJ 1994;308:1415-1420.
Bilir N. Ulusal akciğer sağlığının temel göstergeleri ve araştırma öncelikleri. Toraks Dergisi, 2002;3:317-320.
Block DE, Hutton KH, Johnson KH. Differences in tobacco assessment and intervention practices: a regional snapshot. Am J Prev Med 2000;30:282-287.
Box V, Anderson Y. Cancer beliefs, attitudes and preventive behaviours of nurses working in the community. Cancer beliefs of community nurses. Eur J Cancer Care, 1997; 6: 192-208.
Brenner H, Born J, Novak P, Wanek V. Smoking behavior and attitude toward smoking regulations and passive smoking in the workplace. Am J Prev Med 1997; 26: 138143
Brescia FJ. Lung cancer- a philosophical, ethical, and personal perspective. Critical Reviews in Oncology/Hematology 2001; 40: 139-148.
Çan G. Sigara içme alışkanlığı ve sigarayı bırakma, http//meds.ktu.edu.tr/~tozlu/quit. htlm
Çan G, Özlü T, Bülbül Y, Torun P. Trabzon il merkezinde görev yapan doktorlarda sigara içme sıklığı. Hacettepe Toplum Hekimliği Bülteni, 1999;20:2-3.
Cirit M, Orman A, Ünlü M. Afyon’da hekimlerin sigara içme alışkanlığı. Toraks Dergisi, 2002;3:253-256.
Chapman S. Recent advances: tobacco control. BMJ 1996;313:97-100.
Danacı AE, Yorgancıoğlu A, Çelik P,et al. Manisa ili lise öğretmenlerinin sigara içmeye karşı tutumları. Toraks Dergisi, 2000;1:16-20.
Demiralay R. Behaviours and attitudes of medical students towards smoking. Turk J Med Sci 2002;32:339-344.
Dilbaz N, Apaydın L. Bir eğitim ve araştırma hastanesinde çalışan hemşireler arasındaki sigara içme, bırakma sıklığı ve sigara içme davranışının özellikleri. Bağımlılık Dergisi 2002;3:73-83
Dowdell EB. Urban seventh graders and smoking: a health risk behaviour assessment. Issues Compr Pediatr Nurs, 2002; 25:217-229
Early release of selected estimates based on data from the 2002 national health interview survey, CDC; 2002: 38-43
Ertuğrul E, Erkan F, Çuhadaroğlu Ç. Smoking behaviour and attitudes of doctors in a university hospital in İstanbul. J Smoking-Related Dis 1994; 5: 177-181
Esen A, Yorgancıoğlu A, Şen FS ve ark. Celal Bayar Üniversitesi Hekimlerinin sigara içme davranışına karşı tutumları. Tüberküloz ve Toraks 1998; 46: 250-255
WHO/WPRO-Smoking Statistics http://www. wpro.who.int/media_centre /fact_sheets/ fs_ 20020528.htm
Fichtenberg M. C, Glantz A. S, Effect of smoke-free workplaces on smoking behaviour: systematic review, BMJ 2002; 325(7357): 188
Frank E, Winkleby MA, Altman DG,et al. Predictors of physician’s smoking cessation advice. JAMA 1991;266:31-39
Gilpin EA, Emery SL, Farkas AJ, et al. The California Tobacco Control Program: A decade of progress, results from the California Tobacco Surveys, 1990-1998. La Jolla, CA: University of California, San Diego; 2001: 6-26
Goldstein MG, DePue JD, Monroe AD. A population-based survey of physician smoking cessation counseling practices. Am J Prev Med 1998; 27:720-729.
Göksel T, Cirit M, Bayındır Ü. İzmir ili lise öğrencilerinin sigara alışkanlığını etkileyen faktörler. Toraks Dergisi, 2001;2:49-53.
Katz D, Muehlenbruch D, Brown R, et al. Effectiveness of a clinic based strategy for ımplementing the ahrq smoking cessation guideline in primary care. Am J Prev Med 2002; 35:293-302.
Kim KK, Yu ESH, Chen EH, Kim J, et al. Smoking behaviour, knowlwdge , and beliefs among Korean Americans. Cancer Pract 2000; 8:223-230
Kurtz M, Kurtz JC, Contreras D, Booth C, Knowledge and attidudes of economically disadvantaged women regarding exposure to environmental tobacco smoke. Eur J Public Health 2003; 13:171-176
Lei Z, Jingheng H, Jianzhong L. Smoking among Shanghai medical students and the need for comprehensive intervention strategies. Health Promot Int 1997;12 (1):27-31
Mackay J, Eriksen M. The Tobacco Atlas. World Health Organization 2002, Geneva
Morrison BJ. Interventions other than smoking cessation to prevent lung cancer. In: Canadian Task Force on the Periodic Health Examination. Canadian Guide to Clinical Preventive Health Care. Ottawa: Health Canada, 1994; 780-86.
O’Loughlin J, Makni H, Tremblay M, et al. Smoking cessation counseling practices of general practitioners in Montreal. Am J Prev Med 2001; 33:627-638
Osborne M, Boyle P, Lipkin M. Cancer prevention. Lancet 1997; 349 (suppl II):27-30
Öncel S. İzmir Metrapolünde Çalışan Sağlık Personelinin Sigara Konusundaki Tutum ve Davranışları (Basılmamış uzmanlık tezi) TC Ege Üniversitesi Sağlık Bilimleri Enstitüsü. İzmir,1984
Perlman F, Bobak M, Steptoe A,et al. Do health control belefs predict behaviour in Russians? Am J Prev Med 2003; 37:73-81
Pierce JP, Gilpin EA, Emery SL, et al. Tobacco control in California: who’s winning the war? an evaluation of the tobacco control program, 1989-1996. La Jolla, CA: University of California, San Diego; 1998: 12-18
Public knowledge and beliefs about the effects of smoking, http://www.quit.org.au/ quit/FandI/ fandi/c03s19.htm
Richmond R. Teaching medical students about tobacco. Torax 1999; 54:70-78.
Sammut MR. Breaking the smoking habit in Malta. Maltese Med J, 1998;10 (1): 22
Serj H.C, Osler M. Do smoking and health education influence student nurses’ knowledge, attitudes, and professional behavior? Am J Prev Med 2002; 34:260-265.
Sezer E, Açık Y, Bilgin N, ve ark. Elazığ ilinde görev yapan hemşire ve ebelerin sigara konusundaki tutum ve davranışları. Sigara Alarmı 1992; 2:9.
Sigara alışkanlıkları ve sigara ile mücadele kampanyası kamuoyu araştırma raporu, PİAR, Ocak, 1988.
Soliman AS, Raouf AA, Chamberlain RM. Knowledge of, attitudes toward, and barriers to cancer control and screening among primary care physicians in Egypt: the need for postgraduate medical education. J Cancer Educ 1997; 12: 100 -107.
Smoking in Canadian Homes, Does Health Knowledge Make a Difference?. http:// www.smoke-free.ca/pdf_1/ETS-Health-knowledge.pdf
Tobacco- Health Facts. Fact Sheet No 221, 1999, http://www.who.int/inf-fs/en/fact221. html.
Tuğlu C, Güzelant A, Erdoğan S, Şenveli B, Abay E. Hekimlerde sigara içme alışkanlığı ve ruhsal örüntü. Bağımlılık Dergisi, 2000; 1:32-37.
West R, McNeill A, Raw M. Smoking cessation guidlines for health professionals: an update. Thorax 2000;55:987-999
World Health Report: 2002 Reducing risks, promoting healthy life, WHO, 2002 Geneva.
Yorgancıoğlu A, Esen A. Sigara bağımlılığı ve hekimler. Toraks Dergisi 2000;1:90-95.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of Dependence

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
...