Determinants of smoking and smoking cessation among health professionals in Serbia: A cross-sectional study
Background/Aim. Bearing in mind a high smoking prevalence in Serbia (34% in adult population; men 38%, women 30%) and leading role of health professionals in intervention and prevention, a cross-sectional study was performed smong the representative sample of health professionals in Serbia....
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2014-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501405481K.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849695449638764544 |
|---|---|
| author | Krstev Srmena Marinković Jelena Simić Snežana Jovićević Ana Marković-Denić Ljiljana |
| author_facet | Krstev Srmena Marinković Jelena Simić Snežana Jovićević Ana Marković-Denić Ljiljana |
| author_sort | Krstev Srmena |
| collection | DOAJ |
| description | Background/Aim. Bearing in mind a high smoking prevalence in Serbia (34% in
adult population; men 38%, women 30%) and leading role of health
professionals in intervention and prevention, a cross-sectional study was
performed smong the representative sample of health professionals in Serbia.
The aim of the study was to identify predictors of smoking and smoking
cessation prior to the total smoking ban in November 2010. Methods. In this
nationwide study, 3,084 physicians and nurses from 4 types of institutions
and four geographical regions were selected and 2,282 included (response rate
74.0%). Data were collected using a self-administered structured
questionnaire. Standard statistical methods were used to calculate prevalence
rates, and multivariate logistic regressions to evaluate independent
predictors of smoking pattern. Risks were expressed as odds ratios (OR) which
represent approximation of relative risks of exposed persons with 95%
confidence intervals (95% CI). Results. We found a high smoking prevalence of
38.0%, the same for women and men (37.8% and 37.6%, respectively; p = 0.138),
higher among nurses (41.7%) than physicians (29.1%) (p = 0.000), as well as
among those employed in general hospitals (42.6%) and institutes of public
health (43.8%) (p = 0.000). Significantly increased risk of being an ever or
current smoker was noticed for nurses (OR = 1.75, 95% CI 1.42-2.14; and OR =
1.91, 95% CI 1.52-2.40, respectively), those employed in general hospitals
(OR = 1.37, 95% CI 1.09-1.73 and OR = 1.40, 95% CI 1.09-1.79, respectively),
and with worse self-estimated health (OR = 1.15, 95% CI 1.02-1.30; and OR =
1.17, 95% CI 1.02-1.34, respectively). Intentions to quit smoking or to
reduce the number of cigarettes were more frequent in women (OR = 1.51, 95%
CI 1.01-2.27) and participants who worse evaluated their health (OR = 1.74,
95% CI 1.39- 2.18). Conclusion. High smoking prevalence in health
professionals could be a barrier for the full implementation of smoking ban
in health institutions in Serbia. Smoking cessation programs at workplaces,
formal education in smoking cessation techniques, and better Law enforcement
by health administrations should be implemented. |
| format | Article |
| id | doaj-art-d074cf9c48e84663930ee3592d4b75bb |
| institution | DOAJ |
| issn | 0042-8450 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-d074cf9c48e84663930ee3592d4b75bb2025-08-20T03:19:46ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502014-01-0171548149010.2298/VSP1405481K0042-84501405481KDeterminants of smoking and smoking cessation among health professionals in Serbia: A cross-sectional studyKrstev Srmena0Marinković Jelena1Simić Snežana2Jovićević Ana3Marković-Denić Ljiljana4Public Health Association of Serbia, Belgrade + Institute of Occupational Health “Dr. Dragomir Karajović”, BelgradePublic Health Association of Serbia, Belgrade + Faculty of Medicine, Institute of Medical Statistics and Informatics, BelgradePublic Health Association of Serbia, Belgrade + Faculty of Medicine, Institute of Social Medicine, BelgradePublic Health Association of Serbia, Belgrade + National Institute of Oncology and Radiology, BelgradePublic Health Association of Serbia, Belgrade + Faculty of Medicine, Institute of Epidemiology, BelgradeBackground/Aim. Bearing in mind a high smoking prevalence in Serbia (34% in adult population; men 38%, women 30%) and leading role of health professionals in intervention and prevention, a cross-sectional study was performed smong the representative sample of health professionals in Serbia. The aim of the study was to identify predictors of smoking and smoking cessation prior to the total smoking ban in November 2010. Methods. In this nationwide study, 3,084 physicians and nurses from 4 types of institutions and four geographical regions were selected and 2,282 included (response rate 74.0%). Data were collected using a self-administered structured questionnaire. Standard statistical methods were used to calculate prevalence rates, and multivariate logistic regressions to evaluate independent predictors of smoking pattern. Risks were expressed as odds ratios (OR) which represent approximation of relative risks of exposed persons with 95% confidence intervals (95% CI). Results. We found a high smoking prevalence of 38.0%, the same for women and men (37.8% and 37.6%, respectively; p = 0.138), higher among nurses (41.7%) than physicians (29.1%) (p = 0.000), as well as among those employed in general hospitals (42.6%) and institutes of public health (43.8%) (p = 0.000). Significantly increased risk of being an ever or current smoker was noticed for nurses (OR = 1.75, 95% CI 1.42-2.14; and OR = 1.91, 95% CI 1.52-2.40, respectively), those employed in general hospitals (OR = 1.37, 95% CI 1.09-1.73 and OR = 1.40, 95% CI 1.09-1.79, respectively), and with worse self-estimated health (OR = 1.15, 95% CI 1.02-1.30; and OR = 1.17, 95% CI 1.02-1.34, respectively). Intentions to quit smoking or to reduce the number of cigarettes were more frequent in women (OR = 1.51, 95% CI 1.01-2.27) and participants who worse evaluated their health (OR = 1.74, 95% CI 1.39- 2.18). Conclusion. High smoking prevalence in health professionals could be a barrier for the full implementation of smoking ban in health institutions in Serbia. Smoking cessation programs at workplaces, formal education in smoking cessation techniques, and better Law enforcement by health administrations should be implemented.http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501405481K.pdfsmokingsmoking cessationprevalencephysiciansnurseshealthlegislation |
| spellingShingle | Krstev Srmena Marinković Jelena Simić Snežana Jovićević Ana Marković-Denić Ljiljana Determinants of smoking and smoking cessation among health professionals in Serbia: A cross-sectional study Vojnosanitetski Pregled smoking smoking cessation prevalence physicians nurses health legislation |
| title | Determinants of smoking and smoking cessation among health professionals in Serbia: A cross-sectional study |
| title_full | Determinants of smoking and smoking cessation among health professionals in Serbia: A cross-sectional study |
| title_fullStr | Determinants of smoking and smoking cessation among health professionals in Serbia: A cross-sectional study |
| title_full_unstemmed | Determinants of smoking and smoking cessation among health professionals in Serbia: A cross-sectional study |
| title_short | Determinants of smoking and smoking cessation among health professionals in Serbia: A cross-sectional study |
| title_sort | determinants of smoking and smoking cessation among health professionals in serbia a cross sectional study |
| topic | smoking smoking cessation prevalence physicians nurses health legislation |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501405481K.pdf |
| work_keys_str_mv | AT krstevsrmena determinantsofsmokingandsmokingcessationamonghealthprofessionalsinserbiaacrosssectionalstudy AT marinkovicjelena determinantsofsmokingandsmokingcessationamonghealthprofessionalsinserbiaacrosssectionalstudy AT simicsnezana determinantsofsmokingandsmokingcessationamonghealthprofessionalsinserbiaacrosssectionalstudy AT jovicevicana determinantsofsmokingandsmokingcessationamonghealthprofessionalsinserbiaacrosssectionalstudy AT markovicdenicljiljana determinantsofsmokingandsmokingcessationamonghealthprofessionalsinserbiaacrosssectionalstudy |