A review of tobacco smoking and smoking cessation practices among physicians in China: 1987e2010

Abu S. Abdullah, Feng Qiming, Vivian Pun, Frances A Stillman, Jonathan M. Samet

Research output: Contribution to journalArticle

Abstract

Background Tobacco use by physicians represents a significant barrier in promoting smoking cessation through physician interventions. To assess the need for and nature of smoking cessation services among physicians in China, a detailed literature review was conducted. Methods A literature review of studies published, in Chinese or in English, between 1987 and 2010, was carried out. The Medline, PubMed and Wanfang Data (a Chinese literature search database) electronic databases were searched for published studies. Results It was found that the overall current smoking prevalence among Chinese physicians ranged from 14% to 64% (men: 26% to 61%; women: 0% to 19%). There were significant gender differences in the smoking prevalence across studies with men smoking more than women. Though inconsistent, there were variations in smoking rates by professional posts and medical specialty. The quit smoking rates ranged from 5% to 14% across studies, with a higher rate among female physicians. Asking about smoking status or advising patients to quit smoking was not common practice among the physicians. Conclusions The results of this review suggest that while smoking habits of Chinese physicians vary among studies and across physicians in different specialties; prevalence rates tend to be higher than in physicians in the developed countries. Quitting rates were low among Chinese physicians, and the delivery of advice on quitting smoking was not common across the studies. Strategies to improve Chinese physicians' engagement in smoking cessation should address multiple factors including tobacco use and quitting practices among the physicians, their training needs and awareness of their professional responsibility with a healthcare system change approach.

Original languageEnglish (US)
Pages (from-to)9-14
Number of pages6
JournalTobacco Control
Volume22
Issue number1
DOIs
StatePublished - Jan 2013

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Smoking Cessation
nicotine
smoking
China
Smoking
physician
Physicians
Tobacco Use
Databases
system change
Developed Countries
PubMed
Habits
habits
gender-specific factors
Cross-Sectional Studies
Medicine
electronics
Delivery of Health Care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

A review of tobacco smoking and smoking cessation practices among physicians in China : 1987e2010. / Abdullah, Abu S.; Qiming, Feng; Pun, Vivian; Stillman, Frances A; Samet, Jonathan M.

In: Tobacco Control, Vol. 22, No. 1, 01.2013, p. 9-14.

Research output: Contribution to journalArticle

Abdullah, Abu S. ; Qiming, Feng ; Pun, Vivian ; Stillman, Frances A ; Samet, Jonathan M. / A review of tobacco smoking and smoking cessation practices among physicians in China : 1987e2010. In: Tobacco Control. 2013 ; Vol. 22, No. 1. pp. 9-14.
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