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Tabaquismo en Atención Primaria: Perfil de fumadoras consultantes, creencias y actitudes de los equipos de salud y oportunidades de intervención / Smoking interventions in Primary Health Care: Smoking profile of women and beliefs and attitudes of local health care teams
Puschel I., Klaus; Thompson, Beti; Coronado, Gloria; Rivera M., Solange; Díaz V., Daniel; González V., Loreto; Valencia C., Genny; Iñiguez C., Sibila; Montero L., Joaquín.
Afiliação
  • Puschel I., Klaus; Pontificia Universidad Católica de Chile. Escuela de Medicina. Departamento de Medicina Familiar. Santiago. CL
  • Thompson, Beti; Fred Hutchinson Cancer Research Center. Cancer Prevention Research Program. Seattle. US
  • Coronado, Gloria; Fred Hutchinson Cancer Research Center. Cancer Prevention Research Program. Seattle. US
  • Rivera M., Solange; Pontificia Universidad Católica de Chile. Escuela de Medicina. Departamento de Medicina Familiar. Santiago. CL
  • Díaz V., Daniel; Pontificia Universidad Católica de Chile. Cancer Prevention Research Program. Escuela de Psicología. Santiago. CL
  • González V., Loreto; Pontificia Universidad Católica de Chile. Escuela de Medicina. Departamento de Medicina Familiar. Santiago. CL
  • Valencia C., Genny; Pontificia Universidad Católica de Chile. Escuela de Medicina. Departamento de Medicina Familiar. Santiago. CL
  • Iñiguez C., Sibila; Pontificia Universidad Católica de Chile. Escuela de Medicina. Departamento de Medicina Familiar. Santiago. CL
  • Montero L., Joaquín; Pontificia Universidad Católica de Chile. Escuela de Medicina. Departamento de Medicina Familiar. Santiago. CL
Rev. méd. Chile ; 134(6): 726-734, jun. 2006. tab
Article em Es | LILACS | ID: lil-434620
Biblioteca responsável: BR1.1
ABSTRACT

Background:

Chile has one of the highest prevalence rate of smoking in the world. Brief counseling interventions for smoking cessation at the primary health care level are effective. Compliance with counseling intervention is strongly associated with beliefs and attitudes of the primary health care team that deliver it. The effectiveness of these interventions improve if they are applied to smoking populations with higher motivation of change and high self-efficacy for quitting.

Aim:

To study the smoking profile of a group of smoking women in Santiago and to identify beliefs and attitudes of the primary health care team members to implement smoking cessation interventions. Material and

Methods:

A cross-sectional design that included 306 women smokers attending two primary health care clinics in Santiago. Perceptions, beliefs and attitudes of 34 primary care team members from three clinics in Santiago were explored using a qualitative methodology.

Results:

The study identified a subgroup of 18% of women highly motivated to quit (decisional stage of change) and a 58% with a high self-efficacy. Beliefs and attitudes of staff at the clinics were characterized by invisibility, ambivalence and fatalism regarding the effectiveness of smoking cessation interventions.

Conclusions:

There is a subgroup of smoking women with a high probability of quitting if they receive an appropriate counseling. Developing a systematic approach for smoking cessation intervention at the primary care setting in Chile should consider the invisibility, ambivalence and fatalism of primary health care team members towards this topic.
Assuntos
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Atenção Primária à Saúde / Atitude do Pessoal de Saúde / Conhecimentos, Atitudes e Prática em Saúde / Abandono do Hábito de Fumar Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2006 Tipo de documento: Article / Project document País de afiliação: Chile / Estados Unidos País de publicação: Chile
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Atenção Primária à Saúde / Atitude do Pessoal de Saúde / Conhecimentos, Atitudes e Prática em Saúde / Abandono do Hábito de Fumar Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2006 Tipo de documento: Article / Project document País de afiliação: Chile / Estados Unidos País de publicação: Chile