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Health care workers' knowledge, attitudes and practices on tobacco use in economically disadvantaged dominican republic communities.
Prucha, Michael G; Fisher, Susan G; McIntosh, Scott; Grable, John C; Holderness, Heather; Thevenet-Morrison, Kelly; de Monegro, Zahíra Quiñones; Sánchez, José Javier; Bautista, Arisleyda; Díaz, Sergio; Ossip, Deborah J.
Afiliação
  • Prucha MG; Department of Public Health Sciences, University of Rochester, Medical Center, Rochester, NY 14642, USA. mgprucha@gmail.com.
  • Fisher SG; Department of Clinical Sciences, School of Medicine, Temple University, Philadelphia, PA 19140, USA. susan.fisher@tuhs.temple.edu.
  • McIntosh S; Department of Public Health Sciences, University of Rochester, Medical Center, Rochester, NY 14642, USA. scott_mcintosh@urmc.rochester.edu.
  • Grable JC; Department of Medicine, University of Rochester Medical Center, Rochester, NY 14642, USA. john_grable@urmc.rochester.edu.
  • Holderness H; Department of Public Health Sciences, University of Rochester, Medical Center, Rochester, NY 14642, USA. heather_holderness@urmc.rochester.edu.
  • Thevenet-Morrison K; Department of Public Health Sciences, University of Rochester, Medical Center, Rochester, NY 14642, USA.
  • de Monegro ZQ; Pontificia Universidad Católica Madre y Maestra, Santiago, Dominican Republic. zquinones@pucmmsti.edu.do.
  • Sánchez JJ; Pontificia Universidad Católica Madre y Maestra, Santiago, Dominican Republic. j-javier-s@hotmail.com.
  • Bautista A; Centro de Atención Primaria Juan XXIII, Santiago, Dominican Republic. arisleydabautista@yahoo.com.
  • Díaz S; Hospital Regional Universitario José María Cabral y Báez, Santiago, Dominican Republic. s_diazpdt@yahoo.com.
  • Ossip DJ; Department of Public Health Sciences, University of Rochester, Medical Center, Rochester, NY 14642, USA. deborah_ossip@urmc.rochester.edu.
Int J Environ Res Public Health ; 12(4): 4060-75, 2015 Apr 13.
Article em En | MEDLINE | ID: mdl-25872018
Tobacco use is increasing globally, particularly in low and middle-income countries like the Dominican Republic (DR) where data have been lacking. Health care worker (HCW) interventions improve quit rates; asking patients about tobacco use at each visit is an evidence-based first step. This study provides the first quantitative examination of knowledge, attitudes and practices of DR HCWs regarding tobacco use. All HCWs (N = 153) in 7 economically disadvantaged DR communities were targeted with anonymous surveys. Approximately 70% (N = 107) completed the primary outcome item, asking about tobacco use at each encounter. Despite >85% strongly agreeing that they should ask about tobacco use at each encounter, only 48.6% reported doing so. While most (94.39%) strongly agreed that smoking is harmful, knowledge of specific health consequences varied from 98.13% for lung cancer to 41.12% for otitis media. Few received training in tobacco intervention (38.32%). Exploratory analyses revealed that always asking even if patients are healthy, strongly agreeing that tobacco causes cardiac disease, and always advising smoke-free homes were associated with always asking. Overall, results demonstrate a disconnect between HCW belief and practice. Though most agreed that always asking about tobacco was important, fewer than half did so. Gaps in HCW knowledge and practices suggest a need for education and policy/infrastructure support. To our knowledge, this is the first reported survey of DR HCWs regarding tobacco, and provides a foundation for future tobacco control in the DR.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Tabagismo / Atitude do Pessoal de Saúde / Áreas de Pobreza / Abandono do Hábito de Fumar / Competência Clínica / Pessoal de Saúde Tipo de estudo: Health_economic_evaluation Aspecto: Determinantes_sociais_saude Limite: Female / Humans / Male País/Região como assunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: Int J Environ Res Public Health Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Tabagismo / Atitude do Pessoal de Saúde / Áreas de Pobreza / Abandono do Hábito de Fumar / Competência Clínica / Pessoal de Saúde Tipo de estudo: Health_economic_evaluation Aspecto: Determinantes_sociais_saude Limite: Female / Humans / Male País/Região como assunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: Int J Environ Res Public Health Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Suíça