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THE ROLE OF THE DOCTOR IN TOBACCO CONTROL

This mini lecture provides knowledge on tobacco's health and psychological impacts and the role of physicians in control efforts. Contents cover prevalence of smoking among doctors, cessation efforts, benefits of physician advice, and knowledge gaps in Indian physicians' tobacco cessation practices.

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THE ROLE OF THE DOCTOR IN TOBACCO CONTROL

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  1. THE ROLE OF THE DOCTORIN TOBACCO CONTROL Mini Lecture 3 Module: Tobacco Issues in Basic Medical Practice

  2. Objectives of the Mini Lecture GOAL OF MINI LECTURE: Provide students with knowledge on the health and psychological effects of tobacco use. LEARNING OBJECTIVES Students will be able to: • Describe different roles for doctors in tobacco control. • Describe barriers identified in involving doctors in tobacco control.

  3. Contents Optional Slides Prevalence of Smoking among Doctors in the US Current Smoking among Doctors and Medical Students in India Core Slides • Doctors and Cessation Efforts • Role of Physicians in Tobacco Cessation • Benefits of Health Professional’sOffering Cessation Advice • Knowledge and Practice of Tobacco cessation among Indian physicians

  4. CORE SLIDES The Role of the Doctor in Tobacco Control Mini Lecture 3 Module: Tobacco Issues in Basic Medical Practice

  5. Doctors and Cessation Efforts • Doctors are key to any cessation effort as they are opinion leaders and role models for healthy behavior. • Doctors have played a critical role in reducing the tobacco epidemic in many other countries. • Consistent messages from all health professionals will increase the likelihood of patients quitting successfully. World Health Organization 2005

  6. Role of Physicians in Tobacco Cessation • Physicians who are smokers are less likely to ask their patients about smoking and are less likely to offer advice to patients on how to quit. • Lack of training in smoking cessation hinders physicians’ ability to actively engage in smoking cessation activities. • Physicians should routinely ask all patients about their smoking status and advise tobacco users to quit.2 1. Fiore et al. 2008; 2. Ng et al. 2007

  7. Benefits of Health ProfessionalsOffering Cessation Advice • A comprehensive review of published research found that brief interventions by doctors increased the quit rate among patients by 74%. • The probability of remaining quit after 1 year is higher among smokers whose physicians advised them to quit. • Nurses providing individual counseling to patients were also effective in increasing quit rates. Lancaster and Stead 2004

  8. Knowledge and Practiceof Tobacco Cessationamong Indian Physicians A study conducted among physicians in Kerala found that: • 67% of doctors did not routinely screen patients for tobacco use. • 90% of doctors did not offer patients information on how to quit. • 68% reported they had insufficient training to deliver brief interventions. • 80% expressed interest in receiving training to help smokers quit. Thankappan et al. 2009

  9. OPTIONAL SLIDES The Role of the Doctor in Tobacco Control Mini Lecture 3 Module: Tobacco Issues in Basic Medical Practice

  10. Prevalence of Smokingamong Doctors in the US • Prevalence of smoking among doctors in the US decreased dramatically after research showed that smoking was harmful to health: • In the early 1950s, more than 50% of US doctors smoked.1 • By the mid 1970s, only 20% of US doctors smoked.3 • By 1991, only 3.3% of US doctors smoked. • In 2000 only 2–3% of male medical students in the US smoked.2 1. Garfinkel and Stellman 1986; 2. Patkar et al. 2003

  11. Current Smoking among Doctors and Medical Students in India India • None of the female physicians reported tobacco use while 22.7% and 21.3% had a household member or father who smoked. Mohan et al. 2006

  12. The most important health message a doctor can give to patients is to quit smoking.

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