Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide Survey

ObjectivesMental health professionals (MHPs) play an important role in treating patients with nicotine addiction. However, data on MHPs’ cigarette smoking habits are scarce. This survey aimed to collect such data and to examine the correlates of smoking among MHPs working in China.MethodsA cross-sec...

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Main Authors: Lei Xia, Feng Jiang, Jeffrey Rakofsky, Yulong Zhang, Kai Zhang, Tingfang Liu, Yuanli Liu, Huanzhong Liu, Yi-lang Tang
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-07-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2020.00706/full
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author Lei Xia
Lei Xia
Feng Jiang
Feng Jiang
Jeffrey Rakofsky
Yulong Zhang
Yulong Zhang
Kai Zhang
Kai Zhang
Tingfang Liu
Yuanli Liu
Huanzhong Liu
Huanzhong Liu
Yi-lang Tang
Yi-lang Tang
author_facet Lei Xia
Lei Xia
Feng Jiang
Feng Jiang
Jeffrey Rakofsky
Yulong Zhang
Yulong Zhang
Kai Zhang
Kai Zhang
Tingfang Liu
Yuanli Liu
Huanzhong Liu
Huanzhong Liu
Yi-lang Tang
Yi-lang Tang
author_sort Lei Xia
collection DOAJ
description ObjectivesMental health professionals (MHPs) play an important role in treating patients with nicotine addiction. However, data on MHPs’ cigarette smoking habits are scarce. This survey aimed to collect such data and to examine the correlates of smoking among MHPs working in China.MethodsA cross-sectional survey was conducted in all 41 provincial, tertiary psychiatric hospitals, and MHPs from these hospitals were targeted. An anonymous questionnaire was designed to collect socio-demographic and occupational factors, and the Maslach Burnout Inventory-Human Service Survey was used to assess burnout. Data about smoking and other health behaviors were also collected.ResultsIn total, 13,614 MHPs were included in the analysis. The overall rate of current smoking was 8.6% (31.3% in males, and 1.1% in females). A substantial proportion (28.0%) of life-time smokers had abstained for more than 3 months. Those who were male (OR=37.73), older (OR=1.02), divorced or widowed (OR=1.72), working in West (OR=1.45), and Northeast China (OR=1.65), were nurses (OR=1.44), had a high income (OR=1.31), experienced burnout (OR=1.29), frequent insomnia (OR=1.39), and used alcohol (OR=2.76) were significantly more likely to be smokers, while those who had a higher level of education (OR=0.67, 0.47, and 0.43 for college, master, and doctorate degrees, respectively), and exercised regularly (OR=0.73) were significantly less likely to be smokers.ConclusionAlthough lower than that of the general population in China, smoking is still relatively high among MPHs. Efforts to lower smoking rates among MHPs in China should continue and should incorporate strategies that target burnout, sleep, alcohol use, exercise and other factors associated with smoking.
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spelling doaj.art-44d6ef93d499457a868c6cc133969d222022-12-21T23:44:19ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-07-011110.3389/fpsyt.2020.00706556758Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide SurveyLei Xia0Lei Xia1Feng Jiang2Feng Jiang3Jeffrey Rakofsky4Yulong Zhang5Yulong Zhang6Kai Zhang7Kai Zhang8Tingfang Liu9Yuanli Liu10Huanzhong Liu11Huanzhong Liu12Yi-lang Tang13Yi-lang Tang14Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaDepartment of Psychiatry, Anhui Psychiatric Center, Anhui Medical University, Hefei, ChinaPublic Health School, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaResearch Center for Public Health, Tsinghua University, Beijing, ChinaDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, United StatesDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaDepartment of Psychiatry, Anhui Psychiatric Center, Anhui Medical University, Hefei, ChinaDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaDepartment of Psychiatry, Anhui Psychiatric Center, Anhui Medical University, Hefei, ChinaInstitute for Hospital Management of Tsinghua University, Beijing, ChinaPublic Health School, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaDepartment of Psychiatry, Anhui Psychiatric Center, Anhui Medical University, Hefei, ChinaDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, United StatesAtlanta Veterans Affairs Medical Center, Decatur, GA, United StatesObjectivesMental health professionals (MHPs) play an important role in treating patients with nicotine addiction. However, data on MHPs’ cigarette smoking habits are scarce. This survey aimed to collect such data and to examine the correlates of smoking among MHPs working in China.MethodsA cross-sectional survey was conducted in all 41 provincial, tertiary psychiatric hospitals, and MHPs from these hospitals were targeted. An anonymous questionnaire was designed to collect socio-demographic and occupational factors, and the Maslach Burnout Inventory-Human Service Survey was used to assess burnout. Data about smoking and other health behaviors were also collected.ResultsIn total, 13,614 MHPs were included in the analysis. The overall rate of current smoking was 8.6% (31.3% in males, and 1.1% in females). A substantial proportion (28.0%) of life-time smokers had abstained for more than 3 months. Those who were male (OR=37.73), older (OR=1.02), divorced or widowed (OR=1.72), working in West (OR=1.45), and Northeast China (OR=1.65), were nurses (OR=1.44), had a high income (OR=1.31), experienced burnout (OR=1.29), frequent insomnia (OR=1.39), and used alcohol (OR=2.76) were significantly more likely to be smokers, while those who had a higher level of education (OR=0.67, 0.47, and 0.43 for college, master, and doctorate degrees, respectively), and exercised regularly (OR=0.73) were significantly less likely to be smokers.ConclusionAlthough lower than that of the general population in China, smoking is still relatively high among MPHs. Efforts to lower smoking rates among MHPs in China should continue and should incorporate strategies that target burnout, sleep, alcohol use, exercise and other factors associated with smoking.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00706/fullsmokingmental health professionalsburnouthealth behaviorsChina
spellingShingle Lei Xia
Lei Xia
Feng Jiang
Feng Jiang
Jeffrey Rakofsky
Yulong Zhang
Yulong Zhang
Kai Zhang
Kai Zhang
Tingfang Liu
Yuanli Liu
Huanzhong Liu
Huanzhong Liu
Yi-lang Tang
Yi-lang Tang
Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide Survey
Frontiers in Psychiatry
smoking
mental health professionals
burnout
health behaviors
China
title Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide Survey
title_full Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide Survey
title_fullStr Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide Survey
title_full_unstemmed Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide Survey
title_short Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide Survey
title_sort cigarette smoking health related behaviors and burnout among mental health professionals in china a nationwide survey
topic smoking
mental health professionals
burnout
health behaviors
China
url https://www.frontiersin.org/article/10.3389/fpsyt.2020.00706/full
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