Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China

ObjectivesTo understand the current status of smoking behavior among emergency physicians in China and to explore its determinants.BackgroundThe emergency department is considered a more appropriate setting for tobacco interventions. However, the smoking behavior of emergency physicians can reduce t...

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Main Authors: Qiao Zong, Hui Li, Nan Jiang, Yanhong Gong, Jianwei Zheng, Xiaoxv Yin
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.980208/full
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author Qiao Zong
Hui Li
Nan Jiang
Yanhong Gong
Jianwei Zheng
Xiaoxv Yin
author_facet Qiao Zong
Hui Li
Nan Jiang
Yanhong Gong
Jianwei Zheng
Xiaoxv Yin
author_sort Qiao Zong
collection DOAJ
description ObjectivesTo understand the current status of smoking behavior among emergency physicians in China and to explore its determinants.BackgroundThe emergency department is considered a more appropriate setting for tobacco interventions. However, the smoking behavior of emergency physicians can reduce the effectiveness of interventions for patient smoking behavior.MethodsFrom July to August 2018, we conducted a structured online questionnaire among Chinese emergency medicine physicians. We used descriptive analysis with binary logistic regression to analyze the current smoking status of Chinese emergency physicians and its determinants.ResultsA total of 10,457 emergency physicians were included in this study. The prevalence of smoking among physicians was 25.35% (with 34.15 and 1.59% among male and female physicians, respectively). Results of logistic regression showed that postgraduate education (OR = 0.52, 95% CI: 0.41–0.66), chief-level title (OR = 0.79, 95% CI: 0.65–0.97), and regular exercise habits (OR = 0.83, 95% CI: 0.76–0.92) were associated with a lower risk of smoking behavior. However, being over 50 years old (OR = 1.71, 95% CI: 1.29–2.27), being fixed-term (OR = 1.25, 95% CI: 1.10–1.42), and having depressive symptoms (OR = 1.43, 95% CI: 1.28–1.61) were associated with a higher risk of smoking.ConclusionThe prevalence of smoking behavior among emergency physicians in China is high. Hospital management could reduce the incidence of smoking behavior among emergency physicians by strengthening smoking cessation training, paying attention to physicians' psychological health, reducing pressure on physicians in fixed-term positions, and encouraging physicians to develop regular exercise habits.
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spelling doaj.art-b16d3c286c454f518986f67654243b072022-12-22T04:06:50ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.980208980208Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in ChinaQiao Zong0Hui Li1Nan Jiang2Yanhong Gong3Jianwei Zheng4Xiaoxv Yin5School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSchool of Health Services Management, Anhui Medical University, Hefei, ChinaDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Biliary-Pancreatic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaObjectivesTo understand the current status of smoking behavior among emergency physicians in China and to explore its determinants.BackgroundThe emergency department is considered a more appropriate setting for tobacco interventions. However, the smoking behavior of emergency physicians can reduce the effectiveness of interventions for patient smoking behavior.MethodsFrom July to August 2018, we conducted a structured online questionnaire among Chinese emergency medicine physicians. We used descriptive analysis with binary logistic regression to analyze the current smoking status of Chinese emergency physicians and its determinants.ResultsA total of 10,457 emergency physicians were included in this study. The prevalence of smoking among physicians was 25.35% (with 34.15 and 1.59% among male and female physicians, respectively). Results of logistic regression showed that postgraduate education (OR = 0.52, 95% CI: 0.41–0.66), chief-level title (OR = 0.79, 95% CI: 0.65–0.97), and regular exercise habits (OR = 0.83, 95% CI: 0.76–0.92) were associated with a lower risk of smoking behavior. However, being over 50 years old (OR = 1.71, 95% CI: 1.29–2.27), being fixed-term (OR = 1.25, 95% CI: 1.10–1.42), and having depressive symptoms (OR = 1.43, 95% CI: 1.28–1.61) were associated with a higher risk of smoking.ConclusionThe prevalence of smoking behavior among emergency physicians in China is high. Hospital management could reduce the incidence of smoking behavior among emergency physicians by strengthening smoking cessation training, paying attention to physicians' psychological health, reducing pressure on physicians in fixed-term positions, and encouraging physicians to develop regular exercise habits.https://www.frontiersin.org/articles/10.3389/fpubh.2022.980208/fullemergency physicianssmoking prevalencetitledepressionrotationexercise
spellingShingle Qiao Zong
Hui Li
Nan Jiang
Yanhong Gong
Jianwei Zheng
Xiaoxv Yin
Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China
Frontiers in Public Health
emergency physicians
smoking prevalence
title
depression
rotation
exercise
title Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China
title_full Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China
title_fullStr Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China
title_full_unstemmed Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China
title_short Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China
title_sort prevalence and determinants of smoking behavior among physicians in emergency department a national cross sectional study in china
topic emergency physicians
smoking prevalence
title
depression
rotation
exercise
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.980208/full
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