Abstract
To assess attitudes and opinions of French cardiologists towards tobacco, a postal survey was performed in 1993 of all members of the French Society of Cardiology using a questionnaire designed by the World Health Organisation (WHO) and the International Union against tuberculosis and lung diseases (IUATLD) for health professionals. 730 cardiologists responded to the mailing. The mean age of them was 47±9 years, 84% were males. The prevalence of smoking was 27% (14% daily smokers and 13% occasionally smokers). There were more never smokers in age group <45 than in those aged 45 and more(33% vs 21%). Of daily smokers, 42% claimed to have made a serious attempt to stop smoking, but only 16% expected to have stopped within five years of the survey. French cardiologists aged 29–45 years had a better knowledge of tobacco related respiratory and cardiovascular diseases than those over 45 years old. Only 64% (54% of daily smokers) would counsel a patient to stop smoking if he did not have a smoking related illness and did not himself raise the question. 53% thought they had sufficient knowledge to advise their patients on stopping smoking. The results compared to those of the French general practitioners survey, showed a lower prevalence of daily smokers. French cardiologists especially those aged 29–45, have a better knowledge of the risk of cardiovascular diseases. But only 64% of them would advise any smoker patients. These results also demonstrated the influence of personal smoking of the attitude of cardiologists towards smoker patients.
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References
Gilpin E, Pierce J, Goodman J, et al. Trends in physicians' giving advice to stop smoking, United States, 1974–87. Tobacco Control 1992; 1: 31–36.
Crofton JW, Fréour P, Tessier JF. Medical education on tobacco: Implications of a worldwide survey. Med Educ 1994; 28: 187–196.
Tessier JF, Rene L, Nejjari C, et al. Attitudes and opinions of French general practitioners towards tobacco. Tobacco Control 1993; 2: 226–230.
Doll R, Peto R, Wheatley K, Gray R, Sutherland I. Mortality in relation to smoking: 40 years' observations on male British doctors. Br Med J 1994: 309: 901–911.
Turner R, Ball K. The cardiologist's responsibility for preventing coronary heart disease. Am Heart J 1976; 91: 139–147.
Thoresen CE, Friedman M, Gill JK, Ulmer DK. The recurrent coronary prevention project: Some preliminary findings. Acta Med Scand 1982; 660 (suppl): 172–192.
Wells KB, Lewis CE, Leake B, Scheiter MK, Brook RH. The practices of general and subspecially internists in counseling about smoking and exercise. Am J Public Health 1986; 76: 1009–1013.
Kottke TE. Smoking cessation therapy for the patient with heart disease. JACC 1993; 22: 1168–1169.
Kottke T. Solberg L, Conn S. et al. A comparison of two methods to recruit physicians to deliver smoking cessation interventions. Arch Intern Med 1990; 150: 1477–1481.
Anda RF, Remington PL, Sienko DG, Davis RM. Are physicians advising smokers to quit? The patient's perspective. JAMA 1987; 257: 1916–1919.
Sande Martinez JL, Roson Casariego JR, Orcajo Alonso N, Llorian Rodriguez A. Estudio del tabaquismo en profesionales sanitarios del medio hospitalario de Asturias. Rev Esp Cardiol 1990; 43: 219–226.
World Health Organisation. Guidelines for the conduct of tobacco smoking surveys among health professionals. Geneva: WHO, 1984: WHO/SMO, 84, 1.
Garfinkel L, Stellman SD. Cigarette smoking among physicians, dentists, and nurses. CA 1986; 36: 2–8.
Masironi R. Le tabagisme chez les médecins européens. Schweiz Rundschau Med 1991; 80: 483–489.
Study Group, European Atherosclerosis Society. Strategies for the prevention of coronary heart disease: A policy statement of the European Atherosclerosis Society. Eur Heart J 1987; 8: 77–88.
Ketterer MW. Secondary prevention of ischemic heart disease: The case for aggressive behavioral monitoring and intervention. Psychosomatics 1993; 34: 478–484.
Wells KB, Lewis C, Leake B, Ware JE. Do physicians preach what they practice? A study of physicians' health habits and counseling practices. JAMA 1984; 252: 2846–2848.
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Tessier, J.F., Thomas, D., Nejjari, C. et al. Attitudes and opinions of French cardiologists towards smoking. Eur J Epidemiol 11, 615–620 (1995). https://doi.org/10.1007/BF01720293
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DOI: https://doi.org/10.1007/BF01720293