Hispanic physicians' tobacco intervention practices: a cross-sectional study

dc.contributor.authorSoto Mas, Francisco G
dc.contributor.authorPapenfuss, Richard
dc.contributor.authorHsu, Chiehwen Ed
dc.contributor.authorJacobson, Holly E
dc.contributor.authorUrrutia-Rojas, Ximena
dc.contributor.authorKane, William M
dc.date.accessioned2005-12-08T16:23:02Z
dc.date.available2005-12-08T16:23:02Z
dc.date.issued2005-11-14
dc.descriptionThis is among the most comprehensive study that has explored the tobacco intervention practices of U.S. Hispanic physicians.en
dc.description.abstractBackground: U.S. Hispanic physicians constitute a considerable professional collective, and they may be most suited to attend to the health education needs of the growing U.S. Hispanic population. These educational needs include tobacco use prevention and smoking cessation. However, there is a lack of information on Hispanic physicians' tobacco intervention practices, their level of awareness and use of cessation protocols, and the type of programs that would best address their tobacco training needs. The purpose of this study was to assess the tobacco intervention practices and training needs of Hispanic physicians. Methods: Data was collected through a validated survey instrument among a cross-sectional sample of self-reported Hispanic physicians. Data analyses included frequencies, descriptive statistics, and factorial analyses of variance. Results: The response rate was 55.5%. The majority of respondents (73.3%) were middle-age males. Less than half of respondents routinely performed the most basic intervention: asking patients about smoking status (44.4%) and advising smoking patients to quit (42.2%). Twenty-five percent assisted smoking patients by talking to them about the health risks of smoking, providing education materials or referring them to cessation programs. Only 4.4% routinely arranged followup visits or phone calls for smoking patients. The majority of respondents (64.4%) indicated that they prescribe cessation treatments to less than 20% of smoking patients. A few (4.4%) routinely used behavioral change techniques or programs. A minority (15.6%) indicated that they routinely ask their patients about exposure to tobacco smoke, and 6.7% assisted patients exposed to secondhand smoke in understanding the health risks associated with environmental tobacco smoke (ETS). The most frequently encountered barriers preventing respondents from intervening with patients who smoke included: time, lack of training, lack of receptivity by patients, and lack of reimbursement by third party payers. There was no significant main effect of type of physician, nor was there an interaction effect (gender by type of physician), on tobacco-related practices. Conclusion: The results indicate that Hispanic physicians, similarly to U.S. physicians in general, do not meet the level of intervention recommended by health care agencies. The results presented will assist in the development of tobacco training initiatives for Hispanic physicians.en
dc.description.sponsorshipThis study was supported by the University of New Mexico Graduate College through a General Grant Award to the first author.en
dc.description.urihttps://doi.org/10.1186/1471-2458-5-120
dc.format.extent252367 bytes
dc.format.mimetypeapplication/pdf
dc.identifier.citationSoto Mas, F.G., Papenfuss, R.L., Jacobson, H.E. et al. Hispanic physicians' tobacco intervention practices: a cross-sectional survey study. BMC Public Health 5, 120 (2005). https://doi.org/10.1186/1471-2458-5-120en
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/1903/3026
dc.language.isoen_USen
dc.publisherBMC Public Healthen
dc.relation.isAvailableAtCollege of Health & Human Performanceen_us
dc.relation.isAvailableAtPublic & Community Healthen_us
dc.relation.isAvailableAtDigital Repository at the University of Marylanden_us
dc.relation.isAvailableAtUniversity of Maryland (College Park, Md.)en_us
dc.subjectPhysician Surveyen
dc.subjectHealth Disparitiesen
dc.titleHispanic physicians' tobacco intervention practices: a cross-sectional studyen
dc.typeArticleen

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