Background
-
current national smoking ban (NSB) is a partial one and is not in line with WHO recommendations for a "100% smoke-free" policy;
-
little is known about the smoking behaviour and TC attitudes of Portuguese HCPs.
-
smoking prevalence and smoking behaviour
-
tobacco control attitudes and beliefs
-
factors associated with smoking behaviour and tobacco control attitudes and beliefs.
Methods
Setting
Internal tobacco control strategy
Study design
Sample
Instrument survey, measures and definitions
Questionnaire
Smoking behaviour
TC attitudes and beliefs
Data Analyses
Results
Participants
PG | a) | b) | Males c) | Females c) | Participation d) | Smokers | Never Smokers | Ex- Smokers |
---|---|---|---|---|---|---|---|---|
Office staff | 100 | 17.2 | 23.0 | 77.0 | 59.5 | 23.5 | 57.1 | 19.4 |
Physicians | 37 | 6.3 | 67.6 | 32.4 | 30.8 | 18.9 | 59.5 | 21.6 |
Nurses | 226 | 38.8 | 29.3 | 70.7 | 72.0 | 26.1 | 56.3 | 17.6 |
Other HCPs | 46 | 7.9 | 21.7 | 78.3 | 46.9 | 21.7 | 54.3 | 23.9 |
Auxiliaries* | 125 | 21.4 | 38.7 | 61.3 | 48.0 | 43.2 | 46.4 | 10.4 |
Other non-HCPs | 49 | 8.4 | 53.1 | 46.9 | 50.5 | 34.7 | 46.9 | 18.4 |
Total** | 583 | 100.0 | 34.1 | 65.9 | 52.9 | 29.5 | 53.4 | 17.1 |
Gender** | Age group | Smokers | Never-smokers | Ex-smokers | Total | |||
---|---|---|---|---|---|---|---|---|
n | %* | n | %* | n | %* | |||
Males
| 20-34 | 39 | 50.0 | 38 | 48.7 | 1 | 1.3 | 78 |
35-44 | 19 | 35.2 | 25 | 46.3 | 10 | 18.5 | 54 | |
45-54 | 16 | 37.2 | 10 | 23.3 | 17 | 39.5 | 43 | |
55-68 | 5 | 25.0 | 9 | 45.0 | 6 | 30.0 | 20 | |
Total | 79 | 40.5 | 82 | 42.1 | 34 | 17.4 | 195 | |
Females
| 20-34 | 29 | 18.2 | 105 | 66.0 | 25 | 15.7 | 159 |
35-44 | 38 | 31.1 | 61 | 50.0 | 23 | 18.9 | 122 | |
45-54 | 21 | 29.2 | 40 | 55.6 | 11 | 15.3 | 72 | |
55-68 | 0 | 0.0 | 18 | 85.7 | 3 | 14.3 | 21 | |
Total | 88 | 23.5 | 224 | 59.9 | 62 | 16.6 | 374 | |
Overall Smoking Prevalence
| Total 580 | 171 | 29.5 | 310 | 53.4 | 99 | 17.1 |
Smoking prevalence and smoking behaviour
Smoking in the hospital and TC behaviour
TC attitudes and beliefs
1. HSFP agreement | |||||||
---|---|---|---|---|---|---|---|
Smoking Status | |||||||
Smokers | Non-Smokers | Statistics Tests | |||||
Agreement
|
N
|
%
|
n
|
%
|
N
|
%
| Chi2 = 44.097 |
Yes
| 422 | 79.6 | 95 | 62.1 | 324 | 87.6 | df = 1 |
No
| 108 | 20.4 | 58 | 37.9 | 46 | 12.4 | p < 0.001 |
Total
| 530 | 100.0 | 153 | 100 | 370 | 100 | |
2. Disagreement with SHS exposure in the hospital
| |||||||
Smoking Status
| |||||||
Smokers
|
Non-Smokers
|
Statistics Tests
| |||||
Agreement
|
N
|
%
|
n
|
%
|
N
|
%
| Chi2 = 32.017 |
Yes
| 144 | 26.1 | 15 | 9.5 | 127 | 33.0 | df = 1 |
No
| 407 | 73.9 | 143 | 90.5 | 258 | 67.0 | p < 0.001 |
Total
| 551 | 100.0 | 158 | 100 | 385 | 100 | |
3) Attitudes and beliefs to the national smoking ban
| |||||||
Smoking Status
| |||||||
Smokers
|
Non-Smokers
|
Statistics Tests
| |||||
Agreement
|
N
|
%
|
n
|
%
|
N
|
%
| Chi2 = 10.035 |
Yes
| 91 | 18.9 | 14 | 10 | 75 | 22.5 | df = 1 |
No
| 390 | 81.1 | 126 | 90 | 259 | 77.5 | p = 0.002 |
Total
| 481 | 100 | 140 | 100 | 334 | 100 |
Dependent variable | ||||||
---|---|---|---|---|---|---|
HSFP agreement | SHSHE | NSB | ||||
Independent Variable*
| Wald p value | Odds ratio (95% C.I.) | Wald p value | Odds ratio (95% C.I.) | Wald p value | Odds ratio (95% C.I.) |
Gender | 0.19 | 0.73 (0.46-1.17) | 0.81 | 0.95 (0.62-1.46) | 0.59 | 1.15 (0.70-1.88) |
Smoking status | < 0.001 | 4.29 (2.70- 6.79) | < 0.001 | 4.50 (2.52-8.04) | 0.002 | 2.65 (1.43-4.92) |
Professional group | 0.46 | 0.84 (0.53-1.33) | 0.01 | 1.65 (1.11-2.46) | 0.58 | 1.14 (0.71-1.82) |
Model explanation | 79.9% | - | 73.7% | - | 81.1% | - |
Hosmer and Lemeshow test | Chi value = 1.52; df = 5 | p = 0.91 | Chi value = 1.11; df = 5 | p = 0.95 | Chi value = 8.86; df = 6 | p = 0.18 |