Objective To assess the smoking habit in a sample of physicians of Argentina, the factors that favor tobacco consumption and physicians attitude regarding their patients who smoke. Material and methods This was an observational cross-sectional study which included physicians of Argentina, randomly selected from April through July 2004. The following data were analyzed: smoking prevalence, coronary risk factors, body mass index, physical activity, history of vascular events, family history of coronary heart disease and smoking, whether they had received smoking cessation training and whether they provided counseling and prescribed specific drugs for smoking cessation. Results A total of 6.497 physicians were surveyed (63% were male; mean age was 41.5 ± 10 years). Among the overall group, 30.0% were smokers and 22.4% were ex-smokers. The prevalence of smokers was higher among physicians working in emergency areas (p < 0.0001) and surgical specialties (p < 0.00001), with an addictive conduct profile, who were less likely to counsel patients to quit smoking (p < 0.00001). Physicians who had received some type of smoking cessation training (31.3%) were more likely to advise their patients to quit and prescribe specific drugs for smoking cessation (p < 0.00001). Ex smokers had a greater prevalence of coronary risk factors, acute myocardial infarction (AMI) and revascularization (p < 0.00001). Smokers and ex-smokers were more likely to have a family history of smoking (p < 0.001). Conclusions The prevalence of physicians who smoke is high, and is even higher among physicians who work in emergency and surgery services, who give their patients less anti-smoking advice. Physicians who had received smoking cessation training were more likely to provide advice and drugs for smoking cessation; hence the need to further promote medical training in this area.
Objetivo Analizar el tabaquismo en una muestra de médicos de la Argentina, los factores que favorecen su consumo y la conducta frente a sus pacientes fumadores. Material y métodos El presente es un estudio observacional y transversal que incluyó médicos de la Argentina, seleccionados aleatoriamente desde abril a julio de 2004. Se analizaron la prevalencia de tabaquismo, los factores de riesgo coronario, el índice de masa corporal, la actividad física, el antecedente de eventos vasculares, los antecedentes familiares de coronariopatía y tabaquismo, si habían recibido entrenamiento en tabaquismo, si brindaban consejo para la cesación del hábito y la utilización de fármacos específicos. Resultados Se encuestaron 6.497 médicos (63% varones, edad promedio 41,5 ± 10 años). La proporción de fumadores fue del 30,0% y la de ex fumadores, del 22,4%. Hubo mayor prevalencia de fumadores en servicios de urgencia (p < 0,0001) y en especialidades quirúrgicas (p < 0,00001), con un perfil de conducta adictiva y brindaban con menos frecuencia consejo para el abandono del hábito de fumar (p < 0,00001). Los que recibieron algún tipo de entrenamiento en tabaquismo (31,3%) brindaban consejo para el cese del hábito y prescribían fármacos específicos con más frecuencia (p < 0,00001). Los ex fumadores presentaron mayor prevalencia de factores de riesgo coronario, de IAM y de revascularización (p < 0,00001). Éstos y los fumadores tenían más antecedentes familiares de tabaquismo (p < 0,001). Conclusiones Existe una elevada proporción de médicos fumadores, con mayor prevalencia en servicios de urgencia y quirúrgicos y brindan menos consejo antitabaco. El haber recibido entrenamiento se asoció con mayor uso de consejo y fármacos para la cesación de la adicción tabáquica, por lo que se plantea la necesidad de generalizar la capacitación médica en este tema.