Stat St a t t ap'

1
St?at?????? St???? µ?a? ????????µ???? ????t????
??????? t?? ?ap???.

• ? ????? t?? ?e?t?????? ??e?a?
• ? ?e?t?????? ??e?a? ?a? t? ??p??sµa
• ?a????t?? ?pa?t?p????? Ge??????

3? ?a?e?????? S???d??? ??a t? ??????s?, ta
??????µ??? ?a? t?? ????t???? ??e?a? ????a, 12 -
15 ?e?eµß???? 2007, ?e??d??e?? Athens Hilton.
2
An international review of tobacco smoking in the
medical profession 19742004

• Conclusion Overall, this review suggests that
  while physicians' smoking habits appear to vary
  from region to region, they are not uniformly low
  when viewed from an international perspective.
• It is important that smoking in the medical
  profession declines in future years, so that
  physicians can remain at the forefront of
  anti-smoking programs and lead the way as public
  health exemplars in the 21st century.

?? ??at??? a? ?a? ?ap?????? t? µe?????? s???-
s???--gt ?a ap?te??s??? p??t?pa !
Derek R Smith and Peter A Leggat BMC Public
Health 2007, 7115 -126
3
An international review of tobacco smoking in the
medical profession 19742004
Year Country All Male Female
Year Country All Male Female
Derek R Smith and Peter A Leggat BMC Public
Health 2007, 7115 -126
4
An international review of tobacco smoking in the
medical profession 19742004
Year Country All Male Female
Year Country All Male Female
Derek R Smith and Peter A Leggat BMC Public
Health 2007, 7115 -126
5
An international review of tobacco smoking in the
medical profession 19742004
Year Country All Male Female
Derek R Smith and Peter A Leggat BMC Public
Health 2007, 7115-126
6
Patterns of smoking behavior among physicians in
Yerevan, ArmeniaP. C. Perrin, R.M. Merrill, G.B.
Lindsay

• Conclusion
• Smoking prevalence is high among physicians in
  the 12 healthcare facilities in Yerevan, and a
  large percentage of physician smoke in the
  presence of their patients.
• Physician smoking behavior and knowledge of
  smoking related health outcomes in Yerevan
  influences whether they counsel patients
  regarding smoking.

?ap?????? ?a? pa???s?a t?? "pe??t??"
BMC Public Health 2006, 6139
7
Patterns of smoking behavior among physicians in
Yerevan, ArmeniaP. C. Perrin, R.M. Merrill, G.B.
Lindsay
BMC Public Health 2006, 6139
8
Smoking prevalence of female nurses in the
national hospitals of Japan

• Conclusions
• The results showed that smoking is more common
  among female nurses than among the general female
  adult population.
• The survey suggested that nurses favour
  restriction, but not banning, of smoking.
• T.Ohida, Y.Osaki, Y.Kobayashi, M. Sekiyama,
  M.Minowa. Tobacco Control 19998192195

?? ??s??e?t??e? t? pa?a?????? ! ?p?d????ta? t???
pe?????sµ??? a??? ??? t?? p??????p???s?
9
Use of tobacco and alcohol by Swiss primary care
physicians a cross-sectional survey

• Conclusion
• The prevalence of current smokers among Swiss
  primary care physicians was much lower than in
  the general population in Switzerland, reflecting
  that the hazards of smoking are well known to
  doctors.
• However, the opposite was found for alcohol use,
  underlining the importance of making efforts in
  this area to increase awareness among physicians
  of the dangers of alcohol consumption.

?? ??at??? ????????? t? ?a?? t?? ?ap??sµat??
?a? t? ????a? st? p??t?!!
Paul Sebo, Martine Bouvier Gallacchi, Catherine
Goehring, Beat Künzi and Patrick A Bovier BMC
Public Health 2007, 75-12
10
High prevalence of smoking in Northern Greece

• Results
• 34.4 of the general population sample were
  current smokers
• 29.6 of high school students
• 40.7 of medical students
• 44.9 of medical doctors
• 46.4 of teachers
• 36.9 of the gym group.
• Conclusion
• The prevalence of smoking in Northern Greece is
  high.
• High school and medical students present with
  high smoking rates, and the same situation is
  observed in medical doctors and teachers. An
  intensification of preventive antismoking
  measures is required.

?? µa?a????µe p??pt???a?? ?a? t? ße?t?????µe
µetapt???a?? !!!
L.T. Sichletidis et al Primary Care Respiratory
Journal (2006) 15, 9297
11
Evaluation of smoking habits in studentsof the
Athens Medical School

• .of them, 40 are regular smokers, 47
  occasional and 13 ex-smokers.
• 8 of the students are unaware of the adverse
  effects smoking has on health.
• In conclusion, more efforts to educate students
  about the harmful consequences of smoking are
  needed, so as to reduce the percentage of smokers
  among medical students.
• Pneumon 2003, 16(3)314-321.

12
Tobacco use among Spanishphysicians and medical
students
?? µa?a????µe p??pt???a?? ?a? t? ße?t?????µe
µetapt???a?? !!!
Tobacco Control 200615272
13
?a t??a epa????µata µe t? µ??Te? µ??!

• G?at?? µ??
• St?at??? µ??
• ?p????? µ?? 50
• ????a / ?e µ?? ?????de ???a?d?
• ???????
• Te?ape?a
• ?p??at?stas?
• Learning to smoke is almost as painful as trying
  to give it up.
• ?????µ??
• ? ?????p?? ???? µ?µ?t????
• ???st?t????

14
? ????? t?? µ?µ?s?? -??af?µ?s?
15
??af?µ?s? H ???s?, ? apa???e?s?, ? µ?µ?s?, ?
e?f?ß?sµ??
16
? ?e?t?????? ??e?a? p??pe? ?a ??????e? ?a? ?a
s?µß???e?e?
17
??µ?? ??e?a? ?a? µ??f?s??

• ?????aµµa e?pa?de?s?? S??e????µe???
  e?pa?de?s??
• ?p???e?t??? ? e?pa?de?s? ??a t?? d?a??p? t??
  ?ap??sµat??
• Smoke free ????? e?pa?de?s?? ?a? pa?????
  ?p??es??? ??e?a?

18
Summary of effective tobacco control strategies
Te?ape?a ?p??at?stas?
??????? ?atast???
J Anesth (2007) 21200211
19
Current Primary Care Physician Interventions to
Promote Smoking Cessation in Israel An
Observational Study

• Conclusions
• This study shows low rates of physician
  intervention to promote smoking cessation. It
  appears that a large proportion of the primary
  care physicians surveyed do not follow
  recommendations to promote smoking cessation
  among their patients. Intervention among
  adolesent smokers was particularly inadequate.
  Further action is needed to improve the
  performance of physicians in aiding smoking
  cessation.
• K. Thomas, J Yaphe, A. Matalon. IMAJ
  20079645648

?? ??at??? ?ß??µ?a? f???t?da? de? t? pa?e????
p??? !!
20
Views of Ontarians About HealthProfessionals
Smoking Cessation Advice

• Interpretation
• Smokers are receptive to quit advice from
  physicians, but less likely to ask other health
  professionals. Few smokers received advice from
  pharmacists and dentists.
• Increasing the reach of quit advice requires both
  increased professional intervention and education
  of the public.

?? ?ap??st?? ape??????ta? ????a st??? ??at????
J. M. ?rewster, J. C.Victor, M. J. Ashley
CANADIAN JOURNAL OF PUBLIC HEALTH 200798395-399
21
???? ?? ?e?t?????? ??e?a? µp??e? ?a ß????s??? !!

• Conclusion Because most doctors ask only some
  patients about tobacco use, they may be missing
  opportunities to provide appropriate advice and
  assistance to all smokers.
• Practice implications Physician education and
  support to the clinic are needed to improve the
  frequency and quality of physician-delivered
  smoking cessation services to post-secondary
  students.
• Patient Education and Counseling xxx (2007)
  xxxxxx
• Anesthesiologists can play a key role in helping
  their patients quit smoking.
• J Anesth (2007) 21200211
• Considering limited resources and opportunities
  to access physicians, interventions to increase
  discussion of effective cessation treatments
  could be targeted to specific physician groups.
• Addictive Behaviors 32 (2007) 30453053
• .confrontational counselling in comparison to
  regular health education and promotion for
  smoking cessation delivered by specialized
  respiratory nurses in current smokers with
  previously undiagnosed mild to moderate airflow
  limitation
• BMC Public Health 2007, 7332
• Therefore, intensive counseling of smokers who
  want to quit smoking may be more feasible for
  trained non-physicians, such as nurses.
• Respiratory Medicine (2007) 101, 568573

22
S?µp??asµa

• ?? ?e?t?????? ??e?a? µp????? ?a
• µe??s??? t?? a???µ? t?? ?ap??st??
• ?e?ape?s??? t??? ?ap??st??
• ap??atast?s??? t?? ??e?a t?? ?ap??st??

???a??st? ??a t?? p??s??? sa?