The TAMARA II Trial. Smoking Among Physicians in Argentina

Horacio M. Zylbersztejn, Walter M. Masson, Lorenzo M. Lobo, Diego G. Manente, Mauro J. García Aurelio, Adriana A. Angel, Andrés H. Mulassi, Mariano A. Giorgi, María G. Rostán


Background: Smoking is the leading cause of preventable morbidity and death. It is important to know the characteristics ofsmoking habits among physicians and their attitude toward patients who smoke.Objective: The aim of this study is to investigate the prevalence of smoking among physicians in Argentina, the factors associatedwith tobacco consumption and their attitude toward patients who smoke.Methods: An observational cross- sectional study was performed between June and December 2013 in Argentine physiciansof different specialties. Using a structured survey, the following variables were analyzed: associated cardiovascular risk factors,characteristics of tobacco consumption, smoking cessation training and the attitude toward the patient who smokes.Results: 3033 physicians were surveyed; 57% were men and mean age was 41.3±12 years; 19.7% were current smokers and21.7% were former smokers. The probability of being a smoker was higher among surgeons (OR 1.29) or physicians workingat the emergency room (OR 1.41).Undergraduate and postgraduate tobacco cessation training was achieved by 36.6% and 40.8% of physicians, respectively. Youngphysicians, clinical specialties or private practice were associated with higher level of training. Tobacco cessation counselingwas more frequent in physicians with higher level of training than physicians who smoked or surgeons.Former smokers presented higher prevalence of risk factors and cardiovascular events. Family history of smoking habit wasmore common in former smokers and current smokers.Conclusions: The prevalence of smoking among Argentine physicians is high. Different factors are involved in the probabilityof smoking, tobacco cessation training or the possibility of medical counseling. Higher level of training in smoking cessationmust be provided.

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Revista argentina de cardiología. ISSN en línea 1850-3748. Argentine journal of cardiology (English ed. Online ISSN 2314-2286) Sociedad Argentina de Cardiología. Azcuénaga 980 (C1115AAD),Ciudad Autónoma de Buenos Aires, República Argentina. Tel. (54 11) 4961-6027/8/9 Fax: 4961-6020