African-American physicians and smoking cessation counseling
B A Berman1, A K Yancey, R Bastani
1Division of Cancer Prevention and Control Research, Jonsson Comprehensive Center, UCLA 90024-3511, USA.
Journal of the National Medical Association
|August 1, 1997
Summary
African American physicians are crucial for smoking cessation among Black patients. More training and support are needed to overcome barriers like patient motivation and time constraints for effective tobacco cessation interventions.
Area of Science:
- Public Health
- Medical Education
- Health Disparities
Background:
- African American physicians are vital in promoting smoking cessation among Black patients.
- Limited understanding exists regarding their views and practices in tobacco cessation programming.
- Developing effective interventions requires insight into physician perspectives.
Purpose of the Study:
- To assess the knowledge, attitudes, and practices of African American physicians regarding smoking cessation counseling.
- To identify barriers and facilitators to implementing tobacco cessation interventions in clinical practice.
- To inform the development of targeted support strategies for these physicians.
Main Methods:
- A survey was administered to 96 African American physicians.
- The survey assessed their views on patient help-seeking, motivation, time efficiency, and office protocol implementation.
- Physicians' perceptions of key cessation strategies were also evaluated.
Main Results:
- Few physicians reported patient help-seeking behaviors.
- Lack of patient motivation (47.9%) and perceived time constraints (46.8%) were significant barriers.
- Physicians recognized the importance of explaining health risks and enrolling patients in programs but less frequently discussed specific quitting strategies.
Conclusions:
- African American physicians expressed willingness to increase counseling and openness to learning effective approaches.
- There is a need to disseminate information and provide support, especially to specialists, to enhance tobacco cessation efforts.
- Addressing physician-perceived barriers is crucial for successful implementation of smoking cessation interventions.
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