まとめ
たいていの喫煙者は,医師から禁煙のアドバイスを聞いていない. 医師は,喫煙関連の病気を予防するために,特にリスクの高い患者に対して,禁煙カウンセリングを改善する必要があります.
科学分野:
- 公衆衛生は公衆衛生である.
- 予防医学は,予防的な医療です.
- 健康 行動 健康 行動
背景:
- 医師は,頻繁に患者と接触し,医師の助言を信頼しているため,禁煙に不可欠です.
- 効果的な医師の介入は,禁煙率に大きな影響を与え,喫煙関連の罹病率と死亡率を減らすことができます.
研究 の 目的:
- 喫煙者の喫煙中止への医師の関与に対する認識を評価する.
- 喫煙を止めるための医師のアドバイスを受けることに関連した人口統計学的および臨床的要因を特定する.
主な方法:
- ミシガン州で,5875人の成人を対象とした州全体の2つのランダム調査から得られたデータを集約した分析.
- 前年に医師の診察を受けた成人の喫煙者の中で,自己報告した医師の戒めを調査した.
主要な成果:
- 喫煙者のうち,医師から禁煙の助言を受けたことがあると回答した人は44%のみで,若い男性喫煙者 (30%) が最も少ないという.
- 心血管疾患 (高血圧,肥満,糖尿病) のリスクのある喫煙者は,禁煙アドバイスを受ける可能性が高くなかった.
- 過去に心筋梗塞または脳卒中を経験した喫煙者は,禁煙を勧められた可能性が (43%) なかった喫煙者よりも高い (73%).
結論:
- ほとんどの喫煙者は,医師が彼らの禁煙の努力に積極的に関与していると認識していません.
- 医師は,特に心血管疾患の危険因子を有する個人に,病気を予防するために,禁煙カウンセリングを強化する必要があります.
- 予防的な医師の介入は,禁煙率と公衆衛生の改善に不可欠です.
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