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Good practice regarding smoking cessation management in Spain: Challenges and opportunities for primary care physicians and nurses

2020; EU European Publishing; Volume: 6; Issue: September Linguagem: Inglês

10.18332/tpc/126630

2459-3087

Carlos Martín-Cantera, Jose Iglesias Sanmartín, Ana Martínez, Cesar Minué Lorenzo, Vidal Barchilón Cohen, Maria Clemente Jiménez, Sara Cascón Pérez-Teijón, Joan Ribera i Osca, Rodrigo Córdoba García, Joan Lozano Fernández, Miguel Gallardo Domenech, Maria Mendiguren Navascues, Emilio Salguero Chaves, María Ibáñez, Victoria Rubio, Susana Morena Rayo, Bruno Marioni Otero, Lucía Gorreto López, Francisco Camarelles Guillem, Fernando Martín Fuente, Diego Beni Ruiz, Alicia Hernández Rodríguez, Juan De Dios González Caballero, Cruz Bartolomé-Moreno, Mercé Pau Pubil, Mercè López-Grau,

Health Promotion and Cardiovascular Prevention

We analyze the activities carried out by primary care (PC) physicians and nurses with respect to smoking cessation and evaluate their self-reported training, knowledge, and behavior.A cross-sectional study was conducted including 1514 PC physicians and nurses from June 2016 to March 2017, in Spain. The main variable was Good Practice (GP) in attention to smokers. To identify associated factors, a multilevel logistic regression model was used adjusted for sex, age, type of center, contract, years of employment, tobacco consumption, and self-reported training/knowledge.Of the 792 physicians and 722 nurses, 48.6% referred to GP in smoking cessation management. The finding related to: being a non-smoker (OR=1.8; 95% CI: 1.2-2.5) or ex-smoker (OR=1.4; 95% CI: 1.02-2.1), having a good level of knowledge (OR=1.8; 95% CI: 1.3-2.4) and training (OR=2.4; 95% CI: 1.8-3.2), and, to a lesser extent, being female (OR=1.3; 95% CI: 1.03-1.7), and work experience >10 years (OR=1.4; 95% CI: 1.03-1.9). The main GP barriers were: lack of time (45.5%), organizational problems (48.4%), and 35.4% lack of training.The GP of PC physicians and nurses regarding smoking cessation management is related to being non-smokers or ex-smokers, and having sufficient training and knowledge. Lack of time and organizational problems were considered to be the main barriers. The promotion of training activities in the Spanish National Health Service with the support of scientific societies is required.