Data from: Prevalence of tobacco use and perceptions of student health professionals about cessation training: results from Global Health Professions Student Survey

Introduction: Health professionals who use tobacco may be deterred from providing cessation advice and counseling to their patients. We aimed to provide prevalence estimates of tobacco use among student health professionals and describe their attitudes towards tobacco cessation training. Methods: Country-wise aggregate data from the Global Health Professions Student Survey (GHPSS) on ‘current cigarette smoking’ (smoking cigarettes on one or more days during past 30 days), and ‘current use of tobacco products other than cigarettes’ (chewing tobacco, snuff, bidis, cigars, or pipes one or more days during the past 30 days) were analysed. For each World Health Organisation (WHO) regions, we estimated mean prevalence rates of tobacco use weighted by the population of sampling frame and aggregate proportions for ‘health professionals’ role’ and ‘cessation training’ indicators using ‘metaprop’ command on stata 11. Results: A total of 107,527 student health professionals participated in 236 surveys done in four health professions disciplines spanning 70 countries with a response rates ranging from 40% to 100%. Overall, prevalence of smoking was highest in European countries (20%, medical and 40%, dental students) and Americas (13%, pharmacy to 23%, dental students). Other tobacco use was higher in eastern Mediterranean (10-23%) and European countries (7-13%). In most WHO regions, ≥70% of the students agreed that health professionals are role models, and have a role in advising about smoking cessation to their patients and public. Only ≤33% of all student health professionals in most WHO regions (except 80% dental students in Eastern Mediterranean) had received formal training on smoking cessation approaches and ≥80% of all students agreed that they should receive formal cessation training. Conclusions: Tobacco control should take place together with medical educators to discourage tobacco use among student health professionals and implement an integrated smoking cessation training into health professions curricula.引言：有烟草使用行为的卫生专业人员，可能会不愿向患者提供戒烟咨询与辅导。本研究旨在估算卫生专业学生的烟草使用流行率，并描述他们对戒烟培训的态度。方法：分析来自全球卫生专业学生调查（Global Health Professions Student Survey, GHPSS）的国别汇总数据，相关指标包括“当前卷烟吸烟情况”（即过去30天内有1天及以上吸烟）与“当前非卷烟类烟草制品使用情况”（即过去30天内有1天及以上咀嚼烟草、使用鼻烟、比迪烟、雪茄或烟斗烟）。针对世界卫生组织（World Health Organisation, WHO）的各个区域，我们以抽样框人口为权重估算烟草使用的平均流行率，并通过Stata 11软件的metaprop命令，计算“卫生专业人员角色”与“戒烟培训”两类指标的汇总比例。结果：共计107527名卫生专业学生参与了覆盖70个国家、4个卫生专业学科的236项调查，应答率介于40%至100%之间。整体而言，卷烟吸烟流行率在欧洲国家最高（医学生为20%，牙科学生为40%），美洲地区次之（药学学生为13%，牙科学生为23%）。非卷烟类烟草制品使用情况在东地中海区域（10%~23%）与欧洲国家（7%~13%）较为高发。在多数WHO区域中，≥70%的学生认同卫生专业人员是公众行为榜样，且有责任向患者与公众提供戒烟咨询。在多数WHO区域中，仅有≤33%的卫生专业学生接受过正规的戒烟方法培训，但≥80%的学生认同自身应当接受正规的戒烟培训（东地中海区域的牙科学生除外，该区域有80%的牙科学生接受过相关培训）。结论：烟草防控工作应当与医学教育工作者协同开展，一方面遏制卫生专业学生的烟草使用行为，另一方面将整合式戒烟培训纳入卫生专业课程体系。