[Attitude to tobacco and prevalence of smokers among primary care physicians in Guipúzcoa].
OBJECTIVE
To discover the evolvement of Primary Care doctors' tobacco consumption in Guipuzcoa and their attitudes to tobacco dependency.


METHODS
A descriptive study of a crossover type. October 1992.


METHODS
Primary Health care.


METHODS
381 general physicians and paediatricians from Guipuzcoa province.


RESULTS
A self-filled questionnaire was distributed at Health Centres for subsequent return by mail. The reply rate was 60.89%, 42.3% were smokers; 33.6%, ex-smokers. 43% of smokers smoked in the Centre; 2% in front of patients. We found significant differences (p < 0.05) with a study carried out in 1988, where doctors who smoked were 52.4%, ex-smokers 19% and doctors who smoked in front of patients, 18.2%. 45.7% of women smoked, 39.2% of men. 78% of the doctors under study stated that they questioned patients about tobacco consumption. 95.2% did so when patients had specific pathologies.


CONCLUSIONS
There has been a significant decline in tobacco smoking by doctors in Guipuzcoa. There are more women than men smokers. There is a higher proportion of ex-smokers among doctors than in the population as a whole. There has been a positive change of attitude as to smoking in front of patients. Centres should become more involved in the struggle against tobacco by offering to set up dependency counselling groups.
Sampedro Martínez
E
E
Unidad Docente de Medicina Familiar y Comunitaria, Centro de Salud Andoain, Guipúzcoa.
Narzabal Goñi
M A
MA
Frías Oyaga
O
O
Antero Berganzos
E
E
Sáez Salazar
M
M
Aranegui Lasuen
M C
MC
Millet Sampedro
M
M
D000328:Adult; D000368:Aged; D001290:Attitude; D018592:Cross-Over Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010820:Physicians; D015995:Prevalence; D011320:Primary Health Care; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D013997:Time Factors; D014029:Tobacco Use Disorder / Q000453:epidemiology
Actitud ante el tabaco y prevalencia de fumadores en médicos de atención primaria de Guipúzcoa.