Perception of the risks of smoking in the general population and among general practitioners in Ireland.
BACKGROUND
Data on perception of smoking risk amongst the Irish population are sparse.


OBJECTIVE
To study the accuracy and determinants of the perceived risk of premature death due to smoking in the general population and amongst general practitioners (GPs).


METHODS
Telephone surveys of a representative sample of Irish adults (1,247) and GPs (171; 85% response rate) asked participants to estimate how many of 1,000 20-year-old life-long smokers would die from smoking-related disease before the age of 70 and to identify the main cause of death from a list of seven causes: smoking, road traffic accidents, accidents at work, AIDS, homicide, illicit drugs and alcohol misuse.


RESULTS
In the population and GP samples, perception of the risk of smoking-related death was similar (median 200 and 150 deaths per 1,000 smokers respectively, epidemiological estimates 250/1000). Only 43% of the population identified smoking as the most important cause of death compared with 87% of GPs. Current smoking status, younger age, female gender, lower educational attainment and lower income were associated with failure to identify smoking as the main cause of death.


CONCLUSIONS
Despite decades of health promotion, the general public underestimates the relative importance of smoking as a cause of death.
Power
B
B
Department of Economics, University College Cork, Ireland.
Neilson
S
S
Perry
I J
IJ
D000328:Adult; D017677:Age Distribution; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002423:Cause of Death; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D015994:Incidence; D007494:Ireland / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010821:Physicians, Family; D018570:Risk Assessment; D017678:Sex Distribution; D012907:Smoking / Q000401:mortality*; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D015996:Survival Rate; D014029:Tobacco Use Disorder / Q000175:diagnosis / Q000401:mortality*