Smoking by French general practitioners: behaviour, attitudes and practice.
BACKGROUND
This paper examines smoking prevalence, sociodemographic factors and the medical practice of French general practitioners.


METHODS
Data from the 1998 cross-sectional national survey of 2,073 GPs. The questionnaire was administered by telephone. A response rate of 67% was attained. Instrumentation included questions about medical practice, sociodemographic characteristics, and health behaviour. Bivariate and multiple logistic regression (MLR) analyses were conducted.


RESULTS
Almost one-third (32.1%) of physicians were current smokers. A significantly higher proportion of male (33.9%) were smokers compared to women (25.4%, p<0.001) and men were more likely to be former smokers (49.1% versus 31.7%). Two-thirds of physicians reported recommending nicotine replacement therapy to their patients. MLR shown that former smokers were more likely (OR = 1.51, 95% CI, 1.24-1.83) to indicate that their help in getting patients to quit was not effective compared to smokers. Also, physicians who were 'dissatisfied' with the profession were more likely (OR = 0.75, 95% CI, 0.60-0.92) to report their help as not effective than those who were 'satisfied'.


CONCLUSIONS
These data support the need for greater professional participation in reducing smoking among general practitioners in France and greater education concerning the vital role of physicians in promoting cessation among the general population.


CONCLUSIONS
This study examines smoking habits among French GP's, intervention practices, and opinions about their ability to help patients quit smoking. This study found a smoking prevalence rate of 32.1%, 33.9% of male physicians were smokers and 25.4% of women. This study found a smoking prevalence rate of 32.1%, 33.9% of male physicians were smokers and 25.4% of women.
Josseran
Loïc
L
Service de Santé Publique, Hôpital de La Pitié Salpêtrière, 47-83 bvd de l'Hôpital, 75013 Paris, France. l.josseran@invs.sante.fr
King
Gary
G
Guilbert
Phillippe
P
Davis
Jovan
J
Brücker
Gilles
G
D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005602:France / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010821:Physicians, Family / Q000523:psychology*; D015995:Prevalence; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation; D011795:Surveys and Questionnaires