Campus physicians' tobacco interventions with university students: a descriptive study of 16 Ontario university clinics.
OBJECTIVE
About one-quarter of Canadian post-secondary students smoke cigarettes. We examined how physicians from Ontario university health clinics intervene with these young adult smokers.


METHODS
A convenience sample of 16 universities was identified and surveys were hand-delivered to all 228 physicians from these schools. A total of 125 doctors (54.82%) responded; 70 were from universities that were involved in a government-sponsored, coordinated, multi-campus, tobacco control initiative.


RESULTS
Twenty percent of doctors reported asking all or almost all patients about tobacco use; 25.22% asked fewer than half. Describing how they respond to patients identified as smokers, 96.00% of physicians advised cessation, 72.00% offered assistance, and 64.00% arranged for follow-up. Doctors discussed patients' tobacco use with 78.59% of smokers. Nicotine replacement therapies were rarely offered to patients wanting to quit. Doctors from universities involved in the tobacco control initiative were more likely to keep patient education materials in the examining room.


CONCLUSIONS
Because most doctors ask only some patients about tobacco use, they may be missing opportunities to provide appropriate advice and assistance to all smokers.


CONCLUSIONS
Physician education and support to the clinic are needed to improve the frequency and quality of physician-delivered smoking cessation services to post-secondary students.
Brock University, Canada. kelli-an.lawrance@brocku.ca
Kelli-an G
KA
Lawrance
Sharon A
SA
Lawler
D000328:Adult; D000554:Ambulatory Care Facilities / Q000458:organization & administration; D001291:Attitude of Health Personnel; D003142:Communication; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008487:Medical History Taking; D008503:Medical Staff / Q000458:organization & administration / Q000523:psychology; D009864:Ontario; D010353:Patient Education as Topic / Q000458:organization & administration*; D010819:Physician's Role / Q000523:psychology; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D012648:Self Care; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology; D000074606:Smoking Prevention; D013333:Student Health Services / Q000458:organization & administration*; D013334:Students / Q000523:psychology; D011795:Surveys and Questionnaires; D013664:Teaching Materials; D014495:Universities