title: Perioperative tobacco interventions by Chinese anesthesiologists: practices and attitudes.
abstract: BACKGROUND
  The prevalence of cigarette smoking in China is high. Surgery provides an excellent opportunity for patients to quit smoking, and anesthesiologists can play an important role in tobacco control. However, little is known about the practices, knowledge, and attitudes of Chinese anesthesiologists regarding perioperative tobacco interventions.
  
  
  METHODS
  Chinese anesthesiologists were surveyed at a national meeting in 2009, with written questionnaires distributed to 800 practicing anesthesiologists.
  
  
  RESULTS
  The survey response rate was 60.3%, and 10% of respondents themselves smoked cigarettes. Most (73%) of them frequently or almost always asked about smoking status; 51% advised about the health risk of tobacco use; and 60% advised patients to quit. Compared with nonsmokers, smokers were significantly less likely to advise about the health risks of smoking and quitting. A high proportion of respondents had accurate perceptions of perioperative and long-term health risks of smoking. Although most respondents agreed that advising patients to quit is the responsibility of anesthesiologists and the perioperative period is a good time to help patients quit smoking, few knew how to counsel about smoking or help patients get the help they needed to quit. Nonetheless, most of the respondents were willing to learn about perioperative interventions and spend an extra 5 min to help patients quit smoking.
  
  
  CONCLUSIONS
  Given their adequate knowledge of health risks of smoking, strong perception of responsibilities, and willingness to participate in tobacco control, Chinese anesthesiologists are poised to play a significant role in tobacco control in China that could improve perioperative outcomes and promote long-term health.
authors.affiliation: Department of Anesthesiology and Nicotine Research Center, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
authors.forename: Yu
authors.initials: Y
authors.lastname: Shi
authors.forename: Chunhua
authors.initials: C
authors.lastname: Yu
authors.forename: Ailun
authors.initials: A
authors.lastname: Luo
authors.forename: Yuguang
authors.initials: Y
authors.lastname: Huang
authors.forename: David O
authors.initials: DO
authors.lastname: Warner
mesh_terms: D000328:Adult; D000368:Aged; D000758:Anesthesia; D001291:Attitude of Health Personnel; D002681:China / Q000453:epidemiology; D003376:Counseling; D018592:Cross-Over Studies; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D019990:Perioperative Care; D010820:Physicians; D011640:Public Policy; D011795:Surveys and Questionnaires; D020340:Tobacco Use Cessation; D014029:Tobacco Use Disorder / Q000453:epidemiology; D055815:Young Adult