title: [Prevalence and factors associated with clinical counselling on drug use among internal specialists residents of Andalusia (Spain)].
abstract: OBJECTIVE
  To determine the frequency of offering clinical counseling against the consumption of alcohol, tobacco and illegal drugs by internal specialist residents (EIR) of Andalusia, and the factors related to such advice.
  
  
  METHODS
  Multicenter cross-sectional study by self-administered questionnaire sent by mail.
  
  
  METHODS
  EIR of Andalusia.
  
  
  METHODS
  The questionnaire collected the frequency of counseling against the use of alcohol, tobacco and illegal drugs (dependent variable).
  
  
  METHODS
  age/gender, specialty, drug consumption and Fagerström test.
  
  
  RESULTS
  Out of a total of 4245 participants, 66% responded, 29% did not respond, and 5% poorly completed questionnaires. The mean age was 29.1(±SD 5.1) years, 69% female, 89% Spanish nationality, 84% in medical training (73% hospital, 27% family medicine). The frequency of counseling against tobacco (85%) and alcohol (82%) is higher than illegal drugs (56%, p<.001, χ(2) test). Counseling against alcohol consumption is related to family medicine (OR=2.8; 95% CI [1.4-4.6]) and nursing (OR=2.5 [1.7-4.4]), and the age of first alcohol consumption (OR=1.07 [1.03-1.1]). Counseling against smoking is related to family medicine (OR=12.9;[7.6-21.9]) and nursing (OR=8.4;[4.3-16.5]), personal consumption of tobacco (OR=1.5 [1.2-2.0]), and wine (OR=1.1 [1.04-1.3]), and age of first alcohol consumption (OR=1.06 [1.01-1.1]). Counseling against illegal drugs is related to the age of first alcohol consumption (OR=1.09 [1.05-1.1]) and smoking (OR=.58 [.4-.7]).
  
  
  CONCLUSIONS
  There is a high frequency of counseling against consumption of tobacco and alcohol by EIR, although remarkably smaller for illegal drugs. The influencing factors are both formative elements of their own specialty such as personal consumption of alcohol and tobacco, which should be considered for improvement of this preventive activity.
authors.affiliation: Centro de Salud El Valle, Distrito Sanitario de Jaén (Servicio Andaluz de Salud), Jaén, España.
authors.forename: María de la Villa
authors.initials: Mde L
authors.lastname: Juárez-Jiménez
authors.affiliation: Centro de Salud El Valle, Distrito Sanitario de Jaén (Servicio Andaluz de Salud), Jaén, España. Electronic address: alejandro.perez.milena.sspa@juntadeandalucia.es.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Pérez-Milena
authors.affiliation: Unidad Docente de Medicina Familiar y Comunitaria, Distrito Sanitario de Jaén (Servicio Andaluz de Salud), Jaén, España.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Valverde-Bolívar
authors.affiliation: Fundación Pública Andaluza para la Investigación Biosanitaria de Andalucía Oriental Alejandro Otero (Consejería de Salud, Junta de Andalucía), Jaén, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Rosa-Garrido
mesh_terms: D000328:Adult; D000428:Alcohol Drinking; D003376:Counseling; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D015995:Prevalence; D012907:Smoking; D013030:Spain; D013038:Specialization; D019966:Substance-Related Disorders / Q000628:therapy*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Alcohol; Consejo; Counseling; Droga ilegal; Internado no médico; Internado y residencia; Internship and residency; Non-medical internship; Smoking; Street drugs; Tabaquismo