Campus physicians’ tobacco interventions with university students: A descriptive study of 16 Ontario university clinics

• Published in: Patient education and counseling 2008-02, Vol.70 (2), p.187-192
• Main Authors: Lawrance, Kelli-an G, Lawler, Sharon A
• Format: Article
• Language: English
• Subjects: Adult; Ambulatory Care Facilities - organization & administration; Attitude of Health Personnel; Cessation; Cigarette smokers; College students; Communication; Doctors; Female; Health Knowledge, Attitudes, Practice; Humans; Internal Medicine; Male; Medical History Taking; Medical Staff - organization & administration; Medical Staff - psychology; Nursing; Ontario; Patient education; Patient Education as Topic - organization & administration; Physician practice patterns; Physician's Role - psychology; Physician-Patient Relations; Practice Patterns, Physicians' - organization & administration; Primary health care; Self Care; Smoking; Smoking cessation; Smoking Cessation - methods; Smoking Cessation - psychology; Smoking Prevention; Student health services; Student Health Services - organization & administration; Students - psychology; Surveys and Questionnaires; Teaching Materials; Undergraduate students; Universities
• ISSN: 0738-3991; 1873-5134
• DOI: 10.1016/j.pec.2007.09.022

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