Abstract
Smoking is recognized as the major cause of lung cancer. Healthcare professionals play an important role in lung cancer prevention policies, as they act as a source of guidance for patients and advocates. The following survey evaluated prevalence, knowledge, and attitudes toward tobacco smoking among a sample of workers in “IRCCS Istituto Tumori “Giovanni Paolo II” of Bari, an Italian cancer hospital. An anonymous questionnaire was completed by 104 healthcare professionals to collect personal and occupational data about smoking status, knowledge about the harms of smoking, current legislation in place, Second-Hand Smoke (SHS) awareness, and, for ex-smokers, the reasons for quitting. Among participants, 17.8% were current smokers, 26.2% former smokers, and 56% never smoked. Only 40% acknowledged that the smoking ban is generally respected, and 63.2% reported that they smoke during working hours. Most of the participants perceived tobacco control policy as an efficient way to protect public health. Currently, the implementation of Italian anti-smoking legislation has so far improved neither smoking cessation rates nor the will to quit smoking completely. Our experience highlights that to date the anti-smoking strategies have limited efficacy even in a cancer center; in fact, there is still a large prevalence of smokers among hospital personnel. Therefore, it is strongly suggested that interventions be shared with all healthcare workers, specifically aimed at develo** a culture of health promotion.
Similar content being viewed by others
Data Availability
All the data generated or analyzed during the study are included in this published article. The raw data of this research can be obtained contacting the authors.
References
Longo, D. R., Johnson, J. C., Kruse, R. L., et al. (2001). A prospective investigation of the impact of smoking bans on tobacco cessation and relapse. Tobacco Control, 10, 267–272. doi:https://doi.org/10.1136/tc.10.3.267.
Martinez, C., Garcia, M., Mendez, E., et al. (2008). Barriers and challenges for tobacco control in a smoke-free hospital. Cancer Nurs, 31, 88–94. doi:https://doi.org/10.1097/01.NCC.0000305708. 37530.ee.
Fernández, E., Martínez, C., & Alonso, B. (2010). Tobacco-free hospital campuses in Europe. Tobacco Control. E-letter available at:http://tobaccocontrol.bmj.com/content/18/6/451/reply#tobaccocontrol_el_3371).
WHO. Framework Convention on Tobacco Control (WHO FCTC). (2008). Geneva: World Health Organization.
Warren, G. W., Alberg, A. J., Cummings, K. M., et al. (2020). Smoking Cessation After a Cancer Diagnosis Is Associated With Improved Survival. J Thorac Oncol, 15(5), 705–708. https://doi.org/10.1016/j.jtho.2020.02.002.
Warren, G. W., Dibaj, S., Hutson, A., et al. (2015). Identifying targeted strategies to improve smoking cessation support for cancer patients. J Thorac Oncol., 10, 1532–1537.
Toll, B. A., Brandon, T. H., Gritz, E. R., et al. (2013). Assessing tobacco use by cancer patients and facilitating cessation: an American Association for Cancer Research policy statement. Clin Cancer Res, 19, 1941–1948.
IIS/OSFAD. National smoking assessment. https://iss-ofad.azurewebsites.net/wp-content/uploads/2019/06/PACIFICI-31-maggio-2019.pdf. Accessed 18 August 2019.
Pianori, D., Gili, A., & Masanotti, G. (2017). Changing the smoking habit: prevalence, knowledge and attitudes among Umbrian hospital healthcare professionals. J Prev Med Hyg, 58(1), E72–E78.
Nilan, K., McKeever, T. M., McNeill, A., et al. Prevalence of tobacco use in healthcare workers: A systematic review and metaanalysis (2019). PLoS One. 14(7): e0220168.
Jike, M., Nakaita, I., Uchiyama, M., et al. (2019). Prevalence of Smoking Among 4 Licensed Types of Nursing Personnel in Japan: An Epidemiological Study. Asia Pacific Journal of Public Health, 31(5), 454–462.
Croyle, R., Morgan, G., & Fiore, M. (2019). Addressing a Core Gap in Cancer Care: The NCI Cancer Moonshot Initiative to Help Oncology Patients Stop Smoking. N Engl J Med., 380, 512–515. doi:https://doi.org/10.1056/NEJMp1813913.
Martinez, C., Fu, M., Martinez-Sanchez, J. M., Anton, L., et al. (2014). Impact of a long-term tobacco-free policy at a comprehensive cancer center: a series of cross-sectional surveys. BMC public health., 14, 1228. https://doi.org/10.1186/1471-2458-14-1228
Reile, R., & Pärna, K. (2018). Do physicians address their patients’ smoking behavior? Results from a nationwide survey among physicians in Estonia. Public health, 161, 1–4.
Muzi, G., Dell’Omo, M., Crespi, E., et al. (2001). Smoking in the workplace. Study at a hospital in central Italy. Med Lav, 92, 54–60.
Masia, M. D., Solinas, G., Piana, A., et al. (2006). Smoking habit and behavior among health professionals. Ann Ig, 18, 261–269.
Ficarra, M. G., Gualano, M. R., Capizzi, S., et al. (2010). Tobacco use prevalence, knowledge and attitudes among Italian hospital healthcare professionals. Eur J Public Health, 21(1), 29e34. doi:https://doi.org/10.1093/eurpub/ckq017.
Callinan, J. E., Clarke, A., Doherty, K., et al. (2010). Legislative smoking bans for reducing secondhand smoke exposure, smoking prevalence and tobacco consumption. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD005992.pub2
Fiore, M. C., Jaén, C., Baker, T., et al. (2008). Treating Tobacco Use and Dependence: 2008 Update. U.S. Department of Health and Human Services; Rockville, MD.
US Department of Health and Human Services. (2020). Smoking cessation: a report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2020 [accessed 2020 May 21].
Acknowledgements
The Authors are grateful to Eman Eltobgy from the Ohio State University, Zenab Youssef from Brown University, Daniel (Jungho) Choi from Brown University and Michelle Miller from Columbia University for providing writing and editing assistance.
Funding
None.
Author information
Authors and Affiliations
Contributions
All the team members contributed to the writing of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflicts of interest to declare.
Ethics approval
The anonymous surveys have been conducted exclusively on hospital staff, without involving other subjects or patients. For this reason, the surveys have been authorized by the General Direction of the Hospital (IRCCS Istituto Tumori “Giovanni Paolo II” –Bari, Italy), as the approval of the Ethic Committee was not necessary.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Bafunno, D., Catino, A., Lamorgese, V. et al. Smoking Prevalence, Knowledge and Perceptions on Tobacco Control Among Healthcare Professionals: A Survey in an Italian Cancer Center. J Community Health 46, 597–602 (2021). https://doi.org/10.1007/s10900-020-00907-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10900-020-00907-8