Revista argentina de cardiología
versión On-line ISSN 1850-3748
CARDONE, Alberto J.; ZYLBERSZTEJN, Horacio M.; FERRANTE, Daniel y BORRACCI, Raúl A.. Smoking Habits among Physicians and in the General Population: A Comparison between the Outcomes of the TAMARA Trial and the 2005 National Survey of Risk Factors. Rev. argent. cardiol. [online]. 2008, vol.76, n.5, pp. 375-377. ISSN 1850-3748.
The influence of physicians to discourage smoking and to control the addiction on smoker patients has been well demonstrated; nevertheless, this attitude depends mostly on the personal relationship of physician towards tobacco. The aim of this study was to compare the prevalence of smoking habits in physicians reported by the TAMARA trial (Tabaquismo en médicos de la República Argentina) versus the prevalence reported in the 2005 National Survey of Risk Factors (ENFR, Encuesta Nacional de Factores de Riesgo 2005). The population of physicians registered in the database of the TAMARA trial was stratified according to the age intervals reported by the ENFR. From a total of 6,497 physicians originally registered in the TAMARA trial, 5,806 were included in the age interval between 25 to 64 years. Data of the entire survey respondents of the ENFR (9,658 participants) were used. The prevalence of smokers among physicians and in the general population was similar (32.2% versus 32.4%; p=0.403); however, a different pattern was seen when the outcomes were stratified by age. The proportion of smoker physicians was lower than smokers in the general population in the age intervals between 25 and 34 years (30.9% versus 34.6%; p=0.0004) and between 50 and 64 years (21.3% versus 26.8%; p<0.0001), whereas the prevalence of smoking habits among physicians in the intermediate age interval (35-49) years was greater than the prevalence in the ENFR (44.4 versus 35.8%; p<0.0001); besides, this subgroup of physicians were less trained in the management of tobacco cessation. Although the global prevalence of smoking habits among physicians is similar to the general population, the analysis by age intervals demonstrated that the number smoker physicians is greater between 35 and 49 years. Although the prevalence of smokers was lower among the youngest and the eldest physicians, this difference was not as significant as the observed in physicians in the intermediate group. The high prevalence of smoker physicians might constitute a negative influence to the general population, as it acts affecting the adequate perception of the risk of the addiction.
Palabras clave : Epidemiology; Smoking; Physicians; Vascular Risk Factors.