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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Missed opportunities for tobacco use screening and brief cessation advice in South African primary health care: A cross-sectional study
BMC Family Practice, Volume 11, Article 94, Year 2010
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Description
Background. Primary health care (PHC) settings offer opportunities for tobacco use screening and brief cessation advice, but data on such activities in South Africa are limited. The aim of this study was to determine the extent to which participants were screened for and advised against tobacco use during consultations. Methods. This cross-sectional study involved 500 participants, 18 years and older, attended by doctors or PHC nurses. Using an exit-interview questionnaire, information was obtained on participants' tobacco use status, reason(s) for seeking medical care, whether participants had been screened for and advised about their tobacco use and patients' level of comfort about being asked about and advised to quit tobacco use. Main outcome measures included patients' self-reports on having been screened and advised about tobacco use during their current clinic visit and/or any other visit within the last year. Data analysis included the use of chi-square statistics, t-tests and multiple logistic regression analysis. Results. Of the 500 participants, 14.9% were current smokers and 12.1% were smokeless tobacco users. Only 12.9% of the participants were screened for tobacco use during their current visit, indicating the vast majority were not screened. Among the 134 tobacco users, 11.9% reported being advised against tobacco use during the current visit and 35.1% during any other visit within the last year. Of the participants not screened, 88% indicated they would be 'very comfortable' with being screened. A pregnancy-related clinic visit was the single most significant predictor for being screened during the current clinic visit (OR = 4.59; 95%CI = 2.13-9.88). Conclusion. Opportunities for tobacco use screening and brief cessation advice were largely missed by clinicians. Incorporating tobacco use status into the clinical vital signs as is done for pregnant patients during antenatal care visits in South Africa has the potential to improve tobacco use screening rates and subsequent cessation. © 2010 Omole et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Omole, Olufemi Babatunde
South Africa, Johannesburg
University of the Witwatersrand
Ngobale, Kabilabe N.W.
South Africa, Johannesburg
University of the Witwatersrand
Ayo-Yusuf, Olalekan Abdulwahab
South Africa, Pretoria
University of Pretoria
Statistics
Citations: 31
Authors: 3
Affiliations: 2
Identifiers
Doi:
10.1186/1471-2296-11-94
e-ISSN:
14712296
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Substance Abuse
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
South Africa