AUTHOR=Zong Qiao , Li Hui , Jiang Nan , Gong Yanhong , Zheng Jianwei , Yin Xiaoxv TITLE=Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China JOURNAL=Frontiers in Public Health VOLUME=10 YEAR=2022 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.980208 DOI=10.3389/fpubh.2022.980208 ISSN=2296-2565 ABSTRACT=Objectives

To understand the current status of smoking behavior among emergency physicians in China and to explore its determinants.

Background

The emergency department is considered a more appropriate setting for tobacco interventions. However, the smoking behavior of emergency physicians can reduce the effectiveness of interventions for patient smoking behavior.

Methods

From July to August 2018, we conducted a structured online questionnaire among Chinese emergency medicine physicians. We used descriptive analysis with binary logistic regression to analyze the current smoking status of Chinese emergency physicians and its determinants.

Results

A total of 10,457 emergency physicians were included in this study. The prevalence of smoking among physicians was 25.35% (with 34.15 and 1.59% among male and female physicians, respectively). Results of logistic regression showed that postgraduate education (OR = 0.52, 95% CI: 0.41–0.66), chief-level title (OR = 0.79, 95% CI: 0.65–0.97), and regular exercise habits (OR = 0.83, 95% CI: 0.76–0.92) were associated with a lower risk of smoking behavior. However, being over 50 years old (OR = 1.71, 95% CI: 1.29–2.27), being fixed-term (OR = 1.25, 95% CI: 1.10–1.42), and having depressive symptoms (OR = 1.43, 95% CI: 1.28–1.61) were associated with a higher risk of smoking.

Conclusion

The prevalence of smoking behavior among emergency physicians in China is high. Hospital management could reduce the incidence of smoking behavior among emergency physicians by strengthening smoking cessation training, paying attention to physicians' psychological health, reducing pressure on physicians in fixed-term positions, and encouraging physicians to develop regular exercise habits.