Prevalence of smoking in physicians and medical students, and the generation effect in The Netherlands.

This study investigates smoking habits and attitudes towards smoking in general practitioners, consultants at a university hospital, medical students and students of health policy and management (H.P.M.). An anonymous, self-administered postal survey was used. Thirty-eight percent of the general practitioners, 27% of the consultants, 18% of the medical students and 31% of the H.P.M. students are current smokers. The prevalence of smoking was found to be higher in the male general practitioners and the male H.P.M. students than in the general male population. The prevalence of smoking was lower in female physicians and students than in their male counterparts and also lower than in the general female population. Medical students are not inclined to start smoking: a strong generation effect can be observed. This will reinforce the current downward trend in the prevalence of smoking in Dutch physicians. The doctors were found to have a suboptimal level of knowledge about methods of smoking cessation and about the association between smoking and health disorders. Most Dutch physicians, especially those who smoke, fail to perceive their role as an example to the general population concerning smoking behaviour. Medical students were found to have even less recognition of their future exemplary role.

Educational needs of stroke survivors and their family members, as perceived by themselves and by health professionals.

This study identified informational needs of stroke survivors and their family members as perceived by themselves and by health professionals. The source of information, and the desired source for future information were also explored. Green's Precede-Proceed model was used as a theoretical framework. In the study 35 stroke survivors, 39 family members and 43 health professionals participated. The results show that stroke survivors and family members indicated to desire the most information regarding reducing the chance of a new stroke. Stroke survivors rated as the major gaps of information: reducing the chance of a new stroke and coping with stress. Family members rated as the major gaps of information: sources to apply for help; strategies to perform activities of daily living, and reducing the chance of a new stroke. Stroke survivors and their family members expressed as the most desired source of information the doctor in the hospital. Health professionals expressed a high level of concern about the amount of information stroke survivors and family members receive; they expressed a substantial need for information about all topics for both groups, which should be provided by several sources. Some needs are recognized, but in most cases not met. Family members of stroke survivors who suffered more than one stroke seem to have received more information--and to desire less. Both highly educated stroke survivors and family members indicate to have received less information and desire more information than lower educated respondents.

Smoking in Dutch pregnant women and birth weight.

In this study 796 ambulatory singular pregnant women were questioned about their smoking habits both before and during pregnancy (ambispective). Important covariates such as parity, blood pressure, maternal weight gain, salt- and alcohol consumption and length of gestation were taken into account. At the beginning of pregnancy 52% of the questioned women smoked; 36% smoked in the seventh/eighth month of pregnancy. A dose-response relationship was found between the number of cigarettes smoked per day and birth weight. For those pregnant women who still smoked after 7 months of pregnancy an average birth weight loss of 24 g was found per cigarette per day. Even after controlling for covariates, there still remains an independent influence of smoking on birth weight loss on the average of 19 g for each cigarette smoked per day.

[Smoking behavior of family physicians, specialists and students in Rotterdam, 1989]. / Rookgedrag van huisartsen, specialisten en studenten in Rotterdam, 1989.

In a survey of smoking habits and attitudes among general practitioners of the Rotterdam area, consultants at the University Hospital of Rotterdam, medical students and students of the Department of Health Policy and Management (HPM) at the Erasmus University of Rotterdam, it was found that 30 percent of this population smoked. Among the male general practitioners and the male HPM students more smokers were found than in the general male population. Smoking prevalence among female doctors and students is lower than among their male counterparts and also lower than that among the general female population. Amongst doctors the knowledge of smoking cessation methods and the relationship between smoking and diseases was found to be suboptimal. Students of medicine are not inclined to start smoking. This will reinforce the present downward trend in the proportion of physicians who smoke.

Formal handling routines in Jamaican infants. Knowledge, attitudes and behaviour.

This study aimed to determine the frequency of use and the knowledge, attitudes and behaviour regarding the Formal Handling Routines (FHR) in rural and urban Jamaican infants. Analysis was made of the area of residence and educational level of the caregivers. The study included 194 caregivers, thirty-three community rehabilitation workers (CRWs) and 30 health care workers (HCWs). Depending on the level of understanding of the respondents, questionnaires were either self-administered or a personal interview was conducted. Caregivers with tertiary education differed significantly from the other caregivers both in frequency of use of the FHR and knowledge, attitudes and behaviour. Caregivers with tertiary education used the routine much less and had more negative attitudes towards it. This might be due to their better financial position, which allowed them to have helpers who cared for their children. HCWs also had significantly more negative beliefs about the FHR than CRWs and caregivers. It is possible that HCWs carried over their knowledge, attitudes and behaviour to the caregivers but if they did, it did not influence the majority of caregivers.

Determinants of fat and fiber consumption in American rural energy workers.

BACKGROUND: The objective of this study was to gain insight into the determinants of dietary fat and fiber consumption in American rural energy workers. Main determinants in this study were knowledge, efficacy expectations, and outcome expectations. The determinants will be ordered in a model, assuming that efficacy and outcome expectations predict intention. METHODS: The study consisted of a cross-sectional survey. The questionnaires on food behavior and the determinants of fat and fiber consumption were administered to the subjects at the same time. Models of determinants of fat and fiber consumption were derived from the correlation and regression analyses. RESULTS: There were 211 questionnaires analyzed. The scales were shown to be valid and reliable. In the models of determinants of fat and fiber consumption the following determinants were generated: gender, education, knowledge, interest, efficacy expectations, outcome expectations, and intention. In this study efficacy expectations were important to determine fat and fiber consumption. CONCLUSIONS: Efficacy expectations can be considered an important variable of an intervention program aiming at the decrease of fat consumption and at the increase of fiber consumption in rural energy workers.