ABSTRACT
BACKGROUND: Tobacco dependence has been defined as a chronic relapsing disease. Around 5 million annual tobacco-related deaths have been reported worldwide. The majority of smokers want to quit but are not successful. OBJECTIVES: To screen our population for tobacco use, gauge the baseline demographics of tobacco users and assess factors associated with failed attempts to quit. METHODS: Free health camps supervised by a physician were held across two major cities of Pakistan. All consenting participants were administered a questionnaire and had their exhaled carbon monoxide (CO) levels measured. RESULTS: Of 12 969 participants successfully enrolled, the mean age was 31.4 ± 10.0 years. More than three quarters were aged 20-40 years (n = 10 168, 78.4%). The overall average CO level was 12.0 ± 8.0 ppm. The majority of the participants wanted to quit, and nearly everyone had received advice about quitting. The majority had tried smoking cessation pharmacotherapy. Friends/peer pressure (n = 1554, 12%), anxiety (n = 681, 5.3%), tobacco dependence (n = 1965, 15.2%) and stress/mood changes (n = 390, 3.0%) were the most widely observed reasons for failure to quit in study participants. CONCLUSION: The information provided by this study can guide the development of more targeted intervention programmes for smokers who wish to quit.
Subject(s)
Smoking Cessation/methods , Smoking Prevention , Tobacco Use Disorder/prevention & control , Urban Health , Adult , Affect , Biomarkers/metabolism , Breath Tests , Carbon Monoxide/metabolism , Cross-Sectional Studies , Female , Health Behavior , Health Knowledge, Attitudes, Practice , Health Surveys , Humans , Male , Motivation , Pakistan , Peer Influence , Recurrence , Smoking/adverse effects , Smoking/metabolism , Smoking/psychology , Smoking Cessation/psychology , Tobacco Use Disorder/psychology , Treatment Failure , Young AdultABSTRACT
OBJECTIVE: To study the perceptions about Family Medicine among patients visiting Specialist Physicians for treatment. METHOD: A questionnaire based survey was conducted at the Specialist Clinic, Aga Khan University Hospital, Karachi, Pakistan, in June 2004. Trained volunteers administered the questionnaire among patients visiting Specialist Physicians for treatment. Confidentiality was ensured to all patients and written informed consent was taken as part of the ethical requirements for the conduct of the study. SPSS computer software and Microsoft Excel were used for data management. RESULTS: A total of 100 patients visiting the Specialist Clinic were interviewed, of which fifty four (54%) were women and forty six (46%) were men. The mean age was 36.3 years. Twenty four (24%) respondents had graduate education. Being well-mannered, being familiar with a family's medical history and possessing the abilities to conduct proper checkups were quoted as main characteristics of Family Physicians by thirty eight (38%), seventeen (17%) and twenty five (25%) respondents respectively. If they had a chest pain, fifty six (56%), forty three (43%) and one (1%) respondents would consult a Family Physician, Cardiologist and Chest Specialist, respectively. CONCLUSION: We have documented perceptions regarding family medicine among patient's visiting Specialist Physicians for treatment. It is recommended that programs highlighting role and functions of family medicine should be started for the public.