Hispanic physicians' tobacco intervention practices: a cross-sectional survey study Page: 1
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BMC Public Health BioMed Central
Hispanic physicians' tobacco intervention practices: a
cross-sectional survey study
Francisco G Soto Mas* 1, Richard L Papenfusst2, Holly E Jacobsont3,
Chiehwen Ed Hsut4, Ximena Urrutia-Rojastl and William M Kanet5
Address: 'Department of Social and Behavioral Sciences, School of Public Health, University of North Texas Health Science Center, Fort Worth,
Texas, USA, 2Department of Health Promotion, University of Nevada Las Vegas, Las Vegas, Nevada, USA, 3Department of Kinesiology, Health
Promotion & Recreation, University of North Texas, Denton, Texas, USA, 4Department of Public and Community Health, University of Maryland
College Park, College Park, Maryland, USA and 5Department of Physical Performance and Development, Health Education Program, University
of New Mexico, Albuquerque, New Mexico, USA
Email: Francisco G Soto Mas* - email@example.com; Richard L Papenfuss - firstname.lastname@example.org; Holly E Jacobson - email@example.com;
Chiehwen Ed Hsu - firstname.lastname@example.org; Ximena Urrutia-Rojas - email@example.com; William M Kane - firstname.lastname@example.org
* Corresponding author tEqual contributors
Published: 14 November 2005 Received: II June 2005
BMC Public Health 2005, 5:120 doi: 10. I 186/1471-2458-5-120 Accepted: 14 November 2005
This article is available from: http://www.biomedcentral.com/ 1471-2458/5/1I 20
2005 Soto Mas et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0),
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: U.S. Hispanic physicians constitute a considerable professional collective, and they may be most suited to
attend to the health education needs of the growing U.S. Hispanic population. These educational needs include tobacco
use prevention and smoking cessation. However, there is a lack of information on Hispanic physicians' tobacco
intervention practices, their level of awareness and use of cessation protocols, and the type of programs that would best
address their tobacco training needs. The purpose of this study was to assess the tobacco intervention practices and
training needs of Hispanic physicians.
Methods: Data was collected through a validated survey instrument among a cross-sectional sample of self-reported
Hispanic physicians. Data analyses included frequencies, descriptive statistics, and factorial analyses of variance.
Results: The response rate was 55.5%. The majority of respondents (73.3%) were middle-age males. Less than half of
respondents routinely performed the most basic intervention: asking patients about smoking status (44.4%) and advising
smoking patients to quit (42.2%). Twenty-five percent assisted smoking patients by talking to them about the health risks
of smoking, providing education materials or referring them to cessation programs. Only 4.4% routinely arranged follow-
up visits or phone calls for smoking patients. The majority of respondents (64.4%) indicated that they prescribe cessation
treatments to less than 20% of smoking patients. A few (4.4%) routinely used behavioral change techniques or programs.
A minority (15.6%) indicated that they routinely ask their patients about exposure to tobacco smoke, and 6.7% assisted
patients exposed to secondhand smoke in understanding the health risks associated with environmental tobacco smoke
(ETS). The most frequently encountered barriers preventing respondents from intervening with patients who smoke
included: time, lack of training, lack of receptivity by patients, and lack of reimbursement by third party payers. There
was no significant main effect of type of physician, nor was there an interaction effect (gender by type of physician), on
Conclusion: The results indicate that Hispanic physicians, similarly to U.S. physicians in general, do not meet the level
of intervention recommended by health care agencies. The results presented will assist in the development of tobacco
training initiatives for Hispanic physicians.
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Mas, Francisco G. Soto; Papenfuss, Richard L.; Jacobson, Holly E.; Hsu, Chiehwen Ed; Urrutia-Rojas, Ximena & Kane, William M. Hispanic physicians' tobacco intervention practices: a cross-sectional survey study, article, November 14, 2005; [London, United Kingdom]. (digital.library.unt.edu/ark:/67531/metadc122160/m1/1/: accessed July 21, 2017), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT College of Education.