Acceso usuarios
María de la Villa Juárez Jiménez, Alejandro Pérez Milena 
, Francisco Javier Valverde Bolívar, M. Carmen Rosa Garrido
Objectives To determine the frequency of offering clinical counseling against the consumption of alcohol, tobacco and illegal drugs by internal specialist residents (EIR) of Andalusia, and the factors related to such advice.
Design Multicenter cross-sectional study by self-administered questionnaire sent by mail.
Setting and participants EIR of Andalusia.
Main measurements The questionnaire collected the frequency of counseling against the use of alcohol, tobacco and illegal drugs (dependent variable). Independent variables: age/gender, specialty, drug consumption and Fagerström test.
Results Out of a total of 4245 participants, 66% responded, 29% did not respond, and 5% poorly completed questionnaires. The mean age was 29.1(±SD 5.1) years, 69% female, 89% Spanish nationality, 84% in medical training (73% hospital, 27% family medicine). The frequency of counseling against tobacco (85%) and alcohol (82%) is higher than illegal drugs (56%, p < .001, χ2 test). Counseling against alcohol consumption is related to family medicine (OR = 2.8; 95% CI [1.4-4.6]) and nursing (OR = 2.5 [1.7-4.4]), and the age of first alcohol consumption (OR = 1.07 [1.03-1.1]). Counseling against smoking is related to family medicine (OR = 12.9;[7.6-21.9]) and nursing (OR = 8.4;[4.3-16.5]), personal consumption of tobacco (OR = 1.5 [1.2-2.0]), and wine (OR = 1.1 [1.04-1.3]), and age of first alcohol consumption (OR = 1.06 [1.01-1.1]). Counseling against illegal drugs is related to the age of first alcohol consumption (OR = 1.09 [1.05-1.1]) and smoking (OR = .58 [.4-.7]).
Conclusion There is a high frequency of counseling against consumption of tobacco and alcohol by EIR, although remarkably smaller for illegal drugs. The influencing factors are both formative elements of their own specialty such as personal consumption of alcohol and tobacco, which should be considered for improvement of this preventive activity.
