R. Casas Moré, Carlos Martín Cantera
, M. Inglada Fibla, L. Roig Remon, C. Moreno Crespo
Objetivo. Conocer la opinión del personal sanitario y no sanitario acerca del consumo de tabaco en los centros sanitarios, el perfil de los fumadores y su grado de motivación para el abandono. Diseño. Estudio observacional, transversal. Emplazamiento. Distrito de Atención Primaria de Barcelona ciudad (DAP Eixample). Participantes. Todos los profesionales sanitarios y no sanitarios del DAP (n = 932). Mediciones. Encuesta personalizada de respuesta anónima, sobre: datos personales, hábito tabáquico, opinión sobre función modélica, cumplimiento de la normativa vigente y actitud respecto al tabaco en el ámbito laboral. Resultados principales. Respondió un 52%; mujeres, 68,4%; edad media, 46,9 años (DE, 9,9); fumadores, 26,5%; no fumadores, 43,8%, y ex fumadores, 29,6%. Consideran importante la función modélica, 87,5%; prohibición insuficientemente señalizada, 68,1%; incumplimiento de la normativa legal, 72,8%; reservar espacios para fumadores, 77,2%, y molesta que se fume en el centro, 61,2%. Un 63,9% de los sanitarios aconseja habitualmente a los pacientes fumadores. Hay mayor prevalencia de fumadores entre los administrativos/as, enfermeros/as y el colectivo «otros». Los fumadores consumen 16,6 cigarrillos/día (DE, 9,5), hace 23,2 años (DE, 9,6) que fuman y el 54,3% ha hecho al menos un intento para dejarlo. Tiene dependencia alta un 59,1% y motivación elevada el 76,7%. Un 64,8% participaría en actividades para dejar de fumar y el 72,4% considera que la empresa debería facilitar ayuda. Conclusiones. Los encuestados consideran importante la función modélica, insuficiente la señalización y que se incumple la normativa vigente. La mitad de los fumadores estaría interesada en participar en actividades para abandonar el hábito y opinan que la empresa les debería ayudar.
Objective. To find the view of health and ancillary staff about tobacco consumption in Health Centres, smokers' profiles, and their degree of motivation to give up. Design. Observational and crossover study. Setting. Primary Care district in the city of Barcelona (Eixample District). Participants. All the health and ancillary staff in the District (n=932). Measurements. Personal questionnaire with anonymous reply on: personal details, tobacco habit, view on the function of example, compliance with regulations in force, and their attitude to tobacco in the work-place. Main results. 52% replied; 68.4% were women, with average age 46.9 (SD 9.9). 26.5% smoked; 43.8% had never smoked and 29.6% were ex-smokers. 87.5% thought example an important function; 68.1%, that prohibition signs were insufficient; 72.8%, that legal regulations were not complied with; 77.2% thought space should be reserved for smokers; and 61.2% were annoyed that there was smoking in the centre. 63.9% of the health staff counselled smoker patients as a matter of course. There was greater prevalence of smokers among clerical staff, nurses and the "others" group. Smokers consumed 16.6 cigarettes per day (SD 9.5), had been smoking for 23.2 years (SD 9.6). 54.3% had tried at least once to give it up. 59.1% had high dependency and 76.7% had high motivation. 64.8% would participate in activities to stop smoking and 72.4% thought that their employers should provide assistance. Conclusions. Those surveyed thought that example was an important function, signs were insufficient and the regulations in force were not respected. Half the smokers would be interested in taking part in activities to help them give up and think the company should help them.