Smoking habits and attitudes towards smoking among Estonian physicians

Objectives. This study examined the smoking habits and attitudes towards smoking among Estonian physicians. Study design and methods. Cross-sectional data for 2668 physicians were gathered by a self-administered postal survey. Results. The current smoking prevalence was 24.9% for male physicians and 10.8% for female physicians. The percentages of ex-smokers were 32.9 and 16.8%, respectively. Smoking prevalence among physicians was below the levels reported for the highest educational bracket of the total population in Estonia. Non-smoking physicians had more unfavourable views towards smoking than those who smoked. The majority of physicians were aware of the association between smoking and various diseases, with significant differences between smokers and non-smokers. Non-smoking physicians were more active in asking patients about smoking habits than those who smoked. Most Estonian physicians, especially those who smoked, failed to perceive themselves as positive role models. Conclusions. This study found a lower prevalence of smoking among physicians compared with the general population, and demonstrated the impact of personal smoking on physicians ' attitudes towards smoking. The results provide an important challenge to medical education in Estonia. (c) 2004 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.