Skip to main content

Advertisement

Table 3 Frequency of clinician attitudes towards addressing tobacco dependence among older patients

From: Treating tobacco dependence in older adults: a survey of primary care clinicians’ knowledge, attitudes, and practice

Statement All responses n = (%) Professional Group n = (%) Training Attendance n = (%)
Medical Non-medical Statistic X2 (df=1) Sig p= Training No Training Statistic X2 (df = 1) Sig p=
I feel it lies within my remit of responsibility as a health professional to assist older people who smoke to address their tobacco dependence. Agree 154 (90.0) 75 (94.9) 79 (85.9) 3.9 0.071 98 (92.4) 55 (85.9) 1.9 0.193
Disagree 17 (10.0) 4 (5.1) 13 (14.1) 8 (7.6) 9 (14.1)
I feel I have sufficient knowledge of the detrimental effects of smoking in later life to be able to discuss this effectively when I have contact with older patients who smoke. Agree 134 (78.9) 69 (87.3) 65 (70.6) 6.9 0.009 86 (81.1) 47 (73.4) 1.4 0.255
Disagree 37 (21.1) 10 (12.7) 27 (29.4) 20 (18.9) 17 (26.6)
I feel I have sufficient knowledge of the benefits of stopping smoking in later life to be able to discuss this effectively with older patients who smoke. Agree 135 (78.3) 71 (89.8) 64 (69.5) 10.5 0.001 87 (82.1) 47 (73.4) 1.8 0.245
Disagree 36 (21.7) 8 (10.2) 28 (30.5) 19 (17.9) 17 (26.6)
I feel I have sufficient knowledge of the barriers that may prevent older people from attempting to stop smoking. Agree 102 (59.6) 48 (60.7) 54 (58.7) 0.1 0.876 69 (65.1) 32 (50.0) 3.8 0.056
Disagree 69 (40.4) 31 (39.3) 38 (41.3) 37 (34.9) 32 (50.0)
I feel I have sufficient knowledge of nicotine addiction/withdrawal to be able to discuss this effectively with older patients who smoke. Agree 123 (71.9) 59 (74.6) 64 (70.6) 0.5 0.498 81 (76.4) 42 (65.6) 2.3 0.157
Disagree 48 (28.1) 20 (25.4) 28 (29.4) 25 (23.6) 22 (34.4)
I feel I have the skills required to be able to encourage older patients who smoke to make a quit attempt. Agree 122 (71.7) 66 (83.5) 56 (61.5) 10.1 0.002 79 (75.2) 42 (65.6) 1.8 0.219
Disagree 48 (28.3) 13 (16.5) 35 (38.5) 26 (24.8) 22 (34.4)
I feel I have sufficient knowledge of nicotine replacement and other pharmacotherapies which can help older smokers to quit, and feel able to discuss this with patients. Agree 115 (67.6) 60 (75.9) 55 (60.4) 4.6 0.034 74 (70.4) 41 (64.1) 0.7 0.400
Disagree 55 (32.4) 19 (24.1) 36 (39.6) 31 (29.6) 23 (35.9)
I am comfortable discussing my older patients smoking behaviours with them. Agree 136 (80.4) 72 (92.3) 64 (70.3) 12.9 <0.001 87 (83.6) 49 (76.5) 1.3 0.312
Disagree 33 (19.6) 6 (7.7) 27 (29.7) 17 (16.4) 15 (23.5)
Smoking is one of the few pleasures older people have. Agree 41 (24.1) 7 (8.9) 34 (37.4) 18.7 <0.001 20 (19.0) 21 (32.8) 4.1 0.043
Disagree 129 (75.9) 72 (91.9) 57 (62.6) 85 (81.0) 43 (67.2)
Giving up smoking is unlikely to provide older people with any benefit. Agree 9 (5.2) 0 (0.0) 9 (9.8) 8.3 0.004 4 (3.8) 5 (7.8) 1.3 0.302
Disagree 161 (94.8) 79 (100.0) 82 (90.2) 101 (96.2) 59 (92.2)
I feel that it is the role of more specialist staff to actually support an older patient's cessation attempt. Agree 51 (30.0) 24 (30.3) 27 (29.7) 0.10 1.000 26 (24.7) 25 (39.0) 3.9 0.058
Disagree 119 (70.0) 55 (69.7) 64 (70.3) 79 (75.3) 39 (61.0)