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Smoking Prevalence among Physicians: A Systematic Review and Meta-Analysis

Abstract : BACKGROUND: Smoking is a major public health problem. Although physicians have a key role in the fight against smoking, some of them are still smoking. Thus, we aimed to conduct a systematic review and meta-analysis on the prevalence of smoking among physicians. METHODS: PubMed, Cochrane, and Embase databases were searched. The prevalence of smoking among physicians was estimated and stratified, where possible, by specialties, continents, and periods of time. Then, meta-regressions were performed regarding putative influencing factors such as age and sex. RESULTS: Among 246 studies and 497,081 physicians, the smoking prevalence among physicians was 21% (95CI 20 to 23%). Prevalence of smoking was 25% in medical students, 24% in family practitioners, 18% in surgical specialties, 17% in psychiatrists, 16% in medical specialties, 11% in anesthesiologists, 9% in radiologists, and 8% in pediatricians. Physicians in Europe and Asia had a higher smoking prevalence than in Oceania. The smoking prevalence among physicians has decreased over time. Male physicians had a higher smoking prevalence. Age did not influence smoking prevalence. CONCLUSION: Prevalence of smoking among physicians is high, around 21%. Family practitioners and medical students have the highest percentage of smokers. All physicians should benefit from targeted preventive strategies.
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https://hal.archives-ouvertes.fr/hal-03661639
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Submitted on : Saturday, May 7, 2022 - 11:04:51 AM
Last modification on : Wednesday, May 11, 2022 - 3:48:53 AM

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Anaïs Besson, Alice Tarpin, Valentin Flaudias, Georges Brousse, Catherine Laporte, et al.. Smoking Prevalence among Physicians: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, MDPI, 2021, 18 (24), pp.13328. ⟨10.3390/ijerph182413328⟩. ⟨hal-03661639⟩

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