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      Lutte contre les maladies respiratoires chroniques en Afrique : se concerter pour faire passer les programmes dans la pratique

      1 , * , 2

      Revue Des Maladies Respiratoires

      SPLF. Published by Elsevier Masson SAS

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          [Smoking habits, attitudes and knowledges of medical students of Medicine, Pharmacy and Odonto-Stomatology's Faculty of Dakar, Senegal].

          Smoking is a public health problem that does not spare the medical profession. We set out to determine the prevalence of smoking in medical students in Dakar and to assess their attitudes and knowledge in the face of this problem. A cross sectional study was conducted by means of an auto-questionnaire among 1547 medical students between 3 and 31 May 2001. There were 1061 males (68.6%) and 486 females (31.4%). The overall prevalence of regular or occasional smoking was 34.6%, with 42.8% in the first cycle, 38% in the second and 19% in the third. It was significantly higher among males at 76.4%. The average age of starting smoking ranged from 10 to 22 years and average duration from 5 to 26 years. The influence of fashion was the most frequent initiating factor at 37.4% and 96.6% smoked commercial cigarettes. Nicotine dependence, assessed by the Fagerstrom score, was average in 59.3%, strong in 14% and very strong in 4.7%. 58.8% smoked in public places and 78.2% thought they could give up smoking within the next 5 years. 8.4% were unaware of the effects of tobacco on health and 20.5% of the relationship between tobacco and the diseases quoted. 37.7% of future doctors would not systematically avoid smoking in the presence of patients but 79% wished to ban advertising and 70.4% to ban the use of tobacco in hospitals. 94.4% of students wanted health care workers to be educated about the effects of smoking. Tobacco smoking among medical students has increased between 1989 (28.7%) and 2001 (35.6%). This observation should stimulate the establishment of a course on the pathology of tobacco smoking and the integration of education and prevention within the medical curriculum, increase the awareness of smokers and above all help them stop.
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            [Smoking in Casablanca hospitals: knowledge, attitudes and practices].

             A Yazidi,  M Bartal,  A Mahmal (2002)
            This cross sectional study took place with a self administered questionnaire between June and September 1999 and involved 1,388 subjects of whom 62.4% were men and 37.6% women. The total prevalence of smoking was 14.9%, ranging from 12.5% in paramedical staff to 15.5% in manual workers, 16.2% in doctors, 17.1% in laboratory staff, and 22.2% in administrators. The prevalence was 35.9% among men as against 2.2% among women. The study of smokers showed that 51.5% had started before the age of 21. The most common motive for starting smoking was "pleasure". Among the 45.5% who smoked at the workplace 60.5% felt concerned about it. Evaluation of the degree of nicotine dependence using the Fagerstrom score found high dependence in 21.3% of subjects. Only 24.5% of doctors warned patients against smoking in the absence of smoking related diseases or symptoms. In more than 75% of cases doctors advised against smoking in the workplace and in the home. 66.8% of staff were aware of the anti-smoking law but the legislative measures were poorly understood. Only 9% of those interviewed had taken part in an anti-smoking campaign. In conclusion, the prevalence of smoking in the hospitals of Casablanca has definitely diminished in the past 10 years but it remains relatively high in men. Hospital staff should be more involved in the fight against smoking.
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              [Smoking among school children in Sousse, Tunisia].

              In order to study smoking habits of children and adolescents from Sousse in Tunisia, we undertook an epidemiological survey on a representative sample of 1569 pupils aged between 13 and 19 years with a global answer rate of 95,4%. The objective of the study was both to describe Tunisian adolescent smoking behaviour and also to evaluate the influence of the home environment, friends and the different socio-demographic factors on acquiring or maintaining the habit. Students were surveyed in schools using a self-administered, anonymous questionnaire. Overall 7,6% of our sample smoked tobacco with prevalence amongst boys being much higher than in girls: 14,7% versus 1,1%; X(2)=103,4, p=0,00001. The smoking prevalence rose with age: in boys it increased from 3,4% at 13 years to 32,3% at 19 years; X(2)=40,9, p=0,0001. 60,6% of youngsters interrogated were exposed to passive smoking at home. Peer smoking behaviour has a clear effect on the tobacco habits of boys. These findings suggest school and medical authorities should design specific programs to limit the spread of the tobacco phenomenon in youngsters.
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                Author and article information

                Contributors
                Journal
                Rev Mal Respir
                Rev Mal Respir
                Revue Des Maladies Respiratoires
                SPLF. Published by Elsevier Masson SAS
                0761-8425
                1776-2588
                12 January 2008
                June 2004
                12 January 2008
                : 21
                : 3
                : 451-453
                Affiliations
                [1 ]Ancien coordinateur des programmes santé pour l’Afrique centrale de Médecins Sans Frontières Ancien Délégué régional « santé » pour l’Afrique de l’Ouest de la Fédération Internationale de la Croix Rouge. Délégué régional « développement des capacités » pour l’Afrique Australe de la Fédération Internationale de la Croix Rouge
                [2 ]Professeur émérite de maladies infectieuses et tropicales (Faculté Pitié-Salpêtrière) Membre de l’Académie nationale de Médecine Président de la Croix Rouge Française
                Author notes
                [* ]Tirés à part : J. Mulangu, Cromvlietplein 66, 2516 KS Den-Haag, The Netherlands. jmcardi@ 123456hotmail.com
                Article
                S0761-8425(04)71345-5
                10.1016/S0761-8425(04)71345-5
                7134712
                15292833
                © 2004 SPLF

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