Prevalence of tobacco use amongst patients and health care workers in a substance use disorder center in Qatar
摘要
Little is known about tobacco use among patients with substance use disorder (SUD) and smoking cessation treatment in Qatar. This study aimed to investigate tobacco use, knowledge, attitude and practice of tobacco cessation among SUD patients and healthcare workers (HCWs).
MethodsFrom Sept-Dec. 2023, face-to-face digitally assisted cross-sectional surveys were conducted among SUD patients seeking treatment in Naufar Rehabilitation Center, Doha, Qatar. This was carried out in parallel with a cross-sectional, self-administered online survey among all employees working at Naufar.
Results308 Qatari patients participated (77% response rate), mostly using methamphetamine (69.8%), marijuana (59.1%), alcohol (50.7%), and opiates (33.8%). Over a third (37.7%) were polysubstance users. Overall, 92.2% (n = 284) were current tobacco users (94.9% males and 66% ≤ 35 years). Of those 91% were cigarette smokers, 35% used smokeless tobacco/nicotine pouches and 27% electronic cigarettes. HCWs had a 68% response rate (n = 204), of whom 34% were current tobacco users (21.1% daily and 12.7% occasional). Of those providing direct patient care (n = 127), only 27% received training in tobacco cessation. Half (50%) of HCWs attained an average knowledge score and a positive attitude, and 70% reported above average practice scores.
ConclusionsSmoking rate was high among SUD patients in Qatar, including smokeless tobacco/electronic cigarette use. Tobacco cessation intervention efforts should be recommended as an integral part of its services in outpatient/inpatient treatment programs. Greater investment in training and educational programs for HCWs is needed to discourage smoking and to increase their skills to assist substance users and themselves to quit using tobacco.