Attitudes towards anti-smoking legislation and prevalence of tobacco consumption in Spanish primary healthcare personnel
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Unidad Especializada de Tabaquismo del Área Sanitaria IV del Principado de Asturias, Spain
Centro Salud de Serreria 2 (Valencia), Spain
Centro Salud La Jota, (Zaragoza), Spain
Centro Salud Rodríguez Arias-San Fernando (Cádiz), Spain
Centro Salud Perales del Río (Getafe-Madrid), Spain
Centro Salud de Alcásser (Valencia), Spain
Centro Salud Robleda (Salamanca), Spain
Centro Salud de Delicias Sur (Zaragoza), Spain
Fundación de Atención Primaria de la CAMFiC, Spain
Centro Salud de Arnedo (La Rioja), Spain
Centro Salud Valdepasillas (Badajoz), Spain
Centro de salud Parte Vieja San Sebastián, Spain
Centro Salud de Tolosa, Tolosa (Gipuzkoa), Spain
Centro Salud Mendillorri. Pamplona (Navarra), Spain
Centro Salud de Hellin (Albacete), Spain
Centro Salud Redondela, Redondela (Pontevedra), Spain
Centro Salud de Coll d’en Rabassa (Palma de Mallorca), Spain
Centro Salud Infanta Mercedes (Madrid), Spain
Centro Salud de Vargas (Udesta), Santander, Spain
Centro de Salud Alfaro, (La Rioja), Spain
Centro Salud de Barranco Grande (Tenerife), Spain
Subdirección General de Planificación, Cuidados y Cronicidad del Sistema Murciano de Salud, Murcia, Spain
Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Spain
Carlos Martin-Cantera   

Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Spain
Publish date: 2019-03-04
Submission date: 2018-11-08
Final revision date: 2019-01-24
Acceptance date: 2019-02-15
Tob. Prev. Cessation 2019;5(March):9
Our aim was to ascertain how the anti-smoking legislation of 2005/2010 has affected the behavior of primary healthcare center (PHC) personnel (medical and nonmedical) with respect to their attitudes towards tobacco, its consumption and the legislative changes.

The sample consisted of 2040 PHC employees (1578 women, 77.4%). Never smokers, ex-smokers, and smokers represented 46.7%, 37.8%, and 15.5% of the sample, respectively. Tobacco prevalence amongst physicians and nurses was 12.3%. Following the introduction of the antismoking legislation, a decrease in consumption was observed. Most of the participants considered that tobacco consumption affected health, was an addictive illness, and passive smoking had an impact on the health of non-smokers. Whilst 91.6% agreed with the current legislation, only 25% felt that it encouraged cessation.

The sample was made up of 2040 PHC employees (1578 women; 77.4%). Never smokers, ex-smokers, and smokers represented 46.7%, 37.8%, and 15.5%, respectively. Tobacco prevalence amongst physicians and nurses was 12.3%. Following the introduction of the anti-smoking legislation a decrease in consumption was observed. Most of the participants considered that tobacco affected health, was an addictive illness, and passive smoking had an impact on the health of non-smokers. Whilst 91.6% agreed with the current legislation, only 25% felt that it encouraged cessation.

Spanish primary healthcare professionals have a relatively low prevalence of smoking compared to the general population. It is necessary to implement more legislative measures to improve and maintain this outcome.

We thank all our colleagues from the Spanish Primary Healthcare Centers for their collaboration in our study.
The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
There was no source of funding for this research.
Not commissioned; externally peer reviewed.
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