Smoking cessation service in the pharmacy setting - attitudes of pharmacy students, pharmacists and the general public

  • Andrijana Milošević Georgiev University of Belgrade – Faculty of Pharmacy, Department of Social Pharmacy and Pharmaceutical Legislation
  • Dragiša Obradović University of Belgrade – Faculty of Pharmacy, Department of Social Pharmacy and Pharmaceutical Legislation
  • Dušanka Krajnović University of Belgrade – Faculty of Pharmacy, Department of Social Pharmacy and Pharmaceutical Legislation
Keywords: smoking cessation, pharmacy services, attitudes, health

Abstract


Smoking is a global public health problem, and control measures should be implemented in the community so as to reduce the number of smoking-related diseases and healthcare costs. Community pharmacies are ideal places for providing tobacco cessation counselling as a type of public health service, because they are the most accessible health facilities with direct contact with patients. We aimed to examine attitudes towards the implementation of such services, conducting surveys on a sample of pharmacy students (N=300), community pharmacists (N=383) and the general public (N=987) in the Republic of Serbia. The introduction of smoking cessation services at pharmacies was supported by pharmacy students (59.7%), pharmacists (49.2%), and the general public (36.7%). No difference was found between pharmacists` attitudes in terms of their gender, age, level of education and years of experience. We found evidence that pharmacists as public health practitioners were recognized mostly by students (94.3%). The majority of them (86.3%) recognized the need for additional education in order to implement new services, and every third pharmacist recognized a gap in their education. The data indicate the need for directed research in order to explore the educational needs and competences for practicing pharmacists and enable them to perform services such as smoking cessation in the future.

References

1.         World Health Organization. Report on the Global Tobacco Epidemic: Addressing new and emerging products. Geneva, 2021.

2.         Carson-Chahhoud KV, Livingstone-Banks J, Sharrad KJ, Kopsaftis Z, Brinn MP, To-A-Nan R, Bond CM. Community pharmacy personnel interventions for smoking cessation. Cochrane Database Syst Rev. 2019;2019(10):CD003698.

3.         World Health Organization. A global brief on hypertension-Silent killer, global public health crisis. Geneva, 2013.

4.         Kaczmarek M, Stawinska-Witoszynska B, Krzyzaniak A, Krzywinska-Wiewiorowska M, Siwinska A. Who is at higher risk of hypertension? Socioeconomic status differences in blood pressure among Polish adolescents: a population-based ADOPOLNOR study. Eur J Pediatr. 2015;174(11):1461-73.

5.         Samadian F, Dalili N, Jamalian A. Lifestyle Modifications to Prevent and Control Hypertension. Iran J Kidney Dis. 2016;10(5):237-63.

6.         Mumtaz B, Chaudhary IA, Arshad M, Samiullah. Comparison of smoking behaviour among medical and other college students in Rawalpindi. J Coll Physicians Surg Pak. 2009;19(1):7-10.

7.         D'Elia L, De Palma D, Rossi G, Strazzullo V, Russo O, Iacone R, et al. Not smoking is associated with lower risk of hypertension: results of the Olivetti Heart Study. Eur J Public Health. 2014;24(2):226-30.

8.         Pfleger DE ML, Diack HL, McCaig DJ, Stewart DC. Developing consensus around the pharmaceutical public health competencies for community pharmacists in Scotland. Pharm World Sci. 2008;30(1):111-9.

9.         World Health Organization. Regional Office for Europe‎. High blood pressure - country experiences and effective interventions utilized across the European Region. Copenhagen: WHO Regional Office for Europe. Geneva, 2013.

10.      Huang N, Duggan K. Lifestyle management of hypertension. Aust Prescr. 2008;31:150-3.

11.      Kusma B, Quarcoo D, Vitzthum K, Welte T, Mache S, Meyer-Falcke A, et al. Berlin's medical students' smoking habits, knowledge about smoking and attitudes toward smoking cessation counseling. J Occup Med Toxicol. 2010;5:9.

12.      Salgado TM, Rosenthal MM, Coe AB, Kaefer TN, Dixon DL, Farris KB. Primary healthcare policy and vision for community pharmacy and pharmacists in the United States. Pharm Pract (Granada). 2020;18(3):2160.

13.      World Health Organization. Report on the Global Tobacco Epidemic, 2015: Raising taxes on tobacco. Geneva, 2015.

14.      Ministarstvo zdravlja Republike Srbije, Institut za javno zdravlje Srbije „Dr Milan Jovanović Batut“. Rezultati istraživanja zdravlja stanovništva Srbije 2019. Beograd: Institut za javno zdravlje "Dr Milan Jovanović Batut"; 2021. 

15.      Strategija javnog zdravlja u Republici Srbiji 2018-2026. Službeni glasnik RS 61/2018.

16.      Zakon o zaštiti stanovništva od izloženosti duvanskom dimu. Službeni glasnik RS 30/2010.

17.      Pharmaceutical Services Negotiating Committee, National Pharmaceutical Association Royal Pharmaceutical Society of Great Britain, PharmacyHealthLink [Internet]. Public Health, a practical guide for community pharmacists [cited 2023 Feb 20]. Available from: https://psnc.org.uk/wp-content/uploads/2013/08/Public_Health_guide.pdf.

18.      Ababneh BF, Ong SC, Mahmoud F, Alsaloumi L, Hussain R. Attitudes, awareness, and perceptions of general public and pharmacists toward the extended community pharmacy services and drive-thru pharmacy services: a systematic review. J Pharm Policy Pract. 2023;16(1):37.

19.      Eades CE, Ferguson JS, O'Carroll RE. Public health in community pharmacy: A systematic review of pharmacist and consumer views. BMC Public Health. 2011;11(1):582.

20.      Saramunee K, Krska J, Mackridge A, Richards J, Suttajit S, Philips-Howard P. General public’s views on pharmacy public health services: current situation and opportunites in the future. Public Health. 2015:129(6):705-715.

21.      Shah B, Rahim H, Yin H, Bhavsar J. Pharmacy students' attitudes toward a required public health course and developing a public health program. Am J Pharm Educ. 2009;73(7):134.

22.      Pfleger DE, McHattie LW, Diack HL, McCaig DJ, Stewart DC. Views, attitudes and self-assessed training needs of Scottish community pharmacists to public health practice and competence. Pharm World Sci. 2008;30(6):801-9.

23.      European Network for Smoking and Tobacco Prevention aisbl (ENSP) [Internet]. Vodič za lečenje duvanske zavisnosti; 2018 [cited 2023 Feb 20]. Available from: http://elearning-ensp.eu/assets/guides/guidelines_2018_serbia.pdf lang="EN-US">.

24.      Strand M, Miller D. Pharmacy and public health: A pathway forward. J Am Pharm Assoc. 2014;54:e220-e4.

25.      World Health Organization. Regional Office for Europe. The legal and regulatory framework for community pharmacies in the WHO European Region. World Health Organization. Regional Office for Europe. Geneva, 2019.

26.      Sakka S, Al-Shatanawi TN, Bataineh DZ, Haddad W, Al Tamimi S, Al Salamat H, et al. Knowledge, attitude, practice and perceived barriers towards smoking cessation services among community pharmacists. Pharm Pract (Granada). 2022;20(1):2637.

27.      Bouchet-Benezech B, Champanet B, Rouzaud P. Smoking cessation at the pharmacy: feasibility and benefits based on a French observational study with six-month follow-up. Subst Abuse Rehabil. 2018;9:31-42.

28.      Grujić J. Stavovi opšte javnosti o uvođenju novih farmaceutskih usluga u apotekama. Završni rad. Beograd, Republika Srbija: Univerzitet u Beogradu – Farmaceutski fakultet; 2018.

29.      Saramunee K, Dewsbury C, Cutler S, Krska J, Mackridge AJ. Public attitudes towards community pharmacy attributes and preferences for methods for promotion of public health services. Public Health. 2016;140:186-195.

Published
2023/06/30
Section
Original scientific paper