Age and Ageing, Vol 29, 264-266, Copyright © 2000 by British Geriatrics Society
C Maguire, J Ryan, A Kelly, D O'Neill, D Coakley and J Walsh
Objective. To determine whether the age and medical
condition of a patient influences hospital-based doctors' decision making
when advising patients to stop smoking cigarettes.Method.
We presented 142 doctors from four grades (consultant,
registrar, senior house officer and house officer) and four specialities
(medicine, surgery, psychiatry and anaesthetics), based in a Dublin
teaching hospital, with 20 clinical vignettes. Each vignette described a
patient from one of five age groups with one of four levels of health. The
vignettes were randomly mixed. We asked doctors to say whether they would
advise the patient in each case to quit smoking.Results.
Hospital-based doctors are significantly less likely to advise
patients aged over 65 years than younger patients of the hazards of
cigarette smoking, irrespective of the person's physical or mental health
(P<0.001).Conclusion. The
advice given to patients about their cigarette smoking habits by hospital
doctors is strongly influenced not only by the patient's health, but also
by the patient's chronological age.Keywords: age,
elderly, smoking
ARTICLES
Short report. Do patient age and medical condition influence medical advice to stop smoking?
Mercer's Institute for Research on Ageing, St James's Hospital, James's Street, Dublin 8, Ireland, UK; Department of Community Health and Statistics, University of Dublin, Trinity College, Dublin, Ireland, UK; Corresponding author address: Department of Care of the Elderly, Frenchay Day Hospital, Bristol BS16 1LE, UK; E-mail: Conor.maguire@ukgateway.net
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