Attitudes and Behaviors Regarding Smoking in Friends and Relatives of Patients in Emergency Room: A New Frontier in the Fight against Tobacco

Document Type : Original Article

Authors

1 Department of Emergency Medicine, Gazi State Hospital, Samsun, Turkey

2 Department of Family Medicine, School of Medicine, Ondokuz Mayis University, Samsun, Turkey

3 Department of Family Medicine, Samsun Education and Research Hospital, Samsun, Turkey

4 Department of Emergency Medicine, Giresun University Prof. Dr. A. Ilhan Ozdemir Education and Research Hospital, Giresun, Turkey

5 Department of Family Medicine, Giresun University Prof. Dr. A. Ilhan Ozdemir Education and Research Hospital, Giresun, Turkey

6 Department of Family Medicine, School of Medicine, Ahi Evran University, Kirsehir, Turkey

7 Gokberk Family Healthcare Center, Samsun Provincial Health Directorate, Samsun, Turkey

8 Department of Family Medicine, School of Medicine, Hacettepe University, Ankara, Turkey

10.22122/ahj.2022.91849

Abstract

Background: Emergency rooms (ERs) are usually crowded with friends and relatives (F&Rs) of the patients. 
This experience may result in changes in smoking behaviors and create opportunities for smoking cessation 
interventions. The study aims to investigate these changes and offers a new frontier in the fight against 
smoking.

Methods: This cross-sectional study was conducted in the ERs of two universities in different cities. A 
questionnaire consisting of 18 questions was applied to F&Rs of the emergency patients. Statistical analysis 
was performed using Jamovi program.

Findings: A total of 603 respondents were included in the study. Of them, 71.3% were first-degree relatives, 
51.7% waited 5 or more times in ER before, and 68.6% spent 0-2 hours in a day around the ER. Upon 
witnessing patients in the ERs, 53.4% of the F&Rs had the idea of quitting smoking and 42.9% wanted to 
have smoking cessation therapy during their wait in the hospital. While 76.1% of the participants were not 
using different brands of cigarettes when offered in normal life, this rate was lower around the ERs (64.6%) 
(P < 0.001). Participants smoked 0.82 ± 0.34 cigarette per hour in normal life excluding sleeping time; this 
number raised almost 6 folds during the wait (4.85 ± 2.11) (P < 0.001).

Conclusion: F&Rs smoked more during waiting around ERs. However, they also expressed desire to quit 
smoking and receive smoking cessation intervention during the wait. Providing smoking cessation 
counseling to F&Rs in the ER may be a valuable intervention.

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