Healthcare Provider Beliefs on Knowledge, Attitudes, and Clinic-based Practices Regarding Traditional and Emerging Diverse Tobacco Products and Marijuana: A Qualitative Study of Primary Care Healthcare Providers in Georgia 公开

Bascombe, Ta Misha Symone' (2015)

Permanent URL: https://etd.library.emory.edu/concern/etds/bk128b302?locale=zh
Published

Abstract

This qualitative study explored beliefs on knowledge, attitudes, and clinic-based practices regarding traditional and emerging diverse tobacco products and marijuana among rural and urban Georgia healthcare providers in the primary care setting. These tobacco products included cigars and cigar-like products, smokeless tobacco, hookah, and electronic cigarettes. Cigarette smoking contributes to thousands of deaths every year in the United States, but their use has been steadily declining over that few decades. However, there has been a significant rise in the purchasing and using of emerging tobacco products and marijuana. There have been very few studies done on the knowledge and attitudes of healthcare providers regarding alternative tobacco products, marijuana, and their use. Examining knowledge and perceptions about these emerging tobacco products from healthcare providers is the first step in addressing the impact of these newly integrated products socially, economically, and medically. This study was composed of 20 semi-structured interviews with healthcare providers in primary care settings located in urban and suburban Atlanta and southern Georgia. The Health Belief Model and Clinician-Patient Communication Framework provided basis for developing questions, thematic analysis, and the public health implications of emerging tobacco products and assessing their use and effects in the primary care setting. Results showed that there is not only a lack of knowledge about these products, but some believe that some of these products can be used in cessation efforts towards cigarette smoking. In addition, providers do not ask specific questions about tobacco products used and many times are not addressing their use during clinic visits; however, there is a definite need for additional research on emerging tobacco products to give the providers the tools to give sound advice for their patients. Overall, this study and its findings will inform future research into emerging tobacco products and marijuana, their health effects, and the implications for the healthcare community.

Table of Contents

Acknowledgements vi
Chapter I: Introduction 1


Problem Definition & Justification 1
Theoretical Framework 4
Purpose and Research Questions 7


Chapter II: Review of the Literature 8


Introduction 8
Effects of Various Tobacco Products 8
Tobacco Users and Non-Users' Attitudes Toward Tobacco Products 11
Healthcare providers' attitudes toward tobacco products 12
Conclusion 13


Chapter III: Methodology 15


Introduction and Research Design 15
Participants and Sampling 15
Data Collection and Measures 16
Data Analysis 18


Chapter IV: Results 19


Study Participants 19
Knowledge and Attitudes 19


Cigars and Cigarillos 19
Smokeless Tobacco 21
Hookah 23
Electronic Cigarettes 24
Marijuana 26


Clinic Based Practices 28
Perceived Areas for Needed Research and Information 30


Chapter V: Discussion 32


Knowledge and Attitudes 32
Clinic-based Practices 33
Perceived Needed Research 34
Strengths and Limitations 35
Public Health Implications and Recommendations 36
Conclusions 37


References 38
Appendix A: Semi-Structured Interview Guide 41

Appendix B: Informed Consent 43

Appendix C: Recruitment Email Template 44

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