TABLE 3.
Multivariable regression of factors associated with knowledge, attitude and counselling practice of HCPs regarding prevention of SHS exposure among pregnant women and children (Assiut, Egypt. 2022).
| Total | Good knowledge | Good supportive attitude | Good counselling practice | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Univariate analysis | Multivariable model a | Univariate analysis | Multivariable model b | Univariate analysis | Multivariable model c | |||||||||||
| N 367 | N (%) 205 (55.86) | OR | 95%CI | Adjusted OR | 95%CI | N (%) 194 (52.9) | OR | 95%CI | Adjusted OR | 95%CI | N (%) 190 (51.8) | OR | 95%CI | Adjusted OR | 95% CI | |
| Gender | ||||||||||||||||
| Male | 118 | 79 (66.9) | 1.98* | 1.25–3.12 | 51 (43.2) | 1.00 | 1.00 | 50 (42.4) | 1.00 | 1.00 | ||||||
| Female | 249 | 126 (50.6) | 1.00 | 143 (57.4) | 1.77* | 1.14–2.74 | 2.02 | 1.27–3.24 | 140 (56.2) | 1.75* | 1.12–2.72 | 1.53 | 1.15–2.63 | |||
| Age | ||||||||||||||||
| <30 | 124 | 84 (67.7) | 1.00 | 67 (54) | 1.00 | 58 (46.8) | 1.00 | |||||||||
| 31–40 | 149 | 72 (48.3) | 0.45* | 0.27–0.73 | 84 (56.4) | 1.11 | 0.68–1.77 | 86 (57.7) | 1.55 | 0.96–2.5 | ||||||
| 41–50 | 67 | 36 (53.7) | 0.55* | 0.30–1.02 | 30 (44.8) | 0.69 | 0.38–1.25 | 35 (52.3) | 1.2 | 0.89–2.25 | ||||||
| 51–60 | 23 | 10 (43.5) | 0.37* | 0.15–0.91 | 12 (52.2) | 0.93 | 0.38–2.26 | 10 (43.5) | 0.88 | 0.36–2.15 | ||||||
| >60 | 4 | 3 (75) | 1.43* | 0.14–14.17 | 1 (25) | 0.28 | 0.03–2.80 | 1 (25) | 0.38 | 0.04–3.75 | ||||||
| Specialty | ||||||||||||||||
| Gyn/obs | 75 | 36 (48) | 1.00 | 1.00 | 42 (56) | 1.00 | 41 (54.7) | 1.00 | ||||||||
| Paediatrician | 59 | 43 (72.9) | 2.9* | 1.36–6.21 | 3.15 | 1.48–6.72 | 26 (44.1) | 0.62 | 0.31–1.23 | 30 (50.9) | 0.86 | 0.43–1.69 | ||||
| GP | 34 | 31 (91.2) | 11.19* | 2.77–45.31 | 15.29 | 4.12–56.86 | 20 (58.8) | 1.12 | 0.49–2.55 | 14 (41.2) | 0.58 | 0.26–1.32 | ||||
| Nurse | 164 | 80 (48.8) | 1.03* | 0.60–1.8 | 1.09 | 0.60–1.99 | 85 (51.8) | 0.85 | 0.48–1.46 | 85 (51.9) | 0.89 | 0.52–1.45 | ||||
| Midwife | 31 | 14 (45.2) | 0.89* | 0.38–2.1 | 1.12 | 0.45–2.79 | 20 (64.5) | 1.43 | 0.60–3.39 | 18 (58.1) | 1.15 | 0.49–2.68 | ||||
| Others | 4 | 1 (25) | 0.36* | 0.034–3.73 | 0.35 | 0.3–3.66 | 1 (25) | 0.26 | 0.02–2.63 | 2 (50) | 0.83 | 0.11–6.2 | ||||
| Current medical practice | ||||||||||||||||
| Rural | 124 | 52 (41.9) | 1.00 | 1.00 | 76 (61.3) | 1.68* | 1.08–2.6 | 1.59 | 1.01–2.49 | 85 (68.6) | 2.86* | 1.82–4.52 | 2.32 | 1.37–3.94 | ||
| Urban | 243 | 153 (62.9) | 2.35* | 1.51–3.69 | 2.53 | 1.53–4.18 | 118 (48.6) | 1.00 | 1.00 | 105 (43.2) | 1.00 | 1.00 | ||||
| Post-graduate experience | ||||||||||||||||
| <5 years | 100 | 67 (67) | 1.00 | 54 (54) | 1.00 | 47 (47) | 1.00 | |||||||||
| 5–10 years | 109 | 72 (66) | 2.71* | 1.65–4.86 | 47 (43.1) | 0.65* | 0.37–1.11 | 51 (46.8) | 0.99 | 0.58–1.7 | ||||||
| >10 years | 158 | 66 (41.7) | 2.83* | 1.61–4.58 | 93 (58.9) | 1.22* | 0.74–2.02 | 92 (58.2) | 1.57 | 0.95–2.6 | ||||||
| Previous training on smoking cessation service | ||||||||||||||||
| Yes | 81 | 42 (51.9) | 1.00 | 49 (60.5) | 1.00 | 59 (72.8) | 3.17* | 1.85–5.46 | 2.79 | 1.5–5.21 | ||||||
| No | 286 | 163 (56.9) | 1.23 | 0.75–2.02 | 145 (50.7) | 0.67 | 0.41–1.1 | 131 (45.8) | 1.00 | 1.00 | ||||||
| Smoking status | ||||||||||||||||
| Never smoker | 312 | 168 (53.9) | 1.00 | 168 (53.9) | 1.00 | 161 (51.6) | 1.00 | |||||||||
| Ex-smoker | 9 | 8 (88.9) | 6.86* | 0.85–55.48 | 4 (44.5) | 0.69 | 0.18–2.6 | 4 (44.4) | 0.75 | 0.18–2.84 | ||||||
| Current smoker | 46 | 29 (63) | 1.46* | 0.77–2.77 | 22 (47.9) | 0.79 | 0.42–1.46 | 25 (54.4) | 1.12 | 0.59–2.08 | ||||||
| SHS exposure at workplace | ||||||||||||||||
| No | 109 | 49 (44.9) | 1.00 | 64 (58.7) | 1.00 | 56 (51.4) | 1.00 | |||||||||
| Yes | 258 | 156 (60.5) | 1.87* | 1.19–2.96 | 130 (50.4) | 0.71 | 0.45–1.2 | 134 (51.9) | 1.02 | 0.65–1.6 | ||||||
| SHS exposure at home | ||||||||||||||||
| No | 177 | 83 (46.9) | 1.00 | 1.00 | 106 (59.9) | 1.73* | 1.14–2.62 | 2.36 | 1.29–3.10 | 109 (61.6) | 1.16* | 1.42–3.28 | 2.29 | 1.37–3.83 | ||
| Yes | 190 | 122 (64.2) | 2.03* | 1.33–3.11 | 2.36 | 1.48–3.78 | 88 (46.3) | 1.00 | 1.00 | 81 (42.6) | 1.00 | 1.00 | ||||
| Knowledge | ||||||||||||||||
| Inadequate | 162 | 97 (59.8) | 1.00 | |||||||||||||
| Good | 205 | 93 (45.4) | 0.95 | 0.53–1.68 | ||||||||||||
| Supportive attitude | ||||||||||||||||
| Inadequate | 173 | 51 (29.5) | 1.00 | 1.00 | ||||||||||||
| Good | 194 | 139 (71.7) | 6.05* | 3.85–9.50 | 5.49 | 3.38–8.90 | ||||||||||
Bold values or * are when p value of likelihood ratio test is significant; p value ≤0.05.
a
Multivariable model adjusted for speciality, current medical practice, and SHS exposure at home.
b
Multivariable model adjusted for gender, current medical practice, and SHS exposure at home.
c
Multivariable model adjusted for gender, current medical practice, previous training on smoking cessation service, SHS exposure at home, knowledge, and supportive attitude.