40P - A survey on smoking and tobacco control perceptions from physicians and employees working in an Italian cancer center

Date 15 April 2016
Event European Lung Cancer Conference 2016 (ELCC) 2016
Session Poster lunch
Topics Aetiology, Epidemiology, Screening and Prevention
Basic Scientific Principles
Presenter Domenico Galetta
Citation Journal of Thoracic Oncology (2016) 11 (supplement 4): S57-S166. S1556-0864(16)X0004-4
Authors D. Galetta1, A. Catino1, M.E. De Palma2, A. Acito3, R. Lacalamita4, M. Longo5, S. De Summa6, A. Di Lauro7, F. D'Ecclesiis8, F. Giotta1
  • 1Medical Oncology, Istituto Tumori Giovanni Paolo II, 70124 - Bari/IT
  • 2Epidemiology Division, Istituto Tumori Giovanni Paolo II, 70124 - Bari/IT
  • 3Radiology, Istituto Tumori Giovanni Paolo II, 70124 - Bari/IT
  • 4Molecular Genetics Laboratory, Istituto Tumori Giovanni Paolo II, 70124 - Bari/IT
  • 5Health Department, Istituto Tumori Giovanni Paolo II, 70124 - Bari/IT
  • 6Molecular Genetics Laboratory, Istituto Tumori Giovanni Paolo II, 70124 - Bari/IT
  • 7Otorinolaringoiatry Unit, Istituto Tumori Giovanni Paolo II, 70124 - Bari/IT
  • 8Administrative Unit, Istituto Tumori Giovanni Paolo II, 70124 - Bari/IT



The need of counteracting cigarette smoking as well as second-hand smoke (SHS) is increasingly sustained by the data about the causal role of smoking on mortality for several causes not only cancer-related. According to the developing smoke-free policies, in our cancer center a Task Force has been established on a voluntary basis. A survey has been conducted on the health-care workers and the employees with the aim to evaluate the smoking habits, the reasons to quit for ex-smokers, the tobacco control and SHS awareness.


In October 2014 an anonymous questionnaire was distributed to 458 subjects; 217 (47.4%) returned the self-completed form.


The mean age of respondents was 48 years with a prevalence for women (126/217:60%). Never smokers (NS) were 55%, while ex-smokers (ES) 27% and current smokers (CS) 18% of the participants. The higher rate of CS was among younger subjects and for physicians/other workers (nurses, technical role) with prevalence of women (24/39:62%). NS showed a higher awareness of the SHS-related risk, irrespectively of age, sex and professional role. Among CS, 23/39 subjects (59%) smoke during the working hours, while 15/39 (38%) share the working space with 2 or more NS. 22/39(56%) CS said they would quit smoking and 45% of them without any help; only 45% of CS have been previously encouraged to quit by health-care workers. Among ES, 52/59 (88%) quitted by themselves; concerning the reasons, 24% reported the need to be free from a slavery, 22% did not like smoking anymore and 18% for health prevention. Among NS and ES, 33% (59/178) were exposed to SHS.


Despite the increasing worldwide awareness of smoking-related risks, still a significant proportion of subjects working in our cancer center are current smokers and mainly among the healthcare roles. Our results highlight the strong belief of the role played by Health Care Institutions about Tobacco control policies, considering the large number of the subjects in this survey that quitted smoking by themselves and without receiving any formal institutional advice. Finally, the information about Smoking cessation programs and the protection of non-smokers from SHS exposure represent an unmet need, also in countries with Anti-smoking Law as Italy.

Clinical trial identification

Legal entity responsible for the study

Domenico Galetta




All authors have declared no conflicts of interest.