Awareness of the Saudi population regarding the effects of smoking on fracture healing.

IF 1.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Induced Diseases Pub Date : 2025-08-21 eCollection Date: 2025-01-01 DOI:10.18332/tid/207130

Hamza M Alrabai, Abdulmalik Alduraibi, Abdulaziz Alrabiah, Saad Al Ghadir, Khalid Alghamdi, Khalid Alhamdi, Abdulaziz Bahammam, Waleed Albishi

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引用次数: 0

Abstract

Introduction: Smoking tobacco negatively affects fracture healing, increasing the risk of delayed union, malunion, and nonunion, as well as healthcare expenses. Although smoking is common in Saudi Arabia, the literature on public awareness of the negative impact of smoking on fractures is limited. Our study aimed to address this gap and assess the population's knowledge on the effects of smoking on fracture healing.

Methods: An analytical cross-sectional study, involving 1033 Saudi adults, was conducted between June and September 2024 in Saudi Arabia. A validated and reliable self-created Smoking and Fracture Knowledge Assessment tool (SFKAT) was used in an online questionnaire to collect the participants' responses. Participants were categorized into good- or poor-knowledge groups based on the median SFKAT score. Binary logistic regression was used to adjust for confounding variables.

Results: The participants included 54.4% men. The median age of the participants was 39 years and 24.1% of them were smokers. Most smokers were men (87%). The median SFKAT score was 16 (interquartile range, IQR=12-19) and 53% of the respondents demonstrated good knowledge on the effects of smoking on fracture healing. The likelihood of good-knowledge scoring was considerably lower for men than women (adjusted odds ratio, AOR=0.48: 95% CI: 0.36-0.65; p<0.001). Healthcare workers were more likely to have a good-knowledge scoring (AOR=2.78; 95% CI: 1.90-4.08; p<0.001). Smokers had lower odds of having a good-knowledge scoring (AOR=0.54; 95% CI: 0.38-0.75; p<0.001).

Conclusions: The awareness of the detrimental effects of smoking on fracture healing is suboptimal, particularly among men and smokers. Sex, healthcare work, and smoking were significantly associated with knowledge levels after adjusting for confounders. These findings may encourage educational strategies and direct counseling for populations with an observed knowledge gap to help lower the burden and treatment costs.

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沙特人口对吸烟对骨折愈合影响的认识。

吸烟对骨折愈合有负面影响，增加延迟愈合、不愈合和不愈合的风险，以及医疗费用。虽然吸烟在沙特阿拉伯很常见，但关于吸烟对骨折负面影响的公众意识的文献是有限的。我们的研究旨在解决这一差距，并评估人们对吸烟对骨折愈合影响的认识。方法：2024年6月至9月在沙特阿拉伯进行了一项分析性横断面研究，涉及1033名沙特成年人。一个经过验证和可靠的自行创建的吸烟和骨折知识评估工具（SFKAT）被用于在线问卷收集参与者的回答。参与者根据SFKAT的中位数得分被分为知识好的和知识差的两组。采用二元逻辑回归对混杂变量进行校正。结果：参与者中男性占54.4%。参与者的中位年龄为39岁，其中24.1%是吸烟者。大多数吸烟者是男性（87%）。SFKAT评分中位数为16分（四分位范围，IQR=12-19）， 53%的受访者对吸烟对骨折愈合的影响有良好的了解。男性获得良好知识评分的可能性明显低于女性（调整后的优势比，AOR=0.48; 95% CI: 0.36-0.65）结论：吸烟对骨折愈合有害影响的认识不够理想，尤其是在男性和吸烟者中。在调整混杂因素后，性、保健工作和吸烟与知识水平显著相关。这些发现可能会鼓励教育策略和对观察到的知识差距人群的直接咨询，以帮助减轻负担和治疗费用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.