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Smoking among healthcare workers: prevalence, knowledge and attitudes

H. Ziedi, N. Chaouch, S. Kamoun, S. Mihoub, S. Bey, G. Amri, R. Ghachem, N. Mechergui

European psychiatry, 2026

Abstract

Introduction Smoking remains a significant public health concern, particularly among healthcare workers, who are expected to promote health and wellbeing. The prevalence of smoking among healthcare professionals, their knowledge of smoking-related risks, and their attitudes towards smoking cessation in hospital settings are crucial factors in understanding the broader implications of tobacco use in healthcare environments. Objectives The aim of this study was to assess the prevalence of smoking among healthcare workers at Habib Thameur Hospital in Tunis, examine their knowledge about the dangers of smoking, and evaluate their attitudes towards smoking-related policies and smoking cessation efforts within the hospital. Methods This is a descriptive cross-sectional study conducted at Habib Thameur Hospital in Tunis in july 2025 involving all healthcare personnel. Data were collected using a pre-established questionnaire including socio-professional data, data on smoking behaviour and an assessment of nicotine dependence. Results We surveyed 111 healthcare staff with a mean age of 41.5±11.4 years, and a female predominance of 71.2%. The most represented professional category was paramedical staff (61.8%). Regarding knowledge about smoking, 47.7% believed that cigarette smoke poses the same danger to smokers and non-smokers, and 41.8% were unaware of the availability of smoking cessation consultation at the hospital. Half of those interviewed believed that a designated smoking…

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