Bangladeshi Physicians' Knowledge, Attitude and Perception of Nicotine Replacement Therapy

Abstract

Background: Smoking is a major public health concern worldwide, with significant morbidity and mortality. Nicotine Replacement Therapy (NRT) is an effective intervention for smoking cessation. However, in Bangladesh, the adoption of NRT has been limited, partly due to insufficient knowledge and varying attitudes among healthcare providers. This study aims to assess the knowledge, attitudes, and perceptions of Bangladeshi physicians regarding NRT. Methodology: A cross-sectional survey was conducted among 59 physicians in Bangladesh using a structured questionnaire. The survey evaluated demographic information, knowledge of NRT products, attitudes and perceptions towards NRT as a smoking cessation tool. Data were analyzed using descriptive statistics to summarize responses. Results: The majority of respondents were male (71.2%) and aged 31-40 years (67.8%). Most had practiced for 5-10 years (88.1%) and held advanced qualifications (MBBS + MD/MS: 79.7%). The average knowledge score was found to be 7.59 out of 15 (50.6%), indicating a moderate level of knowledge regarding NRT among the surveyed physicians. Support for NRT as a first-line treatment was high (77.9%), and 84.7% perceived NRT as safer than smoking. However, there was uncertainty about societal views on smoking cessation without NRT, with 39% unsure. Implications: This study highlights a strong foundation of knowledge and positive attitudes towards NRT among Bangladeshi physicians, yet underscores the need for further education to address specific knowledge gaps and uncertainties. Furthermore, ensuring the availability of NRT in Bangladesh is crucial for supporting these efforts.