• Mary Jane Ashley, Joan M Brewster, and J Charles Victor.
• Ontario Tobacco Research Unit, Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada. jane.ashley@utoronto.ca
• J Am Pharm Assoc (2003). 2006 Nov 1; 46 (6): 729-37.

ObjectiveTo assess factors associated with pharmacists' practices regarding patients' smoking and smoking cessation.DesignCross-sectional analysis.SettingFour Canadian provinces (Ontario, Québec, Saskatchewan, Prince Edward Island).ParticipantsPracticing community pharmacists (n = 906; weighted n = 897).InterventionPopulation-based mailed questionnaire survey with 72% response rate.Main Outcome MeasuresBivariate and multivariate relationships between 12 clinical interventions regarding smoking and smoking cessation and 7 domains: basic pharmacologic knowledge; applied health science knowledge and skills; positive, negative and economic-related attitudes toward smoking cessation; perceptions of pharmacists' roles with patients who smoke: assessing and motivating patients; assisting, referring and following up.ResultsBasic pharmacologic knowledge and applied health science knowledge and skills were independently related to 12 and 10 interventions, respectively. Positive attitudes toward smoking cessation were independently related to 8 interventions. Negative attitudes and economic-related attitudes toward smoking cessation were each independently related to only 1 intervention. Perceptions of pharmacists' roles with respect to "assessing and motivating patients," and "assisting, referring, and following up" were independently related to 8 and 3 interventions, respectively.ConclusionInitiatives to increase tobacco-related knowledge and skills and enhance positive attitudes and role perceptions with respect to smoking and smoking cessation may promote interventions by community pharmacists with patients who smoke.

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