Identification du statut tabagique et conseil minimal par les médecins généralistes de Nouméa et Grand Nouméa Identification of smoking status and minimal advice by general practitioners in Noumea and Grand Noumea

Smoking, major provider of morbidity and premature mortality and preventable, not sparing of New Caledonia. Since 2003, smoking prevalence has increased from 42% in 2003 to 45% in 2008. The population of users grows, rejuvenates and becomes feminized. The tobacco also puts a major problem on public health in New - Caledonia. The general practitioners (GP) by her primary care situation is a major actors who are responsibility to take part of the management of smoking. This is one of the tools of prevention, easy and effective, and remains a minimal tobacco advice according to the Good Practice Recommendations. Our thesis of general medicine, summarized in this article was conducted with 38 GPs volunteers in Noumea - Grand Noumea. The results show that 42% of GPs routinely address the tobacco questions to their patients. 76% of them say they ask if they want to quit smoking, and 78% report advising the stop smoking. 34% of GPs say they use the full minimal advice, as defined by the Consensus Conference of 1998. These results has mainly highlighted the lack of training. Training of GPs in tobacco control to promote the minimal tobacco advice, to upgrade and to recognize their performance in a dynamic comprehension on prevention of public health in a country where barely Tobacco Control is necessary, seems easy to implement, with the aim of obtaining a inflexion of the number of active smokers.