The historical decline of tobacco smoking among Australian physicians: 1964-1997

Background: Physicians occupy an important position as tobacco control exemplars and their own smoking habits are known to influence how effective they may be in such a role. Methods: A comprehensive review of all published manuscripts describing tobacco usage rates and tobacco control activities in the Australian medical profession between 1964 and 1997. Results: Some of the earliest surveys revealed that around one-quarter of Australian physicians were smoking in the mid twentieth century, a rate which rapidly declined in the 1970s and 1980s,with reductions beyond that achieved by the general population. Conclusion: Overall, our review suggests that not only do contemporary Australian physicians smoke at very low rates when compared internationally, but that an active professional community can also make a real difference to the lifestyle choices of its own members.