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June 17, 1983, Vol 249, No. 23 >
ARTICLE | June 17, 1983

Why Not Share the Secrets of Good Health?: Title and subTitle BreakThe Physician's Role in Health Promotion FREE

S. Edwards Dismuke, MD, MSPH; Stephen T. Miller, MD
[+] Author Affiliations

Reprint requests to Departments of Medicine and Community Medicine, University of Tennessee Center for the Health Sciences, 66 N Pauline, Suite 232, Memphis, TN 38163 (Dr Dismuke).


JAMA. 1983;249(23):3181-3183. doi:10.1001/jama.1983.03330470021024
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References

MOST physicians enjoy good health.1 In the United States, the age-standardized death rate for white male physicians is 75% of that for all white men.2 Female physicians have a death rate that is 84% of average. In the past few decades, mortality rates for physicians have declined faster than the rate for the population at large. In England and Wales, physicians had only average mortality rates until 1950. Over the next 20 years, however, their death rates fell steadily when compared with those of the general population.3

Avoidance of cigarettes is a major factor in physicians' good health. In the United States, only 21% of male physicians smoke, compared with the national average of 39%. Sixty-four percent of physicians who formerly smoked have quit.4 Studies of British physicians have indicated that the primary factor responsible for their lowered mortality was their success in giving up cigarette

REFERENCES

1 +
Williams SV, Munford RS, Colton T, et al:  Mortality among physicians: A cohort study . J Chronic Dis 1971;;24:393-401.
2 +
Goodman LJ:  The longevity and mortality of American physicians, 1969-73 . Milbank Mem Fund Q 1975;;53:353-375.
3 +
Doll R, Peto R:  Mortality in relation to smoking Twenty years' observation on male British doctors . Br Med J 1976;;2:1525-1536.
4 +
National Clearinghouse for Smoking and Health: A Survey of Physicians, Dentists, Nurses, Pharmacists: Their Behavior and Attitudes Concerning Tobacco . US Dept of Health, Education, and Welfare, 1977;.
5 +
Doll R, Peto R:  Mortality among doctors in different occupations . Br Med J 1977;;1:1433-1436.
6 +
McCracken BE:  Partnerships for the future in preventive health care (turn around, look at us) . J Fla Med Assoc 1980;;67:817-825.
7 +
Wyshak G, Lamb GA, Lawrence RS, et al:  A profile of the health-promoting behaviors of physicians and lawyers . N Engl J Med 1980;;303:104-107.
8 +
Goldfinger S:  Personal health practices: How do you compare to the Harvard Medical School Faculty ? Harvard Med School Health Lett 1982;;7( (9) ):1-6.
9 +
Dismuke SE, McClary AM:  Faculty and housestaff health behavior and attitudes: Implications for a preventive cardiology program , abstracted. Clin Res 1982;;30:918.
10 +
Coe RM, Miller DK, Wolff M, et al:  Attitudes and health promoting behavior of medical and law students . Am J Public Health 1982;; 72:725-727.
11 +
Coe RM, Cohen JD:  Cigarette smoking among medical students . Am J Public Health 1980;;70:169-171.
12 +
Dismuke SE, Cleghorn D, McClary A, et al:  An educational program in preventive cardiology , abstracted. Clin Res 1981;;29:826.
13 +
A Survey Concerning Smoking, Health Check-ups, Cancer Detection Tests . New York, American Cancer Society, 1977;.
14 +
Mason WB, Bedwell CL, Vander Zwaag R, et al:  Why people are hospitalized: A description of preventable factors leading to admission for medical illness . Med Care 1980;;18:147-163.
15 +
Oppenheim M: `Healers.' N Engl J Med 1980;;303:1117-1120.
16 +
1980-81 AAMC Curriculum Directory . Washington, DC, Association of American Medical Colleges, 1980;.
17 +
Cardullo AC:  Nutrition education in the medical curriculum . J Med Educ 1982;;57:372-375.
18 +
Sapira JD:  Reassurance therapy . Ann Intern Med 1972;;77:603-604.
19 +
Spitzer WO:  Report of the Task Force on the Periodic Health Examination . Can Med Assoc J 1979;;121:1193-1254.
20 +
 American College of Physicians Medical Practice Committee: Periodic health examination: A guide for designing individualized preventive health care in the asymptomatic patient . Ann Intern Med 1981;;95:729-732.
21 +
Healthy People: The Surgeon General's Report on Health Promotion and Disease Prevention , publication 79-55071. US Dept of Health, Education, and Welfare, 1979;.
22 +
Cunningham RM: Wellness at Work: An Inquiry Book . Chicago, Blue Cross Association, 1982;.
23 +
Cardiovascular Primer for the Workplace , publication 81-2210. US Dept of Health and Human Services, 1981;.
24 +
Russell MA, Wilson C, Taylor C, et al:  Effect of general practitioners' advice against smoking . Br Med J 1979;;2:231-235.
25 +
Hjermann I, Holme I, Velve BK, et al:  Effect of diet and smoking intervention on the incidence of coronary heart disease . Lancet 1981;; 2:1303-1313.
26 +
 Multiple Risk Factor Intervention Trial Research Group: Multiple Risk Factor Intervention Trial: Risk factor changes and mortality results . JAMA 1982;;246:1465-1477.
27 +
Haggerty RJ:  The boundaries of health care . Pharos 1972;;35:106-111.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Williams SV, Munford RS, Colton T, et al:  Mortality among physicians: A cohort study . J Chronic Dis 1971;;24:393-401.
2 +
Goodman LJ:  The longevity and mortality of American physicians, 1969-73 . Milbank Mem Fund Q 1975;;53:353-375.
3 +
Doll R, Peto R:  Mortality in relation to smoking Twenty years' observation on male British doctors . Br Med J 1976;;2:1525-1536.
4 +
National Clearinghouse for Smoking and Health: A Survey of Physicians, Dentists, Nurses, Pharmacists: Their Behavior and Attitudes Concerning Tobacco . US Dept of Health, Education, and Welfare, 1977;.
5 +
Doll R, Peto R:  Mortality among doctors in different occupations . Br Med J 1977;;1:1433-1436.
6 +
McCracken BE:  Partnerships for the future in preventive health care (turn around, look at us) . J Fla Med Assoc 1980;;67:817-825.
7 +
Wyshak G, Lamb GA, Lawrence RS, et al:  A profile of the health-promoting behaviors of physicians and lawyers . N Engl J Med 1980;;303:104-107.
8 +
Goldfinger S:  Personal health practices: How do you compare to the Harvard Medical School Faculty ? Harvard Med School Health Lett 1982;;7( (9) ):1-6.
9 +
Dismuke SE, McClary AM:  Faculty and housestaff health behavior and attitudes: Implications for a preventive cardiology program , abstracted. Clin Res 1982;;30:918.
10 +
Coe RM, Miller DK, Wolff M, et al:  Attitudes and health promoting behavior of medical and law students . Am J Public Health 1982;; 72:725-727.
11 +
Coe RM, Cohen JD:  Cigarette smoking among medical students . Am J Public Health 1980;;70:169-171.
12 +
Dismuke SE, Cleghorn D, McClary A, et al:  An educational program in preventive cardiology , abstracted. Clin Res 1981;;29:826.
13 +
A Survey Concerning Smoking, Health Check-ups, Cancer Detection Tests . New York, American Cancer Society, 1977;.
14 +
Mason WB, Bedwell CL, Vander Zwaag R, et al:  Why people are hospitalized: A description of preventable factors leading to admission for medical illness . Med Care 1980;;18:147-163.
15 +
Oppenheim M: `Healers.' N Engl J Med 1980;;303:1117-1120.
16 +
1980-81 AAMC Curriculum Directory . Washington, DC, Association of American Medical Colleges, 1980;.
17 +
Cardullo AC:  Nutrition education in the medical curriculum . J Med Educ 1982;;57:372-375.
18 +
Sapira JD:  Reassurance therapy . Ann Intern Med 1972;;77:603-604.
19 +
Spitzer WO:  Report of the Task Force on the Periodic Health Examination . Can Med Assoc J 1979;;121:1193-1254.
20 +
 American College of Physicians Medical Practice Committee: Periodic health examination: A guide for designing individualized preventive health care in the asymptomatic patient . Ann Intern Med 1981;;95:729-732.
21 +
Healthy People: The Surgeon General's Report on Health Promotion and Disease Prevention , publication 79-55071. US Dept of Health, Education, and Welfare, 1979;.
22 +
Cunningham RM: Wellness at Work: An Inquiry Book . Chicago, Blue Cross Association, 1982;.
23 +
Cardiovascular Primer for the Workplace , publication 81-2210. US Dept of Health and Human Services, 1981;.
24 +
Russell MA, Wilson C, Taylor C, et al:  Effect of general practitioners' advice against smoking . Br Med J 1979;;2:231-235.
25 +
Hjermann I, Holme I, Velve BK, et al:  Effect of diet and smoking intervention on the incidence of coronary heart disease . Lancet 1981;; 2:1303-1313.
26 +
 Multiple Risk Factor Intervention Trial Research Group: Multiple Risk Factor Intervention Trial: Risk factor changes and mortality results . JAMA 1982;;246:1465-1477.
27 +
Haggerty RJ:  The boundaries of health care . Pharos 1972;;35:106-111.

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