Survey: 96% of Optometrists Assess Smoking Status - Report - MDSpire

Survey: 96% of Optometrists Assess Smoking Status

  • By

  • Julie Greenbaum

  • March 16, 2026

  • 5 min

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Clinical Report: Survey of Optometrists on Smoking Status Assessment

Overview

A recent survey revealed that 96% of optometrists in Wales assess patients' smoking status during eye examinations, aligning with new national regulations. The study highlights the high confidence among clinicians in discussing smoking-related issues, although barriers such as patient reluctance and limited consultation time persist.

Background

Assessing smoking status is crucial in eye care due to the significant association between tobacco use and various eye diseases, including age-related macular degeneration. The introduction of national regulations mandating smoking status inquiries aims to enhance patient care and promote smoking cessation. Understanding optometrists' practices in this area can inform future training and policy development.

Data Highlights

FindingPercentage
Optometrists assessing smoking status96%
Advising on smoking and eye health78%
Assessing motivation to quit56%
Providing cessation resources44%
Referring to GP4%

Key Findings

  • 96% of optometrists aim to identify smoking status during eye examinations.
  • 78% advise patients on the link between smoking and eye health.
  • Only 4% frequently refer patients to a general practitioner for smoking cessation.
  • 60% report patient reluctance as a barrier to discussing smoking behaviors.
  • 83% feel adequately trained to advise on smoking cessation.

Clinical Implications

Optometrists play a vital role in identifying smoking status and providing cessation advice, which can significantly impact patient health outcomes. Addressing barriers such as patient reluctance and consultation time may enhance the effectiveness of smoking cessation discussions in optometric practice.

Conclusion

The high rate of smoking status assessment among optometrists in Wales marks a positive shift in practice, although challenges remain. Continued training and support are essential to optimize smoking cessation efforts in eye care.

References

  1. BMC Psychiatry, Springer, 2026 -- Psychiatrists' Perspectives, Confidence, and Engagement in Offering Smoking Cessation Assistance to Individuals with Severe Mental Illness
  2. Understanding Smoking Awareness, Attitudes, Practices, and Contributing Factors Among Male Surgeons in China
  3. Drugs - Real World Outcomes, 2018 -- Patient Awareness of Neuropsychiatric Risks Linked to Branded Bupropion Hydrochloride for Smoking Cessation
  4. NICE Guidance, 2025 -- Treating tobacco dependence | Tobacco: preventing uptake, promoting quitting and treating dependence
  5. Contact Lens Spectrum — Dry Eye Dx and Tx
  6. Wales General Ophthalmic Services Manual Changes Summary
  7. Risk factors for age-related macular degeneration: Updated systematic review and meta-analysis
  8. Treating tobacco dependence | Tobacco: preventing uptake, promoting quitting and treating dependence | Guidance | NICE

Original Source(s)

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