Background:
Despite the reduction of consumer disposable income due to the economic crisis which negatively affected tobacco (Euromonitor, 2012), the proportion of smokers in Greece is still the highest among all European Countries (42.0%). This percentage is even high in medical students (35.0%) and professionals [1, 2].

Methods:
In our study, we investigated how occupational factors and economic crisis affect smoking in health professionals in Evaggelismos Hospital (the largest in Greece). Our questionnaires included smoking history, demographic factors, working data, intention to quit and 4DSQ (measuring depression anxiety and related psychosomatic symptoms). In our sample of 500 participants (men/women=1:4, 37.0% medical doctors, 58.0% nurses), 49.0% were smokers. Initially, we explored work factors affected by crisis. The amount of work has increased for 45% of workers with a parallel decrease of 10.0-20.0% in the income of 90.0%. After collecting the questionnaires we distributed informative leaflets about our Smoking Cessation Outpatient Clinic (SCC).

Results:
Taking into account that a smoker (1 pack/d) spends on average 10.0-20.0% of his salary for smoking, it is a paradox that only 25.0% of them report an intention to quit. This could be explained because smokers addicted to nicotine use smoking for handling stress and depression. Consequently, our SCC focused in informing the staff that nicotine is a stimulant agent and thus is wrongly interpreted as relaxant. We initiated a cognitive intervention-motivational coaching program in order to stop this vicious circle. Namely to dissociate smoking used for craving and alleviation of withdrawal symptoms from real-life stress. After being informed, 30.0% of smokers intend attempting smoking cessation in our clinic.

Conclusions:
Further information and intervention programs are necessary so that smokers are convinced that nicotine is a stimulant agent and thus is wrongly interpreted as relaxant.