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Alblowi JA. Perception of tobacco hazards on general and periodontal health and tobacco cessation counseling among dental students. Tob Prev Cessat 2024; 10:TPC-10-04. [PMID: 38259604 PMCID: PMC10801804 DOI: 10.18332/tpc/175951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 11/23/2023] [Accepted: 11/27/2023] [Indexed: 01/24/2024]
Abstract
INTRODUCTION Tobacco use is one of the leading worldwide health risk factors and a primary cause of premature death and disability. Tobacco cessation programs might work well if provided by all healthcare providers. This study aimed to evaluate dental students' knowledge, attitudes, beliefs, and practices towards tobacco hazards on general and periodontal health and tobacco cessation councling. METHODS A descriptive cross-sectional study was conducted among dental students who were in their clinical years (the fourth, fifth and sixth year of study), in Saudia Arabia in 2022. A self-administered questionnaire derived from the TCC questionnaire survey was carried out among 315 dental students. Knowledge was considered poor if correct answers were below the median value. Attitude was on a five-point Likert scale. Adjusted logistic regression analyses were performed. RESULTS The study revealed that about 52% have poor knowledge, 64% have negative attitudes, 69% have negative beliefs, and 44% poor practice. All these ratings were below median values. It also showed that younger dental students were 2 times more likely to have poor knowledge (AOR=1.97; 95% CI: 1.1-3.53) and smokers were less likely to have poor knowledge (AOR=0.34; 95% CI: 0.12-0.95). One third of students perceived patient resistance as a barrier to TCC while 50% reported lack of knowledge, 32% lack of time, and 24% lack of materials. CONCLUSIONS The study findings urge the inclusion of programs to encourage dental students to help patients quit tobacco use and to make educational material available to them.
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Affiliation(s)
- Jazia A. Alblowi
- Periodontology Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
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Chan HL, Chan AKY, Chu CH, Tsang YC. Smoking cessation in dental setting: a narrative review on dental professionals' attitude, preparedness, practices and barriers. FRONTIERS IN ORAL HEALTH 2023; 4:1266467. [PMID: 37808607 PMCID: PMC10552527 DOI: 10.3389/froh.2023.1266467] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 09/11/2023] [Indexed: 10/10/2023] Open
Abstract
Integration of smoking cessation program into routine oral health care has been advocated by World Health Organization since it brings extensive benefits to oral health. By tobacco cessation, patients are less prone to progression of periodontal disease, have less future tooth loss, have reduced risks of oral mucosal lesions and head and neck cancers. Evidence indicates that dentists are in a favorable position to deliver effective smoking cessation advice to improve patients' oral health. This article aims to present the current situation of smoking cessation in dental setting, including dental management of smoking patients, perceptions of dentists and dental students towards smoking cessation, challenges dental professionals face when carrying out cessation interventions. Patients' perspectives are also evaluated to provide a clearer picture of smoking cessation practice in the dental field. Review of past surveys show most patients welcome smoking cessation advice from dental practitioners. Meanwhile dentists may have wrong assumption that patients would disapprove them if they advise patient to quit smoking. On top of that, main obstacles identified are lack of training, inadequate treatment time and insufficient knowledge towards smoking cessation guidelines and referral routes. With regard to the potential barriers, evidence demonstrates that more trainings on smoking cessation strategies are needed. Future research in this aspect is also indicated to further foster the practice of smoking cessation counselling in dental setting.
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Affiliation(s)
| | | | | | - Y. C. Tsang
- Faculty of Dentistry, The University of Hong Kong, The Prince Philip Dental Hospital, Sai Ying Pun, Hong Kong SAR, China
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Fleming E, Singhal A. Chronic Disease Counseling and Screening by Dental Professionals: Results From NHANES, 2011-2016. Prev Chronic Dis 2020; 17:E87. [PMID: 32816664 PMCID: PMC7458110 DOI: 10.5888/pcd17.200152] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
INTRODUCTION Dental visits may provide an opportunity to counsel and screen for chronic disease prevention. However, few studies have used nationally representative data to assess the potential role of dental professionals in chronic disease prevention. We examined the percentage of US adults who reported chronic disease counseling and screening by dental professionals. METHODS We analyzed data from the National Health and Nutrition Examination Survey 2011-2016 for 5,541 participants aged 30 or older who reported seeing a dental professional in the past year and estimated the percentage who reported receiving counseling about selected chronic disease prevention during the visit. We used logistic regressions to examine associations between risk factors and counseling. RESULTS Overall, 4.0% (standard error [SE], 0.3) of adults were told by a dental professional about the benefits of checking blood glucose, 42.4% (SE, 2.9) giving up tobacco (among tobacco users), 26.6% (SE, 1.2) about checking for oral cancer, and 43.0% (SE, 1.8) had an oral cancer examination. Groups with risk factors were more likely to receive health behavior counseling than those without (eg, those previously told they had diabetes risk factors were more likely to receive blood glucose counseling than those without [8.1% vs 3.3%, P < .05]). The pattern for oral cancer counseling and receiving an oral cancer examination was different: adults without oral cancer risk factors (no tobacco use, normal/underweight, and/or excellent/very good health) were more likely to receive oral cancer counseling or screening. Adjusted analyses did not change these associations. CONCLUSION Most adults were not counseled about chronic disease prevention during a visit with a dental professional. Current tobacco users and those with overweight or obesity were more likely to report receiving counseling.
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Affiliation(s)
- Eleanor Fleming
- National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Hyattsville, MD 20782.
- Health Policy and Health Services Research, Henry M. Goldman School of Dental Medicine, Boston University, Boston, Massachusetts
| | - Astha Singhal
- Health Policy and Health Services Research, Henry M. Goldman School of Dental Medicine, Boston University, Boston, Massachusetts
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Liu DCY, Ho TCY, Duangthip D, Gao SS, Lo ECM, Chu CH. Dental Students' Awareness, Preparedness and Barriers towards Managing Tobacco-Using Patients-A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E1862. [PMID: 31137792 PMCID: PMC6572687 DOI: 10.3390/ijerph16101862] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Revised: 05/22/2019] [Accepted: 05/23/2019] [Indexed: 11/24/2022]
Abstract
Aims: To evaluate Hong Kong dental students' perceived awareness, preparedness and barriers towards managing tobacco-using patients. Methods: A validated questionnaire was administered to dental students who were in their clinical years (the third, fourth, fifth and sixth year of study) in 2017 at the University of Hong Kong. The questionnaire consisted of three sections: (1) awareness towards practicing tobacco cessation counselling (TCC), (2) preparedness in terms of confidence, knowledge and clinical practices when managing tobacco-using patients, and (3) perceived barriers to counselling. Results: All 206 invited students had participated this study. Most (93%) agreed that dentists should deliver TCC. However, only around a quarter (26%) of students were well-prepared to help patients in tobacco cessation. While 60% of students agreed nicotine replacement therapy (NRT) was helpful for patients to quit tobacco use, only 28% understood its mechanism of action, and merely 16% were knowledgeable enough to introduce NRT to their patients. Two-thirds (62%) of students felt they did not have sufficient skills at this stage of their training. Conclusions: Most Hong Kong dental students had good awareness that dental professionals had an important role to promote tobacco cessation in their patient pools. However, not many of them were well-prepared to manage tobacco-using patients. Common barriers were found to be patients' apathy and students' inadequate familiarity with NRT.
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Affiliation(s)
| | - Tracy Chui Yi Ho
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
| | | | | | | | - Chun Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
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Myers Virtue S, Rotz ME, Boyd M, Lykon JL, Waldron EM, Theodorou J. Impact of a novel interprofessional dental and pharmacy student tobacco cessation education programme on dental patient outcomes. J Interprof Care 2017; 32:52-62. [DOI: 10.1080/13561820.2017.1378171] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Shannon Myers Virtue
- Department of Pediatric Dentistry and Community Oral Health Sciences, Temple University Kornberg School of Dentistry, Philadelphia, PA, USA
- Christiana Care Health System, Helen F. Graham Cancer Center & Research Institute, Newark, DE, USA
| | - Melissa E Rotz
- Department of Pharmacy Practice, Temple University School of Pharmacy, Philadelphia, PA, USA
| | - Matthew Boyd
- Department of Pharmacy Practice, Temple University School of Pharmacy, Philadelphia, PA, USA
| | - Jillian L Lykon
- Department of Pharmacy Practice, Temple University School of Pharmacy, Philadelphia, PA, USA
| | - Elizabeth M Waldron
- Department of Pediatric Dentistry and Community Oral Health Sciences, Temple University Kornberg School of Dentistry, Philadelphia, PA, USA
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Jacqueline Theodorou
- Department of Pharmacy Practice, Temple University School of Pharmacy, Philadelphia, PA, USA
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Virtue SM, Waldron EM, Darabos K, DeAngelis C, Moore DA, Fornatora M, Tellez M. Dental Students' Attitudes Toward Tobacco Cessation in the Dental Setting: A Systematic Review. J Dent Educ 2017; 81:500-516. [PMID: 28461627 DOI: 10.21815/jde.016.016] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2016] [Accepted: 10/23/2016] [Indexed: 11/20/2022]
Abstract
Many dental schools have integrated tobacco cessation into their predoctoral curricula. However, dental students' perceptions should be taken into consideration when designing those curricula. The aim of this study was to systematically review the published literature on dental students' attitudes and perceptions regarding tobacco cessation. The research team conducted a search for articles through April 2016 using the following electronic databases: Medline, PsychInfo, Cochrane Library, and CINAHL. Each abstract and/or article was reviewed for inclusion. Data were extracted from all included articles. Each was rated for quality appraisal by two reviewers. The initial search identified 2,035 articles, and 38 of those were included in the review. The majority were cross-sectional and sampled students from one dental school. There was wide variation in the measurement of dental student attitudes. Overall, the majority of students in these studies reported believing it is within the scope of dental practice to address tobacco use with patients, but there was variability in terms of the practice of specific tobacco cessation strategies. The most common perceived barrier was patient resistance/lack of motivation. In most of the studies, the majority of students were interested in being trained in tobacco cessation. The findings suggest that dental students will respond positively to receiving tobacco cessation education while in dental school and that educators should include strategies to help future dentists deal with patient resistance. Future studies should focus on the development of a validated measure of dental student attitudes toward tobacco cessation and longitudinal, multi-institutional research that can provide more generalizable findings.
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Affiliation(s)
- Shannon Myers Virtue
- Dr. Myers Virtue is Assistant Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Waldron is Research Assistant, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Darabos is a doctoral student, Department of Psychology, City University of New York; Ms. DeAngelis is a doctoral student, Department of Psychology, LaSalle University; Dr. Moore is a postdoctoral fellow, MD Anderson Cancer Center, Cooper University Hospital; Dr. Fornatora is Associate Dean for Academic Affairs, Maurice H. Kornberg School of Dentistry, Temple University; and Dr. Tellez is Associate Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University.
| | - Elizabeth M Waldron
- Dr. Myers Virtue is Assistant Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Waldron is Research Assistant, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Darabos is a doctoral student, Department of Psychology, City University of New York; Ms. DeAngelis is a doctoral student, Department of Psychology, LaSalle University; Dr. Moore is a postdoctoral fellow, MD Anderson Cancer Center, Cooper University Hospital; Dr. Fornatora is Associate Dean for Academic Affairs, Maurice H. Kornberg School of Dentistry, Temple University; and Dr. Tellez is Associate Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University
| | - Katie Darabos
- Dr. Myers Virtue is Assistant Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Waldron is Research Assistant, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Darabos is a doctoral student, Department of Psychology, City University of New York; Ms. DeAngelis is a doctoral student, Department of Psychology, LaSalle University; Dr. Moore is a postdoctoral fellow, MD Anderson Cancer Center, Cooper University Hospital; Dr. Fornatora is Associate Dean for Academic Affairs, Maurice H. Kornberg School of Dentistry, Temple University; and Dr. Tellez is Associate Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University
| | - Courtney DeAngelis
- Dr. Myers Virtue is Assistant Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Waldron is Research Assistant, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Darabos is a doctoral student, Department of Psychology, City University of New York; Ms. DeAngelis is a doctoral student, Department of Psychology, LaSalle University; Dr. Moore is a postdoctoral fellow, MD Anderson Cancer Center, Cooper University Hospital; Dr. Fornatora is Associate Dean for Academic Affairs, Maurice H. Kornberg School of Dentistry, Temple University; and Dr. Tellez is Associate Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University
| | - David A Moore
- Dr. Myers Virtue is Assistant Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Waldron is Research Assistant, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Darabos is a doctoral student, Department of Psychology, City University of New York; Ms. DeAngelis is a doctoral student, Department of Psychology, LaSalle University; Dr. Moore is a postdoctoral fellow, MD Anderson Cancer Center, Cooper University Hospital; Dr. Fornatora is Associate Dean for Academic Affairs, Maurice H. Kornberg School of Dentistry, Temple University; and Dr. Tellez is Associate Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University
| | - Maria Fornatora
- Dr. Myers Virtue is Assistant Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Waldron is Research Assistant, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Darabos is a doctoral student, Department of Psychology, City University of New York; Ms. DeAngelis is a doctoral student, Department of Psychology, LaSalle University; Dr. Moore is a postdoctoral fellow, MD Anderson Cancer Center, Cooper University Hospital; Dr. Fornatora is Associate Dean for Academic Affairs, Maurice H. Kornberg School of Dentistry, Temple University; and Dr. Tellez is Associate Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University
| | - Marisol Tellez
- Dr. Myers Virtue is Assistant Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Waldron is Research Assistant, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University; Ms. Darabos is a doctoral student, Department of Psychology, City University of New York; Ms. DeAngelis is a doctoral student, Department of Psychology, LaSalle University; Dr. Moore is a postdoctoral fellow, MD Anderson Cancer Center, Cooper University Hospital; Dr. Fornatora is Associate Dean for Academic Affairs, Maurice H. Kornberg School of Dentistry, Temple University; and Dr. Tellez is Associate Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University
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Rahman B, Hawas N, Rahman MM. Opinions of dental students toward tobacco cessation intervention in the United Arab Emirates. Int Dent J 2016; 66:304-10. [PMID: 27098070 DOI: 10.1111/idj.12239] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE The objective of this study was to investigate the opinions of dental students, in one of the dental colleges in the United Arab Emirates (UAE), toward providing tobacco cessation interventions to their patients. MATERIALS AND METHODS Three-hundred-and-fifty students were administered a questionnaire including questions about tobacco cessation interventions (with a response rate of 77%). We generated descriptive statistics for all questions and examined the frequency distribution and percentages of all answers. Data were analysed using cross-tabulations and χ(2) -tests. The statistical significance was set at P < 0.05. RESULTS While 83.4% of students agreed that dentists should be trained in tobacco cessation, 56% of students disagreed that they are adequately trained to assist the patient in stopping tobacco use. As the year of study increased, the students' 'agree' responses increased to the statements that the dentist should be trained and that the dentist has a role in assisting patients to stop smoking. Non-Arab students were more confident than Emiratis in tobacco cessation counselling. The percentage of female students who felt greatly confident in assisting was double that of male students. There was a significant difference between tobacco-user students and non-users in response to the question about dentist's role in assisting tobacco cessation. CONCLUSION A comprehensive tobacco cessation education and training program should be included in dental schools' curriculum in the UAE to further improve student confidence in providing tobacco cessation services to their patients.
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Affiliation(s)
- Betul Rahman
- Department of General and Specialist Dental Practice, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates.
| | - Nuha Hawas
- Faculty of Dentistry, McGill University, Montreal, Canada
| | - Muhammed Mustahsen Rahman
- Department of Clinical Sciences, College of Dental Sciences, Ras Al Khaimah Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates
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