Profile of smokers and the role of dentists in tobacco use cessation: a cross-sectional study in southern Brazil
DOI:
https://doi.org/10.15448/1980-6523.2017.2.26822Keywords:
Tobacco, Tobacco use cessation, Nicotine, Health profile, DentistsAbstract
OBJECTIVE: The aim of this study was to investigate the profile of smokers in a dental school in southern Brazil and their views about the role of dentists in tobacco use cessation.
METHODS: A cross-sectional study was carried out with patients of a dental school, who answered a face-to-face interview. Smokers also took the Fagerström Test for Nicotine Dependence. Data was analysed using descriptive statistics and Chi Square test with a significance level of 5%.
RESULTS: The sample consisted of 442 patients, and 93 patients (21.04%) were smokers. The lower the level of schooling the higher the frequency of smokers (p=0.026), and the frequency of nonsmokers was associated with higher income (p=0.021). Regarding the role of dentists in smoking cessation, 97.8% of smokers believe that the dentist should provide information and advice, but 36.6% did not receive any orientation from dentists.
CONCLUSION: The study had found a higher frequency of smokers among men and an association between smoking and schooling as well as smoking and income. The majority of smokers would like to quit smoking and had tried at least once to stop. The sample believes that dentists should give information and advice about smoking cessation.
References
FDI World Dental Federation (FDI), World Health Organization (WHO). Tobacco or oral health: an advocacy guide for oral health professionals. Eddited by Beaglehole RH and Benzian HM; FDI World Dental Federation, Ferney Voltaire, France/World Dental Press, Lowestoft, UK; 2005.
WHO. World Health Organization. Global Status Report on noncommunicable diseases 2010. Geneva: World Health Organization; 2011.
IBGE. Brazilian Institute of Geografy and Statistics. Nacional Household Sample Survey: Smoking – 2008. Rio de Janeiro: Brazilian Institute of Geografy and Statistics; 2009. Portuguese.
ACT+. Alliance for Tobacco Control + Health. Economic losses associated with Tobacco-related diseases for Brazil – Final Report. Rio de Janeiro: Alliance for Tobacco Control + Health; 2011. Portuguese.
Reibel J. Tobacco and oral diseases. Update on the evidence, with recommendations. Med Print Pract. 2003;12(1):22-32. https://doi.org/10.1159/000069845
Ferreira Antunes JL, Toporcov TN, Biazevic MGH, Boing AF, Scully C, Petti S. Joint and independent effects of alcohol drinking and tobacco smoking on oral cancer: a large case-control study. PLoS ONE. 2013;8(7):e68132. https://doi.org/10.1371/journal.pone.0068132
Busenlechner D, Fürhauser R, Haas R, Watzek G, Mailath G, Pommer B. Long-term implant success at the Academy for Oral Implantology: 8-year follow-up and risk factor analysis. J Periodontal Implant Sci. 2014;44(3):102-8. https://doi.org/10.505/jpis.2014.44.3.102
Johnson GK, Slach NA. Impact of tobacco use on periodontal status. J Dent Educ. 2001;65(4):313-21.
Godoy I. Prevalence of smoking in Brazil: additional measures for smoking control should be a priority in the Year of the Lung. J Bras Pneumol. 2010;36(1):4-5. https://doi.org/10.1590/S180637132010000100002
Difranza JR, Savageau JA, Fletcher KE. Enforcement of underage sales laws as a predictor of daily smoking among adolescents – a national study. BMC Public Health. 2009;9:107. https://doi.org/10.1186/1471-2458-9-107
Thomas D, Abramson MJ, Bonevski B, Taylor S, Poole SG, Weeks GR, et al. Quitting experiences and preferences for a future quit attempt: a study among inpatient smokers. BMJ Open. 2015;5:e006959. https://doi.org/10.1136/bmjopen-2014-006959
Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T, et al. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2013;(5):CD000165. https://doi.org/10.1002/14651858
Maillet JP, Tax CL, Neish NR, Denny AL. Evaluation of Outcomes for Tobacco Cessation Counseling in the Dalhousie University Dental Hygiene Curriculum. J Dent Educ. 2010;74(3):311-7.
Selby P, Goncharenko K, Barker M, Fahim M, Timothy V, Dragonetti R, et al. Reviews and Evaluation of Online Dependence Treatment Training Programs for Health Care Practitioners. J Med Internet Res. 2015;17(4):e97. https://doi.org/10.2196/jmir.3284
Kalyanpur R, Pushpanjali K, Prasad KV, Chhabra KG. Tobacco cessation in India: A contemporary issue in public health dentistry. Indian J Dent Res. 2012;23(1):123. https://doi.org/10.4103/0970-9290.99061
Heatherton TF, Kozlowski LT, Frecker RC, Fagerström K-O. The Fagerström Test for Nicotine Dependence: A revision of the Fagerström Tolerance Questionnaire. Br J Addiction. 1991;86(9):1119-27. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
Li FX, Robson PJ, Ashbury FD, Hatcher J, Bryant HE. Smoking Frequency, Prevalence and Trends, and Their Socio-demographic Associations in Alberta, Canada. Can J Public Health. 2009,100(6):453-8.
Christen AG. Tobacco Cessation, the Dental Profession, and the Role of Dental Education. J Dent Educ. 2001;65(4):368-74.
Pierce JP, White VM, Emery SL. What public health strategies are needed to reduce smoking initiation? Tob Control. 2012;21:e258-64. https://doi.org/10.1136/tobaccocontrol-2011-050359
Hill S, Amos A, Clifford D, Platt S. Impact of tobacco control interventions on socioeconomic inequalities in smoking: review of the evidence. Tob Control. 2014;23:e89-97. https://doi.org/10.1136/tobaccocontrol-2013-
Klumbiene J, Sakyte E, Petkeviciene J, Prattala R, Kunst AE. The effect of tobacco control policies on smoking cessation in relation to gender, age and education in Lithuania, 1994-2010. BMC Public Health. 2015;15:181.
https://doi.org/10.1186/s12889-015-1525-8
Main C, Thomas S, Ogilvie D, Stirk L, Petticrew M, Whitehead M, et al. Population tobacco control interventions and their effects on social inequalities in smoking: placing an equity lens on existing systematic reviews. BMC Public Health. 2008;8:178. https://doi.org/10.1186/1471-2458-8-178
Stead LF, Perera R, Bullen C, Mant D, Hartmann-Boyce J, Cahill K, et al. Nicotine replacement therapy for smoking cessation. Cochrane Database Syst Rev. 2012;(11):CD000146. https://doi.org/10.1002/14651858.CD000146.pub4
Cahill K, Stevens S, Perera R, Lancaster T. Pharmacological interventions for smoking cessation: and overview and network meta-analysis. Cochrane Database Syst Rev. 2013;(5):CD009329. https://doi.org/10.1002/14651858.CD009329.pub2
Walsh MM, Belek M, Prakash P, Grimes B, Heckman B, Kaufman N, et al. The effect of training on the use of tobacco-use cessation guidelines in dental settings. J Am Dent Assoc. 2012;143(6):602–13. https://doi.org/10.14219/jada.archive.2012.0239
Kadtane SS, Bhaskar DJ, Agali C, Shah S, Malu A, Jadhav S. Perception about the role of dentists in smoking cessation: a cross-sectional study. Int J Dent Med Res. 2014;1(1):2-7.
Prakash P, Belek MG, Grimes B, Silverstein S, Meckstroth R, Heckman B, et al. Dentists’ attitudes, behaviors and barriers related to tobacco-use cessation in the dental setting. J Public Health Dent. 2013;73:94-102.
https://doi.org/10.1111/j.1752-7325.2012.00347.x
Ahmady AE, Khoshnevisan MH, Heidari N, Lando HA. Dentist’ familiarity with tobacco cessation programs in dental settings in Iran. J Public Health Dent. 2011;71:271-7. https://doi.org/10.1111/j.1752-7325.2011.00262.x
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