DOI QR코드

DOI QR Code

Role of Dental Institutions in Tobacco Cessation in India: Current Status and Future Prospects

  • Mohanty, Vikrant Ranjan (Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences) ;
  • Rajesh, Guru Raghavendran (Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal University) ;
  • Aruna, D.S. (I.T.S. Dental College And Hospital)
  • Published : 2013.04.30

Abstract

Tobacco abuse is a major preventable cause of premature death and disease, including various cancers. The Global Adult Tobacco Survey India (GATS) 2009-10 revealed that more than one-third of adults use tobacco in one form or the other. Nearly two in five smokers and smokeless tobacco users made attempts to quit the habit in the past 12 months. Tobacco dependence is a chronic condition characterized by susceptibility of relapse over years. It can be well handled by sustained professional support from health care providers mainly through behavioral counseling and pharmacotherapy. Dental professionals can play a pivotal role in diagnosing and effectively managing tobacco dependence. Dental Institutions have rapidly grown in last two decades across the country and so has the curriculum been adapted to improve student competencies to accommodate changing disease patterns and technological advances, but not in regard to tobacco cessation. Untapped dental manpower like undergraduates, dental hygienists and other paramedical staff need effective training to be more penetrative. The present review paper explores the potential role of dental training institutions and recommends various approaches to counter public health jeopardy of tobacco related diseases.

References

  1. Allard RH (2000). Tobacco and oral health: attitudes and opinions of European dentists; a report of the EU working group on tobacco and oral health. Int Dent J, 50, 99-102. https://doi.org/10.1002/j.1875-595X.2000.tb00806.x
  2. Annamalai University (2011). Directorate of distance Education, Medical Education Programs, Post Graduate Diploma in Tobacco Control. Available on http://www. annamalaiuniversity.ac.in/distance_medical_pgdip.htm#1.
  3. Aquilino ML, Lowe JB (2004). Approaches to tobacco control: the evidence base. Eur J Dent Educ, 8, 11-7. https://doi.org/10.1111/j.1399-5863.2004.00317.x
  4. Binnal A, Rajesh G, Denny C, Ahmed J (2012). Insights into the Tobacco Cessation Scenario among Dental Graduates: An Indian Perspective. Asian Pac J Cancer Prev, 13, 2611-7. https://doi.org/10.7314/APJCP.2012.13.6.2611
  5. Bolman C, de Vries H, Mesters I (2002). Factors determining cardiac nurses' intentions to continue using of smoking cessation protocol. Heart Lung, 31, 15-24. https://doi.org/10.1067/mhl.2002.119834
  6. Chaly PE (2007). Tobacco control in India. Indian J Dent Res, 18, 2-5. https://doi.org/10.4103/0970-9290.30913
  7. Chowdhury MTH, Pau A, Ray C (2010). Bangladeshi dental students' knowledge, attitudes and behaviour regarding tobacco control and oral cancer. J Cancer Edu J Can Educ, 2, 12-6.
  8. Christen AG (2001). Tobacco cessation, the dental profession and the role of dental education. J Dent Edu, 65, 368-74.
  9. Davis JM, Koerber A (2010). Assessment of tobacco dependence curricula in U.S. dental hygiene programs. J Dent Educ, 74, 1066-73.
  10. Davis JM, Ramsier CA, Mattheos N, et al (2010). Education of tobacco use prevention and cessation for dental professionals-a paradigm shift. Int Dent J, 60, 61-72.
  11. Davis JM, Stockdale MS, Cropper M (2005). The need for tobacco education: studies of collegiate dental hygiene patients and faculty. J Dent Educ, 69, 1340-52.
  12. Dental Council of India (2007). Regulations for the maintenance of minimum educational standard for Bachelors of Dental Surgeons. The Gazette of India-Extraordinary, Part-III Sec 4, Dental Council of India. Available on www.dci.org.
  13. Dental Council of India (2008). Regulations for the maintenance of minimum educational standard for Dental Hygienists. The Gazette of India-Extraordinary, Part-III Sec 4, Dental Council of India. Available on www.dci.org.
  14. Eckert T, Junker C (2001). Motivation for smoking cessation: what role do doctors play? Swiss Med Wkly, 131, 521-6.
  15. Fiore MC, Bailey WC, Cohen SJ, et al (2000). US Department of Health and Human Services, Public Health Service. Treating tobacco dependence, Clinical practice Guideline.
  16. Gajalaksmhi V, Peto R, Kanaka TS, Jha P (2003). Smoking and mortality from tuberculosis and other diseases in India: a retrospective study of 43000 adult male deaths and 35000 controls. Lancet, 362, 507-15. https://doi.org/10.1016/S0140-6736(03)14109-8
  17. Geller AG, Powers CA (2007). Teaching smoking cessation in US medical schools: a long way to go. AMA Virtual Mentor, 9, 21-5. https://doi.org/10.1001/virtualmentor.2007.9.1.medu1-0701
  18. Goldstein MG, DePeu JD, Monroe AD, et al (1998). A population-based survey of physician smoking cessation counseling practices. Prev Med, 27, 720-9. https://doi.org/10.1006/pmed.1998.0350
  19. Gordon JS, Crews KM, Fried J (2009). Tobacco education in dentistry and dental hygiene. Drug Alcohol Rev, 28, 517-32. https://doi.org/10.1111/j.1465-3362.2009.00108.x
  20. Gorin SS, Heck JE (2004). Meta analysis TC on Health professionals. Cancer Epidemiol Biomarkers Prev, 13, 2012-22.
  21. Government of India, Ministry of Health and Family Welfare (2010). Cigarette and other Tobacco products (packaging and labeling) (Amendment) Rules, 2010: The Gazette of India. Extraordinary part II, section 3, Sub-section (I), New Delhi.
  22. Government of India, Ministry of Health and Family Welfare, (2010) Global Adult Survey GATS India-2009-10.
  23. Government of India, Ministry of Health and Family Welfare, Directorate General of Health Services, (2005). Manual for Training in Cancer Control Tobacco Cessation.
  24. Government of India, Ministry of Health and Family Welfare, Reddy KS and Gupta PC (2004) Report on Tobacco Control in India.
  25. Government of India's, National Tobacco Control Initiatives and National Control Program. Available on www.rntcp.org.
  26. Hamilton FL, Greaves F, Majeed A, Millett C (2013) Effectiveness of providing financial incentives to healthcare professionals for smoking cessation activities: systematic review. Tob Control, 22, 3-8. https://doi.org/10.1136/tobaccocontrol-2011-050048
  27. Health Related Information Dissemination amongst Youth (HRIDAY) (2010). Implementation of the Framework of Convention of Tobacco Control in India-A shadow report.
  28. Indian Dental Association, Tobacco Intervention Initiative (2011). Available on http://www.ida.org.in/AboutIDA/Aboutus.aspx#sub21 (Last accessed on 2011 May 18).
  29. Jiloha RC (2008). Tobacco Use Health and Behavior. 1st Edition New Age International Publications, New Delhi.
  30. Johnson NW (2004) The role of dental team in tobacco cessation. Eur J Dent Educ, 8, 18-24.
  31. Kottke TE, Battista RN, DeFriese GH, Brekke ML (1998). Attitudes of successful smoking cessation interventions in medical practice. A meta-analysis of 39 controlled trials. JAMA, 259, 2882-9.
  32. Kumar PAS, Mohan S, Gopalkrishnan P, et al (2005). Tobacco use in Kerala: findings from three recent studies. Natl Med J India, 18, 148-53.
  33. Mahal AS, Shah N (2006). Implications of the growth of dental education in India. J Dent Edu, 70, 884-91.
  34. McCartan BE, Shanley DB (2005). Policies and practices of European dental schools in relation to smoking: a ten year follow-up. Br Dent J, 198, 426-9.
  35. McCarty MC, Hennrikus DJ, Lando HA, Vessey JT (2001). Nurses attitudes concerning the delivery of brief cessation advice to hospitalized smokers. Prev Med, 33, 674-81. https://doi.org/10.1006/pmed.2001.0944
  36. Miguez MC, Vazques FL, Becona E (2002). Effectiveness of telephone contact as adjunct to s self-help program for smoking cessation: a randomized controlled trial in Spanish smokers. Addict Behav, 27, 139-44. https://doi.org/10.1016/S0306-4603(00)00166-0
  37. Monson AL, Engeswick LM (2005). Promotion of tobacco cessation through dental hygiene education: a pilot study. J Dent Educ, 69, 901-11.
  38. More SR, Johnson NW, Pierce AM, Wilson DF (2000). The epidemiology of mouth cancer: A review of global incidence. Oral Dis, 6, 65-74.
  39. Murthy P, Sahoo S (2010). Tobacco cessation services in Indiarecent developments and the need for expansion. Indian J Cancer, 47, 69-74. https://doi.org/10.4103/0019-509X.63873
  40. National Health Survey, Health Development Agency Tobacco and Health (2003). Tobacco or Oral health. A survey of dental education and training in tobacco issues. Available at http:// www.nice.org.uk/nicemedia/documents/tobacco_oralhealth.pdf (Last accessed on 30/05/11)
  41. National Institute of Human Allied Neurosciences, Benguluru (2011). Available at http://www.nimhans.kar.nic.in/ deaddiction/html/training.html.
  42. Pai A, Prasad S (2012). Attempting tobacco cessation-an oral physician's perspective. Asian Pac J Cancer Prev, 13, 4973-7. https://doi.org/10.7314/APJCP.2012.13.10.4973
  43. Pau A, Olley RC, Murray S, Chana B, Gallagher J (2011). Dental hygienists' self-reported performance of tobacco cessation activities. Oral Health Prev Dent, 9, 29-36.
  44. Pollak KI, Arredondo EM, Yarnall KS, et al (2001). How do residents prioritize smoking cessation for young "High risk" women? Factors associated with addressing smoking cessation. Prev Med, 33, 292-9. https://doi.org/10.1006/pmed.2001.0884
  45. Public Health Foundation of India (2011). Strengthening of Tobacco Control Efforts through Innovative Partnerships And Strategies. (STEPS). Distance Learning certificate program, Short term Courses on tobacco control Available on www.phfi.org, www.ctchp.org and http://www.phfi.org/ programme/stc_tobacco_control.html.
  46. Ramseier CA, Christen A, McGowan J, et al (2006). Tobacco use prevention and cessation in dental and dental hygiene undergraduate education. Oral Health Prev Dent, 4, 49-60.
  47. Ramseier CA, Warnakulasuriya S, Needleman IG, et al (2010). Consensus report: 2nd European workshop on tobacco use prevention and cessation for oral health professionals. Int Dent J, 60, 3-6.
  48. Raupach T, Shahab L, Bactzing S, et al (2009). Medical students lack basic knowledge about smoking: findings from two European medical schools. Nicotine Tob Res, 11, 92-8. https://doi.org/10.1093/ntr/ntn007
  49. Riebel J (2003). Tobacco and oral diseases. Med Princ Pract, 12, 22-32. https://doi.org/10.1159/000069845
  50. Rikard-Bell G, Groelund C, Ward J (2003). Australian dental students views about smoking cessation and their skills as counselors. J Pub Health Dentist, 63, 200-6. https://doi.org/10.1111/j.1752-7325.2003.tb03500.x
  51. Sahoo S, Dorothy PR, Basanagouda KP, et al (2010). Knowledge, attitude and practices of indian dental surgeons towards tobacco control: advances towards prevention. Asian Pac J Cancer Prev, 11, 939-42.
  52. Samet JM, Wipfli H (2009). Building tobacco control training capacity in India. Current Science, 96, 1315-8.
  53. Secker-Walker RH, Solomon LJ, Flynn BS, Dana GS (1994). Comparison of the smoking cessation counseling activities of six types of health professionals. Prev Med, 23, 800-8. https://doi.org/10.1006/pmed.1994.1137
  54. Shafey O, Dolwich SG (2003). American Cancer Society Tobacco Control: Country Profile Second Edition.
  55. Singh G, Sinha DN, Sarma PS, Thankappan KR (2005). Prevalence and correlates of tobacco use among 10-12 year old school students in Patna District, Bihar, India, Indian. Pediatr, 42, 805-10.
  56. Stigler PCL MH, Arora M, Reddy KS (2009). Preventing tobacco use among young people in India: project MYTRI. Am J Public Health, 99, 899-906. https://doi.org/10.2105/AJPH.2008.145433
  57. Tandon S (2004). Challenges to oral health workforce in India. Developing Dentistry, 5, 7-12.
  58. Tao S, Croucher R, Pau A (2008). Impact of the curriculum on Chinese dental students' tobacco control attitudes and beliefs: a case study in Harbin, China. Int Dent J, 58, 181-6. https://doi.org/10.1111/j.1875-595X.2008.tb00346.x
  59. Thankappan KR, Pradeep Kumar AS, Nicther M (2009). Doctor's behavior and skills for tobacco cessation in Kerala. Indian J Med Res, 129, 249-55.
  60. Tomar SL (2001). Dentistry's role in tobacco control. JADA, 132, 30-5.
  61. Tremblay M, Cournoyer D, O' Loughlin J (2009). Do the correlates of smoking cessation counseling differ across health professional groups? Nicotine and Tobacco Res, 11, 1330-8. https://doi.org/10.1093/ntr/ntp142
  62. Varghese C, Kaur J, Desai NG, et al (2012). Initiating tobacco cessation services in India: challenges and opportunities. WHO South-East Asia J Public Health, 1, 159-68.
  63. Vijayan VK, Raj Kumar (2005). Tobacco cessation in India. Indian J Chest Dis Allied Sci, 47, 5-8.
  64. Walsh MM, Ellison JA (2005). Treatment of tobacco use and dependence: The role of the dental professional. J Dent Edu, 65, 521-36.
  65. Weaver RC, Whittaker L, Valachovic RW Broom (2002). A tobacco control and prevention effort in dental education. J Dent Edu, 66, 426-9.
  66. World Health Organization (2008). Report on the Global Tobacco Epidemic, 2008-The MPOWER package.
  67. World Health Organization (2009). Tobacco cessation services in South East Asia Region. TFI Newsletter (WHO SEARO); 2:1-6.
  68. World Health Organization. (2010) Helping People Quit Tobacco: A Manual for Doctors and Dentists.

Cited by

  1. Dental Practitioners Self Reported Performance of Tobacco Cessation Counseling Interventions: A Cross Sectional Study vol.14, pp.10, 2013, https://doi.org/10.7314/APJCP.2013.14.10.6141
  2. Prisoners' Perception of Tobacco Use and Cessation in Chhatisgarh, India - The Truth from Behind the Bars vol.15, pp.1, 2014, https://doi.org/10.7314/APJCP.2014.15.1.413
  3. Tobacco Cessation in India: How Can Oral Health Professionals Contribute? vol.15, pp.5, 2014, https://doi.org/10.7314/APJCP.2014.15.5.2383
  4. Strategies for Tobacco Control in India: A Systematic Review vol.10, pp.4, 2015, https://doi.org/10.1371/journal.pone.0122610