- Volume 16 Issue 1
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Attitude and Practices Among Dentists and Senior Dental Students in Iran Toward Tobacco Cessation as an Effort to Prevent Oral Cancer
- Razavi, Sayed Mohammad (Dental Implants Research Center, Department of Oral Pathology, School of Dentistry, Isfahan University of Medical Sciences) ;
- Zolfaghari, Behzad (Department of Pharmacognosy, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences) ;
- Doost, Mostafa Emami (Dental Students Research Center, Department of Oral Public Health, School of Dentistry, Isfahan University of Medical Sciences) ;
- Tahani, Bahareh (Dental Implants Research Center, Department of Oral Pathology, School of Dentistry, Isfahan University of Medical Sciences)
- Published : 2015.02.04
Background: Oral health professionals are responsible in Iran for providing a brief tobacco cessation program to smoker patients. The aim of this study was to assess Iranian dental student and dentist practice, knowledge and attitudes toward smoking cessation programs. Materials and Methods: A valid and reliable self-administered questionnaire was designed and distributed to 150 dentists working in Isfahan-Iran and 60 dental students. Some questions were developed based on the expected 5A tobacco cessation protocol. Statements on attitudes focused on professional responsibility towards smoking cessation and its effectiveness. Chi-square, ANOVA, and t test were used for statistical analysis. Results: The cessation program in dental settings covers a small group of patients (18%). Some 69.1% (n=96) of dentists reported asking their patients about tobacco use, 64% (n=83) advising their patients to quit, 33.8% (n=47) assessing their patients willingness to quit and 20% (n=28) reported helping their patients in changing their behavior. A far lower percentage reported active involvement in arranging assistance for smokers to quit (4.3%, n=5). Some 22% of students and 26% of dentists disagreed that the tobacco cessation programs should be as part of dentists' professional responsibility and 70% of them were willing to follow the protocol of tobacco cessation for patients. Conclusions: Iranian dentist performance regarding tobacco cessation is weak. Dentists and students indicated their lack of knowledge as the major reason for non-adherence to the protocol. Therefore, planning to encourage dentist to follow the protocol needs continuous educational programs.
Supported by : Isfahan University of Medical Science
- Ahmady AE, Golmohammadi S, Ayremlou S, Khoshnevisan MH, Lando HA (2011). Tobacco cessation practices of senior dental students in Iran. Int Dent J, 61, 302-6. https://doi.org/10.1111/j.1875-595X.2011.00066.x
- Antal M, Forster A, Zalai Z, et al (2013). Attitudes of Hungarian dental professionals to tobacco use and cessation. J Public Health Dent, 73, 94-102. https://doi.org/10.1111/j.1752-7325.2012.00347.x
- 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, 2611-2617. https://doi.org/10.7314/APJCP.2012.13.6.2611
- Borhan-Mojabi K, Moradi A, Yazdabadi A (2012). Evaluating the degree of knowledge on oral cancer among general practitioners and dentists in Qazvin. J Eval Clin Pract, 18, 498-501. https://doi.org/10.1111/j.1365-2753.2010.01613.x
- Brothwell DJ, Gelskey SC (2008).Tobacco use cessation services provided by dentists and dental hygienists in Manitoba: part 1. Influence of practitioner demographics and psychosocial factors. J Can Dent Assoc, 74, 905.
- Carr Alan B, Ebbert Jon (2012). Interventions for tobacco cessation in the dental setting. Cochrane Database of Systematic Reviews, NO: 6DOI: 10.1002/14651858.CD005084.pub3 https://doi.org/10.1002/14651858.CD005084.pub3
- Chandrashekar J, Manjunath BC, Unnikrishnan M (2011). Addressing tobacco control in dental practice: a survey of dentists' knowledge, attitudes and behaviours in India. Oral Health Prev Dent, 9, 243-9.
- Chapman S (1993). The role of doctors in promoting smoking cessation. BMJ, 307, 518-9. https://doi.org/10.1136/bmj.307.6903.518
- Coleman T, Murphy E, Cheater F (2000). Factors influencing discussion of smoking between general practitioners and patients who smoke: A qualitative study. Br J Gen Pract, 50, 207-10.
- Clareboets S, Sivarajasingam V, Chestnutt IG (2010). Smoking cessation advice: knowledge, attitude and practice among clinical dental students. British Dental J, 208, 173-177. https://doi.org/10.1038/sj.bdj.2010.158
- Epstein J, Van Der Waal I (2008). Oral cancer. In Burket's Oral Medicine (eds M. S. Greenberg, M. Glick & J. A. Ship), pp. 153-154. Hamilton, ON: BC Decker Inc.
- Fiore MC, Jaen CR, Baker TB, et al (2008). Clinical practice guideline: treating tobacco use and dependence Washington, DC: U.S. Department of Health and Human Services, Public Health. Available at :www.ncbi. nlm.nih.gov/books/bv.fcgi?rid=hstat2.chapter.28163 (accessed 2008 Nov18)
- Fried JL, Reid BC, DeVore LE (2004). A comparison of health professions student attitudes regarding tobacco curricula and interventionist roles. J Dent Educ, 68, 370-7.
- Hanioka T, Ojima M, Tanaka H, et al (2010). Intensive smokingcessation intervention in the dental setting. J Dent Res, 89, 66-70. https://doi.org/10.1177/0022034509350867
- Hinz JG (2010). Teaching dental students motivational interviewing techniques: analysis of a third-year class assignment. J Dent Educ, 74, 1351-6.
- Hu S, Pallonen U, McAlister AL et al (2006). Knowing how to help tobacco users: Dentists' familiarity and compliance with the clinical practice guideline. J Am Dent Assoc, 137, 170-9. https://doi.org/10.14219/jada.archive.2006.0141
- Kelishadi R, Ardalan G, Gheiratmand R, et al (2006). Smoking behavior and its influencing factors in national-representative sample of Iranian adolescents: CASPIAN study. Prev Med, 42, 423-6. https://doi.org/10.1016/j.ypmed.2006.03.001
- Lopez-Jornet P, Camacho-Alonso F, Molina-Minano F (2010). Knowledge and attitudes about oral cancer among dentists in Spain. J Eval Clin Pract, 16, 129-33. https://doi.org/10.1111/j.1365-2753.2009.01132.x
- Meysamie A, Ghaletaki R, Haghazali M, et al (2010). Pattern of tobacco use among the Iranian adult population: results of the national Survey of Risk Factors of Non-Communicable Diseases. SuRFNCD-2007). Tob Control, 19, 125-8. https://doi.org/10.1136/tc.2009.030759
- Ministry of Health and Medical Education (2005). A national profile of non-communicable disease risk factors in the Islamic Republic of Iran: selected results of the first survey of the non-communicable disease risk factor surveillance system of Iran. Available at:http://www.who.int/chp/steps/IR_IranSTEPSReport.pdf.
- Oberoi SS, Sharma G, Nagpal A, Oberoi A (2014).Tobacco cessation in India: how can oral health professionals contribute? Asian Pac J Cancer Prev, 15, 2383-91. https://doi.org/10.7314/APJCP.2014.15.5.2383
- Philip PM, Parambil NA, Bhaskarapillai B, Balasubramanian S (2013). Evaluation of a specially designed tobacco control program to reduce tobacco use among school children in Kerala. Asian Pac J Cancer Prev, 14, 3455-9. https://doi.org/10.7314/APJCP.2013.14.6.3455
- Prakash P, Belek MG, Grimes B, et al (2013). Dentists' attitudes, behaviors, and barriers related to tobacco-use cessation in the dental setting. J Public Health Dent, 73, 94-102. https://doi.org/10.1111/j.1752-7325.2012.00347.x
- Puschel K, Thompson B, Coronado G, et al (2008). Effectiveness of a brief intervention based on the '5A' model for smoking cessation at the primary care level in Santiago, Chile. Health Promot Int, 23, 240-50. https://doi.org/10.1093/heapro/dan010
- Razavi SM, Siadat S, Rahbar P, Hosseini SM, ShiraniAM (2012). Trends in oral cancer rates in Isfahan, Iran during 1991-2010. Dent Res J (Isfahan), 9, 88-93.
- Razavi SM, Zolfaghari B, Foroohandeh M, Doost ME, Tahani B (2013). Dentists' knowledge, attitude, and practice regarding oral cancer in Iran. J Cancer Educ, 28, 335-41. https://doi.org/10.1007/s13187-013-0460-6
- Rikard-Bell G, Groenlund C, Ward J (2003). Australian dental students' views about smoking cessation counseling and their skills as counselors. J Public Health Dent, 63, 200-6. https://doi.org/10.1111/j.1752-7325.2003.tb03500.x
- Rikard-Bell G, Ward J (2001). Australian dentists' educational needs for smoking cessation counseling. J Cancer Educ, 16, 80-5.
- Saleh A1, Kong YH, Vengu N, et al (2014). Dentists' perception of the role they play in early detection of oral cancer. Asian Pac J Cancer Prev, 15, 229-37. https://doi.org/10.7314/APJCP.2014.15.1.229
- Scully C, Bagan J (2009). Oral squamous cell carcinoma overview. Oral Oncology, 45 (4-5), 301-308. https://doi.org/10.1016/j.oraloncology.2009.01.004
- Sham AS, Cheung LK, Jin LJ, Corbet EF (2003). The effects of tobacco use on oral health.Hong Kong Med J, 9(4), 271-7.
- Silverman S, Kerr AR, Epstein JB (2010). Oral and pharyngeal cancer control and early detection. J Cancer Educ, 25, 279-28. https://doi.org/10.1007/s13187-010-0045-6
- Stead LF, Perera R, Bullen C, Mant D, Lancaster T (2008). Nicotine replacement therapy for smoking cessation. Cochrane Database Syst Rev, 1, 146.
- Tahani B, Khoshnevisan MH, Yazdani S, EbnAhmady A, Dugdale P (2013).Stewardship of National Oral Health system in Iran: its strengths and weaknesses. Arch Iran Med, 16, 717-24.
- Toghianifar N, Sarrafzadegan N, Roohafza H, et al (2011). Smoking cessation support in Iran: availability, sources and predictors. Indian J Med Res, 133, 627-32.
- Uti OG, Sofola OO (2011). Smoking cessation counseling in dentistry: attitudes of Nigerian dentists and dental students. J Dent Educ, 75, 406-12.
- Vanobbergen J, Nuytens P, van Herk M, DeVisschere L(2007). Dental students' attitude towards anti-smoking programs: a study in Flanders, Belgium. Eur J Dent Educ, 11, 177-83. https://doi.org/10.1111/j.1600-0579.2007.00456.x
- Vendrell Rankin K, Jones DL, Crews KM (2010). Tobacco cessation education for dentists: an evaluation of the lecture format. J Cancer Educ, 25, 282-4. https://doi.org/10.1007/s13187-010-0042-9
- Venkatesh S, Sinha D N (2012). Involvement of health professionals in tobacco control in the South-East Asia Region. Indian J Cancer, 49, 327-35. https://doi.org/10.4103/0019-509X.107721
- Vijay Kumar KV, Suresan V (2012). Knowledge, attitude and screening practices of general dentists concerning oral cancer in Bangalore city. Indian J Cancer, 49, 33-38. https://doi.org/10.4103/0019-509X.98915
- Walsh M M, Ellison J A (2005). Treatment of tobacco use and dependence: the role of the dental professional. J Dent Educ, 69, 521-537.
- World Health Organization (2009). WHO Report on the Global Tobacco Epidemic 2009, Implementing Smoke-free Environments. Geneva, WHO.
- World Health Organization (2010). Global Status Report on Non Communicable Diseases 2010. Geneva, WHO.
- Ziaadini H, Ziaadini MR (2006). The prevalence of tobacco use and dependency and its relation to some demographic factors in people aged 12 and over in rural sample. Q J Fundam Ment Health, 8, 17-22.
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