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Khanagar SB, Aldawas I, Alrusaini SK, Albalawi F, Alshehri A, Awawdeh M, Iyer K, Divakar DD. Association of Electronic Cigarette Usage with the Subsequent Initiation of Combustible Cigarette Smoking among Dental Students in Riyadh, Saudi Arabia: A Longitudinal Study. Healthcare (Basel) 2024; 12:1092. [PMID: 38891167 PMCID: PMC11172238 DOI: 10.3390/healthcare12111092] [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: 04/12/2024] [Revised: 05/20/2024] [Accepted: 05/24/2024] [Indexed: 06/21/2024] Open
Abstract
The use of electronic cigarettes, or "e-cigarettes", among youths has sparked worries about the possibility of nicotine dependence as a serious public health issue. Dental practitioners play a critical role in helping their patients quit smoking. Dental schools across the globe have policies encouraging their students to help patients quit smoking. Current research, however, indicates that a significant portion of dental students smoke combustible cigarettes and use e-cigarettes. According to studies, using e-cigarettes has resulted in the subsequent initiation of combustible cigarette smoking among its users. The aim of this study was to determine the association between the use of electronic cigarettes and the subsequent initiation of combustible cigarette smoking among dental students who were not attitudinally susceptible to smoking combustible cigarettes. A longitudinal cohort study was conducted among 121 study participants who were never combustible cigarette users and were attitudinally non-susceptible to smoking at baseline. At baseline, 66 (54.6%) study participants were categorized as e-cigarette users who were attitudinally non-susceptible to combustible cigarette smoking, and 55 (45.4%) study participants were categorized as non-users who were attitudinally non-susceptible to combustible cigarette smoking. The initiation of combustible cigarette smoking was assessed at 6- and 12-month intervals. Binomial regression analysis of the outcome at the end of one-year follow-up, when analyzed with independent variables, revealed a significant influence of e-cigarette use on taking up combustible cigarette smoking [Relative Risk: 9.395; 95% CI: 3.03-29.04]. Chi-squared analysis of independent variables revealed e-cigarette use to be significantly associated with fathers' education level (p = 0.00), parental cigarette smoking status (p = 0.00), cigarette smoking among friends (p = 0.00), and family income (p = 0.00). E-cigarette users are more likely to believe it to be healthier (p = 0.00) than combustible smoking. In the present study, e-cigarette usage demonstrated a significant influence on taking up combustible cigarette smoking among its users. Educational institutions should implement stringent policies and regulations to prevent health professionals from using these products.
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Affiliation(s)
- Sanjeev B. Khanagar
- Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
- King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh 11481, Saudi Arabia
- College of Public Health, Texila American University, Georgetown 413741, Guyana
| | - Ibrahim Aldawas
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
| | - Salman Khalid Alrusaini
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
| | - Farraj Albalawi
- Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
- King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh 11481, Saudi Arabia
| | - Aram Alshehri
- King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh 11481, Saudi Arabia
- Restorative and Prosthetic Dental Sciences Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
| | - Mohammed Awawdeh
- Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
- King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh 11481, Saudi Arabia
| | - Kiran Iyer
- Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
- King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh 11481, Saudi Arabia
| | - Darshan Devang Divakar
- Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia;
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Chauncey RT, Yu Q, Armbruster PC, Ballard RW. A survey of white spot lesion prevention and resolution in the US dental school curricula. J Dent Educ 2023; 87:1552-1558. [PMID: 37414090 DOI: 10.1002/jdd.13313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 03/30/2023] [Accepted: 06/22/2023] [Indexed: 07/08/2023]
Abstract
PURPOSE/OBJECTIVES White spot lesions (WSLs) are opaque white lesions on smooth tooth surfaces as a result of demineralization. Proven methods of prevention and resolution of these lesions are available yet the incidence rate, especially in orthodontic patients, is still high. Perhaps the way dental schools are educating students on the topic is insufficient. The purpose of this study was to determine if and how predoctoral dental students are taught about the prevention and resolution of WSLs. METHODS An electronic survey was developed and sent out to each of the 66 accredited dental schools in the United States and Puerto Rico. The survey consisted of 13 questions and inquired about whether the school includes instruction of WSLs in its predoctoral curriculum. If the school indicated instruction WSLs was in the predoctoral curriculum, further questions were asked pertaining to the content and method of the instruction. Demographic data was also gathered from each institution. RESULTS Twenty-eight of the 66 schools responded for a 42% response rate. Eighty-two percent of schools indicated they were teaching about prevention of WSLs, while 50% indicated they were teaching about resolution, or treatment, of WSLs. The most commonly taught methods were patient education, over-the-counter fluoride mouthrinse, toothpaste, or gel, and high fluoride content toothpaste. CONCLUSION The majority of responding dental schools are at least including some instruction of WSLs in the predoctoral curriculum. Many of the known prevention and treatment measures available, however, are not routinely taught.
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Affiliation(s)
| | - Qingzhao Yu
- Department of Biostatistics, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA
| | - Paul C Armbruster
- Department of Orthodontics, School of Dentistry, LSUHSC Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA
| | - Richard W Ballard
- Department of Orthodontics, School of Dentistry, LSUHSC Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA
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An Assessment of Student Pharmacists' Knowledge of Electronic Cigarettes or Vapes-A Cross Sectional Study at One College of Pharmacy. PHARMACY 2022; 10:pharmacy10050131. [PMID: 36287452 PMCID: PMC9610637 DOI: 10.3390/pharmacy10050131] [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: 09/07/2022] [Revised: 09/23/2022] [Accepted: 10/08/2022] [Indexed: 11/07/2022] Open
Abstract
This study assessed the knowledge of e-cigarettes/vapes among a sample of student pharmacists. A 22-item cross-sectional electronic questionnaire was administered to all third- and fourth-year student pharmacists enrolled at one college of pharmacy in the United States (N = 256). Data were collected over six weeks in March/April 2022. One point was assigned for each correct knowledge item; points were then summed to create a total knowledge score for each person. Differences in the proportion of students who correctly answered each knowledge item were compared between year groups using a chi-square test, while differences between year groups for total knowledge score were compared using a two-sample t-test. The a priori alpha level was 0.05. Fifty students (third year = 30, fourth year = 20; female = 60%) completed the survey. Students' e-cigarettes/vapes knowledge varied depending on the item. There was no statistically significant difference between third- and fourth-year students for total mean knowledge scores (third year = 12.5 ± 3.3, fourth year = 11.2 ± 3.1, p = 0.1780) or for each knowledge item, except for items 10 and 20. In conclusion, the findings from this survey of student pharmacists at one college of pharmacy in the United States indicate a need for more education around e-cigarettes/vapes for student pharmacists so that they are better able to counsel patients on their use.
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Gordon SC, Riedy CA, Stohler CS, Vujicic M. Trends in Scope of Practice for Oral Health Care: Future Transformative Effects. JDR Clin Trans Res 2022; 7:31S-39S. [PMID: 36121139 DOI: 10.1177/23800844221116845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
KNOWLEDGE TRANSFER STATEMENT The results of this study can help key stakeholders, such as health care facilities, educational and research institutions, insurance companies, and governmental bodies, plan future activities and policies on dental practice and education.
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Affiliation(s)
- S C Gordon
- School of Dentistry, University of Washington, Seattle, WA, USA
| | - C A Riedy
- Harvard School of Dental Medicine, Boston, MA, USA
| | - C S Stohler
- Columbia University Medical Center, Columbia University College of Dental Medicine, New York, NY, USA
| | - M Vujicic
- American Dental Association Health Policy Institute, Chicago, IL, USA
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Koka KM, Yadlapalli S, Pillarisetti P, Yasangi MK, Yaragani A, Kummamuru S. The barriers for tobacco cessation counseling in teaching health care institutions: A qualitative data analysis using MAXQDA software. J Family Med Prim Care 2021; 10:3262-3267. [PMID: 34760741 PMCID: PMC8565150 DOI: 10.4103/jfmpc.jfmpc_19_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Revised: 06/12/2021] [Accepted: 06/20/2021] [Indexed: 11/24/2022] Open
Abstract
Introduction: Recently, Dental Council of India directed all the teaching dental institutions in the country to set up tobacco cessation centers (TCC). International experiences suggest that there are many barriers for the provision of tobacco cessation counseling at dental clinics. In this context, it is important to understand the dental students’ attitudes toward this initiative of tobacco cessation counseling at dental settings. Materials and Methods: This qualitative study to document the dental students’ perspectives toward the provision of tobacco cessation counseling using focus group interviews was conducted in two teaching dental institutions in the state of Andhra Pradesh, India. 133 house surgeons from two dental institutions participated in the study and were interviewed as 13 focus groups. MAXQDA (version 12, VERBI GmbH, Berlin, Germany) was used for data analysis. All the interviews were audio recorded and the transcripts were open coded by three independent investigators. Results: The response rate in this study was 78.45%. The following themes were extracted from the views and opinions shared by the students: the reluctance of patients to discuss tobacco-related problems; tobacco use among students discouraging them to actively participate in counseling; an opinion that dental clinics are not suitable for the provision of tobacco cessation counseling; belief among students that they are not qualified enough. Conclusion: The directives given by the Ministry of Health and Family Welfare in association with Dental council of India to set up TCC at every teaching dental institution are laudable and demonstrate the commitment at policy level toward bringing down tobacco consumption in the country. However, few reforms need to be made in the curriculum to better execute the delegated responsibilities, which include orientation programs for dental students on the scope of the dental profession and workshops on tobacco cessation counseling.
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Affiliation(s)
- Krishna M Koka
- Conservative Dentistry and Endodontics, KIMS Dental College, Amalapuram, Andhra Pradesh, India
| | - Sravanthi Yadlapalli
- Prosthodontics, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India
| | | | - Manoj Kumar Yasangi
- Prosthodontics, MNR Dental College and Hospital, Sanga Reddy, Telangana, India
| | - Anusha Yaragani
- Orthodontics, KIMS Dental College, Amalapuram, Andhra Pradesh, India
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Gordon SC, Kaste LM, Mouradian WE, Beemsterboer PL, Berg JH, Murdoch-Kinch CA. Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies. FRONTIERS IN DENTAL MEDICINE 2021. [DOI: 10.3389/fdmed.2021.703958] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Dentistry and medicine traditionally practice as separate professions despite sharing goals for optimal patient health. Many US residents experience both poor oral and general health, with difficulty accessing care. More efficient collaboration between these professions could enhance health. The COVID-19 pandemic disclosed further disparities while underscoring concerns that physician supply is inadequate for population needs. Hence, enhancing healthcare provider education to better meet the public's health needs is critical. The proposed titles “Oral Physician” or “Oral Health Primary Care Provider” (OP-PCP) acknowledge dentist's capacity to diagnose and manage diseases of the orofacial complex and provide some basic primary healthcare. The US Surgeon General's National Prevention Council and others recommend such models. Medical and dental education already overlap considerably, thus it is plausible that dental graduates could be trained as OP-PCPs to provide primary healthcare such as basic screening and preventive services within existing dental education standards. In 2018, 23 dental and medical educators participated in an expert-opinion elicitation process to review educational competencies for this model. They demonstrated consensus on educational expansion and agreed that the proposed OP-PCP model could work within existing US Commission on Dental Accreditation (CODA) standards for predoctoral education. However, there were broader opinions on scope of practice details. Existing CODA standards could allow interested dental programs to educate OP-PCPs as a highly-skilled workforce assisting with care of medically-complex patients and to helping to reduce health disparities. Next steps include broader stakeholder discussion of OC-PCP competencies and applied studies including patient outcome assessments.
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Chaffee B, Urata J, Couch E, Silverstein S. Dental Professionals' Engagement in Tobacco, Electronic Cigarette, and Cannabis Patient Counseling. JDR Clin Trans Res 2020; 5:133-145. [PMID: 31323182 PMCID: PMC7079330 DOI: 10.1177/2380084419861384] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES California features low smoking prevalence, cautionary electronic cigarette (e-cigarette) public messaging, and legal recreational cannabis: a unique landscape for dental professionals to navigate tobacco cessation promotion. This cross-sectional study assessed California dental professionals' self-reported tobacco patient counseling behaviors and the correlates of providing such assistance. METHODS Statewide surveys of dental hygienists (n = 701) and dentists (n = 725) were distributed electronically. The dentist survey was weighted for sampling and nonresponse. Prevalence of asking patients about use was compared for cigarette and noncigarette products (e.g., e-cigarettes, cannabis). Multivariable models identified independent correlates of providing cessation assistance to tobacco-using patients. RESULTS Respondents reported frequently (often/always) documenting patient tobacco use (hygienists: 80%; dentists: 73%) but less commonly provided forms of assistance (hygienists: 27%-49%; dentists: 10%-31%). Most respondents asked patients about cigarette smoking, but noncigarette product use (cigar, hookah, pipe, e-cigarette, or cannabis) was not commonly assessed. Greater confidence and willingness to assist were positively associated with providing assistance in multivariable models, but perceived barriers (e.g., lack of time and remuneration) were not. Results were robust to model specifications. CONCLUSIONS California dental professionals often ask about smoking but lag in providing cessation assistance and inquiring about noncigarette products. Successful efforts to encourage dental professionals' engagement in tobacco prevention and cessation must enhance providers' self-efficacy and motivation and likely will require system and organizational change. KNOWLEDGE TRANSFER STATEMENT Study findings identify substantial gaps in dental professionals' engagement in patient tobacco cessation. The results identify correlates of providing assistance and of dental professionals' willingness and confidence to do so, which could serve to inform interventions to support and enhance engagement.
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Affiliation(s)
- B.W. Chaffee
- Division of Oral Epidemiology and Dental Public Health, University of California San Francisco School of Dentistry, San Francisco, CA, USA
| | - J. Urata
- Division of Oral Epidemiology and Dental Public Health, University of California San Francisco School of Dentistry, San Francisco, CA, USA
| | - E.T. Couch
- Division of Oral Epidemiology and Dental Public Health, University of California San Francisco School of Dentistry, San Francisco, CA, USA
| | - S. Silverstein
- Division of Oral Epidemiology and Dental Public Health, University of California San Francisco School of Dentistry, San Francisco, CA, USA
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Chaffee BW, Urata J, Silverstein S, Couch ET. Dental Hygienists' and Dentists' Tobacco Cessation Continuing Education Preferences: Application of a Discrete Choice Method. J Dent Educ 2020; 84:72-80. [PMID: 31977090 DOI: 10.21815/jde.019.166] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2019] [Accepted: 09/03/2019] [Indexed: 11/20/2022]
Abstract
Despite ample opportunity, dental professionals frequently fall short of connecting tobacco-using patients with effective cessation support, often citing lack of training as a barrier. To inform development of training options, the aim of this study was to quantify the preferences of practicing dental hygienists and dentists in California for continuing dental education (CDE) offerings related to tobacco and patient tobacco cessation. Two statewide surveys of California dental hygienists and dentists were conducted. In addition to providing their own and their practice characteristics, in a discrete choice experiment, participants indicated their preferences between pairs of randomly generated hypothetical tobacco cessation CDE offerings that differed in topic, cost, delivery modality, and duration. Ultimately, 641 dental hygienists (20.5% of the total invited minus those with undeliverable emails, n=3,129) and 654 dentists (8.5% of the total invited minus those with undeliverable emails, n=7,669) responded to at least one of the discrete choice items, and their responses were analyzed. The results showed that each CDE attribute was independently associated with preference. Cost and topic were more strongly associated with preference than were delivery modality and duration. Lower cost, shorter duration courses were generally favored. Alternative tobacco products and patient communication were the most popular topics for participating dental hygienists and dentists, respectively. CDE preferences differed according to participant characteristics: live webinars were the least preferred modality for more experienced dental professionals, and shorter courses were not preferred by dentists in non-urban locations. These findings showed that these dental professionals considered multiple attributes in selecting CDE courses. To reach the broadest audience, CDE providers should offer low-cost options across a range of delivery modalities, such as full-day workshops in rural areas and online webinars for earlier career professionals.
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Ajiboye A, Gordon J, Fox C, Garcia R. Oral Health Effects of Tobacco Products: Science and Regulatory Policy. J Dent Res 2019; 98:1168-1172. [DOI: 10.1177/0022034519872946] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- A.S. Ajiboye
- American Association for Dental Research, Alexandria, VA, USA
| | - J.S. Gordon
- College of Nursing, University of Arizona, Tucson, AZ, USA
| | - C.H. Fox
- American Association for Dental Research, Alexandria, VA, USA
| | - R.I. Garcia
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA, USA
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Nowlin JP, Lee JGL, Wright WG. Implementation of Recommended Tobacco Cessation Systems in Dental Practices: A Qualitative Exploration in Northeastern North Carolina. J Dent Educ 2018; 82:475-482. [PMID: 29717071 DOI: 10.21815/jde.018.054] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Accepted: 11/04/2017] [Indexed: 11/20/2022]
Abstract
Every year, cigarettes and other tobacco products cause nearly one in five deaths in the U.S., but many smokers report not being advised to quit by their health care providers. Dentists have an important role to play in tobacco cessation, but more research is needed about the extent of and barriers to implementation in dental practices. The aims of this study were to assess the extent to which dental practices in northeastern North Carolina were implementing the recommended U.S. Public Health Service (PHS) Clinical Practice Guideline, to understand policies about smoking in dental practice settings, and to identify barriers to implementation of recommended systems. In the 252 telephone area code, which covers northeastern North Carolina, 75 general dentists were identified from the American Dental Association website and purposely selected for geographic, gender, race, and practice size diversity from the sampling frame. The 11 dentists who agreed to participate (seven male, four female) took part in 15-minute semi-structured interviews by phone in January-March 2017. The interview transcripts were thematically coded for adherence to the PHS guideline. The results showed that full implementation of the guideline and the 5As was limited, although asking, advising, and assessing about tobacco use was consistently present in these dental practices. Other recommendations, particularly designation of a staff member as coordinator, were not implemented. In terms of barriers, interviewees reported very limited past or present training for themselves or their staff members. This study found meaningful levels of adherence to the tobacco cessation guideline in this area with high smoking prevalence; but the results suggest room for improvement in training through both dental curricula and continuing education.
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Affiliation(s)
- Jonathan P Nowlin
- Jonathan P. Nowlin, BSPH, is Research Assistant, Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University; Joseph G.L. Lee, PhD, MPH, is Assistant Professor, Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University; and Wanda G. Wright, RN, DDS, MS, MSD, is Assistant Professor, Department of Foundational Sciences and Division Director of Dental Public Health, School of Dental Medicine, East Carolina University
| | - Joseph G L Lee
- Jonathan P. Nowlin, BSPH, is Research Assistant, Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University; Joseph G.L. Lee, PhD, MPH, is Assistant Professor, Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University; and Wanda G. Wright, RN, DDS, MS, MSD, is Assistant Professor, Department of Foundational Sciences and Division Director of Dental Public Health, School of Dental Medicine, East Carolina University.
| | - Wanda G Wright
- Jonathan P. Nowlin, BSPH, is Research Assistant, Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University; Joseph G.L. Lee, PhD, MPH, is Assistant Professor, Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University; and Wanda G. Wright, RN, DDS, MS, MSD, is Assistant Professor, Department of Foundational Sciences and Division Director of Dental Public Health, School of Dental Medicine, East Carolina University
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Shearston JA, Shah K, Cheng E, Moosvi R, Park SH, Patel N, Spielman AI, Weitzman ML. Dental, Dental Hygiene, and Advanced Dental Students' Use, Knowledge, and Beliefs Regarding Tobacco Products. J Dent Educ 2017; 81:1317-1326. [PMID: 29093145 DOI: 10.21815/jde.017.091] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2017] [Accepted: 05/29/2017] [Indexed: 11/20/2022]
Abstract
Using cigarettes and alternative tobacco products (ATPs) is associated with negative oral health outcomes, and dental health professionals are poised to help patients quit. The aim of this study was to determine dental, dental hygiene, and advanced dental students' use, knowledge, and beliefs about cigarettes and ATPs, including perceptions about their education in tobacco dependence treatment and counseling experience. All 1,783 students enrolled in the dental, dental hygiene, and postdoctoral dental programs at the New York University College of Dentistry were invited to participate in the survey in 2016. A total of 708 students at least partially completed the survey, for a response rate of 39.7%. In the results, 146 of the students (20.1%) reported ever using cigarettes, while 253 (35.7%) reported ever using any ATP. Regarding tobacco use intervention, the students reported they had not received enough training on ATPs, were neutral about cigarettes, and were somewhat confident and not so confident counseling a cigarette smoker or ATP user, respectively. By their fourth year, 77.8% of the dental students reported they had counseled someone to stop smoking cigarettes, but only 40.7% had counseled someone to stop using ATPs. Overall, all groups of students reported feeling more confident and had received more education on interventions for cigarettes than for ATPs (p<0.001). These students reported low confidence in helping people quit tobacco and did not perceive they had received enough training on intervening with patients on use of cigarettes and ATPs. These findings call for a revised tobacco education curriculum for dental, dental hygiene, and advanced dental students, focused on building knowledge and confidence for promoting tobacco dependence treatment.
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Affiliation(s)
- Jenni A Shearston
- Ms. Shearston is Project Manager, Department of Population Health, New York University School of Medicine and Abu Dhabi Public Health Research Center; Dr. Shah is Program Coordinator, Department of Environmental Medicine, New York University School of Medicine; Mr. Cheng is a dental student, New York University College of Dentistry; Mr. Moosvi is a dental student, New York University College of Dentistry; Dr. Park is Research Scientist, Department of Population Health, New York University School of Medicine; Dr. Patel is a Master's of Public Health student, Long Island University; Dr. Spielman is Associate Dean for Academic Affairs, New York University College of Dentistry; and Dr. Weitzman is Professor, New York University School of Medicine, Abu Dhabi Public Health Research Center, and New York University College of Global Public Health.
| | - Krina Shah
- Ms. Shearston is Project Manager, Department of Population Health, New York University School of Medicine and Abu Dhabi Public Health Research Center; Dr. Shah is Program Coordinator, Department of Environmental Medicine, New York University School of Medicine; Mr. Cheng is a dental student, New York University College of Dentistry; Mr. Moosvi is a dental student, New York University College of Dentistry; Dr. Park is Research Scientist, Department of Population Health, New York University School of Medicine; Dr. Patel is a Master's of Public Health student, Long Island University; Dr. Spielman is Associate Dean for Academic Affairs, New York University College of Dentistry; and Dr. Weitzman is Professor, New York University School of Medicine, Abu Dhabi Public Health Research Center, and New York University College of Global Public Health
| | - Eric Cheng
- Ms. Shearston is Project Manager, Department of Population Health, New York University School of Medicine and Abu Dhabi Public Health Research Center; Dr. Shah is Program Coordinator, Department of Environmental Medicine, New York University School of Medicine; Mr. Cheng is a dental student, New York University College of Dentistry; Mr. Moosvi is a dental student, New York University College of Dentistry; Dr. Park is Research Scientist, Department of Population Health, New York University School of Medicine; Dr. Patel is a Master's of Public Health student, Long Island University; Dr. Spielman is Associate Dean for Academic Affairs, New York University College of Dentistry; and Dr. Weitzman is Professor, New York University School of Medicine, Abu Dhabi Public Health Research Center, and New York University College of Global Public Health
| | - Rizvan Moosvi
- Ms. Shearston is Project Manager, Department of Population Health, New York University School of Medicine and Abu Dhabi Public Health Research Center; Dr. Shah is Program Coordinator, Department of Environmental Medicine, New York University School of Medicine; Mr. Cheng is a dental student, New York University College of Dentistry; Mr. Moosvi is a dental student, New York University College of Dentistry; Dr. Park is Research Scientist, Department of Population Health, New York University School of Medicine; Dr. Patel is a Master's of Public Health student, Long Island University; Dr. Spielman is Associate Dean for Academic Affairs, New York University College of Dentistry; and Dr. Weitzman is Professor, New York University School of Medicine, Abu Dhabi Public Health Research Center, and New York University College of Global Public Health
| | - Su Hyun Park
- Ms. Shearston is Project Manager, Department of Population Health, New York University School of Medicine and Abu Dhabi Public Health Research Center; Dr. Shah is Program Coordinator, Department of Environmental Medicine, New York University School of Medicine; Mr. Cheng is a dental student, New York University College of Dentistry; Mr. Moosvi is a dental student, New York University College of Dentistry; Dr. Park is Research Scientist, Department of Population Health, New York University School of Medicine; Dr. Patel is a Master's of Public Health student, Long Island University; Dr. Spielman is Associate Dean for Academic Affairs, New York University College of Dentistry; and Dr. Weitzman is Professor, New York University School of Medicine, Abu Dhabi Public Health Research Center, and New York University College of Global Public Health
| | - Naiya Patel
- Ms. Shearston is Project Manager, Department of Population Health, New York University School of Medicine and Abu Dhabi Public Health Research Center; Dr. Shah is Program Coordinator, Department of Environmental Medicine, New York University School of Medicine; Mr. Cheng is a dental student, New York University College of Dentistry; Mr. Moosvi is a dental student, New York University College of Dentistry; Dr. Park is Research Scientist, Department of Population Health, New York University School of Medicine; Dr. Patel is a Master's of Public Health student, Long Island University; Dr. Spielman is Associate Dean for Academic Affairs, New York University College of Dentistry; and Dr. Weitzman is Professor, New York University School of Medicine, Abu Dhabi Public Health Research Center, and New York University College of Global Public Health
| | - Andrew I Spielman
- Ms. Shearston is Project Manager, Department of Population Health, New York University School of Medicine and Abu Dhabi Public Health Research Center; Dr. Shah is Program Coordinator, Department of Environmental Medicine, New York University School of Medicine; Mr. Cheng is a dental student, New York University College of Dentistry; Mr. Moosvi is a dental student, New York University College of Dentistry; Dr. Park is Research Scientist, Department of Population Health, New York University School of Medicine; Dr. Patel is a Master's of Public Health student, Long Island University; Dr. Spielman is Associate Dean for Academic Affairs, New York University College of Dentistry; and Dr. Weitzman is Professor, New York University School of Medicine, Abu Dhabi Public Health Research Center, and New York University College of Global Public Health
| | - Michael L Weitzman
- Ms. Shearston is Project Manager, Department of Population Health, New York University School of Medicine and Abu Dhabi Public Health Research Center; Dr. Shah is Program Coordinator, Department of Environmental Medicine, New York University School of Medicine; Mr. Cheng is a dental student, New York University College of Dentistry; Mr. Moosvi is a dental student, New York University College of Dentistry; Dr. Park is Research Scientist, Department of Population Health, New York University School of Medicine; Dr. Patel is a Master's of Public Health student, Long Island University; Dr. Spielman is Associate Dean for Academic Affairs, New York University College of Dentistry; and Dr. Weitzman is Professor, New York University School of Medicine, Abu Dhabi Public Health Research Center, and New York University College of Global Public Health
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12
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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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13
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Diniz-Freitas M, Insua A, Keat R, Fricain JC, Catros S, Monteiro L, Silva L, Lodi G, Pispero A, Albuquerque R. Web-Based Information on the Treatment of Tobacco Dependence for Oral Health Professionals: Analysis of English-Written Websites. J Med Internet Res 2017; 19:e349. [PMID: 29054831 PMCID: PMC5670309 DOI: 10.2196/jmir.8174] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Revised: 08/09/2017] [Accepted: 09/07/2017] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Studies have been conducted on the content and quality of Web-based information for patients who are interested in smoking cessation advice and for health care practitioners regarding the content of e-learning programs about tobacco cessation. However, to the best of our knowledge, there is no such information about the quality of Web-based learning resources regarding smoking cessation dedicated to oral health professionals. OBJECTIVE The aim of this study was to identify and evaluate the quality of the content of webpages providing information about smoking cessation for oral health care professionals. METHODS Websites were identified using Google and Health on Net (HON) search engines using the terms: smoking cessation OR quit smoking OR stop smoking OR 3As OR 5As OR tobacco counselling AND dentistry OR dental clinic OR dentist OR dental hygienist OR oral health professionals. The first 100 consecutive results of the 2 search engines were considered for the study. Quality assessment was rated using the DISCERN questionnaire, the Journal of the American Medical Association (JAMA) benchmarks, and the HON seal. In addition, smoking cessation content on each site was assessed using an abbreviated version of the Smoke Treatment Scale (STS-C) and the Smoking Treatment Scale-Rating (STS-R). To assess legibility of the selected websites, the Flesch Reading Ease (FRES) and the Flesch-Kinkaid Reading Grade Level (FKRGL) were used. Websites were also classified into multimedia and nonmultimedia and friendly and nonfriendly usability. RESULTS Of the first 200 sites selected (100 of Google and 100 of HON), only 11 met the inclusion criteria and mainly belonged to governmental institutions (n=8), with the others being prepared by Professional Associations (n=2) and nonprofit organizations (n=1). Only 3 were exclusively dedicated to smoking cessation. The average score obtained with the DISCERN was 3.0, and the average score in the FKRGL and FRES was 13.31 (standard deviation, SD 3.34) and 40.73 (SD 15.46), respectively. Of the 11 websites evaluated, none achieved all the four JAMA benchmarks. The mean score of STS-R among all the websites was 2.81 (SD 0.95) out of 5. A significant strong positive correlation was obtained between the DISCERN mean values and the STS-R (R=.89, P=.01). CONCLUSIONS The mean quality of webpages with information for oral health care professionals about smoking cessation is low and displayed a high heterogeneity. These webpages are also difficult to read and often lack multimedia resources, which further limits their usefulness.
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Affiliation(s)
- Márcio Diniz-Freitas
- School of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain.,Medical-Surgical Dentistry Research Group (OMEQUI), Health Research Institute of Santiago de Compostela (IDIS), University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Angel Insua
- School of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Ross Keat
- Birmingham Dental Hospital, School of Dentistry, University of Birmingham, Birmingham, United Kingdom
| | | | - Sylvain Catros
- Department of Dentistry, University of Bordeaux, Bordeaux, France
| | - Luis Monteiro
- Department of Medicine and Oral Surgery, University Institute of Health Sciences (IUCS), CESPU, Gandra, Portugal.,Institute of Research and Advanced Training in Health Sciences and Technologies (IINFACTS), CESPU, Gandra, Portugal
| | - Luis Silva
- Institute of Research and Advanced Training in Health Sciences and Technologies (IINFACTS), CESPU, Gandra, Portugal
| | - Giovanni Lodi
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, University of Milan, Milan, Italy
| | - Alberto Pispero
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, University of Milan, Milan, Italy
| | - Rui Albuquerque
- Birmingham Dental Hospital, School of Dentistry, University of Birmingham, Birmingham, United Kingdom
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14
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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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Zaborskis A, Volkyte A, Narbutaite J, Virtanen JI. Smoking and attitudes towards its cessation among native and international dental students in Lithuania. BMC Oral Health 2017; 17:106. [PMID: 28693469 PMCID: PMC5504839 DOI: 10.1186/s12903-017-0397-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Accepted: 06/30/2017] [Indexed: 12/01/2022] Open
Abstract
Background Dental professionals are uniquely positioned to discourage smoking among their patients. However, little is known about the role of cultural background and attitudes towards smoking in the education of these professionals. Our study aimed to compare native Lithuanian and international dental students’ smoking habits, knowledge about the harmfulness of smoking and attitudes towards smoking cessation. Methods We conducted a cross-sectional survey of smoking and its cessation among dental students at the Lithuanian University of Health Sciences (Kaunas, Lithuania) in 2012. All Lithuanian and international dental students in each year of dental school were invited to participate in the survey during a compulsory practical class or seminar. Altogether 606 students participated in the survey with a response rate of 84.2%. Explanatory factorial analysis (EFA), multivariate Discriminant Analysis (DA) and Binary Logistic Regression (BLR) served for the statistical analyses. Results The percentages of occasional/current regular smokers were 41.1% and 55.7% (p = 0.068) among Lithuanian and international male students, and 22.7% and 22.9% (p = 0.776) among Lithuanian and international female students, respectively. The international dental students had a deeper knowledge of the harmfulness/addictiveness of smoking and held more positive attitudes towards smoking cessation among their patients than did the native Lithuanian dental students. Conclusions The findings of the study underscored the need to properly incorporate tobacco cessation training into the curriculum of dental education. However, consideration of the cultural background of dental students in building up their capacity and competence for intervening against smoking is essential.
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Affiliation(s)
- Apolinaras Zaborskis
- Institute of Health Research, Faculty of Public Health, Lithuanian University of Health Sciences, Tilzes 18, LT-47181, Kaunas, Lithuania
| | - Aiste Volkyte
- Faculty of Odontology, Lithuanian University of Health Sciences, Luksos-Daumanto 6, LT-50106, Kaunas, Lithuania
| | - Julija Narbutaite
- Faculty of Odontology, Lithuanian University of Health Sciences, Luksos-Daumanto 6, LT-50106, Kaunas, Lithuania. .,Lithuanian University of Health Sciences Hospital, Kaunas, Lithuania.
| | - Jorma I Virtanen
- Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, P.O. Box 5000, FI-90014, Oulu, Finland.,Medical Research Center, Oulu University Hospital, Oulu, Finland
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