BACKGROUND:Tobacco use is a disease of addiction and a behavior choice. It is valuable to understand the psychosocial dimension of disease.OBJECTIVES:The research aimed to assess the (I) behavioral determinants and pattern of tobacco use (II) readiness to quit tobacco among patients with oral potentially malignant disorders (OPMDs) using transtheoretical model (TTM) approach visiting the dental college in Goa, India.MATERIALS AND METHODS:This cross-sectional analytical study was conducted among 300 patients over 3 months. Information about sociodemographics, determinants including age and reason of onset, behavioral stages, and the presence of OPMDs was collected using specially designed pro forma. Descriptive and inferential statistics were performed using SPSS 18.0.RESULTS:Smokeless form of tobacco 199 (66.34%) was most prevalent followed by smoking 79 (26.33%) and dual tobacco use 22 (07.33%) in males. Majority belonged to low socioeconomic class. Peer influence was the most-cited reason. Around 1/3rd of the participants had OPMDs associated with tobacco use. Significant association was observed between the presence of OPMDs and TTM behavioral stages. Patients with OPMDs are more motivated for tobacco cessation (odd's ratio = 2.30, P = 0.002), that is, they are more in preparation and action stages.CONCLUSION:The findings reflect that smokeless tobacco use is more prevalent in males with low level of education and socioeconomic class. Readiness to quit tobacco increases among patients with OPMDs using TTM.

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INTRODUCTION:Tobacco epidemic is one of the biggest public health threats the world has ever faced. Tobacco use is a significant public health problem worldwide and the single-most preventable risk of human health. Mass media anti-tobacco advertisements can reach large sections of the society and increase awareness about the harms of tobacco use and increase quit attempts.METHODOLOGY:This cross-sectional study was conducted to find out the awareness of anti-tobacco advertisements and to assess the influence of anti-tobacco advertisements among 16 to 18-year-old students in Belgaum city. A self-structured, close-ended, 26-item questionnaire was distributed to 600 preuniversity students. The questionnaire consisted of sociodemographic data, tobacco usage status, questions related to awareness about anti-tobacco advertisements, and influence of anti-tobacco advertisements on attitude toward tobacco use. Frequency distributions and percentages were examined for each item and Chi-square test was used.RESULTS:Majority of the study participants (89.4% males and 86.7% females) were aware of the anti-tobacco advertisements. Television and movie theaters were considered as the most effective means for anti-tobacco advertisements. Nearly 90.8% had noticed the statutory warning which is shown during tobacco products’ usage on television/movies. Almost 78.35% of males and 90.6% of females had a positive change in attitude toward tobacco use due to influence of anti-tobacco advertisements.CONCLUSION:There is an increased awareness on anti-tobacco and this has been proved to be effective in motivating them to quit tobacco as well as stop them from initiating tobacco use.

Individuals with intellectual disability (ID) have special health care needs.Teaching self-care behaviors like toothbrushing helps reduce their dependence on adult caregivers. We present a bio-behavioral intervention combining task analysis with skill-based teaching of toothbrushing behavior aimed to promote autonomy in children with various types of ID. Methods: One hundred twenty children with ID enrolled at a special school in the State were included in the study. After baseline measurements using task analysis, four methods were used to train the children -instruction, three-phase modeling, physical guidance, and descriptive praise. The caregiver was trained and given instructional videos for reinforcement. After 4 weeks, the children were asked to brush their teeth and performance was evaluated. Results: There was increased independence in the performance of toothbrushing behavior, the mild and moderate ID groups showing the most improvement.Steps like oral manipulation of the toothbrush showed the greatest improvement in these groups. The severe ID group showed improvement in certain skills, while requiring assistance for others that demanded dexterity. Conclusion: This intervention can be implemented by special schools and special care dentistry centers to foster autonomy in oral self-care skills in the mild and moderate ID children, and complemented with other methods for severe ID children. K E Y W O R D Sautonomy, biobehavioral approach, intellectual disability, task analysis, toothbrushing 1 INTRODUCTION Intellectual disability (ID)/intellectual developmental disorder (IDD) 1 is an increasing public health challenge. According to the Working Group on Mental Retardation © 2021 Special Care Dentistry Association and Wiley Periodicals LLC by the World Health Organization (WGMR-WHO), ID has been defined as "a group of developmental conditions characterized by significant impairment of cognitive functions, which are associated with limitations of learning, adaptive behavior and skills." 2 Early diagnosis and 588 wileyonlinelibrary.com/journal/scd Spec Care Dentist.