Assessing dental professionals’ understanding of tobacco prevention and control: a qualitative study in Västerbotten County, Sweden

Preet, Raman; Khan, Nausheen; Blomstedt, Yulia; Nilsson, Maria Skyvell; Williams, Jennifer Stewart

doi:10.1038/bdjopen.2016.9

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…Compared to tobacco exposure risk, participants reported lower rates of knowledge surrounding additional risk factors associated with OC including: “brushing and flossing teeth twice daily: 79% (607/764)” and “avoiding contact with secondhand smoke 82% (622/762)”, while 79% (601/761) selected “quitting alcohol”. Findings from our study support that educational initiatives may be warranted to improve health literacy surrounding risk factors for OC among medical providers as well as patients [ 20 – 22 ].…”

Section: Discussionsupporting

confidence: 61%

Patient awareness/knowledge towards oral cancer: a cross-sectional survey

et al. 2018

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BackgroundOral cancer (OC) is associated with multiple risk factors and high mortality rates and substantially contributes to the global cancer burden despite being highly preventable.This cross-sectional study sought to assess current knowledge, awareness, and behaviors of patients in rural communities surrounding OC risk.MethodsAn anonymous 21-question survey was distributed to patients in waiting rooms of a large integrated medical-dental health system serving north-central Wisconsin.Survey results were summarized via descriptive statistics. Odds ratios surrounding health literacy on OC risk factors were obtained using unconditional univariate logistic regression analysis.ResultsOf 504 dental and 306 medical patients completing the survey, 62.2% were female, Caucasian/White (92%) with 41% having a ≤ high school diploma/equivalent. Current smoker/smokeless tobacco use was reported by 34%, while 39% reported former tobacco exposure. Alcohol use was reported by 54% of respondents at the following frequencies: < once/week, (35%); 1–2 times/week, (16%); 3–4 times/week, (6%); 5–6 times/week, (2%); and daily, (23%). Knowledge about tobacco and alcohol use and increased OC risk was reported by 94 and 40%, respectively. About 50% reported knowledgeability regarding cancer-associated symptomology. Tobacco cessation was reported by 20% of responders. Receipt of education on OC from healthcare providers and human papilloma virus links to OC causation was reported by 38 and 21%, respectively.ConclusionPatients who smoked > 20+ cigarettes per day were more knowledgeable about tobacco and OC risk compared to non-smokers and those who smoked ≤ 19 cigarettes/day (p = 0.0647). Patients who were alcohol consumers exhibited higher knowledgeability surrounding increased OC risk with alcohol and tobacco exposures compared to alcohol abstainers (p = 0.06). We concluded that patients recognized links between tobacco and OC risk but demonstrated lower knowledge of other causal factors. Strategic patient education by providers could increase awareness of OC risk.Electronic supplementary materialThe online version of this article (10.1186/s12903-018-0539-x) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 61%

Patient awareness/knowledge towards oral cancer: a cross-sectional survey

et al. 2018

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“…It is known that a lack of training in TCC is a significant barrier to providing TCC to patients [ 32 ]. In contrast, Swedish dental practitioners were involved in several TCC initiatives after receiving formal training in tobacco control and prevention [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Tobacco Use and Cessation Counseling among Dental Professionals in Saudi Arabia

Aljubran

Alkoudemi

Althunayan

et al. 2022

IJERPH

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The study aimed to assess the prevalence of tobacco use among dental professionals and their attitudes and behaviors about tobacco cessation counseling in Saudi Arabia. A total of 359 male and female dental professionals participated in this cross-sectional study. A pretested self-administered questionnaire was administered among study participants by visiting dental hospitals and clinics in Saudi Arabia. In the study, 15.9% of the participants were current tobacco users and 50.4% had a tobacco user at home or the workplace. Most participants reported that tobacco use is associated with bad breath (88.9%), oral cancer (88.3%), dryness of the mouth (80.8%), and bad taste (79.9%). Most participants asked patients about their tobacco habits (86.6%), mentioned tobacco habits in patient records (71.3%), and explained the benefits of quitting tobacco (79.9%). Less than half the sample (47.1%) referred patients to tobacco quitting services/programs. Male gender (Adjusted odds ratio (AOR) 5.50, 95% CI 2.48–12.23, p < 0.001), having a tobacco user at home/the workplace (AOR 3.18, 95% CI 1.57–6.45, p 0.001), and believing that tobacco cessation counseling was a waste of time (AOR 2.32, 95% CI 1.13–4.76, p 0.021) were associated with significantly increased odds of tobacco use among dental professionals. The study concluded that tobacco use was common among dental professionals despite their awareness of the adverse effects of tobacco. Reduction in tobacco use and promotion of counseling skills among dental professionals should be achieved through public health measures.

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“…There is now more than ever a need to integrate oral health into public health policies [ 7 , 60 , 61 ]. New policies must be backed by sufficient human and other resources so that unmet need can be firstly recognised, and secondly, met through skilled service providers.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic inequality in self-reported unmet need for oral health services in adults aged 50 years and over in China, Ghana, and India

Kailembo¹,

Preet

Williams

2018

Int J Equity Health

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BackgroundThe 2015 Global Burden of Disease Study estimated that oral conditions affect 3.5 billion people worldwide with a higher burden among older adults and those who are socially and economically disadvantaged. Studies of inequalities in the use of oral health services by those in need have been conducted in high-income countries but evidence from low- and middle-income countries (LMICs) is limited. This study measures and describes socioeconomic inequality in self-reported unmet need for oral health services in adults aged 50 years and over, in China, Ghana and India.MethodsA cross-sectional analysis of national survey data from the WHO SAGE Wave 1 (2007–2010) was conducted. Study samples in China (n = 1591), Ghana (n = 425) and India (n = 1307) were conditioned on self-reported need for oral health services in the previous 12 months. The binary dependent variable, unmet need for oral health services, was derived from questions about self-reported need and service use. Prevalence was estimated by country. Unmet need was measured and compared in terms of relative levels of education and household wealth. The methods were logistic regression and the relative index of inequality (RII). Models were adjusted for age, sex, area of residence, marital status, work status and self-rated health.ResultsThe prevalence of unmet need was 60, 80, and 62% in China, Ghana and India respectively. The adjusted RII for education was statistically significant for China (1.5, 95% CI:1.2–1.9), Ghana (1.4, 95% CI: 1.1–1.7), and India (1.5, 95% CI:1.2–2.0), whereas the adjusted RII for wealth was significant only in Ghana (1.3, 95% CI:1.1–1.6). Male sex was significantly associated with self-reported unmet need for oral health services in India.ConclusionsGiven rapid population ageing, further evidence of socioeconomic inequalities in unmet need for oral health services by older adults in LMICs is needed to inform policies to mitigate inequalities in the availability of oral health services. Oral health is a universal public health issue requiring attention and action on multiple levels and across the public private divide.

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Assessing dental professionals’ understanding of tobacco prevention and control: a qualitative study in Västerbotten County, Sweden

Cited by 4 publications

References 21 publications

Patient awareness/knowledge towards oral cancer: a cross-sectional survey

Patient awareness/knowledge towards oral cancer: a cross-sectional survey

Tobacco Use and Cessation Counseling among Dental Professionals in Saudi Arabia

Socioeconomic inequality in self-reported unmet need for oral health services in adults aged 50 years and over in China, Ghana, and India

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