Smoking Cessation Counseling: Practices, Determinants, and Barriers in a Sample of Iranian Primary Care Dentists.

Q3 Dentistry
Frontiers in Dentistry Pub Date : 2024-10-05 eCollection Date: 2024-01-01 DOI:10.18502/fid.v21i38.16595
Mohammad Reza Khami, Parvin Bastani, Shabnam Varmazyari
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引用次数: 0

Abstract

Objectives: Despite the successful tobacco smoking cessation counseling (TSCC) efforts of dental professionals, Iranian primary care dentists have not fully utilized their potential for TSCC provision. Thus, this study assessed the TSCC practices and their associations with socio-professional attributes, knowledge, and attitude, and explored the TSCC barriers and their socio-professional determinants in a sample of Iranian primary care dentists. Materials and Methods: This cross-sectional study was conducted at Comprehensive Healthcare Centers (CHCs) in Tehran Province, Iran from March to June 2019. All dentists practicing in these centers (n=190) completed self-administered questionnaires regarding TSCC-related knowledge, attitude, practice, and barriers. Simple and multiple linear regression and multiple logistic regression tests were used for statistical analyses. Results: The respondents (n=180, response rate=93%) were predominantly females (81.6%), recent graduates (69.6%), and non-cigarette smokers (90.2%), with a mean age of 34±9.98 years. Most performed 'Ask' (90.6%) and 'Advise' (69.1%), while a few were engaged in 'Assess' (33.7%) and fewer in 'Assist,' with 21.3% making physician referrals and 31.5% making psychologist referrals. Non-smokers (B=0.80, 95% CI: 0.19 to 1.40; P=0.01), and those with a more positive attitude (B=0.06, 95% CI: 0.04 to 0.08; P< 0.001) were more likely to provide TSCC. The main identified barriers included "absence of educational resources for patients", "time constraints", and "lack of patient cooperation. Conclusion: Although the selected sample of Iranian primary care dentists performed "Ask" and "Advise" more frequently than their peers, their TSCC practice required further improvement through simplified guidelines, customized pathways, training, team work, and resource advocacy.

戒烟咨询:伊朗初级保健牙医样本中的做法、决定因素和障碍。
目的:尽管牙科专业人员成功开展了戒烟咨询(TSCC)工作,但伊朗初级保健牙医尚未充分利用其提供戒烟咨询的潜力。因此,本研究评估了伊朗初级保健牙医的 TSCC 实践及其与社会专业属性、知识和态度的关联,并探讨了 TSCC 障碍及其社会专业决定因素。材料和方法:这项横断面研究于 2019 年 3 月至 6 月在伊朗德黑兰省的综合保健中心 (CHC) 进行。在这些中心执业的所有牙医(n=190)都填写了有关 TSCC 相关知识、态度、实践和障碍的自填问卷。统计分析采用了简单和多元线性回归以及多元逻辑回归测试。结果:受访者(人数=180,回复率=93%)主要为女性(81.6%)、应届毕业生(69.6%)和非吸烟者(90.2%),平均年龄为(34±9.98)岁。大多数人从事 "询问"(90.6%)和 "建议"(69.1%),少数人从事 "评估"(33.7%),较少人从事 "协助",其中 21.3% 的人转诊给医生,31.5% 的人转诊给心理医生。非吸烟者(B=0.80,95% CI:0.19 至 1.40;P=0.01)和态度更积极者(B=0.06,95% CI:0.04 至 0.08;P< 0.001)更有可能提供 TSCC。发现的主要障碍包括 "缺乏针对患者的教育资源"、"时间限制 "和 "缺乏患者合作"。结论虽然所选的伊朗初级保健牙医样本比他们的同行更经常进行 "询问 "和 "建议",但他们的 TSCC 实践需要通过简化指南、定制路径、培训、团队合作和资源宣传来进一步改进。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Dentistry
Frontiers in Dentistry Dentistry-General Dentistry
CiteScore
1.00
自引率
0.00%
发文量
34
审稿时长
12 weeks
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