Tobacco use cessation efforts among private dental practitioners of Delhi, India

Abhishek Mehta, Gurkiran Kaur, Rishabh Popli, Suchi Khurana

Abstract


Introduction: Tobacco use remains the single largest cause of premature death around the world. Motivating tobacco users through behavioral counseling is the mainstay for achieving tobacco abstinence. Research evidence suggests a larger role of dental professionals in motivating tobacco users to quit. The efforts of private dental practitioners in providing Tobacco Cessation Interventions (TCI) in their clinics need to be measured and acknowledged.

Methods: A cross-sectional survey based on self-administered questionnaire with private dental practitioners was carried out in the state of Delhi, India. The main objectives of the survey were to assess the current practices and the barriers experienced in providing TCI by the participating dentists. Statistical analysis was conducted to find out the association between independent variables and the responses to questions on tobacco cessation.

Results: The mean age and years of practice of 297 participating dentists was 37.2 (SD 9.8) and 11.9 (SD 9.5) years respectively. Most of them were graduate (N=204, 68.7%). Only 17.2% (N=51) of the participating dentists had undergone any training in providing TCI. Most of the dentists felt that the lack of proper training (N=146, 49.2%) and resistance by patients (N=185, 62.5%) are the main barriers in providing TCI. Younger dentists (<35 years) performed significantly better than older dentists in many parameters pertaining to attitude and practices of TCI in their clinics.

Conclusion: This is a pioneer survey conducted on the issue of TCI provided by private dental practitioners of Delhi. The study results show that around 2/3rds of the participating private dental practitioners were providing TCI to their patients but there are certain barriers for its proper implementation. Therefore, there is an urgent need to remove these self-reported barriers and build self-confidence among the dentists for instituting effective TCI in their clinics.


Keywords


tobacco use cessation; dentists; questionnaire; nicotine replacement; India

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References


Global, regional, and na-tional disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Dis-ease Study 2017.

GBD 2017 DALYs and HALE Collaborators.Lancet. 2018 Nov 10;392(10159):1859-1922. doi: 10.1016/S0140-6736(18)32335-3.PMID: 30415748

Dentis-try's role in tobacco control.

Tomar SL.J Am Dent Assoc. 2001 Nov;132 Suppl:30S-35S. doi: 10.14219/jada.archive.2001.0386.PMID: 11803650

A quasi-experimental intervention to assess the effectiveness of a physician-delivered tobacco cessation intervention in India : A detailed study protocol.

Panda R, Health P, Gaurav K, Health P, Pati S, Mathur MR. SAGE Open Med. 2017;5:1-8. doi: 10.1177/2050312117697173. PMID: 28540045

MInistry of Health and Family Welfare Government of India. Tobacco Dependence Treatment Guidelines.; 2011.

Physi-cian advice for smoking cessation.

Stead LF, Buitrago D, Pre-ciado N, Sanchez G, Hart-mann-Boyce J, Lancaster T.Cochrane Database Syst Rev. 2013 May 31;2013(5):CD000165. doi: 10.1002/14651858.CD000165.pub4.PMID: 23728631

Effective-ness of tobacco counseling in the dental office.

Warnakulasuriya S.J Dent Educ. 2002 Sep;66(9):1079-87.PMID: 12374269

Tobacco cessation in den-tal settings: research find-ings and future directions.

Gordon JS, Lichtenstein E, Severson HH, Andrews JA.Drug Alcohol Rev. 2006 Jan;25(1):27-37. doi: 10.1080/09595230500459495.PMID: 16492575

Interventions for tobacco cessation in the dental setting.

Carr AB, Ebbert J.Version 2. Cochrane Database Syst Rev. 2012 Jun 13;2012(6):CD005084. doi: 10.1002/14651858.CD005084.pub3.PMID: 22696348

Ministry of Health and family welfare government of India. Global Adult Tobacco Survey (GATS)-2 India. https://www.mohfw.gov.in/sites/default/files/GATS-2 FactSheet.pdf

Tobacco use cessation ser-vices provided by dentists and dental hygienists in Manitoba: part 1. Influence of practitioner de-mographics and psychoso-cial factors.

Brothwell DJ, Gelskey SC.J Can Dent Assoc. 2008 Dec;74(10):905.PMID: 19126359

Dental Council of India. Total registered dentists. Accessed January 14, 2019. http://www.dciindia.org.in/DentistRegistered.aspx

Dental manpower planning in India: current scenario and future projections for the year 2020.

Vundavalli S.Int Dent J. 2014 Apr;64(2):62-7. doi: 10.1111/idj.12063. Epub 2013 Nov 4.PMID: 24180215

Government of India. Establishment of Tobacco Cessation Centers in Dental Institutes : An Integrated Apporach in India- Operational Guidelines 2018.; 2018.

Role of dental institutions in tobacco cessation in In-dia: current status and fu-ture prospects.

Mohanty VR, Rajesh GR, Aruna DS.Asian Pac J Can-cer Prev. 2013;14(4):2673-80. doi: 10.7314/apjcp.2013.14.4.2673.PMID: 23725194

World Health Organization. Effective Implementation of the WHO Framework Convention on Tobacco Control through the MPOWER Policy Package. TFI Newsl. 2009;2(2):1-8.

Tobacco Cessation Coun-selling Practices and Atti-tude among the Dentist and the Dental Auxiliaries of Urban and Rural Areas of Modinagar, India.

Singla A, Patthi B, Singh K, Jain S, Vashishtha V, Kundu H, Malhi R, Pandita V.J Clin Diagn Res. 2014 Sep;8(9):ZC15-8. doi: 10.7860/JCDR/2014/9250.4799. Epub 2014 Sep 20.PMID: 25386513

Tobacco cessation and counseling: a dentists' per-spective in Bhopal city, Madhya Pradesh.

Amit S, Bhambal A, Saxena V, Basha S, Saxena S, Vanka A.Indian J Dent Res. 2011 May-Jun;22(3):400-3. doi: 10.4103/0970-9290.87061.PMID: 22048579

Addressing tobacco control in dental practice: a survey of dentists' knowledge, attitudes and behaviours in India.

Chandrashekar J, Manju-nath BC, Unnikrishnan M.Oral Health Prev Dent. 2011;9(3):243-9.PMID: 22068180

Knowledge, Attitude and Practice Regarding Tobac-co Cessation Among Indian Dentists.

Shaheen S, Reddy S, Doshi D, Reddy P, Kulkarni S.Oral Health Prev Dent. 2015;13(5):427-34. doi: 10.3290/j.ohpd.a33924.PMID: 25789360

Factors determining inten-tion to quit tobacco: ex-ploring patient responses visiting public health facil-ities in India.

Panda R, Venkatesan S, Persai D, Trivedi M, Ma-thur MR.Tob Induc Dis. 2014 Jan 20;12(1):1. doi: 10.1186/1617-9625-12-1.PMID: 24444137

Tobacco cessation support among dentists: A cross-sectional survey in Saudi Arabia and Kuwait.

Alajmi B, Abu-Hammad O, Al-Sharrad A, Dar-Odeh N.Tob Prev Cessat. 2017 Aug 1;3:121. doi: 10.18332/tpc/75795. eCol-lection 2017.PMID: 32432195

Tobacco cessation activi-ties of UK dentists in pri-mary care: signs of im-provement.

Johnson NW, Lowe JC, Warnakulasuriya KA.Br Dent J. 2006 Jan 28;200(2):85-9. doi: 10.1038/sj.bdj.4813148.PMID: 16444223

Attitude and practices among dentists and senior dental students in iran to-ward tobacco cessation as an effort to prevent oral cancer.

Razavi SM, Zolfaghari B, Doost ME, Tahani B.Asian Pac J Cancer Prev. 2015;16(1):333-8. doi: 10.7314/apjcp.2015.16.1.333.PMID: 25640375

Facilitating smoking ces-sation in patients who smoke: a large-scale cross-sectional comparison of fourteen groups of healthcare providers.

Meijer E, Van der Kleij RMJJ, Chavannes NH.BMC Health Serv Res. 2019 Oct 25;19(1):750. doi: 10.1186/s12913-019-4527-x.PMID: 31653215

Attitudes, Practices and Perceived Barriers in Smoking Cessation among Dentists of Udaipur City, Rajasthan, India.

Bhat N, Jyothirmai-Reddy J, Gohil M, Khatri M, Ladha M, Sharma M.Addict Health. 2014 Winter;6(1-2):73-80.PMID: 25140220

Farrukh U, Shakeel S. Dentists’ Practice and Perceived Barriers towards Smoking Cessation and Intervention in Karachi, Pakistan. J Pharm Care Heal Syst. 2016;03(01):1-5.

TOBAC-CO CESSATION SERVICES AND RELATED CHALLENGES AMONG DENTISTS IN SOUTHWEST NIGERIA.

Dedeke AA, Popoola OA, Adebiyi AO, Asuzu MC.Ann Ib Postgrad Med. 2018 Dec;16(2):125-130.PMID: 31217769

Tobacco Cessation Coun-seling: Attitudes and Prac-tices among Yemeni Den-tal Professionals.

Al-Maweri SA, Al-Soneidar WA, AlMaqtari A, Hunaish A, Al-Sufyani G, Halboub E.J Cancer Educ. 2018 Oct;33(5):1088-1093. doi: 10.1007/s13187-017-1212-9.PMID: 28324226

Dentists' attitudes, behav-iors, and barriers related to tobacco-use cessation in the dental setting.

Prakash P, Belek MG, Grimes B, Silverstein S, Meckstroth R, Heckman B, Weintraub JA, Gansky SA, Walsh MM.J Public Health Dent. 2013 Spring;73(2):94-102. doi: 10.1111/j.1752-7325.2012.00347.x. Epub 2012 Jun 26.PMID: 22731618

Guidance for commission-ers on the cost effective-ness of smoking cessation interventions. Health Edu-cational Authority.

Parrott S, Godfrey C, Raw M, West R, McNeill A.Thorax. 1998 Dec;53 Suppl 5 Pt 2(Suppl 5):S1-38.PMID: 10226676

Assessment of Knowledge, Attitude, Behaviour and In-terpersonal Factors Relat-ed to the Use of Tobacco among Youth of Udaipur City, Rajasthan, India: A Cross-Sectional Study.

Multani S, Reddy JJ, Bhat N, Sharma A.Addict Health. 2012 Summer-Autumn;4(3-4):142-50.PMID: 24494149

Treating tobacco use and dependence: 2008 update U.S. Public Health Service Clinical Practice Guideline executive summary.

PHS Guideline Up-date Panel, Liaisons, and Staff. Respir Care. 2008. PMID: 18807274

World Health Organisation (WHO). The role of health professionals in tobacco control. World Heal Organ. Published online 2005:1-38. http://www.who.int/tobacco/resources/publications/wntd/2005/bookletfinal_20april.pdf

Nicotine replacement therapy for smoking ces-sation.

Stead LF, Perera R, Bullen C, Mant D, Hartmann-Boyce J, Cahill K, Lancaster T.Cochrane Database Syst Rev. 2012 Nov 14;11:CD000146. doi: 10.1002/14651858.CD000146.pub4.PMID: 23152200

Tobacco and oral health: attitudes and opinions of European dentists; a report of the EU working group on tobacco and oral health.

Allard RH.Int Dent J. 2000 Apr;50(2):99-102. doi: 10.1002/j.1875-595x.2000.tb00806.x.PMID: 10945189

Dental council of India. BDS Course Regulations.; 2007. Accessed December 30, 2019. http://www.dciindia.gov.in/Rule_Regulation/Revised_BDS_Course_Regulation_2007.pdf




DOI: https://doi.org/10.5195/d3000.2020.99



Copyright (c) 2020 Abhishek Mehta, Gurkiran Kaur, Rishabh Popli, Suchi Khurana

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