Tobacco use cessation efforts among private dental practitioners of Delhi, India
DOI:
https://doi.org/10.5195/d3000.2020.99Keywords:
tobacco use cessation, dentists, questionnaire, nicotine replacement, IndiaAbstract
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.
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
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.
