Research paper
 
CC-BY-NC 4.0
 
 

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

Basais Alajmi 1, 2,  
Osama Abu-Hammad 3, 4,  
Najla Dar-Odeh 3, 4  
 
1
Riyadh Colleges for Dentistry and Pharmacy, Riyadh, Saudi Arabia
2
Kuwaiti Ministry of Health, Kuwait
3
College of Dentistry, Taibah University, Al Madinah Al Monawara, Saudi Arabia
4
Faculty of Dentistry, University of Jordan, Amman, Jordan
Tob. Prev. Cessation 2017;3(August):121
Publish date: 2017-08-01
Submission date: 2017-05-14
Final revision date: 2017-07-01
Acceptance date: 2017-07-10
KEYWORDS:
TOPICS:
 
ABSTRACT:
Introduction:
This study aims to explore the smoking prevalence among a sample of dentists working in two Gulf countries, and to assess the association between smoking habit and socioprofessional factors affecting their attitude towards tobacco cessation activities, including barriers that prevent them from practicing such activities.

Methods:
This was a cross-sectional, online questionnaire-based, survey among dentists from Saudi Arabia and Kuwait, during summer 2016. The questionnaire consisted of questions on socio-professional characteristics, tobacco use and attitudes towards the adoption of tobacco cessation programs in dental practices. The questionnaire also enquired about the barriers to adoption of tobacco cessation. Descriptive statistics were used to describe demographic and smoking characteristics while cross tabulation with chi-square test was used to find out statistical significance of association between the groups (P 0.05).

Results:
A total number of 466 responses were included in statistical analysis with 286 males (61.4%) and 180 females (38.6%), age ranged from 23 to 79 years (mean=32.7 9.32). Most of the sample (N=437, 93.8%) indicated that the dentist has a vital role in educating patients on the health hazards of smoking. A positive attitude toward adoption of tobacco cessation campaigns was associated with older, more experienced, medically compromised, non-smoker dentists. The most frequently cited barrier to tobacco cessation was lack of time (39.2%).

Conclusions:
Dentists who smoke are less likely to adopt smoking cessation campaigns in their clinics. More experienced dentists and those older than 40 years are more likely to engage in smoking cessation activities.

CORRESPONDING AUTHOR:
Najla Dar-Odeh   
Taibah University, Al Salam Rd, 41411 Al Madinah Al Monawara, Saudi Arabia
 
REFERENCES (37):
1. Shaheen S, Reddy S, Doshi D, Reddy P, Kulkarni S: Knowledge, Attitude and Practice Regarding Tobacco Cessation Among Indian Dentists. Oral Health Prev Dent 2015, 13:427-434. doi: 10.3290/j.ohpd.a33924.
2. Albert DA, Severson H, Gordon J, Ward A, Andrews J, Sadowsky D: Tobacco attitudes, practices, and behaviors: a survey of dentists participating in managed care. Nicotine Tob Res 2005, 7 Suppl 1:S9-18. doi: 10.1080/14622200500078014.
3. Martin LM, Bouquot JE, Wingo PA, Heath CW, Jr.: Cancer prevention in the dental practice: oral cancer screening and tobacco cessation advice. J Public Health Dent 1996, 56:336-340. doi: 10.1111/j.1752-7325.1996.tb02461.x.
4. Dar-Odeh N, Abu-Hammad O: Tongue cancer subgroup. Br Dent J 2013, 215:154. doi: 10.1038/sj.bdj.2013.796
5. Albert D, Ward A, Ahluwalia K, Sadowsky D: Addressing tobacco in managed care: a survey of dentists' knowledge, attitudes, and behaviors. Am J Public Health 2002, 92:997-1001. doi: 10.2105/ajph.92.6.997.
6. Smith DR, Leggat PA: Tobacco smoking prevalence among a cross-section of dentists in Queensland, Australia. Kurume Med J 2005, 52:147-151. doi: 10.2739/kurumemedj.52.147.
7. Al-Kayyal M. A-HN: Dental Records and what they can Reveal about Tobacco Use Intervention Practices. Tob Prev Cessation 2017, 3:1-7. doi: 10.18332/tpc/67969.
8. Shaik SS, Doshi D, Bandari SR, Madupu PR, Kulkarni S: Tobacco Use Cessation and Prevention - A Review. J Clin Diagn Res 2016, 10:ZE13-17. doi: 10.7860/JCDR/2016/19321.7803.
9. Al-Shayyab MH, Abu-Hammad OA, Al-Omiri MK, Dar-Odeh NS: Antifungal prescribing pattern and attitude towards the treatment of oral candidiasis among dentists in Jordan. Int Dent J 2015, 65:216-226. doi: 10.1111/idj.12173.
10. Li KW, Chao DV: Current practices, attitudes, and perceived barriers for treating smokers by Hong Kong dentists. Hong Kong Med J 2014, 20:94-101. doi : 10.12809/hkmj134027.
11. Omana-Cepeda C, Jane-Salas E, Estrugo-Devesa A, Chimenos-Kustner E, Lopez-Lopez J: Effectiveness of dentist's intervention in smoking cessation: A review. J Clin Exp Dent 2016, 8:e78-83. doi: 10.4317/jced.52693.
12. Valachovic RW: Integrating oral and overall health care--on the road to interprofessional education and practice: building a foundation for interprofessional education and practice. J Calif Dent Assoc 2014, 42:25-27.
13. Noonan D, Kulbok PA: New tobacco trends: waterpipe (hookah) smoking and implications for healthcare providers. J Am Acad Nurse Pract 2009, 21:258-260. doi: 10.1111/j.1745-7599.2009.00402.x.
14. Abdulateef DS, Ali AJ, Abdulateef DS, Mohesh MI: Smoking Knowledge, Attitude, and Practices Among Health Care Professionals from Sulaymaniyah City/Iraq. Tob Use Insights 2016, 9:1-6. doi: 10.4137/TUI.S38171.
15. Dar-Odeh N, Alnazzawi A, Shoqair N, Al-Shayyab MH, Abu-Hammad O: Waterpipe Tobacco Smoking Among Dental Practitioners: Prevalence and Health Perceptions. Tob Use Insights 2016, 9:29-33. doi: 10.4137/TUI.S40568.
16. Al-Maweri SA, Al-Soneidar WA, AlMaqtari A, Hunaish A, Al-Sufyani G, Halboub E: Tobacco Cessation Counseling: Attitudes and Practices among Yemeni Dental Professionals. J Cancer Educ 2017. doi : 10.1007/s13187-017-1212-9.
17. Hagen EH, Garfield MJ, Sullivan RJ: The low prevalence of female smoking in the developing world: gender inequality or maternal adaptations for fetal protection? Evol Med Public Health 2016, 2016:195-211. doi: 10.1093/emph/eow013.
18. Islam SM, Johnson CA: Correlates of smoking behavior among Muslim Arab-American adolescents. Ethn Health 2003, 8:319-337. doi: 10.1080/13557850310001631722.
19. Dar-Odeh NS, Abu-Hammad OA: The changing trends in tobacco smoking for young Arab women; narghile, an old habit with a liberal attitude. Harm Reduct J 2011, 8:24. doi : 10.1186/1477-7517-8-24.
20. Dar-Odeh N.; Abu-Hammad O, Al-Abdalla, M.; Shakhatreh, F.; Al-Abedalla, K.; Khdairi, N.; Prime, S.: Narghile Smoking among Jordanian Educated Working Women: Attitudes and Beliefs. Br J Med Med Res 2013, 3:8. doi: 10.9734/bjmmr/2013/2516.
21. Schane RE, Glantz SA, Ling PM: Social smoking implications for public health, clinical practice, and intervention research. Am J Prev Med 2009, 37:124-131. doi: 10.1016/j.amepre.2009.03.020.
22. Hess CA, Olmedo P, Navas-Acien A, Goessler W, Cohen JE, Rule AM: E-cigarettes as a source of toxic and potentially carcinogenic metals. Environ Res 2017, 152:221-225. doi: 10.1016/j.envres.2016.09.026.
23. Dar-Odeh NS, Abu-Hammad OA: Narghile smoking and its adverse health consequences: a literature review. Br Dent J 2009, 206:571-573. doi: 10.1038/sj.bdj.2009.475.
24. McCarthy M: E-cigarettes are major threat to young people's health, says US surgeon general. BMJ 2016, 355:i6652. doi: 10.1136/bmj.i6652.
25. Soule EK, Lipato T, Eissenberg T: Waterpipe tobacco smoking: A new smoking epidemic among the young? Curr Pulmonol Rep 2015, 4:163-172. doi: 10.1007/s13665-015-0124-6.
26. Yusuf H, Tsakos G, Ntouva A, Murphy M, Porter J, Newton T, Watt RG: Differences by age and sex in general dental practitioners' knowledge, attitudes and behaviours in delivering prevention. Br Dent J 2015, 219:E7. doi: 10.1038/sj.bdj.2015.711.
27. Wilson M, Karki AJ, Gould A: Evaluation of the Stop Smoking Wales NHS Dental Practice Incentive Scheme. Br Dent J 2016, 221:731-735. doi:10.1038/sj.bdj.2016.916.
28. Gallus S, Lugo A, Garattini S, Pacifici R, Mastrobattista L, Marzo G, Paglia L: General Practitioners and Dentists: A Call for Action Against Tobacco. Nicotine Tob Res 2016, 18:2202-2208. doi:10.1093/ntr/ntw162.
29. Park YD, Patton LL, Kim JH, Kim HY: Smoking prevalence and attitude toward anti-smoking activities among Korean dentists. Int Dent J 2010, 60:383-38.
30. Ford P, Tran P, Keen B, Gartner C: Survey of Australian oral health practitioners and their smoking cessation practices. Aust Dent J 2015, 60:43-51; quiz 128. doi: 10.1111/adj.12270.
31. Uti OG, Sofola OO: Smoking cessation counseling in dentistry: attitudes of Nigerian dentists and dental students. J Dent Educ 2011, 75:406-412. doi: 10.4314/ndj.v15i2.42111.
32. Bhat N, Jyothirmai-Reddy J, Gohil M, Khatri M, Ladha M, Sharma M: Attitudes, Practices and Perceived Barriers in Smoking Cessation among Dentists of Udaipur City, Rajasthan, India. Addict Health 2014, 6:73-80.
33. Dar-Odeh NS, Abu-Hammad OA, Khraisat AS, El Maaytah MA, Shehabi A: An analysis of therapeutic, adult antibiotic prescriptions issued by dental practitioners in Jordan. Chemotherapy 2008, 54:17-22. doi.org/10.1159/000112313.
34. Renshaw J: Dentist suicides. Br Dent J 2013, 215:593-594. doi: 10.1038/sj.bdj.2013.1144
35. Kottke TE, Brekke ML, Solberg LI: Making "time" for preventive services. Mayo Clin Proc 1993, 68:785-791. doi:10.1016/s0025-6196(12)60638-7.
36. Kottke TE, Solberg LI, Brekke ML, Cabrera A, Marquez M: Will patient satisfaction set the preventive services implementation agenda? Am J Prev Med 1997, 13:309-316.
37. Al-Dlaigan YH, Albarakati SF, Al-Habeeb F, Al-Hulaily M: Career characteristics and postgraduate education of female dentist graduates of the College of Dentistry at King Saud University, Saudi Arabia. Saudi Dent J 2012, 24:29-34. doi: 10.1016/j.sdentj.2011.10.005.
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