Smoking and Smoking Cessation Counseling Pattern Among Senior Dental Students
Document Type : مقالههای پژوهشی
Authors
1 Dentist, Dental Students Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor, Oral public Health Department, Dental Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Introduction: This study aimed to assess the tobacco use pattern among senior dental students and their practice and attitude toward cessation counseling.
Materials and Methods: This descriptive-sectional study was conducted among the senior dental students of Isfahan in 2023 based on the census sampling method. A questionnaire was designed based on the literature review and verified with quantitative methods of validity index and validity ratio, which included 22 performance questions regarding the consumption of tobacco products and adherence to the 5A protocol in smoking cessation counseling and five attitudinal questions. It was distributed electronically. The data were analyzed using Chi-square tests to investigate the difference in the frequency of performance based on gender and history of smoking. Logistic regression was used to examine the factors affecting smoking among students (α = 0.05).
Results: Among 154 participants (response rate = 77%), the most common substance consumed was cigarettes, with a prevalence of 35.1%, and 13% were regular smokers. The prevalence of consumption in men was twice that of women (Odds = 2.01, 95% CI = 1.01-3). Also, the history of smoking in the family was a significant predictor of smoking in the future (Odds = 2.6 (,95% CI = 1.3-5.5). In protocol 5A, there was no significant relationship found between smoking history and student performance. Among the items related to attitude, smoking history had a significant effect only on the student's belief that smoking is a personal decision (p value = 0.02).
Conclusion: TThe prevalence of smoking among dental students in Isfahan is relatively similar to the general population, and it was displayed that there is no significant relationship between smoking and attitude towards smoking cessation counseling. Most students have poor performance and knowledge in smoking cessation counseling, which affects their attitude toward smoking cessation.
Materials and Methods: This descriptive-sectional study was conducted among the senior dental students of Isfahan in 2023 based on the census sampling method. A questionnaire was designed based on the literature review and verified with quantitative methods of validity index and validity ratio, which included 22 performance questions regarding the consumption of tobacco products and adherence to the 5A protocol in smoking cessation counseling and five attitudinal questions. It was distributed electronically. The data were analyzed using Chi-square tests to investigate the difference in the frequency of performance based on gender and history of smoking. Logistic regression was used to examine the factors affecting smoking among students (α = 0.05).
Results: Among 154 participants (response rate = 77%), the most common substance consumed was cigarettes, with a prevalence of 35.1%, and 13% were regular smokers. The prevalence of consumption in men was twice that of women (Odds = 2.01, 95% CI = 1.01-3). Also, the history of smoking in the family was a significant predictor of smoking in the future (Odds = 2.6 (,95% CI = 1.3-5.5). In protocol 5A, there was no significant relationship found between smoking history and student performance. Among the items related to attitude, smoking history had a significant effect only on the student's belief that smoking is a personal decision (p value = 0.02).
Conclusion: TThe prevalence of smoking among dental students in Isfahan is relatively similar to the general population, and it was displayed that there is no significant relationship between smoking and attitude towards smoking cessation counseling. Most students have poor performance and knowledge in smoking cessation counseling, which affects their attitude toward smoking cessation.
Keywords
1. Thomson NC, Polosa R, Sin DD. Cigarette Smoking and Asthma. J Allergy Clin Immunol Pract. 2022; 10(11): 2783-97.
2. World Health Organization. Tobacco [31 July 2023]. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco (accessed on 30 June 2020).
3. Morgan JC, Cappella JN. Harm perceptions and beliefs about potential modified risk tobacco products. Int J Environ Res Public Health 2021; 18(2): 576.
4. Rezakhani Mogaddam H, Sadeghi R, Pahlevanzadah B, Shakourimoghaddam R Fatehi V. Survey of Prevalence and Causes of the Trend of Hookah Smoking in Tehran University Students of Medical Sciences 2010-2011 [in Persian]. J Toloo Behdasht. 2011; 11(4): 103-13.
5. Ebneahmadi A, Airemlu S, Golmohammadi Sh, Khoshnevisan M. Obstacles limiting the active participation of Iranian final year dental students in program quit smoking [in Persian]. JDS 2011; 29(3): 199-206.
6. Kılınç G, Bolgül BS, Aksoy G, Günay T. The prevelance of tobacco use and the factors influencing in students studying at two dentistry faculties in Turkey. Turk Thorac J 2016; 17(2): 47-52.
7. Keikavoosi-Arani L, Seyed Someah M. Assessing levels of occupational stress among clinical dental students [in Persian]. J Health Saf 2020; 10(4): 436-46.
8. Khami M AA, Ahmadian M, Razeghi S, Yazdani R. Knowledge, attitudes, and skills of dental students at Tehran and Shahid Beheshti dental schools towards tobacco cessation counseling [in Persian]. J Dent Med 2014; 27(3): 209-15.
9. Razavi SM, Zolfaghari B, Doost ME, Tahani B. Attitude and practices among dentists and senior dental students in iran toward tobacco cessation as an effort to prevent oral cancer. Asian Pac J Cancer Prev 2015; 16(1): 333-8.
10. Smith DR, Leggat PA. An international review of tobacco smoking among dental students in 19 countries. Int dent J 2007; 57(6): 452-8.
11. Heydarabadi AB, Ramezankhani A, Barekati H, Vejdani M, Shariatinejad K, Panahi R, et al. Prevalence of substance abuse among dormitory students of Shahid Beheshti University of Medical Sciences, Tehran, Iran. Int J High Risk Behav Addict 2015; 4(2): e22350.
12. Tahani B, Najimi A, Fazel M, Salavati M. Assessing the validity and reliability of persian version of DQS (Dental Satisfaction Questionnaire) [in Persian]. Iranian Journal of Epidemiology 2019; 14(4): 349-58.
13. Abbasi-Kangevari M, Ghanbari A, Fattahi N, Malekpour MR, Masinaei M, Ahmadi N, et al. Tobacco consumption patterns among Iranian adults: a national and sub-national update from the STEPS survey 2021. Sci Rep 2023; 13(1): 10272.
14. Rodakowska E, Mazur M, Baginska J, Sierpinska T, La Torre G, Ottolenghi L, D’Egidio V, Guerra F. Smoking prevalence, attitudes and behavior among dental students in Poland and Italy. Int J Environ Res Public Health 2020; 17(20): 7451.
15. Habibpour Gatabi K, Serajzadeh SH, Yousefi IlZoleh F. Gender Experience of Smoking among Students of Kharazmi University [in Persian]. Social Problems of Iran 2022; 12(2): 57-84.
16. Majidpour A, Hamidzade Y,abbasgholizade N, Salehi E. Prevalence rate and causes of smoking tendency among students of medical university of Ardebil [in Persian]. J Ardabil Univ Med Sci 2005; 5(3): 266-70.
17. Alblowi JA. Perception of tobacco hazards on general and periodontal health and tobacco cessation counseling among dental students. Tob Prev Cessat 2024; 10.
18. Chan HL, Chan AK, Chu CH, Tsang YC. Smoking cessation in dental setting: a narrative review on dental professionals’ attitude, preparedness, practices and barriers. Front Oral Health 2023; 4: 1266467.
19. Ugalde A, White V, Rankin NM, Paul C, Segan C, Aranda S, et al. How can hospitals change practice to better implement smoking cessation interventions? A systematic review. CA Cancer J Clin 2022; 72(3): 266-86.
20. Elfandi S, Poudyal H. Tobacco cessation curriculum in medical schools: a scoping review. J Cancer Educ 2023; 38(5): 1614-23.
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