Abstract
Tobacco use is a significant health problem in Yemen and worldwide. Dental practitioners can play a pivotal role in educating their patients on the risk of smoking and motivating them to quit. This study aimed to assess the attitudes towards and practices of tobacco cessation counseling (TCC) among Yemeni dental professionals and to evaluate whether such attitudes and practices are associated with gender, smoking status, and years since graduation. In this cross-sectional study, a self-administered questionnaire containing questions regarding the practice and attitudes towards TCC in dental clinic was used. SPSS version 20 was used for data analysis. For statistical analysis, Chi-square test was used with a significance level of P < 0.05. Of the 400 distributed questionnaires, 182 were completed and analyzed. 53.3% of the respondents were males and 46.7% were females. Around one fifth of the respondents were smokers. The majority reported that they routinely ask their patients about their tobacco habits (83.5%), and advise against tobacco use (85%). Around half of the respondents believed that tobacco cessation intervention may affect their clinical practice and their income negatively through decreasing number of attending patients and believed that provision of dental treatment is more important than TCC. The majority (92%) believe that health professionals should refrain from tobacco, and 83% agree that TCC should be included in dental school curricula. Recent graduates and non-smokers showed relatively better attitudes and practices. There is an urgent need for continuing educational programs in TCC. Also, inclusion of TCC to dental curriculum is highly required.
Similar content being viewed by others
References
Mathers CD, Loncar D (2006) Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 3:e442
Oberg M, Jaakkola MS, Woodward A, Peruga A, Pruss-Ustun A (2011) Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. Lancet 377:139–146
Chambrone L, Preshaw PM, Rosa EF, Heasman PA, Romito GA et al (2013) Effects of smoking cessation on the outcomes of non-surgical periodontal therapy: a systematic review and individual patient data meta-analysis. J Clin Periodontol 40:607–615
Al-Maweri SA, Abbas A, Tarakji B, Al-Jamaei AS, Alaizari NA, Al-Shamiri HM (2015a) Knowledge and opinions regarding oral cancer among Yemeni dental students. Asian Pac J Cancer Prev 16:1765–1770
Napier SS, Speight PM (2008) Natural history of potentially malignant oral lesions and conditions: an overview of the literature. J Oral Pathol Med 37:1–10
Al-Maweri SA, Alaizari NA, Al-Sufyani GA (2014) Oral mucosal lesions and their association with tobacco use and qat chewing among Yemeni dental patients. J Clin Exp Dent 6:e460–e466
Awan KH, Hussain QA, Patil S, Maralingannavar M (2016) Assessing the risk of oral cancer associated with Gutka and other smokeless tobacco products: a case-control study. J Contemp Dent Pract 17:740–744
Ezzati M, Henley SJ, Lopez AD, Thun MJ (2005) Role of smoking in global and regional cancer epidemiology: current patterns and data needs. Int J Cancer 116:963–971
Maziak W, Nakkash R, Bahelah R, Husseini A, Fanous N, Eissenberg T (2014) Tobacco in the Arab world: old and new epidemics amidst policy paralysis. Health Policy Plan 29:784–794
Ramseier CA, Suvan JE (2015) Behaviour change counselling for tobacco use cessation and promotion of healthy lifestyles: a systematic review. J Clin Periodontol 42(Suppl 16):S47–S58
Dumitrescu AL, Ibric S, Ibric-Cioranu V (2016) Opinions of Romanian dental students toward tobacco use interventions in the dental setting. J Cancer Educ 31:172–180
Edwards D, Freeman T, Roche AM (2006) Dentists’ and dental hygienists’ role in smoking cessation: an examination and comparison of current practice and barriers to service provision. Health Promot J Austr 17:145–151
Ford P, Tran P, Keen B, Gartner C (2015) Survey of Australian oral health practitioners and their smoking cessation practices. Aust Dent J 60:43–51 quiz 128
Alaizari NA, Al-Maweri SA (2014) Oral cancer: knowledge, practices and opinions of dentists in Yemen. Asian Pac J Cancer Prev 15:5627–5631
Awan KH, Hammam MK, Warnakulasuriya S (2015) Knowledge and attitude of tobacco use and cessation among dental professionals. Saudi Dent J 27:99–104
Clover K, Hazell T, Stanbridge V, Sanson-Fisher R (1999) Dentists’ attitudes and practice regarding smoking. Aust Dent J 44:46–50
Decuseara G, MacCarthy D, Menezes G (2011) Oral cancer: knowledge, practices and opinions of dentists in Ireland. J Ir Dent Assoc 57:209–214
Albert DA, Bruzelius E, Ward A, Gordon JS (2016) Identifying multilevel barriers to tobacco intervention in postdoctoral dental education. J Dent Educ 80:408–415
Johnson NW, Lowe JC, Warnakulasuriya KA (2006) Tobacco cessation activities of UK dentists in primary care: signs of improvement. Br Dent J 200:85–89
Kujan O, Alzoghaibi I, Azzeghaiby S, Altamimi MA, Tarakji B et al (2014) Knowledge and attitudes of Saudi dental undergraduates on oral cancer. J Cancer Educ 29:735–738
Rikard-Bell G, Ward J (2001) Australian dentists’ educational needs for smoking cessation counseling. J Cancer Educ 16:80–84
Shaheen S, Reddy S, Doshi D, Reddy P, Kulkarni S (2015) Knowledge, attitude and practice regarding tobacco cessation among Indian dentists. Oral Health Prev Dent 13:427–434
Parakh A, Megalamanegowdru J, Agrawal R, Hathiwala S, Chandrakar M et al (2013) Dental practitioners self reported performance of tobacco cessation counseling interventions: a cross sectional study. Asian Pac J Cancer Prev 14:6141–6145
Vendrell Rankin K, Jones DL, Crews KM (2010) Tobacco cessation education for dentists: an evaluation of the lecture format. J Cancer Educ 25:282–284
Uti O, Sofola O (2015) Impact of an educational intervention on smoking counseling practice among Nigerian dentists and dental students. Niger J Clin Pract 18:75–79
Razavi SM, Zolfaghari B, Doost ME, Tahani B (2015) 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 16:333–338
Uti OG, Sofola OO (2011) Smoking cessation counseling in dentistry: attitudes of Nigerian dentists and dental students. J Dent Educ 75:406–412
Rahman B, Hawas N, Rahman MM (2016) Opinions of dental students toward tobacco cessation intervention in the United Arab Emirates. Int Dent J 66:304–310
Needleman I, Warnakulasuriya S, Sutherland G, Bornstein MM, Casals E et al (2006) Evaluation of tobacco use cessation (TUC) counselling in the dental office. Oral Health Prev Dent 4:27–47
Al-Maweri SA, Al-Soneidar WA, Dhaifullah E, Halboub ES, Tarakji B (2015b) Oral cancer: awareness and knowledge among dental patients in Riyadh. J Cancer Educ. doi:10.1007/s13187-015-0924-y
Saleh A, Kong YH, Vengu N, Badrudeen H, Zain RB, Cheong SC (2014) Dentists’ perception of the role they play in early detection of oral cancer. Asian Pac J Cancer Prev 15:229–237
The Centers for Disease Control and Prevention (2013) Ten great public health achievements in the 20th century. CDC, Atlanta
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Al-Maweri, S.A., Al-Soneidar, W.A., AlMaqtari, A. et al. Tobacco Cessation Counseling: Attitudes and Practices among Yemeni Dental Professionals. J Canc Educ 33, 1088–1093 (2018). https://doi.org/10.1007/s13187-017-1212-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-017-1212-9