Block D E, Block L E, Hutton S J, Johnson K M
University of Minnesota School of Nursing, Duluth, MN 55812, USA.
J Dent Educ. 1999 Nov;63(11):821-7.
Tobacco counseling practices of dentists and other health care professionals in a predominantly rural region in the Upper Midwest were assessed to determine the need for professional education. A survey was mailed to all dentists, physicians, chiropractors, nurse practitioners, physician assistants, and public health nurses in a 16-county region. Half (51.9 percent) of providers returned usable surveys (n = 614). While dentists were more likely than physicians and other health professionals to accurately estimate their patients' tobacco use, they were less consistent than other professions in tobacco assessment and intervention, less supportive of tobacco intervention, less likely to report having strong tobacco cessation skill/knowledge levels, and more likely to perceive barriers to tobacco intervention. Three out of five dentists (61.1 percent) reported desire for further tobacco education. For dentists to effectively counsel patients regarding tobacco use, it is essential to integrate tobacco intervention education into dental school curricula and to offer continuing education regarding tobacco use intervention to practicing dentists. Recent state settlements with tobacco companies could provide funding for such education.
对美国中西部上半区一个以农村为主的地区的牙医及其他医疗保健专业人员的烟草咨询行为进行了评估，以确定专业教育的必要性。向该地区16个县的所有牙医、医生、脊椎按摩师、执业护士、医师助理和公共卫生护士邮寄了一份调查问卷。一半（51.9%）的提供者返回了可用的调查问卷（n = 614）。虽然与医生和其他健康专业人员相比，牙医更有可能准确估计其患者的烟草使用情况，但在烟草评估和干预方面，他们不如其他职业一致，对烟草干预的支持度较低，报告拥有较强戒烟技能/知识水平的可能性较小，并且更有可能察觉到烟草干预的障碍。五分之三的牙医（61.1%）表示希望接受进一步的烟草教育。为了让牙医有效地就烟草使用问题为患者提供咨询，必须将烟草干预教育纳入牙科学校课程，并为执业牙医提供有关烟草使用干预的继续教育。最近该州与烟草公司达成的和解协议可为此类教育提供资金。
