Yee Cynthia, Gansky Stuart A, Ellison James A, Miller Arthur J, Walsh Margaret M
Department of Orofacial Sciences, University of California, San Francisco, Calif, USA.
Pediatr Dent. 2008 Nov-Dec;30(6):475-9.
The study purpose was to determine tobacco-related knowledge, attitudes, and practice behaviors of American Academy of Pediatric Dentistry (AAPD) members.
A 26-item survey was distributed to a national, random sample of 1,700 AAPD members. Frequencies, odds ratios and 95% confidence intervals assessed factors related to tobacco control behaviors.
Of 1,700 questionnaires, 1,292 (82%) were returned and usable. Over 75% of respondents agreed that it is a pediatric dentist's responsibility to help patients who wish to stop using tobacco; only 142 (11%) had prior tobacco prevention/cessation training. Of those untrained, 905 (70%) were willing to be trained. Not knowing where to send patients for counseling and feeling ineffective with helping patients to stop their tobacco use were significant barriers reported by nearly half the respondents. Two hundred forty-five (19%) reported always/often asking their adolescent patients about tobacco use; 491 (38%) reported always/often advising known tobacco users to quit; and 284 (22%) reported always/often assisting with stopping tobacco use. Feeling well prepared to ask about tobacco was significantly associated with assisting tobacco users (odds ratio=8.9; 95% confidence interval=6.6-12).
Continuing education programs are needed to enhance the knowledge and skills of pediatric dentists to promote tobacco control behaviors.
本研究旨在确定美国儿科学会牙科分会（AAPD）成员与烟草相关的知识、态度和实践行为。
向1700名AAPD成员的全国随机样本发放了一份包含26个条目的调查问卷。频率、比值比和95%置信区间用于评估与烟草控制行为相关的因素。
在1700份问卷中，1292份（82%）被收回且可用。超过75%的受访者同意帮助希望戒烟的患者是儿科牙医的责任；只有142人（11%）曾接受过烟草预防/戒烟培训。在那些未接受培训的人中，905人（70%）愿意接受培训。近一半的受访者报告称，不知道将患者送到何处咨询以及感觉在帮助患者戒烟方面效果不佳是重大障碍。245人（19%）报告总是/经常询问青少年患者是否吸烟；491人（38%）报告总是/经常建议已知的吸烟者戒烟；284人（22%）报告总是/经常协助患者戒烟。感觉对询问吸烟情况准备充分与协助吸烟者显著相关（比值比=8.9；95%置信区间=6.6 - 12）。
需要开展继续教育项目，以提高儿科牙医促进烟草控制行为的知识和技能。
