Department of Orthodontics, College of Dental Medicine, Nova Southeastern University, 3200 South University Drive, Fort Lauderdale, FL 33328, USA.
J Community Health. 2011 Apr;36(2):211-8. doi: 10.1007/s10900-010-9299-5.
Cigarette smoking contributes to the largest number of preventable deaths with a recent report estimating that nearly 5 million annual deaths worldwide and 400,000 in the United States were attributed to cigarette smoking. Dentists, in particular, are in a unique position to educate their patients about the health effects of tobacco. Tobacco cessation knowledge, behaviors, and compliance of Florida dentists were assessed using survey methodology. The survey was administered to a random sample of 6,000 dentists, which was provided by the Florida Department of Health. The survey inquired about (1) general demographic information, (2) Ask, Advise, Assess, Assist, and Arrange behaviors, (3) barriers to the incorporation of tobacco cessation activities, and (4) willingness to participate in further training. A large majority of dentists (88%) are not familiar with the concept of the Ask, Advise, Assess, Assist, and Arrange behaviors when asked directly. When asked about each individual component of this approach, however, dentists had much higher response rates. Dentists were best at routinely asking (59%), advising (46%), & assessing (32%) their patients about their smoking. However, they were much less helpful when assisting and arranging follow-up (70% stated that they never arrange follow-up). This study discovered that the majority of dentists who counsel patients spend only 1-4 min. Sixty-six percent of the dentists surveyed were willing to receive specific training, with 50% preferring an online course and 42% preferring a continued education course.
吸烟是导致可预防死亡人数最多的原因，最近的一份报告估计，全球每年有近 500 万人死亡，美国有 40 万人死亡归因于吸烟。牙医特别适合教育患者了解烟草对健康的影响。使用调查方法评估了佛罗里达州牙医的烟草戒断知识、行为和依从性。该调查通过佛罗里达州卫生部向 6000 名牙医进行了随机抽样。该调查询问了（1）一般人口统计学信息，（2）询问、建议、评估、协助和安排行为，（3）将烟草戒断活动纳入的障碍，以及（4）愿意参加进一步培训。绝大多数牙医（88%）在直接询问时不熟悉“Ask、Advise、Assess、Assist 和 Arrange”行为的概念。然而，当被问及该方法的每个单独组成部分时，牙医的反应率要高得多。牙医通常会例行地询问（59%）、建议（46%）和评估（32%）他们的患者关于吸烟的情况。然而，当协助和安排随访时，他们的帮助就少得多（70%的牙医表示他们从不安排随访）。这项研究发现，大多数向患者提供咨询的牙医仅花费 1-4 分钟。接受特定培训的牙医占接受调查的牙医的 66%，其中 50%更喜欢在线课程，42%更喜欢继续教育课程。
