The authors are with the Center for Global Tobacco Control, Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA. Olalekan A. Ayo-Yusuf is also with the Office of the Dean/Director, School of Oral Health Sciences, University of Limpopo, MEDUNSA campus, Pretoria, South Africa.
Am J Public Health. 2014 Aug;104(8):e67-75. doi: 10.2105/AJPH.2014.302049. Epub 2014 Jun 12.
We compared patient-reported receipt of smoking cessation counseling from US dentists and physicians.
We analyzed the 2010 to 2011 Tobacco Use Supplement of the Current Population Survey to assess receipt of smoking cessation advice and assistance by a current smoker from a dentist or physician in the past 12 months.
Current adult smokers were significantly less likely to be advised to quit smoking during a visit to a dentist (31.2%) than to a physician (64.8%). Among physician patients who were advised to quit, 52.7% received at least 1 form of assistance beyond the simple advice to quit; 24.5% of dental patients received such assistance (P < .05). Approximately 9.4 million smokers who visited a dentist in 2010 to 2011 did not receive any cessation counseling.
Our results indicate a need for intensified efforts to increase dentist involvement in cessation counseling. System-level changes, coupled with regular training, may enhance self-efficacy of dentists in engaging patients in tobacco cessation counseling.
我们比较了美国牙医和内科医生为患者提供戒烟咨询的情况。
我们分析了 2010 年至 2011 年《当前人口调查》中的烟草使用补充调查，以评估过去 12 个月内吸烟者从牙医或内科医生那里获得戒烟建议和帮助的情况。
与内科医生（64.8%）相比，目前的成年吸烟者在看牙医时被建议戒烟的比例明显较低（31.2%）。在被建议戒烟的内科医生患者中，有 52.7%的人除了简单的戒烟建议外，还至少获得了一种帮助形式；而只有 24.5%的牙科患者获得了这种帮助（P<0.05）。大约有 940 万在 2010 年至 2011 年期间看牙医的吸烟者没有得到任何戒烟咨询。
我们的研究结果表明，需要加强努力，增加牙医参与戒烟咨询。系统层面的改变，加上定期培训，可能会提高牙医在与患者进行烟草戒断咨询方面的自我效能感。
