Oya-Watanabe Yukie, Inagaki Koji, Nimi Takahiro, Yamamoto Yohei, Tanabe Toshiya, Okai Makoto, Segawa Nobuhiro, Watanabe Toshiyuki, Uchibori Noriyasu, Koide Tatsuro, Inukai Junko, Yuasa Hidemichi, Mitani Akio, Nagao Toru, Fukui Makoto, Hinode Daisuke
Department of Dental Hygiene, Aichi Gakuin University Junior College, Nagoya, Japan.
Department of Hygiene and Oral Health Science, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Tob Induc Dis. 2024 Aug 6;22. doi: 10.18332/tid/191290. eCollection 2024.
The prevalence of smoking, including heated tobacco products (HTPs), among Japanese dentists was reported to be 16.5%, significantly higher than that among Japanese physicians and United States dentists. However, large-scale studies on smoking cessation implementation based on dentists' smoking status and perceptions since the introduction of HTPs are lacking. Therefore, we aimed to investigate and assess dentists' attitudes toward smoking, including HTP use and smoking cessation, according to smoking status.
A self-administered questionnaire comprising six major items was mailed to 3883 dentists who were members of the Aichi Dental Association in August 2019. The primary outcome was smoking cessation status. The secondary outcome was the impact of smoking on intervention for smoking cessation. This study was reported using the Strengthening the Reporting of Observational Studies in Epidemiology guidelines.
Among the 1317 (42%) dentists analyzed, men were more positive toward smoking than women. Current and former smokers were more positive about smoking than never smokers/users, regardless of the tobacco product type. Additionally, the current smoker group using conventional cigarettes was less likely to ask for their patients' smoking status than the never smoker group. Furthermore, the current smoker (OR=2.0; 95% CI: 1.3-3.1 vs never smoker) and HTP user (OR=1.9; 95% CI: 1.2-3.1 vs never user) groups were less likely to engage in smoking cessation than the never smoker/user groups, regardless of the tobacco product type.
Since the smoking status of dentists affects the implementation of smoking cessation interventions, it is crucial to encourage them to quit using all tobacco products to promote smoking cessation interventions in dental practice. Additionally, providing proper smoking prevention education to dentists is an important task.
据报道，日本牙医中吸烟（包括加热烟草制品）的患病率为16.5%，显著高于日本医生和美国牙医。然而，自加热烟草制品推出以来，基于牙医吸烟状况和认知的戒烟实施大规模研究尚属缺乏。因此，我们旨在根据吸烟状况调查和评估牙医对吸烟（包括使用加热烟草制品和戒烟）的态度。
2019年8月，一份包含六个主要项目的自填式问卷被邮寄给3883名爱知县牙科协会成员的牙医。主要结果是戒烟状况。次要结果是吸烟对戒烟干预的影响。本研究按照《加强流行病学观察性研究报告规范》进行报告。
在分析的1317名（42%）牙医中，男性对吸烟的态度比女性更积极。无论烟草制品类型如何，当前吸烟者和曾经吸烟者对吸烟的态度比从不吸烟者/使用者更积极。此外，使用传统香烟的当前吸烟者组比从不吸烟者组询问患者吸烟状况的可能性更小。此外，无论烟草制品类型如何，当前吸烟者组（比值比=2.0；95%置信区间：1.3 - 3.1，与从不吸烟者相比）和加热烟草制品使用者组（比值比=1.9；95%置信区间：1.2 - 3.1，与从不使用者相比）比从不吸烟者/使用者组参与戒烟的可能性更小。
由于牙医的吸烟状况会影响戒烟干预措施的实施，鼓励他们戒除所有烟草制品以促进牙科实践中的戒烟干预至关重要。此外，为牙医提供适当的吸烟预防教育是一项重要任务。
