O'Shea R M, Corah N L
Public Health Rep. 1984 Sep-Oct;99(5):510-4.
Dentists in general practice were surveyed by mail questionnaire to determine the actions they were taking to promote cigarette smoking cessation among their patients. Findings are based on replies from 376 of the 466 dentists in western New York State to whom the questionnaire was sent in 1981. The responses indicate that less than 18 percent of western New York State dentists smoke. The proportion is continuing its gradual decline, and dentists lead the general population in smoking abstention. Sixty-two percent of the dentists in the survey do not permit smoking in their waiting rooms, and 84 percent advise patients not to smoke. There is clear evidence of a relationship between the dentists' own smoking habits and their inclination to promote smoking cessation among patients. As fewer dentists smoke, more will be inclined to foster nonsmoking. Dentists can use a variety of smoking cessation techniques. To carry out a minimal program of antismoking measures, dentists in general practice can serve as nonsmoking role models for their patients, provide information about the health hazards of smoking, give advice, refer patients to cessation programs, recommend cessation measures, and monitor patients' efforts to quit smoking. While smoking cessation measures taken by dentists are not likely to convert more than 1 or 2 percent of patients who smoke per year, in time the dentists' efforts to promote smoking cessation can have an appreciable impact.
通过邮寄问卷的方式对普通牙科医生进行了调查,以确定他们为促使患者戒烟所采取的行动。调查结果基于纽约州西部466名牙科医生中376人的回复,这些问卷于1981年发送给他们。回复表明,纽约州西部不到18%的牙科医生吸烟。这一比例在持续逐渐下降,而且牙科医生在戒烟方面领先于普通人群。参与调查的牙科医生中有62%不允许在他们的候诊室吸烟,84%的医生建议患者不要吸烟。有明确证据表明牙科医生自身的吸烟习惯与他们促使患者戒烟的倾向之间存在关联。随着吸烟的牙科医生越来越少,更多的人会倾向于倡导不吸烟。牙科医生可以采用多种戒烟技巧。为了实施一个最低限度的反吸烟措施项目,普通牙科医生可以为患者树立不吸烟的榜样,提供有关吸烟对健康危害的信息,给予建议,将患者转介到戒烟项目,推荐戒烟措施,并监测患者的戒烟努力。虽然牙科医生采取的戒烟措施每年不太可能使超过1%或2%的吸烟患者戒烟,但从长远来看,牙科医生促进戒烟的努力会产生显著影响。