Israeli dentists' knowledge, attitudes, and practices regarding smoking cessation care.
Tamar Vishnevsky1,2, Tal Aperman-Itzhak1, Itzhak Tayeb3
1Braun School of Public Health and Community Medicine, The Faculty of Medicine, Hebrew University of Jerusalem-Hadassah Medical Center, Jerusalem, Israel.
Israel Journal of Health Policy Research
|November 12, 2024
Summary
Israeli dentists show low adherence to the 5A's model for smoking cessation care (SCC), indicating a need for improved training and integration of SCC into dental practice. Further research is needed to enhance SCC delivery.
Area of Science:
- Dental Public Health
- Behavioral Science
Background:
- The 5A's model is recommended for dentists to address smoking's oral health impacts.
- This study assesses Israeli dentists' adherence to smoking cessation care (SCC) guidelines.
Purpose of the Study:
- To investigate Israeli dentists' adherence to the 5A's model for SCC.
- To explore factors influencing dentists' knowledge, attitudes, and practices regarding SCC.
Main Methods:
- An online cross-sectional survey of 410 Israeli dentists was conducted.
- Data collected included sociodemographic, smoking, and professional characteristics, knowledge, attitudes (TDF-based), and 5A's performance.
- Multivariable logistic regression analyzed factors associated with performing all 5A's or the initial 'Ask' and 'Advise' steps.
Main Results:
- Mean knowledge and attitude scores were low (2.58 and 2.65, respectively).
- Only 14.1% of dentists reported performing all 5A's 'often or always'.
- Specialists demonstrated higher odds of performing the 5A's (adjusted OR=2.01) and 'Ask and Advise' (adjusted OR=1.71).
Conclusions:
- Israeli dentists exhibit insufficient performance of smoking cessation care (SCC).
- Gaps in knowledge and attitudes regarding SCC were identified.
- Training, referral systems, and quality measures are recommended to improve SCC provision.
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