Preventing Chronic Disease | Dentists’ Self-Perceived Role in Offering Tobacco Cessation Services: Results From a Nationally Representative Survey, United States, 2010–2011 - CDC
Dentists’ Self-Perceived Role in Offering Tobacco Cessation Services: Results From a Nationally Representative Survey, United States, 2010–2011
Deanna P. Jannat-Khah, MSPH; Jennifer McNeely, MD, MS; Margaret R. Pereyra, DrPH; Carrigan Parish, DMD; Harold A. Pollack, PhD; Jamie Ostroff, PhD; Lisa Metsch, PhD; Donna R. Shelley, MD, MPH
Suggested citation for this article: Jannat-Khah DP, McNeely J, Pereyra MR, Parish C, Pollack HA, Ostroff J, et al. Dentists’ Self-Perceived Role in Offering Tobacco Cessation Services: Results From a Nationally Representative Survey, United States, 2010–2011. Prev Chronic Dis 2014;11:140186. DOI: http://dx.doi.org/10.5888/pcd11.140186
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Abstract
Introduction
Dental visits represent an opportunity to identify and help patients quit smoking, yet dental settings remain an untapped venue for treatment of tobacco dependence. The purpose of this analysis was to assess factors that may influence patterns of tobacco-use–related practice among a national sample of dental providers.
Dental visits represent an opportunity to identify and help patients quit smoking, yet dental settings remain an untapped venue for treatment of tobacco dependence. The purpose of this analysis was to assess factors that may influence patterns of tobacco-use–related practice among a national sample of dental providers.
Methods
We surveyed a representative sample of general dentists practicing in the United States (N = 1,802). Multivariable analysis was used to assess correlates of adherence to tobacco use treatment guidelines and to analyze factors that influence providers’ willingness to offer tobacco cessation assistance if reimbursed for this service.
We surveyed a representative sample of general dentists practicing in the United States (N = 1,802). Multivariable analysis was used to assess correlates of adherence to tobacco use treatment guidelines and to analyze factors that influence providers’ willingness to offer tobacco cessation assistance if reimbursed for this service.
Results
More than 90% of dental providers reported that they routinely ask patients about tobacco use, 76% counsel patients, and 45% routinely offer cessation assistance, defined as referring patients for cessation counseling, providing a cessation prescription, or both. Results from multivariable analysis indicated that cessation assistance was associated with having a practice with 1 or more hygienists, having a chart system that includes a tobacco use question, having received training on treating tobacco dependence, and having positive attitudes toward treating tobacco use. Providers who did not offer assistance but who reported that they would change their practice patterns if sufficiently reimbursed were more likely to be in a group practice, treat patients insured through Medicaid, and have positive attitudes toward treating tobacco dependence.
More than 90% of dental providers reported that they routinely ask patients about tobacco use, 76% counsel patients, and 45% routinely offer cessation assistance, defined as referring patients for cessation counseling, providing a cessation prescription, or both. Results from multivariable analysis indicated that cessation assistance was associated with having a practice with 1 or more hygienists, having a chart system that includes a tobacco use question, having received training on treating tobacco dependence, and having positive attitudes toward treating tobacco use. Providers who did not offer assistance but who reported that they would change their practice patterns if sufficiently reimbursed were more likely to be in a group practice, treat patients insured through Medicaid, and have positive attitudes toward treating tobacco dependence.
Conclusion
Findings indicate the potential benefit of increasing training opportunities and promoting system changes to increase involvement of dental providers in conducting tobacco use treatment. Reimbursement models should be tested to assess the effect on dental provider practice patterns.
Findings indicate the potential benefit of increasing training opportunities and promoting system changes to increase involvement of dental providers in conducting tobacco use treatment. Reimbursement models should be tested to assess the effect on dental provider practice patterns.
Acknowledgments
Funding for this study and analysis was provided by the National Institute of Dental Craniofacial Research (co-operative agreement no. R01 DE01961501).
Author Information
Corresponding Author: Donna Shelley, MD, MPH, Director of Research Development, Associate Professor of Medicine and Population Health, Department of Population Health, New York University School of Medicine, 227 East 30th St, 6th Fl, New York, NY 10016. Telephone: 646-501-2526. E-mail:donna.shelley@nyumc.org.
Author Affiliations: Deanna P. Jannat-Khah, Jennifer McNeely, School of Medicine, Department of Population Health, New York University, New York, New York; Margaret R. Pereyra, Carrigan Parish, Lisa Metsch, Mailman School of Public Health, Department of Sociomedical Sciences, Columbia University, New York, New York; Harold A. Pollack, School of Social Service Administration, University of Chicago, Chicago, Illinois; Jamie Ostroff, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York.
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