A survey of oral and maxillofacial surgeons' tobacco-use-related knowledge, attitudes and intervention behaviors
A survey of oral and maxillofacial surgeons' tobacco-use-related knowledge, attitudes and intervention behaviors
复制标题
DOI：
10.14219/jada.archive.2008.0106
复制
发表时间：
2008-12-01
影响因子：
3.9
通讯作者：
Sutton, Trey
中科院分区：
文献类型：
--
作者：
Crews, Karen M.;Sheffer, Christine E.;Sutton, Trey
背景。口腔颌面外科医生（OMS）治疗可归因于和/或由烟草使用引起的口腔疾病，并且有独特的机会治疗患者。烟草依赖。本研究对美国OMS的烟草使用相关知识、态度和干预行为进行了评估。作者向美国口腔颌面外科医师协会的成员邮寄了一份38项调查问卷（N = 5234）。超过一半（52.4%）的受访者做出了回应；21.9%的人报告说，他们大部分时间都在帮助吸烟患者；14.5%的受访者表示，他们对美国经济有所了解。公共卫生服务临床实践指南；8.7%的人接受过治疗烟草依赖的培训。大多数答复者（90.1%）确定有烟草使用者，63.3%建议烟草使用者戒烟；只有不到15%的人对大多数患者进行了各种干预。大多数答复者不认为提供烟草治疗是他们的职业责任。自我效能评分较低，感知治疗效果也较低。与没有接受培训的人相比，接受过培训的提供者进行了更多的干预，认为干预更有效，报告的自我效能更高，感觉到的障碍更少。大多数受访者（71.4%）有兴趣提高他们在这方面的技能。女性和接受过治疗烟草依赖患者的培训预示着提供干预措施的频率更高。提供者目前的烟草使用情况预示着提供干预措施的频率较低。OMS提供烟草使用干预措施的比率低得令人无法接受，但报告说他们希望提高这方面的技能。训练与更高频率的干预行为有关。
Background. Oral and maxillofacial surgeons (OMS) treat oral disease attributable to and/or complicated by tobacco use and have unique opportunities to treat patients. with tobacco dependence. This study assessed the tobacco-use-related knowledge, attitudes and intervention behaviors of OMS in the United States.Methods. The authors mailed a 38-item survey to members of the American Association of Oral and Maxillofacial Surgeons (N = 5,234).Results. More than one-half (52.4 percent) of recipients responded; 21.9 percent reported that they assisted tobacco-using patients most of the time; 14.5 percent reported having an awareness of the U:S. Public Health Service Clinical Practice Guideline; and 8.7 percent had received training in treating tobacco dependence. Most respondents (90.1 percent) identified tobacco users and 63.3 percent advised tobacco users to quit; less than 15 percent assisted most patients with various interventions. Most respondents did not view providing tobacco treatment as their professional responsibility. Self-efficacy ratings were low, as was perceived treatment effectiveness. Providers with training performed more interventions, perceived interventions to be more effective, reported greater self-efficacy and perceived fewer barriers than did those without training. Most respondents (71.4 percent) were interested in improving their skills in this area. Being female and having received training in treating patients with tobacco dependence predicted a higher frequency of providing interventions. Current tobacco use by providers predicted a lower frequency of providing interventions.Conclusions. OMS provide interventions for tobacco use at an unacceptably low rate but report that they desire to improve their skills in this area. Training is associated with a higher frequency of intervention behaviors.