Dentist versus physician cessation counselling: A secondary analysis of the US Tobacco Use Supplement to the Current Population Survey

Israel Agaku*, Satomi Odani, Lungile Nkosi, Joy Gwar, Tina Tsafa

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

INTRODUCTION We investigated associations between counseling by a dentist or physician and quit intentions/ attempts using longitudinal data. METHODS Analyses were performed with longitudinal data from the 2010–2011 Tobacco Use Supplement to the Current Population Survey (TUS-CPS). Participants were followed over a one-year period and provided repeated measurements. Multivariable logistic regression was used to measure associations between cessation counseling and study endpoints. All data were weighted to yield nationally representative estimates. RESULTS Of smokers who visited a dentist at both baseline and follow-up in TUS-CPS, 51.7% were not counselled on either occasion; only 19.2% were counselled on both occasions.In contrast, 52.6% of smokers who visited a physician at both baseline and follow-up at 1 year were counseled on both occasions and only 17.6% were not counseled on any occasion. Dentist-only advice at baseline was associated with higher odds of intention to quit in the next 30 days (AOR=1.96; 95% CI: 1.04–3.68), but not with a past-year quit attempt. Physician-only advice at baseline was associated with intention to quit in the next 6 months (AOR=1.52; 95% CI: 1.18–1.94), as was advice delivered by both a dentist and physician at baseline (AOR=1.54; 95% CI: 1.05–2.28). CONCLUSIONS Dental patients are less likely to receive cessation counselling at every visit than medical patients.

Original languageEnglish
Article number5
JournalPopulation Medicine
Volume5
Issue numberFebruary
DOIs
Publication statusPublished - 2023
Externally publishedYes

Keywords

  • COVID-19
  • dentist
  • quit attempts
  • quit intentions
  • tobacco counselling and cessation

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