Advise and refer: Disparities among patients receiving tobacco cessation advice from dentists
Methods: Two logistic regressions were completed.
Data: 2006/07 Tobacco Use Supplement of the Current Population Survey.
Dependent variables: being (1) advised by the dentist to quit smoking, and (2) referred to a tobacco cessation hotline. The survey instrument did not contain a question regarding dentists asking about tobacco use.
Independent variables: age, sex, marital status, education, employment status, income, race/ethnicity.
Results: Women (OR: 0.77, p=0.001), individuals age 50 to 64 (OR: 0.69, p=0.001) and 65 and over (OR: 0.45, p=0.001) were less likely, while respondents with less than a high school education were more likely (OR: 1.40 p=0.001) to report being advised to quit smoking. Respondents with a high school education or less were more likely (OR: 1.24, p=0.04) and NH whites less likely (OR: 0.77, p=0.046) to be referred to a cessation hotline.
Conclusion: Significant disparities regarding 2A+R exist in the dental healthcare setting. Older smokers in particular are being underserved, even though they are more likely to be socially disadvantaged, have higher rates of cigarette smoking, and are less likely to be offered cessation services.
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Protection of the public in relation to communicable diseases including prevention or control
Provision of health care to the public
Explain the importance of tobacco cessation 2As + R (ask, advise, and refer) in the dental setting. Describe which types of patients are more likely to report receiving cessation advice from their dentist. Discuss the importance of addressing disparities in the oral health care setting.
Keyword(s): Oral Health Needs, Tobacco Control
Qualified on the content I am responsible for because: I am primarily responsible for the design and execution of this research. I have a Ph.D. in Sociology and have completed postdoctoral training in Tobacco Control. Among my scientific interests have been the study of individual and provider tobacco-related health behaviors.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.