CC BY 4.0 · European Journal of General Dentistry 2025; 14(01): 051-060
DOI: 10.1055/s-0044-1788042
Original Article

Knowledge, Attitude, and Barriers toward Smoking Cessation Counseling: A Cross-Sectional Study among Clinical Dental Students in Indonesia

1   Oral Medicine Residency Program, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
,
Anandina Irmagita Soegyanto
2   Department of Oral Medicine, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
,
Indriasti Indah Wardhany
2   Department of Oral Medicine, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
,
Febrina Rahmayanti
2   Department of Oral Medicine, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
,
Ajiravudh Subarnbhesaj
3   Division of Oral Diagnosis, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
,
Yuniardini Septorini Wimardhani
2   Department of Oral Medicine, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
› Author Affiliations

Abstract

Objectives The World Health Organization has promoted the integration of smoking cessation programs into normal dental treatment since they have significant positive effects on oral health. However, there are stillmany barriers including a lack of knowledge about the smoking cessation counseling (SCC). The high incidence of smoking is an important health challenge in Indonesia. This study determined the relationships between sociodemographic factors and knowledge about the effects of smoking on oral health, as well as knowledge of, attitudes about, and barriers to SCC among clinical dental students in Indonesia.

Materials and Methods This was a cross-sectional study utilizing a questionnaire involving clinical dental students throughout Indonesia. Clinical dental students from 32 dental schools in Indonesia were invited to participate in the study. Twenty-seven dental schools agreed to participate in the study and the estimated sample size was 416 participants. The questionnaire included sociodemographic data, smoking status, knowledge about the effects of smoking on oral health, and knowledge of, attitudes about, and barriers to SCC.

Statistical Analysis Mann–Whitney U and Kruskal–Wallis tests were used to determine differences in knowledge about the effects of smoking on oral health and the knowledge of, attitudes about, and barriers to SCC among clinical dental students' sociodemographic factors and smoking status. The Spearman's correlation analysis was used to determine the correlation between knowledge of, attitudes about, and barriers to SCC.

Results A total of 614 students participated in the study. Significant differences were found in students' knowledge regarding the effects of smoking based on smoking status, SCC based on educational stages, attitudes based on sex and smoking status, and barriers based on sex (p < 0.05). Significant relationships were found between students' knowledge of the effects of smoking and of SCC (r = 0.226), knowledge of the effects of smoking and attitudes about SCC (r = 0.110), knowledge of and attitudes about SCC (r = 0.162), knowledge of and barriers to SCC (r = –0.17), as well as attitudes about and barriers to SCC (i = –0.224).

Conclusion Clinical dental students' knowledge regarding SCC are lacking, but they have positive attitude regarding SCC. It is necessary to improve education quality in every dental educational institution related to SCC.



Publication History

Article published online:
25 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Martini S, Artanti KD, Hargono A, Widati S, Ahsan A, Prabandari YS. Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation. BMC Public Health 2022; 22 (01) 2202
  • 2 World Health Organization South East Asia Indonesia. Accessed April 4, 2024 at: https://www.who.int/indonesia/news/detail/30-05-2020-pernyataan-hari-tanpa-tembakau-sedunia-2020
  • 3 West R. Tobacco smoking: health impact, prevalence, correlates and interventions. Psychol Health 2017; 32 (08) 1018-1036
  • 4 Ain TS, Sultan S, Gowhar O, Tl R. Tobacco cessation counseling among dental professionals – willingness, knowledge and perceived barriers. Int J Contemp Med Res 2016; 3 (10) 2990-2993
  • 5 Komar K, Glavina A, Boras VV, Verzak Ž, Brailo V. Impact of smoking on oral health: knowledge and attitudes of dentists and dental students. Acta Stomatol Croat 2018; 52 (02) 148-155
  • 6 Singleton JA, Carrico RM, Myers JA, Scott DA, Wilson RW, Worth CT. Tobacco cessation treatment education for dental students using standardized patients. J Dent Educ 2014; 78 (06) 895-905
  • 7 More AB, Rodrigues A, Sadhu BJ. Effects of smoking on oral health: awareness among dental patients and their attitude towards its cessation. Indian J Dent Res 2021; 32 (01) 23-26
  • 8 Chan HL, Chan AKY, Chu CH, Tsang YC. Smoking cessation in dental setting: a narrative review on dental professionals' attitude, preparedness, practices and barriers. Front Oral Health 2023; 4: 1266467
  • 9 World Health Organization. WHO monograph on tobacco cessation and oral health integration. Geneva: World Health Organization. Accessed May 2, 2024 at: https://iris.who.int/handle/10665/255692
  • 10 Khalaf ME, Curtin S. O Apos Reilly Trace A. Perception and attitudes of dental students towards their role in the delivery of a brief smoking cessation intervention. Med Princ Pract 2020; 29 (01) 69-74
  • 11 Gordon JS, Albert DA, Crews KM, Fried J. Tobacco education in dentistry and dental hygiene. Drug Alcohol Rev 2009; 28 (05) 517-532
  • 12 Liu DCY, Ho TCY, Duangthip D, Gao SS, Lo ECM, Chu CH. Dental students' awareness, preparedness and barriers towards managing tobacco-using patients-a cross-sectional study. Int J Environ Res Public Health 2019; 16 (10) 1862
  • 13 Asmaon AF, Heah KG. HongJian Zhu MM. Assessment of the knowledge, attitude and current practices towards smoking cessation among clinical dental students of Universiti Teknologi MARA. J Int Dent Med Res 2021; 14 (01) 298-303
  • 14 Maharani DA, Nadira KV, Setiawati F, El Tantawi M. Intention to provide tobacco cessation counseling among Indonesian dental students and association with the theory of planned behavior. BMC Oral Health 2021; 21 (01) 23
  • 15 Ramadhani AP, Amaliya A, Prasetyo BC, Farsalinos EK. Knowledge and perceptions regarding tobacco harm reduction among dentists in West Java, Indonesia. J Int Dent Med Res 2022; 15: 741-750
  • 16 Gjersing L, Caplehorn JR, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol 2010; 10: 13
  • 17 Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000; 25 (24) 3186-3191
  • 18 Eccles K, Carey B, Cook R. et al. Oral potentially malignant disorders: advice on management in primary care. J Oral Med Oral Surg 2022; 28 (03) 1-8
  • 19 Indonesian Medical Council. Peraturan Konsil Kedokteran Indonesia Nomor 30 Tahun 2014 Tentang Standar Pendidikan Profesi Dokter Gigi Indonesia. Accessed August 30, 2021 at: http://www.kki.go.id/assets/data/arsip/Perkonsil_No._30_Thn_2014_.pdf
  • 20 CDC. Patient Cessation Materials. Accessed December 13, 2023 at: https://www.cdc.gov/tobacco/patient-care/patient-resources/index.html
  • 21 Shaik SS, Doshi D, Bandari SR, Madupu PR, Kulkarni S. Tobacco use cessation and prevention – a review. J Clin Diagn Res 2016; 10 (05) ZE13-ZE17
  • 22 Moreira ARQ. Alternative systems of tobacco consumption-oral manifestations and cessation effectiveness. Accessed December 20, 2023 at: https://repositorio-aberto.up.pt/bitstream/10216/128014/2/410389.pdf
  • 23 Prabhu A, Jain JK, Sakeenabhi B, Kumar PGN, Imranulla M, Ragher M. Smoking cessation advice: knowledge, attitude, and practice among clinical dental students'. J Pharm Bioallied Sci 2017; 9 (Suppl. 01) S117-S120
  • 24 Ministry of Health Republic of Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 1173/MENKES/PER/X/. 2004 . Accessed December 20, 2023 at: https://peraturan.bpk.go.id/Details/139962/permenkes-no-1173menkesperx2004-tahun-2004
  • 25 Vashi D, Talreja PS, Rathod V, Thorat V. Knowledge and attitude of dental students of Navi Mumbai on tobacco cessation counseling: a cross-sectional study. Educ Health (Abingdon) 2021; 34 (02) 80-83
  • 26 Rosseel JP, Jacobs JE, Hilberink SR. et al. What determines the provision of smoking cessation advice and counselling by dental care teams?. Br Dent J 2009; 206 (07) E13 , discussion 376–377
  • 27 Lala R, Csikar J, Douglas G, Muarry J. Factors that influence delivery of tobacco cessation support in general dental practice: a narrative review. J Public Health Dent 2017; 77 (01) 47-53
  • 28 Salsabila NN, Indraswari N, Sujatmiko B. Gambaran Kebiasaan Merokok Di Indonesia Berdasarkan Indonesia Family Life Survey 5 (Ifls 5). [in Indonesian]. J Ekonomi Kesehatan Indonesia 2022; 7 (01) 13
  • 29 Rodríguez-Bolaños R, Caballero M, Ponciano-Rodríguez G. et al. Gender-related beliefs and attitudes about tobacco use and smoking cessation in Mexico. Health Psychol Behav Med 2021; 9 (01) 547-566
  • 30 Zaborskis A, Volkyte A, Narbutaite J, Virtanen JI. Smoking and attitudes towards its cessation among native and international dental students in Lithuania. BMC Oral Health 2017; 17 (01) 106
  • 31 Jain S, Agrawal S, Sharva V, Lohiya J. Knowledge, preparedness and perceived barriers among clinicians and academicians regarding tobacco cessation counseling in Bhopal City. J Indian Assoc Public Heal Dent 2021; 19 (01) 81
  • 32 Priya H, Deb Barma M, Purohit BM. et al. Global status of knowledge, attitude and practice on tobacco cessation interventions among dental professionals: a systematic review. Tob Use Insights 2022; 15: 11 79173X221137218
  • 33 Medawela RMSHB, Ratnayake DR, Premathilake LKN, Jayasinghe RD. Attitudes, confidence in practices and perceived barriers towards the promotion of tobacco cessation among clinical dental undergraduates in Sri Lanka. Asian Pacific J Cancer Care 2021; 6 (02) 175-179
  • 34 Alblowi JA. Perception of tobacco counseling and cessation among dental practitioners. J Smok Cessat 2021; 2021: 6692525