Tobacco Use, Attitudes, Knowledge, and Perception About Smoking Cessation Counseling Among Brazilian Dental Students: a

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Tobacco Use, Attitudes, Knowledge, and Perception About Smoking Cessation Counseling Among Brazilian Dental Students: a Cross-Sectional Study Augusto César Leal da Silva Leonel 1 & Paulo Rogério Ferreti Bonan 2 & Jurema Freire Lisboa de Castro 1 & 1 Andréa dos Anjos Pontual & Flávia Maria de Moraes Ramos-Perez 1 & Daniela Silva Feitosa 1 & Danyel Elias da Cruz Perez 1

# American Association for Cancer Education 2019

Abstract The aim of this study was to evaluate the prevalence of tobacco use, exposure to secondhand smoke, and knowledge and perception about smoking cessation counseling among dental students in Brazil. A cross-sectional study was performed at the School of Dentistry, Universidade Federal de Pernambuco, Brazil. The Global Health Professions Student Survey (GHPSS) research instrument was used. In the second half of 2017, students from the 5th to the 10th semester were recruited to answer the anonymous and self-administered survey in classrooms. The data were tabulated and analyzed, and information about the variables was presented using descriptive statistics. The association between the variables was determined through the Chisquare test and binary logistic regression. Two hundred and twenty-four students answered the survey. More than 40% of the students had tried cigarettes at least once and 8.9% were current smokers. About 28% of the participants reported having been exposed to secondhand smoke in their home and 57.1% in other environments. Most students recognized that they are role models for society and believed they should receive training in smoking cessation counseling. However, only 12.5% of the students reported having received some formal training in this subject. In conclusion, although dental students are aware of the harmful effects of tobacco, there is still a lack of training in smoking prevention and control among these future professionals. Keywords Curriculum development/evaluation . Faculty . Oral cancer . Tobacco cessation education . Tobacco counseling . Undergraduate dental

Introduction Despite the relentless efforts of anti-smoking programs, smoking is still considered a serious public health problem, accounting for more than 7 million deaths per year [1, 2]. Currently, the number of users worldwide is approximately 1.3 billion, and of these, 84% live in developing countries [3, 4]. Smoking is recognized as an important risk factor for several diseases and disorders and is the main modifiable factor for many oral conditions, including periodontal disease, potentially malignant disorders, and oral cancer [2, 5]. In this * Danyel Elias da Cruz Perez [email protected] 1

School of Dentistry, Department of Clinical and Preventive Dentistry, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil

2

School of Dentistry, Stomatology Section, Universidade Federal da Paraíba, João Pessoa, Paraíba, Brazil

sense, health strategies aimed at smoking cessation, when applied by dentists, can be effective [6, 7]. In Brazil, about 22 million of people are smokers, equivalent to