歯周病専門医の喫煙状況と喫煙に対する意識  [in Japanese] Smoking status and attitude to tobacco control policy among periodontists of the Japanese Society of Periodontology  [in Japanese]

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Author(s)

    • 稲垣 幸司 INAGAKI Koji
    • 愛知学院大学短期大学部歯科衛生学科 Department of Dental Hygiene, Aichi-Gakuin University Junior Collage, Division of Periodontology
    • 両角 俊哉 MOROZUMI Toshiya
    • 新潟大学大学院医歯学総合研究科口腔生命科学専攻摂食環境制御学講座歯周診断・再建学分野 Department of Oral Biological Science, Niigata University Graduate School of Medicine and Dental Sciences
    • 横田 誠 YOKOTA Makoto
    • 九州歯科大学口腔機能学口腔治療学講座歯周病制御再建学分野 Science of Oral Function, Department of Cariology and Periodontology, Division of Periodontology, Kyushu Dental College
    • 沼部 幸博 NUMABE Yukihiro
    • 日本歯科大学生命歯学部 歯周病学講座 Department of Periodontology, School of Life Dentistry at Tokyo, The Nippon Dental University
    • 佐藤 聡 SATO Soh
    • 日本歯科大学新潟生命歯学部歯周病学講座 Department of Periodontology, School of Life Dentistry at Niigata, The Nippon Dental University
    • 伊藤 公一 ITO Koichi
    • 日本大学歯学部歯周病学講座 Department of Periodontology, Nihon University School of Dentistry

Abstract

日本歯周病学会専門医の喫煙状況および喫煙に関する認識を把握するために郵送法による質問票調査を行なった。<BR>対象は816名中435名(回収率は53.3%)で, 40歳\u0000301c50歳代が多く70.3%を占めた。内訳は, 大学教員27.8%, 附属病院勤務6.4%, 開業医61.6%, その他3%であった。喫煙歴は, 喫煙者64名(14.7%), 前喫煙者140名(32.2%), 非喫煙者225名(51.7%)であった。患者の喫煙は56.8%が歯周疾患を持っているので吸うべきではないとした。歯科でもニコチン依存管理料が適用されるべきという意見が81.7%だった。歯科では口腔内の変化により禁煙指導を行いやすいと思うに76.8%が同意した。歯周病専門医の資格要件を非喫煙者とすることは71.2%が賛意を示した。患者の喫煙状況は60.3%がほぼ全員について把握していた。重症歯周病患者に喫煙者が多いと感じている者は77.6%, 喫煙する患者は治療に対する反応が悪いと感じている者は89.6%であった。禁煙支援は必要な場合に行っている者が54.7%, 行おうと思っているがまだ行っていない者が22.7%であった。行わない理由は時間がない, 患者がこばむ, 保険点数にならない, 方法がわからないの順に多かった。<BR>以上より歯周病と喫煙の関係についてのエビデンスの構築により歯科での効果的な禁煙支援に結びつく可能性が示唆され, 保険導入により禁煙支援を行う歯科医師が増加すると考えられた。<BR>日本歯周病学会会誌(日歯周誌)51(4) : 334-345, 2009

The aim of this study was to investigate the smoking status and attitudes toward tobacco control among periodontists of the Japanese Society of Periodontology, a non-profit organization. The questionnaires to determine the smoking status and attitude towards the tobacco control policy were mailed to 861 periodontists. Four hundred thirty-five of them(53.3%), of whom 70.3% were in their 40s and 50s, returned the completed questionnaire. The respondents were divided into university staff(27.8%), university hospital staff(6.4%), general practitioners(61.6%), and others(3.0%). The sample included 225 non-smokers(51.7%), 140 ex-smokers(32.2%), and 64 smokers(14.7%). Of the respondents, 58.1 % agreed that patients with periodontal disease should not smoke and 81.7% agreed that periodontists should get a fee for managing nicotine dependence. Also, 76.8% thought that periodontists can easily assist patients to quit smoking. Of the total, 71.2% agreed that periodontists should not smoke and 60.3% of the periodontists indicated that periodontists knew their patients' smoking status. About 77.6% pointed out that the majority of patients with severe periodontitis smoked and 89.6% stated that the healing capacity in smokers was impaired. In addition, 69.3% had helped patients quit smoking. However, 22.7% said that they had not helped patients quit smoking, because they did not have the time, patients refused their support, they could not get insurance marks, or they did not know how to support patients in their efforts to quit smoking. Thus, it is necessary to understand that periodontists have a chance to help their patients quit smoking and that support by periodontists to patients to quit smoking is effective. Most periodontists would take more time to support patients in their efforts to quit smoking if dental insurance for such assistance were available.<BR>Nihon Shishubyo Gakkai Kaishi(J Jpn Soc Periodontol)51(4) : 334-345, 2009.

Journal

  • Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology)

    Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology) 51(4), 334-345, 2009-12-28

    JAPANESE SOCIETY OF PERIODONTOLOGY

References:  24

Cited by:  2

Codes

  • NII Article ID (NAID)
    10027095965
  • NII NACSIS-CAT ID (NCID)
    AN0019129X
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03850110
  • Data Source
    CJP  CJPref  J-STAGE 
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