University of Oulu

Zaborskis, A., Volkyte, A., Narbutaite, J., Virtanen, J. (2017) Smoking and attitudes towards its cessation among native and international dental students in Lithuania. BMC Oral Health, 17 (1), doi:10.1186/s12903-017-0397-y

Smoking and attitudes towards its cessation among native and international dental students in Lithuania

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Author: Zaborskis, Apolinaras1; Volkyte, Aiste2; Narbutaite, Julija2,3;
Organizations: 1Institute of Health Research, Faculty of Public Health, Lithuanian University of Health Sciences
2Faculty of Odontology, Lithuanian University of Health Sciences
3Lithuanian University of Health Sciences Hospital
4Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu
5Medical Research Center, Oulu University Hospital
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.4 MB)
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Language: English
Published: Springer Nature, 2017
Publish Date: 2017-08-22


Background: Dental professionals are uniquely positioned to discourage smoking among their patients. However, little is known about the role of cultural background and attitudes towards smoking in the education of these professionals. Our study aimed to compare native Lithuanian and international dental students’ smoking habits, knowledge about the harmfulness of smoking and attitudes towards smoking cessation.

Methods: We conducted a cross-sectional survey of smoking and its cessation among dental students at the Lithuanian University of Health Sciences (Kaunas, Lithuania) in 2012. All Lithuanian and international dental students in each year of dental school were invited to participate in the survey during a compulsory practical class or seminar. Altogether 606 students participated in the survey with a response rate of 84.2%. Explanatory factorial analysis (EFA), multivariate Discriminant Analysis (DA) and Binary Logistic Regression (BLR) served for the statistical analyses.

Results: The percentages of occasional/current regular smokers were 41.1% and 55.7% (p = 0.068) among Lithuanian and international male students, and 22.7% and 22.9% (p = 0.776) among Lithuanian and international female students, respectively. The international dental students had a deeper knowledge of the harmfulness/addictiveness of smoking and held more positive attitudes towards smoking cessation among their patients than did the native Lithuanian dental students.

Conclusions: The findings of the study underscored the need to properly incorporate tobacco cessation training into the curriculum of dental education. However, consideration of the cultural background of dental students in building up their capacity and competence for intervening against smoking is essential.

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Series: BMC oral health
ISSN: 1472-6831
ISSN-E: 1472-6831
ISSN-L: 1472-6831
Volume: 17
Article number: 106
DOI: 10.1186/s12903-017-0397-y
Type of Publication: A1 Journal article – refereed
Field of Science: 313 Dentistry
Copyright information: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.