UMass Chan Medical School Faculty Publications


Variations in tobacco control in National Dental PBRN practices: the role of patient and practice factors

UMMS Affiliation

Department of Quantitative Health Sciences

Publication Date


Document Type



Behavior and Behavior Mechanisms | Clinical Trials | Dental Public Health and Education | Health Services Administration | Health Services Research


We engaged dental practices enrolled in The National Dental Practice-Based Research Network to quantify tobacco screening (ASK) and advising (ADVISE); and to identify patient and practice -characteristics associated with tobacco control. Dental practices (N = 190) distributed patient surveys that measured ASK and ADVISE. Twenty-nine percent of patients were ASKED about tobacco use during visit, 20% were identified as tobacco users, and 41% reported being ADVISED. Accounting for clustering of patients within practices, younger age and male gender were positively associated with ASK and ADVISE. Adjusting for patient age and gender, a higher proportion of non-whites in the practice, preventive services and proportion on public assistance were positively associated with ASK. Proportion of tobacco users in the practice and offering other preventive services were more strongly associated with ASK and ADVISE than other practice characteristics. Understanding variations in performance is an important step toward designing strategies for improving tobacco control in dentistry.


UMCCTS funding, Clinical trials, Public health dentistry, Oral health

DOI of Published Version



Ray MN, Allison JJ, Coley HL, Williams JH, Kohler C, Gilbert GH, Richman JS, Kiefe CI, Sadasivam RS, Houston TK; National DPBRN Collaborative Group. Variations in tobacco control in National Dental PBRN practices: the role of patient and practice factors. Spec Care Dentist. 2013 Nov-Dec;33(6):286-93. doi:10.1111/j.1754-4505.2012.00305.x. Link to article on publisher's site

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry

PubMed ID