{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:37:50Z","timestamp":1747186670346,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T00:00:00Z","timestamp":1628726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>With consistent calls for a more integrated approach to improve the healthcare system's effectiveness, the scope of practice for dentists has expanded; dentists are now seen to positively intervene to address several sensitive health issues among their patients. However, it is not clear how comfortable dentists feel in doing so. This study endeavored to assess self\u2010perceived ease of dentists to discuss various sensitive health issues and if their socio\u2010demographics influence their ease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A self\u2010administered online survey was sent to Ontario dentists (<jats:italic>n<\/jats:italic>\u00a0=\u00a09975) to assess their self\u2010perceived ease in discussing five sensitive health issues with their patients: eating disorders, substance abuse, sexually transmitted infections (STIs), sexual behaviors, and physical abuse. Ordinal logistic regressions were performed along with descriptive analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The response rate was 9.3%. Over 50% of participants indicated difficulty discussing STIs, sexual behaviors and physical abuse. Younger dentists, female practitioners, dentists practicing in private settings, and those practicing in rural areas perceived more difficulty to discuss all five health issues. Place of training was also a significant predictor: internationally trained dentists perceived it easier to discuss eating disorders, substance abuse, and physical abuse while Canadian trained were more at ease to discuss STIs and sexual behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This exploratory study identified that a large proportion of dentists are not comfortable discussing sensitive health issue with their patients. There are numerous opportunities for intervention in Canadian dental curriculums, continuing education programs, and communication practices to support dentists' discussions with patients about these important health concerns.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12468","type":"journal-article","created":{"date-parts":[[2021,8,13]],"date-time":"2021-08-13T00:30:22Z","timestamp":1628814622000},"page":"290-298","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Ontario dentists' ease to discuss sensitive health issues with their patients: A cross\u2010sectional study"],"prefix":"10.1111","volume":"81","author":[{"given":"Christine","family":"Huynh","sequence":"first","affiliation":[{"name":"Schulich School of Medicine &amp; Dentistry University of Western Ontario  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5365-1945","authenticated-orcid":false,"given":"Musfer A.","family":"Aldossri","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Community Dentistry, College of Dentistry King Saud University  Riyadh Saudi Arabia"},{"name":"Dental Public Health, Faculty of Dentistry University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos R.","family":"Qui\u00f1onez","sequence":"additional","affiliation":[{"name":"Dental Public Health, Faculty of Dentistry University of Toronto  Toronto Ontario Canada"},{"name":"Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Manson","sequence":"additional","affiliation":[{"name":"Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"},{"name":"School of Public Health and Health Systems University of Waterloo  Waterloo Ontario Canada"},{"name":"Public Health Ontario Health Promotion Chronic Disease and Injury Prevention Department  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonica","family":"Singhal","sequence":"additional","affiliation":[{"name":"Dental Public Health, Faculty of Dentistry University of Toronto  Toronto Ontario Canada"},{"name":"Public Health Ontario Health Promotion Chronic Disease and Injury Prevention Department  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,12]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Government of Ontario Ministry of Health and Long Term CarePatient first: Action plan for health care. 2018. 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