Tobacco products and oral conditions among US adults: NHANES 2017–2020

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2024-03-28 DOI:10.1111/jphd.12615

Nora I. Alamer BDS, MPH, FRCD(C), DMSc, Ahmed Alsaleh BDS, Sultan Alkhaldi BDS

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Abstract

Objectives

Smoking is a major global health problem with serious systemic and oral consequences. This study aims at assessing the influence of smoking cigarettes and other types of smoked tobacco on oral conditions (OCs) using a representative sample of US adults.

Methods

Pre-pandemic data from the National Health and Nutrition Examination Survey 2017–2020 were utilized, and 7840 adults aged ≥30 years were included in our analyses. Descriptive statistics, logistic, and negative binomial regression models were performed to assess the relationship between tobacco products and OCs including, tooth loss (TL), coronal (CC) and root caries (RC).

Results

Overall, 16.29% of our sample were current cigarette smokers (CCS). TL (17.25%) and untreated RC (28.26%) were more evident among CCS. In the adjusted regression models, smoking cigarettes was associated with RC (AOR: 3.20, 95% CI; 2.02, 5.09), untreated CC (IRR: 3.08, 95% CI: 1.50, 6.31), and TL (IRR: 2.18, 95% CI: 1.64, 2.88). Regarding the type of used tobacco product in the past 5 days, cigarettes were the most common type (15.03%). The adjusted model indicated that e-cigarette smokers had the highest odds of untreated RC (AOR: 5.17, 95% CI: 2.19, 12.23) and the highest rate of TL (IRR: 2.21, 95% CI: 1.45, 3.35). Further, cigar smokers had the highest rate of teeth with untreated CC (IRR: 3.25, 95% CI: 1.46, 7.25).

Conclusions

Using tobacco products is associated with poor OCs. Dentists, being the primary oral health care providers, can play a crucial role in counseling and supporting smokers to quit as part of their routine dental examination.

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美国成年人的烟草制品和口腔状况：Nhanes 2017-2020。

目标：吸烟是一个严重影响全身和口腔健康的全球性健康问题。本研究旨在通过具有代表性的美国成年人样本，评估吸烟和其他类型的烟草熏制对口腔状况（OCs）的影响：我们利用了 2017-2020 年美国国家健康与营养调查的大流行前数据，将 7840 名年龄≥30 岁的成年人纳入分析。采用描述性统计、Logistic 和负二项回归模型评估烟草制品与包括牙齿脱落（TL）、冠状龋（CC）和根龋（RC）在内的 OC 之间的关系：总体而言，16.29%的样本为当前吸烟者（CCS）。TL（17.25%）和未经治疗的 RC（28.26%）在吸烟者中更为明显。在调整回归模型中，吸烟与RC（AOR：3.20，95% CI；2.02，5.09）、未经治疗的CC（IRR：3.08，95% CI：1.50，6.31）和TL（IRR：2.18，95% CI：1.64，2.88）相关。关于过去 5 天内使用过的烟草制品类型，香烟是最常见的类型（15.03%）。调整后的模型显示，电子烟烟民未治疗 RC 的几率最高（AOR：5.17，95% CI：2.19，12.23），TL 的比率最高（IRR：2.21，95% CI：1.45，3.35）。此外，吸雪茄者的牙齿中未经治疗的CC比率最高（IRR：3.25，95% CI：1.46，7.25）：结论：使用烟草制品与不良的口腔粘膜有关。牙医作为主要的口腔保健提供者，可以在辅导和支持吸烟者戒烟方面发挥重要作用，这也是常规牙科检查的一部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.