Association of combustible and non-combustible tobacco use with clinically diagnosed adverse oral health outcomes among US adults, National Health and Nutrition Examination Survey (2009-2014).

Autor: Chido-Amajuoyi OG; Department of Internal Medicine, Texas A&M University College of Medicine/Christus Health, Houston, USA., Omega-Njemnobi O; Department of Epidemiology, Human Genetics and Environmental Sciences, University of Texas School of Public Health, Austin, USA., Okoli C; Department of Internal Medicine, Advocate Illinois Masonic Hospital, Chicago, USA., Ozigbu C; Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, USA., Okoroafor I; Department of Gastroenterology, Hepatitis and Nutrition, Boston Children's Hospital, Harvard Medical School, Boston, USA., Anikpezie N; Department of Population Health Science, University of Mississippi Medical Center, Jackson, USA., Odani S; Department of Social Medicine, University of Crete, Rethimno, Greece., Agaku I; Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, USA.
Jazyk: angličtina
Zdroj: Drug and alcohol review [Drug Alcohol Rev] 2022 Nov; Vol. 41 (7), pp. 1521-1527. Date of Electronic Publication: 2022 Jul 27.
DOI: 10.1111/dar.13510
Abstrakt: Introduction: There is an established link between tobacco use and adverse oral health outcomes. However, there is a paucity of research exploring the effect of various tobacco products on clinically diagnosed adverse oral health outcomes.
Methods: Data were pooled from three cycles of the National Health and Nutrition Examination Survey: 2009-2010; 2011-2012; and 2013-2014 (n = 11,453). Multivariable logistic regressions examined the associations between periodontitis and dental caries with the type of tobacco product used (combustible, non-combustible or both).
Results: Overall, 42.3% of the study sample had any periodontitis, 7.8% had severe periodontitis and 21.7% had dental caries. There was a higher prevalence of periodontitis and caries among combustible tobacco users than non-combustible tobacco use; 62.1% of combustible tobacco smokers had any periodontitis, 17.1% had severe periodontitis, while 39.4% of adults with dental caries were dual users. Compared to non-smokers, combustible tobacco use increased the odds of any periodontitis (adjusted odds ratio [aOR] 2.81, 95% confidence interval [CI] 2.28, 3.45) and severe periodontitis (aOR 2.62, 95% CI 1.90, 3.61). Compared to non-smokers, both combustible tobacco (aOR 2.11, 95% CI 1.61, 2.76) and non-combustible tobacco use (aOR 2.09, 95% CI 1.19, 3.66) increased the odds of dental caries.
Discussion and Conclusions: In this study of US adults, combustible tobacco use was associated with periodontitis and dental caries, while non-combustible tobacco use was associated with dental caries. In addition to conducting extensive oral health screening among all smokers, oral health-care providers should counsel smokers on the need for smoking cessation.
(© 2022 Australasian Professional Society on Alcohol and other Drugs.)
Databáze: MEDLINE
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