Ju Yeon Lee, Chae Heon Song, Jaewoo Kim, Yun Seo Jang, Eun-Cheol Park
{"title":"吸烟行为与口腔健康问题之间的关系：韩国的一项全国性横断面研究。","authors":"Ju Yeon Lee, Chae Heon Song, Jaewoo Kim, Yun Seo Jang, Eun-Cheol Park","doi":"10.18332/tid/200693","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Smoking is a risk factor that significantly affects general and oral health by altering the oral environment, increasing plague build-up, and reducing blood flow in the gums, leading to tooth decay and periodontal disease. Therefore, this study investigated the association between smoking behaviors, such as smoking duration and cessation, and oral health problems.</p><p><strong>Methods: </strong>This study analyzed a secondary dataset of the Korea National Health and Nutrition Examination Survey (2019-2021) that included 6150 men and 7574 women. Individuals were classified as current smokers if they were currently smoking regular cigarettes, heated tobacco products, or electronic cigarettes. Oral health problems included toothaches and chewing difficulties. Multiple logistic regression was used to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for the association between smoking behavior and oral health problems.</p><p><strong>Results: </strong>Among participants of both sexes, current smokers had more oral health problems compared with non-smokers (men, AOR=1.60; 95% CI: 1.35-1.89; women, AOR=1.91; 95% CI: 1.33-2.71), as did ex-smokers (men, AOR=1.39; 95% CI: 1.18-1.63; women, AOR=1.47; 95% CI: 1.18-1.83). The longer the smoking cessation period, the lower was the prevalence of oral health problems. Additionally, high pack-years were associated with oral health issues. Regular cigarettes were more likely to cause problems than e-cigarettes (men, AOR=1.56; 95% CI: 1.31-1.86; women, AOR=1.96; 95% CI: 1.53-2.52), while vaping (men, AOR=1.36; 95% CI: 1.05-1.74; women, AOR=1.64; 95% CI: 1.06-2.53) and dual smoking (men, AOR=1.57; 95% CI: 1.14-2.16; women, AOR=1.97; 95% CI: 1.10-3.50) were also associated with oral health issues.</p><p><strong>Conclusions: </strong>This study confirmed that smoking is strongly associated with oral health problems. Public health efforts should focus on prevention and tailored interventions to support quitting and improve oral health outcomes in both current and ex-smokers.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887038/pdf/","citationCount":"0","resultStr":"{\"title\":\"Association between smoking behavior and oral health problems: A national cross-sectional study in Korea.\",\"authors\":\"Ju Yeon Lee, Chae Heon Song, Jaewoo Kim, Yun Seo Jang, Eun-Cheol Park\",\"doi\":\"10.18332/tid/200693\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Smoking is a risk factor that significantly affects general and oral health by altering the oral environment, increasing plague build-up, and reducing blood flow in the gums, leading to tooth decay and periodontal disease. Therefore, this study investigated the association between smoking behaviors, such as smoking duration and cessation, and oral health problems.</p><p><strong>Methods: </strong>This study analyzed a secondary dataset of the Korea National Health and Nutrition Examination Survey (2019-2021) that included 6150 men and 7574 women. Individuals were classified as current smokers if they were currently smoking regular cigarettes, heated tobacco products, or electronic cigarettes. Oral health problems included toothaches and chewing difficulties. Multiple logistic regression was used to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for the association between smoking behavior and oral health problems.</p><p><strong>Results: </strong>Among participants of both sexes, current smokers had more oral health problems compared with non-smokers (men, AOR=1.60; 95% CI: 1.35-1.89; women, AOR=1.91; 95% CI: 1.33-2.71), as did ex-smokers (men, AOR=1.39; 95% CI: 1.18-1.63; women, AOR=1.47; 95% CI: 1.18-1.83). The longer the smoking cessation period, the lower was the prevalence of oral health problems. Additionally, high pack-years were associated with oral health issues. Regular cigarettes were more likely to cause problems than e-cigarettes (men, AOR=1.56; 95% CI: 1.31-1.86; women, AOR=1.96; 95% CI: 1.53-2.52), while vaping (men, AOR=1.36; 95% CI: 1.05-1.74; women, AOR=1.64; 95% CI: 1.06-2.53) and dual smoking (men, AOR=1.57; 95% CI: 1.14-2.16; women, AOR=1.97; 95% CI: 1.10-3.50) were also associated with oral health issues.</p><p><strong>Conclusions: </strong>This study confirmed that smoking is strongly associated with oral health problems. Public health efforts should focus on prevention and tailored interventions to support quitting and improve oral health outcomes in both current and ex-smokers.</p>\",\"PeriodicalId\":23202,\"journal\":{\"name\":\"Tobacco Induced Diseases\",\"volume\":\"23 \",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-03-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887038/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tobacco Induced Diseases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.18332/tid/200693\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tobacco Induced Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.18332/tid/200693","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Association between smoking behavior and oral health problems: A national cross-sectional study in Korea.
Introduction: Smoking is a risk factor that significantly affects general and oral health by altering the oral environment, increasing plague build-up, and reducing blood flow in the gums, leading to tooth decay and periodontal disease. Therefore, this study investigated the association between smoking behaviors, such as smoking duration and cessation, and oral health problems.
Methods: This study analyzed a secondary dataset of the Korea National Health and Nutrition Examination Survey (2019-2021) that included 6150 men and 7574 women. Individuals were classified as current smokers if they were currently smoking regular cigarettes, heated tobacco products, or electronic cigarettes. Oral health problems included toothaches and chewing difficulties. Multiple logistic regression was used to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for the association between smoking behavior and oral health problems.
Results: Among participants of both sexes, current smokers had more oral health problems compared with non-smokers (men, AOR=1.60; 95% CI: 1.35-1.89; women, AOR=1.91; 95% CI: 1.33-2.71), as did ex-smokers (men, AOR=1.39; 95% CI: 1.18-1.63; women, AOR=1.47; 95% CI: 1.18-1.83). The longer the smoking cessation period, the lower was the prevalence of oral health problems. Additionally, high pack-years were associated with oral health issues. Regular cigarettes were more likely to cause problems than e-cigarettes (men, AOR=1.56; 95% CI: 1.31-1.86; women, AOR=1.96; 95% CI: 1.53-2.52), while vaping (men, AOR=1.36; 95% CI: 1.05-1.74; women, AOR=1.64; 95% CI: 1.06-2.53) and dual smoking (men, AOR=1.57; 95% CI: 1.14-2.16; women, AOR=1.97; 95% CI: 1.10-3.50) were also associated with oral health issues.
Conclusions: This study confirmed that smoking is strongly associated with oral health problems. Public health efforts should focus on prevention and tailored interventions to support quitting and improve oral health outcomes in both current and ex-smokers.
期刊介绍：
Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community.
The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.
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