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)

Authors

Onyema G. Chido-Amajuoyi, Department of Internal Medicine, Texas A&M University College of Medicine/Christus Health, Houston, USA.
Onyinye Omega-Njemnobi, Department of Epidemiology, Human Genetics and Environmental Sciences, University of Texas School of Public Health, Austin, USA.
Chimuanya Okoli, Advocate Aurora Health
Chamberline Ozigbu, Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, USA.
Ibeawuchi Okoroafor, Department of Gastroenterology, Hepatitis and Nutrition, Boston Children's Hospital, Harvard Medical School, Boston, USA.
Nnabuchi Anikpezie, Department of Population Health Science, University of Mississippi Medical Center, Jackson, USA.
Satomi Odani, Department of Social Medicine, University of Crete, Rethimno, Greece.
Israel Agaku, Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, USA.

Recommended Citation

Chido-Amajuoyi OG, Omega-Njemnobi O, Okoli C, et al. 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). Drug Alcohol Rev. 2022;41(7):1521-1527. doi:10.1111/dar.13510

Affiliations

Advocate Illinois Masonic Hospital

Abstract

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.

Document Type

Article

PubMed ID

35894266