Association of e-cigarette use with oral health: a population-based cross-sectional questionnaire study
Association of e-cigarette use with oral health: a population-based cross-sectional questionnaire study
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DOI：
10.1093/pubmed/fdy082
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发表时间：
2019-06-01
影响因子：
4.4
通讯作者：
Wells, J. Michael
中科院分区：
文献类型：
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作者：
Huilgol, Priyanka;Bhatt, Surya P.;Wells, J. Michael
背景 每日或间歇性使用电子烟 (e-香烟) 对口腔健康的影响尚不清楚。 方法 我们使用 2016 年行为风险因素监测系统数据进行了横断面分析。口腔健康状况不佳是根据因非创伤性原因拔除的恒牙数量来确定的，电子烟的使用情况是根据调查进行前 30 天内每天或间歇性使用来确定的。我们进行了逻辑回归分析，以测试电子烟使用与口腔健康之间的关联，并调整与口腔健康状况不佳、调查聚类、分层和体重相关的因素。结果我们纳入了 456 343 名成年人的调查回复。超过一半的受访者（51.5%）表示一生中至少有一颗恒牙因蛀牙或牙龈疾病而被拔除。 4957 名 (1.1%) 受访者表示每天使用电子烟。在多变量分析中，每天使用电子烟与口腔健康状况不佳的几率升高 78% 独立相关（调整后 OR = 1.78，95% CI：1.39-2.30；P < 0.001）。 结论 在一项针对美国成年人的人口健康调查中，自我报告的健康行为和结果、每日使用电子烟（而非间歇性使用电子烟）与口腔健康状况不佳独立相关。在寻找“更健康”的香烟替代品时必须小心谨慎。
Background The impact of daily or intermittent electronic cigarette (e-cigarette) use on oral health is unknown.Methods We performed a cross-sectional analysis using the 2016 Behavioral Risk Factor Surveillance System data. Poor oral health was determined by the number of permanent teeth removed due to non-traumatic causes, and e-cigarette use determined by daily or intermittent use within 30 days prior to survey administration. We performed logistic regression analysis to test associations between e-cigarette use and oral health with adjustment for factors associated with poor oral health, survey clustering, strata and weight.Results We included survey responses from 456 343 adults. Over half of respondents (51.5%) reported having at least one permanent tooth removed because of tooth decay or gum disease in their lifetime. Daily e-cigarette use was reported by 4957 (1.1%) of respondents. In multivariable analysis, daily e-cigarette use, was independently associated with a 78% higher odds of poor oral health (adjusted OR = 1.78, 95% CI: 1.39-2.30; P < 0.001).Conclusions In a population-based health survey of US adults, self-reported health behavior and outcomes, daily use, but not intermittent use of e-cigarettes was independently associated with poor oral health. Care must be exercised in seeking 'healthier' cigarette alternatives.