Association between Regular Electronic Nicotine Product Use and Self-Reported Periodontal Disease Status: Population Assessment of Tobacco and Health Survey
Association between Regular Electronic Nicotine Product Use and Self-Reported Periodontal Disease Status: Population Assessment of Tobacco and Health Survey
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DOI：
10.3390/ijerph16071263
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发表时间：
2019-04-01
影响因子：
--
通讯作者：
Mortensen, Eric M.
中科院分区：
文献类型：
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作者：
Atuegwu, Nkiruka C.;Perez, Mario F.;Mortensen, Eric M.
在美国，电子尼古丁产品的使用正在增加，但很少有研究讨论它对口腔健康的影响。这项工作的目标是确定电子尼古丁产品使用和牙周病之间的联系。分析使用了2013-2016年的人口烟草评估和健康成人调查数据(第一、第二和第三波)。纵向电子尼古丁产品的使用者每天定期使用电子尼古丁产品，或者有一天在所有三次浪潮中使用电子尼古丁产品。有新病例的参与者在第一波中没有牙周病病史，但在第二波或第三波中报告被诊断为牙周病。在控制了潜在的混杂因素后，计算了优势比(OR)，以确定电子尼古丁产品的使用与牙周病新病例之间的关联。与从不吸食电子尼古丁产品的人相比，纵向电子尼古丁产品使用者被诊断为牙周病(OR 1.76，95%可信区间(CI)1.12-2.76)和牙齿周围骨质疏松(OR 1.67，95%CI 1.06-2.63)的几率增加。对于有大麻史和非法或非处方药使用史的参与者来说，这些几率更高。我们的发现表明，电子烟可能对口腔健康有害。
Electronic nicotine product use is increasing in the U.S., but few studies have addressed its effects on oral health. The goal of this work was to determine the association between electronic nicotine product use and periodontal disease. Population Assessment of Tobacco and Health adult survey data from 2013-2016 (waves 1, 2 and 3) was used for the analysis. Longitudinal electronic nicotine product users used electronic nicotine products regularly every day or somedays in all three waves. Participants with new cases of gum disease reported no history of gum disease in wave 1 but reported being diagnosed with gum disease in waves 2 or 3. Odds ratios (OR) were calculated to determine the association between electronic nicotine product use and new cases of gum disease after controlling for potential confounders. Compared to never users, longitudinal electronic nicotine product users had increased odds of being diagnosed with gum disease (OR 1.76, 95% Confidence Interval (CI) 1.12-2.76) and bone loss around teeth (OR 1.67, 95% CI 1.06-2.63). These odds were higher for participants with a history of marijuana and a history of illicit or non-prescribed drug use. Our findings show that e-cigarettes may be harmful to oral health.