Al-Shammari Khalaf F, Moussa Mohamed A, Al-Ansari Jassem M, Al-Duwairy Yousif S, Honkala Eino J
Ministry of Health, P.O. Box 758, Jahra 01009, Kuwait.
J Dent. 2006 Mar;34(3):173-8. doi: 10.1016/j.jdent.2005.05.006. Epub 2005 Aug 8.
The negative effects of cigarette smoking on oral health are well established, yet few studies assessed patient awareness of such effects. The aim of this study was to examine differences in dental patient knowledge and awareness of the effects of smoking on oral health between smokers and non-smokers.
Adult patients from 12 dental centers in Kuwait were asked to complete a 14-point self-administered structured questionnaire on the effects of smoking on oral health in this cross-sectional survey. Significant associations between oral health knowledge, smoking status, and sociodemographic variables were examined with univariate analysis and logistic regression.
A total of 1012 subjects participated (response rate = 84.3%). The prevalence of smoking was 29.3%. Fewer smokers than non-smokers thought that oral health and smoking are related (92.2% vs. 95.8%; P = 0.020), and that smoking affected oral cancer (52.4% vs. 66.8%; P < 0.001), periodontal health (72% vs. 78%; P = 0.040), or tooth staining (86.1% vs. 90.9%; P = 0.018). Logistic regression analysis showed smokers to be significantly less aware of the oral health effects of smoking than non-smoking patients (OR=1.51; 95% CI: 1.05-2.16; P = 0.025).
Smoking dental patients are significantly less aware of the oral health effects of smoking than non-smokers. Comparative studies in other populations may be warranted to ascertain the validity of these results.
吸烟对口腔健康的负面影响已得到充分证实，但很少有研究评估患者对这些影响的认知。本研究的目的是调查吸烟者和非吸烟者在牙科患者对吸烟对口腔健康影响的知识和认知方面的差异。
在这项横断面调查中，科威特12个牙科中心的成年患者被要求完成一份关于吸烟对口腔健康影响的14项自填式结构化问卷。通过单因素分析和逻辑回归研究口腔健康知识、吸烟状况和社会人口统计学变量之间的显著关联。
共有1012名受试者参与（应答率 = 84.3%）。吸烟率为29.3%。认为口腔健康与吸烟有关的吸烟者比非吸烟者少（92.2% 对 95.8%；P = 0.020），认为吸烟会影响口腔癌的吸烟者也比非吸烟者少（52.4% 对 66.8%；P < 0.001），影响牙周健康的比例也较低（72% 对 78%；P = 0.040），或牙齿染色的比例也较低（86.1% 对 90.9%；P = 0.018）。逻辑回归分析显示，吸烟者对吸烟对口腔健康影响的认知明显低于非吸烟患者（OR = 1.51；95% CI：1.05 - 2.16；P = 0.025）。
吸烟的牙科患者对吸烟对口腔健康影响的认知明显低于非吸烟者。可能需要在其他人群中进行比较研究，以确定这些结果的有效性。
