Kaán Réka, Pénzes Melinda, Abafalvi Lilla, Hermann Péter, Kispélyi Barbara
Oral Health Prev Dent. 2020 Nov 20;18(4):991-998. doi: 10.3290/j.ohpd.a45520.
This study aimed to explore self-reported oral hygiene practices (OHPs) among Hungarian adult e-cigarette-only (former smokers who switched completely to e-cigarette use or vaping) and dual users (smokers who use e-cigarettes and combustible tobacco cigarettes concomitantly).
A cross-sectional, web-based survey of 930 adult Hungarian e-cigarette users was conducted in 2015. Participants reported 10 OHPs, which were included in analyses as separate binary variables and as a composite variable of the 10 OHP items (inadequate/adequate). Chi-square test was used to explore whether separate OHPs differ by vaping status, and to examine the relationship between inadequate OHPs and past combustible or e-cigarette use characteristics. Associations between separate OHPs and vaping status, and between inadequate OHPs and vaping status were tested by multiple logistic regression analyses.
More dual users reported toothbrushing twice a day or more than e-cigarette-only users (73.6% vs 65.3%, respectively, p = 0.041) and using sugar-free chewing gum (57.7% vs 45.8%, respectively, p = 0.006) while adequacy of other OHPs did not differ statistically significantly by vaping status. Inadequate OHPs were more typical in the sample (63.7%) than adequate OHPs, however, inadequate OHPs did not differ statistically significantly among dual users and e-cigarette-only users (62.0% vs 64.0%, respectively, OR = 1.20, p = 0.400), controlling for age, gender, education, past combustible and current e-cigarette use characteristics.
In this study, both e-cigarette-only and dual users demonstrated similarly high prevalence of inadequate OHPs. Therefore dentists should educate them about effective OHPs and the role of tobacco and e-cigarette use in the development of oral diseases.
本研究旨在探讨匈牙利成年电子烟单一使用者（完全转向使用电子烟或雾化烟的 former smokers）和双重使用者（同时使用电子烟和可燃烟草香烟的吸烟者）自我报告的口腔卫生习惯（OHPs）。
2015年对930名成年匈牙利电子烟使用者进行了一项基于网络的横断面调查。参与者报告了10种口腔卫生习惯，这些习惯在分析中作为单独的二元变量以及10种口腔卫生习惯项目的综合变量（不足/充足）纳入。卡方检验用于探讨单独的口腔卫生习惯是否因雾化状态而异，并检验口腔卫生习惯不足与过去可燃烟草或电子烟使用特征之间的关系。通过多元逻辑回归分析测试单独的口腔卫生习惯与雾化状态之间以及口腔卫生习惯不足与雾化状态之间的关联。
更多双重使用者报告每天刷牙两次或以上，高于电子烟单一使用者（分别为73.6%和65.3%，p = 0.041），并且使用无糖口香糖的比例也更高（分别为57.7%和45.8%，p = 0.006），而其他口腔卫生习惯的充足程度在雾化状态方面没有统计学上的显著差异。在样本中，口腔卫生习惯不足比充足更为典型（63.7%），然而，在双重使用者和电子烟单一使用者中，口腔卫生习惯不足在统计学上没有显著差异（分别为62.0%和64.0%，OR = 1.20，p = 0.400），在控制了年龄、性别、教育程度、过去可燃烟草和当前电子烟使用特征后。
在本研究中，电子烟单一使用者和双重使用者的口腔卫生习惯不足患病率同样较高。因此，牙医应就有效的口腔卫生习惯以及烟草和电子烟使用在口腔疾病发展中的作用对他们进行教育。
