CC BY-NC-ND 4.0 · Eur J Dent 2017; 11(01): 029-035
DOI: 10.4103/ejd.ejd_300_16
Original Article
Dental Investigation Society

Awareness about the effects of tobacco consumption on oral health and the possibility of smoking behavior among male Saudi schoolchildren

Muhammad Ashraf Nazir
1   Department of Preventive Dental Sciences, College of Dentistry, University of Dammam, Dammam, Kingdom of Saudi Arabia
,
Khalid Almas
1   Department of Preventive Dental Sciences, College of Dentistry, University of Dammam, Dammam, Kingdom of Saudi Arabia
› Author Affiliations
Further Information

Publication History

Publication Date:
25 September 2019 (online)

ABSTRACT

Objective: To investigate an association between the awareness about the effects of tobacco consumption on oral health and the likelihood of smoking among male schoolchildren. Materials and Methods: A cross sectional study was conducted using a multistage random sampling technique. The participants (ages 15–19 years) were recruited from male public high schools in Greater Dammam in Saudi Arabia. A pretested questionnaire inquired participants’ awareness about the effects of smoking on oral health. SPSS (Released 2013, IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp) was used to calculate unadjusted and adjusted odds ratio (OR) and 95% confidence interval (CI). Multiple logistic regression and interaction analyses were performed to identify the factors associated with the probability of smoking behavior among children. Results: More than 69.9% (n = 277) of participants were aware of the adverse effects of tobacco consumption on oral health which included poor oral health, bad taste and breath, periodontal disease, dental caries, oral ulcers, and oral cancers. The odds of smoking were 22%–47% lower among schoolchildren who were aware of the consequences of smoking on oral health than those who were unaware of these complications. The students who believed that smoking can cause oral ulcers and negatively affects oral health had a lower probability of smoking (OR: 0.414; CI: 0.201–0.50) and (OR: 0.433; CI: 0.194–0.965), respectively in comparison with those who thought that smoking had no such negative impacts. Conclusions: Schoolchildren with increased awareness of smoking effects on oral health were less likely to smoke. Educating students about the complications of smoking on oral health should be the part of smoking cessation programs and policies.

 
  • REFERENCES

  • 1 World Health Organization. WHO Global Report on Trends in Tobacco Smoking 2000-2025. Available from http://www.who.int/tobacco/publications/surveillance/reportontrendstobaccosmoking/en/ Last cited on 2016 Sep 12
  • 2 Rentería E, Jha P, Forman D, Soerjomataram I. The impact of cigarette smoking on life expectancy between 1980 and 2010: A global perspective. Tob Control 2016; 25: 551-7
  • 3 World Health Organization. Tobacco Free Initiative (TFI). Tobacco Control Economics. Available from http://www.who.int/tobacco/economics/en/ Last cited on 2016 Sep 12
  • 4 Csikar J, Kang J, Wyborn C, Dyer TA, Marshman Z, Godson J. The self-reported oral health status and dental attendance of smokers and non-smokers in England. PLoS One 2016; 11: e0148700
  • 5 Chung CW, Wang JD, Yu CF, Yang MC. Lifetime medical expenditure and life expectancy lost attributable to smoking through major smoking related diseases in Taiwan. Tob Control 2007; 16: 394-9
  • 6 Hoang Anh PT, Thu le T, Ross H, Quynh Anh N, Linh BN, Minh NT. Direct and indirect costs of smoking in Vietnam. Tob Control 2016; 25: 96-100
  • 7 Ekpu VU, Brown AK. The economic impact of smoking and of reducing smoking prevalence: Review of evidence. Tob Use Insights 2015; 8: 1-35
  • 8 Salama R. Challenges facing smokers in Saudi Arabia. Int J Health Sci (Qassim) 2012; 6: V-VI
  • 9 Warnakulasuriya S, Dietrich T, Bornstein MM, Casals Peidró E, Preshaw PM, Walter C. et al. Oral health risks of tobacco use and effects of cessation. Int Dent J 2010; 60: 7-30
  • 10 Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN. et al. 21st-century hazards of smoking and benefits of cessation in the United States. N Engl J Med 2013; 368: 341-50
  • 11 Pirie K, Peto R, Reeves GK, Green J, Beral V. Million Women Study Collaborators. The 21st century hazards of smoking and benefits of stopping: A prospective study of one million women in the UK. Lancet 2013; 381: 133-41
  • 12 Towns S, DiFranza JR, Jayasuriya G, Marshall T, Shah S. Smoking cessation in adolescents: Targeted approaches that work. Paediatr Respir Rev 2015; pii: S1526-054200039-1
  • 13 Singh T, Arrazola RA, Corey CG, Husten CG, Neff LJ, Homa DM. et al. Tobacco use among middle and high school students – United States, 2011-2015. MMWR Morb Mortal Wkly Rep 2016; 65: 361-7
  • 14 U.S. Department of Health and Human Services. The Health Consequences of Smoking – 50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Available from http://www.surgeongeneral.gov/library/reports/50-years-of-progress/?_ga=1.85329114.252217801.1464102713.#execsumm Last cited on 2016 Sep 13
  • 15 Hanewinkel R, Isensee B, Sargent JD, Morgenstern M. Cigarette advertising and teen smoking initiation. Pediatrics 2011; e271-8
  • 16 O'Loughlin J, Karp I, Koulis T, Paradis G, Difranza J. Determinants of first puff and daily cigarette smoking in adolescents. Am J Epidemiol 2009; 170: 585-97
  • 17 Park HK, Al Agili DE, Bartolucci A. Factors affecting tobacco use among middle school students in Saudi Arabia. Matern Child Health J 2012; 16: 1828-36
  • 18 Aryal UR, Petzold M, Krettek A. Perceived risks and benefits of cigarette smoking among Nepalese adolescents: A population-based cross-sectional study. BMC Public Health 2013; 13: 187
  • 19 Song AV, Morrell HE, Cornell JL, Ramos ME, Biehl M, Kropp RY. et al. Perceptions of smoking-related risks and benefits as predictors of adolescent smoking initiation. Am J Public Health 2009; 99: 487-92
  • 20 Al-Qurashi H, Al-Farea M, Al-Qurai T, Al-Kadi M, Al-Bassam B, Nazir MA. Comparison of oral hygiene practices and oral health problems among smoker and non-smoker male adolescents in the Eastern Province of Saudi Arabia. Saudi J Dent Res 2016; 7: 106-11
  • 21 Schaeffer RL, Mendenhall W, Ott L. Elementary Survey Sampling. 4th ed Belmont, California>: Duxbury Press; 1990
  • 22 Reed P, Wu Y. Logistic regression for risk factor modelling in stuttering research. J Fluency Disord 2013; 38: 88-101
  • 23 Broadbent JM, Thomson WM, Poulton R. Oral health beliefs in adolescence and oral health in young adulthood. J Dent Res 2006; 85: 339-43
  • 24 Broadbent JM, Zeng J, Foster Page LA, Baker SR, Ramrakha S, Thomson WM. Oral health-related beliefs, behaviors, and outcomes through the life course. J Dent Res 2016; 95: 808-13
  • 25 World Health Organization. The World Health Report 2003. Continuous Improvement of Oral Health in the 21st Century – The Approach of the WHO Global Oral Health Programme. Available from http://www.who.int/oral_health/media/en/orh_report03_en.pdf Last cited on 2016 Jul 03
  • 26 Linden GJ, Herzberg MC. Working Group of the Joint EFP/AAP Workshop. Periodontitis and systemic diseases: A record of discussions of working group 4 of the joint EFP/AAP workshop on periodontitis and systemic diseases. J Periodontol 2013; 84 (Suppl. 04) S20-3
  • 27 Kasmaei P, Amin Shokravi F, Hidarnia A, Hajizadeh E, Atrkar-Roushan Z, Karimzadeh Shirazi K. et al. Brushing behavior among young adolescents: Does perceived severity matter. BMC Public Health 2014; 14: 8
  • 28 Marron M, Boffetta P, Zhang ZF, Zaridze D, Wünsch-Filho V, Winn DM. et al. Cessation of alcohol drinking, tobacco smoking and the reversal of head and neck cancer risk. Int J Epidemiol 2010; 39: 182-96
  • 29 World Health Organization. Oral Health. Important Target Groups. Available from http://www.who.int/oral_health/action/groups/en/ Last cited on 2016 Jun 13
  • 30 Pennanen M, Haukkala A, de Vries H, Vartiainen E. Longitudinal study of relations between school achievement and smoking behavior among secondary school students in Finland Results of the ESFA study. Subst Use Misuse 2011; 46: 569-79
  • 31 Doku D, Koivusilta L, Rainio S, Rimpelä A. Socioeconomic differences in smoking among Finnish adolescents from 1977 to 2007. J Adolesc Health 2010; 47: 479-87
  • 32 Pennanen M, Haukkala A, De Vries H, Vartiainen E. Academic achievement and smoking: Is self-efficacy an important factor in understanding social inequalities in Finnish adolescents? Scand J Public Health. 2011; 39: 714-22
  • 33 Ho SY, Lai HK, Wang MP, Lam TH. Exposure to secondhand smoke and academic performance in non-smoking adolescents. J Pediatr 2010; 157: 1012-1012 e1
  • 34 World Health Organization. Tobacco Free Initiative (TFI). Available from http://www.who.int/tobacco/research/economics/rationale/poverty/en/ Last cited on 2016 Jun 27
  • 35 Fida HR, Abdelmoneim I. Prevalence of smoking among male secondary school students in Jeddah, Saudi Arabia. J Family Community Med 2013; 20: 168-72
  • 36 Jarvis MJ, Goddard E, Higgins V, Feyerabend C, Bryant A, Cook DG. Children's exposure to passive smoking in England since the 1980s: Cotinine evidence from population surveys. BMJ 2000; 321: 343-5
  • 37 Levin KA. Study design III: Cross-sectional studies. Evid Based Dent 2006; 7: 24-5