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Effect of secondhand smoking on gingival pain and bleeding in non-smoking adolescents in South Korea

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ÃÖ¹ÌÁø ( Choi Mi-Jin ) - Chosun University Graduate School Department of Public Health
±è¼Ò¿µ ( Kim So-Yeong ) - Chosun University College of Medicine Department of Preventive Medicine
ÀåÇý¿µ ( Jang Hye-Young ) - Chosun University Graduate School Department of Public Health

Abstract


Objectives: This study aimed to identifying the relationship between exposure to secondhand smoking and oral diseases in adolescents, based on the web-based youth health risk behavior survey from 2020.

Methods: Among the 54,948 adolescent respondents to the 16th youth health risk behavior survey in 2020, this study included a total of 48,867 non-smoking adolescent participants who had never used regular cigarettes, vapes, or e-cigarettes. Analysis of the complex sample survey data was performed by applying weights according to the complex sample provided by the Korea Disease Control and Prevention Agency. Cross-tabulation analysis by complex sampling using the Rao- Scott chi-square test and complex-sample t-test was then performed to identify the relationship between subject characteristics and gingival pain and bleeding prevalence. Finally, a binary logistic regression analysis was performed to determine the effects of secondhand smoking on symptoms of gingival pain and bleeding in non-smoking adolescents. Data were analyzed using SPSS 26.0 version, and the statistical significance level was defined as P<0.05.

Results: Among the participants, periodontal disease symptoms were reported 1.201 times (95% confidence interval [CI]: 1.101-1.310) more often in those with exposure to secondhand smoking exposure at home and 1.281 times (95% CI: 1.173-1.398) more often in those with exposure to secondhand smoking in public places than in those who did not report exposure to secondhand smoking.

Conclusions: The study results suggest that exposure to secondhand smoking increases the risk of gingival pain and bleeding in non-smoking South Korean adolescents and is a risk factor for periodontal diseases.

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Adolescents; Gingival bleeding; Gingival pain; Secondhand smoking

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