The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
Longitudinal Analysis of Tobacco Use and Oral Health in Adolescents: Findings From the Population Assessment of Tobacco and Health Study.
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Abdulhay Noor, Wiener R Constance, Wen Sijin, Gibbs Bethany Barone, Bhandari Ruchi
Аннотация
PURPOSE: Adolescence is a critical period for shaping oral health. While cigarette smoking is a known oral health risk, the rise of electronic cigarettes (e-cigarettes) and the dual use of both e-cigarettes and combustible tobacco products (CTP) among adolescents presents emerging concerns. This study examines the longitudinal association of tobacco use, including e-cigarettes, CTP, and dual use, with oral health outcomes among a nationally representative sample of adolescents in the United States.
METHODS: Data from waves 1-6 of the Population Assessment of Tobacco and Health longitudinal study were used to examine the association between past-month tobacco use (CTP only, e-cigarette only, dual use, and no use) and dental health issues (dental caries, periodontal disease, and dental stains). The risk of developing dental health issues was analyzed by weighted Cox regression models, adjusting for covariates.
RESULTS: Among the 15,788 adolescents included in the analysis, 22.2% experienced dental health issues during a follow-up wave. Dual use had the highest risk of dental health issues, and in the adjusted Cox model, dual use was significantly associated with increased risk (hazard ratio = 1.31, 95% confidence interval = 1.08, 1.72) of dental health issues.
DISCUSSION: In this longitudinal study, adolescents who were dual users faced a significantly higher risk of developing dental health issues than those who did not use tobacco in the past month. These findings highlight the importance of early intervention and prevention efforts, especially given the increasing popularity of e-cigarettes and the potential long term oral health consequences.
METHODS: Data from waves 1-6 of the Population Assessment of Tobacco and Health longitudinal study were used to examine the association between past-month tobacco use (CTP only, e-cigarette only, dual use, and no use) and dental health issues (dental caries, periodontal disease, and dental stains). The risk of developing dental health issues was analyzed by weighted Cox regression models, adjusting for covariates.
RESULTS: Among the 15,788 adolescents included in the analysis, 22.2% experienced dental health issues during a follow-up wave. Dual use had the highest risk of dental health issues, and in the adjusted Cox model, dual use was significantly associated with increased risk (hazard ratio = 1.31, 95% confidence interval = 1.08, 1.72) of dental health issues.
DISCUSSION: In this longitudinal study, adolescents who were dual users faced a significantly higher risk of developing dental health issues than those who did not use tobacco in the past month. These findings highlight the importance of early intervention and prevention efforts, especially given the increasing popularity of e-cigarettes and the potential long term oral health consequences.