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Lelly Andayasari 1 Article
Association Between Tobacco Smoking and Dental Caries in the Indonesian Population: Results of a National Study in 2018
Lelly Andayasari, Rofingatul Mubasyiroh, Iin Nurlinawati, Irna Sufiawati
J Prev Med Public Health. 2023;56(4):357-367.   Published online July 10, 2023
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AbstractAbstract PDF
The 2018 Basic Health Research (RISKESDAS), conducted by the Ministry of Health of the Republic of Indonesia showed a high prevalence of dental caries (88.8%) in Indonesia and suggested that smoking tobacco was associated with an increased risk of dental caries. This study analyzed the association between tobacco smoking and dental caries in the Indonesian population.
This was a cross-sectional analysis of secondary data collected from RISKESDAS 2018. The study population included 35 391 Indonesians aged ≥10 years from all 34 provinces. The decayed, missing, and filled teeth (DMFT) index was used to measure dental caries. Smoking status was assessed qualitatively based on smoking activity, and the level of smoking exposure was assessed based on the Brinkman index. A multivariable logistic regression analysis was employed to examine the relationships of smoking status and smoking exposure levels with the DMFT index.
Of the population aged ≥10 years, 36% had a DMFT≥8 (females: 37.5%, males: 33.9%). Almost one-fourth (23.4%) were current smokers, and 4.1% were ex-smokers. Furthermore, 26.4% had a Brinkman index ≥400, indicating heavy smoking. According to the multivariate analysis, current smoking status was associated with the risk of DMFT≥8 in males (adjusted odds ratio [aOR], 1.40; 95% CI, 1.27 to 1.55; p<0.001) and overall (aOR, 1.07; 95% CI, 1.00 to 1.14; p=0.037). In females, ex-smoking was associated with a 41% higher risk of DMFT≥8 (aOR, 1.41; 95% CI, 1.07 to 1.84; p=0.014). Heavy smoking was associated with a higher risk of DMFT≥8 in males (aOR, 1.38; 95% CI, 1.25 to 1.52; p<0.001) and females (aOR, 1.24; 95% CI, 1.03 to 1.50; p=0.022).
Tobacco smoking was associated with dental caries in the Indonesian population.


Citations to this article as recorded by  
  • Potential interaction of sugar intake and tobacco exposure on dental caries in adults-A cross-sectional study from the National Health and Nutrition Examination Survey
    Xuewei Niu, Xiaoan Rong, Hantang Sun
    Journal of Dental Sciences.2024; 19(3): 1792.     CrossRef
  • Letter to the Editor: Tobacco Use: Strategies for Prevention in Low and Middle-income Countries
    Israel Oluwasegun Ayenigbara
    Journal of Preventive Medicine and Public Health.2023; 56(5): 485.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health