PMID- 35078590 OWN - NLM STAT- MEDLINE DCOM- 20220404 LR - 20230402 IS - 1943-4723 (Electronic) IS - 0002-8177 (Print) IS - 0002-8177 (Linking) VI - 153 IP - 4 DP - 2022 Apr TI - Disparities in dental health issues and oral health care visits in US children with tobacco smoke exposure. PG - 319-329 LID - S0002-8177(21)00579-1 [pii] LID - 10.1016/j.adaj.2021.09.002 [doi] AB - BACKGROUND: The objective of the authors was to assess the relationships between tobacco smoke exposure (TSE) and dental health and dental care visits among US children. METHODS: The authors examined 2018-2019 National Survey of Children's Health data on TSE, dental health, and oral health care visits. Children aged 1 through 11 years (N = 32,214) were categorized into TSE groups: no home TSE (did not live with a smoker), thirdhand smoke (THS) exposure (lived with a smoker who did not smoke inside the home), or secondhand smoke (SHS) and THS exposure (lived with a smoker who smoked inside the home). The authors conducted multivariable logistic regression analyses, adjusting for child age, sex, race or ethnicity, prematurity, caregiver education level, family structure, and federal poverty threshold. RESULTS: Children with home SHS and THS exposure were at increased odds of having frequent or chronic difficulty with 1 or more oral health problem (adjusted odds ratio [AOR], 1.59; 95% CI, 1.07 to 2.35; P = .022) and carious teeth or caries (AOR, 1.74; 95% CI 1.14 to 2.65; P = .010) than those with no TSE. Compared with children aged 1 through 11 years with no TSE, children with SHS and THS exposure were 2.22 times (95% CI, 1.01 to 4.87; P = .048) more likely to have not received needed oral health care but at decreased odds of having had any kind of oral health care visit (AOR, 0.55; 95% CI, 0.32 to 0.95; P = .032), including a preventive oral health care visit (AOR, 0.60; 95% CI, 0.36 to 0.99; P = .047). CONCLUSIONS: TSE in children is associated with caries and inadequate oral health care visits. PRACTICAL IMPLICATIONS: The pediatric dental visit is an opportune time to educate caregivers who smoke about dental health to improve their children's teeth condition and increase oral health care visits. CI - Copyright (c) 2022 American Dental Association. Published by Elsevier Inc. All rights reserved. FAU - Mahabee-Gittens, E Melinda AU - Mahabee-Gittens EM FAU - Smith, Harold A AU - Smith HA FAU - Merianos, Ashley L AU - Merianos AL LA - eng GR - K01 DA044313/DA/NIDA NIH HHS/United States GR - R01 ES027815/ES/NIEHS NIH HHS/United States GR - R01 ES030743/ES/NIEHS NIH HHS/United States GR - R21 ES032161/ES/NIEHS NIH HHS/United States PT - Journal Article DEP - 20220122 PL - England TA - J Am Dent Assoc JT - Journal of the American Dental Association (1939) JID - 7503060 RN - 0 (Tobacco Smoke Pollution) SB - IM MH - Child MH - Child, Preschool MH - Delivery of Health Care MH - *Dental Caries/epidemiology/etiology MH - Ethnicity MH - Family MH - Humans MH - Infant MH - *Tobacco Smoke Pollution/adverse effects/analysis PMC - PMC8969190 MID - NIHMS1741196 OTO - NOTNLM OT - National Survey of Children's Health OT - Teeth OT - child OT - dental health OT - secondhand smoke OT - thirdhand smoke OT - tobacco smoke pollution EDAT- 2022/01/27 06:00 MHDA- 2022/04/05 06:00 PMCR- 2023/04/01 CRDT- 2022/01/26 05:27 PHST- 2021/07/01 00:00 [received] PHST- 2021/09/07 00:00 [revised] PHST- 2021/09/13 00:00 [accepted] PHST- 2022/01/27 06:00 [pubmed] PHST- 2022/04/05 06:00 [medline] PHST- 2022/01/26 05:27 [entrez] PHST- 2023/04/01 00:00 [pmc-release] AID - S0002-8177(21)00579-1 [pii] AID - 10.1016/j.adaj.2021.09.002 [doi] PST - ppublish SO - J Am Dent Assoc. 2022 Apr;153(4):319-329. doi: 10.1016/j.adaj.2021.09.002. Epub 2022 Jan 22.