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mokeless tobacco use, tooth loss and oral health issues among adults in Cameroon

Identifieur interne : 002073 ( Main/Exploration ); précédent : 002072; suivant : 002074

mokeless tobacco use, tooth loss and oral health issues among adults in Cameroon

Auteurs : Ma Agbor [Afrique du Sud] ; Cc Azodo [Nigeria] ; Tsm Tefouet [Cameroun]

Source :

RBID : PMC:3824433

Abstract

Background

Tobacco use in smokeless and smoked forms is preventable cause of mortality and morbidity worldwide.

Objective

To determine the prevalence of smokeless tobacco use and the association with tooth loss and oral health problems among adults in Cameroon.

Methods

Adults dwelling in the Fokoue area of West Region of Cameroon were studied.

Results

Out of the 226 participants studied, 119 of them reported smokeless tobacco use giving a prevalence of 52.7% with majority-74 (62.2%) chewing it. Three-quarters (77.3%) of the respondents use it more than than thrice-daily and more than half of them respondents have been using it for 6–10 years. The smokeless tobacco users were more of those aged 50–59 years, females, farmers, those with less than post-primary education, non alcohol consumers and those that have not received previous dental care than smokeless tobacco users. However, it was only age (p=0.006) and educational attainment (p=0.009) that were significantly associated with smokeless tobacco use. Smokeless tobacco user were more likely to have poor oral hygiene, dental caries, gingival recession, leukoplakia, erythroplakia, abnormal growth, tooth wear lesion, experienced tooth loss and edentulousnss than non smokeless tobacco users. However, the significantly associated lesions with smokeless tobacco use were tooth loss (p=0.008), edentulousness (p=0.016), gingival recession (p=0.006) and leukoplakia (p=0.001).

Conclusion

The prevalence of smokeless tobacco use was high among adults in Cameroon and it was associated with more likelihood of oral health problems. There is therefore a need for health education on the health consequences of the smokeless tobacco use with demonstrations by the dentist.


Url:
DOI: 10.4314/ahs.v13i3.38
PubMed: 24250322
PubMed Central: 3824433


Affiliations:


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<nlm:aff id="A1"> Department of Community Dentistry, University of the Western Cape, Cape Town, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea> Department of Community Dentistry, University of the Western Cape, Cape Town</wicri:regionArea>
<wicri:noRegion>Cape Town</wicri:noRegion>
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<nlm:aff id="A2"> Department of Periodontics, University of Benin, Benin City, Nigeria</nlm:aff>
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<wicri:regionArea> Department of Periodontics, University of Benin, Benin City</wicri:regionArea>
<wicri:noRegion>Benin City</wicri:noRegion>
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<nlm:aff id="A3"> Dental Department, New Baptist health Centre, Bamenda, Cameroon</nlm:aff>
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<title>Background</title>
<p>Tobacco use in smokeless and smoked forms is preventable cause of mortality and morbidity worldwide.</p>
</sec>
<sec>
<title>Objective</title>
<p>To determine the prevalence of smokeless tobacco use and the association with tooth loss and oral health problems among adults in Cameroon.</p>
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<title>Methods</title>
<p>Adults dwelling in the Fokoue area of West Region of Cameroon were studied.</p>
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<sec sec-type="results">
<title>Results</title>
<p>Out of the 226 participants studied, 119 of them reported smokeless tobacco use giving a prevalence of 52.7% with majority-74 (62.2%) chewing it. Three-quarters (77.3%) of the respondents use it more than than thrice-daily and more than half of them respondents have been using it for 6–10 years. The smokeless tobacco users were more of those aged 50–59 years, females, farmers, those with less than post-primary education, non alcohol consumers and those that have not received previous dental care than smokeless tobacco users. However, it was only age (p=0.006) and educational attainment (p=0.009) that were significantly associated with smokeless tobacco use. Smokeless tobacco user were more likely to have poor oral hygiene, dental caries, gingival recession, leukoplakia, erythroplakia, abnormal growth, tooth wear lesion, experienced tooth loss and edentulousnss than non smokeless tobacco users. However, the significantly associated lesions with smokeless tobacco use were tooth loss (p=0.008), edentulousness (p=0.016), gingival recession (p=0.006) and leukoplakia (p=0.001).</p>
</sec>
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<title>Conclusion</title>
<p>The prevalence of smokeless tobacco use was high among adults in Cameroon and it was associated with more likelihood of oral health problems. There is therefore a need for health education on the health consequences of the smokeless tobacco use with demonstrations by the dentist.</p>
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