Quality of life associated with oral health in smokers and non-smokers

Document Type : Original Article

Authors

1 Associate Professor, Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran Dental and Oral Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran

2 Dental and Oral Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran Dentist, Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran

3 Dental and Oral Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

4 Student of Medicine, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

Abstract

BACKGROUND AND AIM: Smoking can affect the quality of daily life, like distributing sense of smell and taste and decreasing the level of energy for exercise. In addition, smoking can affect the health of oral cavity. The aim of this study was to evaluate the quality of life (QOL) associated with oral health in smokers and non-smokers.
METHODS: The population under study included 300 patients who referred to dental school, offices, and clinics in Kerman, Iran. After obtaining consent, the questionnaire included demographic information and questions about smoking and its impact on people. During a dental visit, patients were asked to answer the questions of two questionnaires: EuroQol five-dimensional (EQ-5D) questionnaire and the Oral Health Impact Profile-14 (OHIP-14). Wilcoxon-Mann-Whitney test, t-test, chi-square test, and analysis of variance (ANOVA) were used and statistical analyses were performed by SPPS software. P < 0.05 was significant.
RESULTS: In this study, 300 people were studied (134 men and 166 women). The mean age was estimated to be 35.20 ± 8.68 years (range from 20 to 78 years). 85 people (29%) were smokers. Among smokers, only 10 (11.4%) were women. The study found that people who had smoked in the past had higher EQ-5D questionnaire score than those who had not smoked so far. QOL related to oral health was lower in smokers than in non-smokers, and there was a significant relationship in this area.
CONCLUSION: There was a significant relationship between age, sex, and EQ-5D scores in smokers. Moreover, oral health-related QOL (OHRQOL) in smokers was lower than non-smokers and there was a significant relationship.

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Main Subjects


  1. World Health Organization. WHO Report on the Global Tobacco Epidemic, 2008: The MPOWER package. Geneva, Switzerland: WHO; 2008
  2. Gordon JS, Albert DA, Crews KM, Fried J. Tobacco education in dentistry and dental hygiene. Drug Alcohol Rev 2009; 28(5): 517-32.
  3. Carr AB, Ebbert J. Interventions for tobacco cessation in the dental setting. Cochrane Database Syst Rev 2012; (6): CD005084.
  4. Ahmady AE, Homayoun A, Lando HA, Haghpanah F, Khoshnevisan MH. Patients' attitudes towards the role of dentists in tobacco cessation counselling after a brief and simple intervention. East Mediterr Health J 2014; 20(2): 82-9.
  5. Taybos G. Oral changes associated with tobacco use. Am J Med Sci 2003; 326(4): 179-82.
  6. World Health Organization. Tobacco [Online]. [cited 2021 Jul 26]; Available from: URL: https://www.who.int/news-room/fact-sheets/detail/tobacco
  7. Allender S, Balakrishnan R, Scarborough P, Webster P, Rayner M. The burden of smoking-related ill health in the UK. Tob Control 2009; 18(4): 262-7.
  8. Navabi N, Nakhaee N, Mirzadeh A. Validation of a Persian Version of the Oral Health Impact Profile (OHIP-14). Iran J Public Health 2010; 39(4): 135-9.
  9. Tidermark J, Bergstrom G. Responsiveness of the EuroQol (EQ-5D) and the Nottingham Health Profile (NHP) in elderly patients with femoral neck fractures. Qual Life Res 2007; 16(2): 321-30.
  10. Kind P, Dolan P, Gudex C, Williams A. Variations in population health status: results from a United Kingdom national questionnaire survey. BMJ 1998; 316(7133): 736-41.
  11. The EuroQol Database 2008 [Online]. [cited 2008]; Available from: URL: https://euroqol.org/
  12. Tidermark J, Bergstrom G, Svensson O, Tornkvist H, Ponzer S. Responsiveness of the EuroQol (EQ 5-D) and the SF-36 in elderly patients with displaced femoral neck fractures. Qual Life Res 2003; 12(8): 1069-79.
  13. Fransen M, Edmonds J. Reliability and validity of the EuroQol in patients with osteoarthritis of the knee. Rheumatology (Oxford) 1999; 38(9): 807-13.
  14. Brazier J, Jones N, Kind P. Testing the validity of the Euroqol and comparing it with the SF-36 health survey questionnaire. Qual Life Res 1993; 2(3): 169-80.
  15. Lopez-Nicolas A, Trapero-Bertran M, Munoz C. Smoking, health-related quality of life and economic evaluation. Eur J Health Econ 2018; 19(5): 747-56.
  16. Vogl M, Wenig CM, Leidl R, Pokhrel S. Smoking and health-related quality of life in English general population: Implications for economic evaluations. BMC Public Health 2012; 12: 203.
  17. Schmitz N, Kruse J, Kugler J. Disabilities, quality of life, and mental disorders associated with smoking and nicotine dependence. Am J Psychiatry 2003; 160(9): 1670-6.
  18. Guiterrez-Bedmar M, Segui-Gomez M, Gomez-Gracia E, Bes-Rastrollo M, Martinez-Gonzalez MA. Smoking status, changes in smoking status and health-related quality of life: findings from the SUN ("Seguimiento Universidad de Navarra") cohort. Int J Environ Res Public Health 2009; 6(1): 310-20.
  19. Lyons RA, Lo SV, Littlepage B. Perception of Health amongst ever-smokers and never-smokers: A comparison using the SF-36 Health Survey Questionnaire. Tob Control 1994; 3(3): 213-5.
  20. Wilson D, Parsons J, Wakefield M. The health-related quality-of-life of never smokers, ex-smokers, and light, moderate, and heavy smokers. Prev Med 1999; 29(3): 139-44.
  21. Laaksonen M, Rahkonen O, Martikainen P, Karvonen S, Lahelma E. Smoking and SF-36 health functioning. Prev Med 2006; 42(3): 206-9.
  22. Mulder I, Tijhuis M, Smit HtA, Kromhout D. Smoking cessation and quality of life: The effect of amount of smoking and time since quitting. Prev Med 2001; 33(6): 653-60.
  23. Leidl R, Reitmeir P. A value set for the EQ-5D based on experienced health states: Development and testing for the German population. Pharmacoeconomics 2011; 29(6): 521-34.
  24. Strine TW, Okoro CA, Chapman DP, Balluz LS, Ford ES, Ajani UA, et al. Health-related quality of life and health risk behaviors among smokers. Am J Prev Med 2005; 28(2): 182-7.
  25. Bronnum-Hansen H, Juel K, Davidsen M, Sorensen J. Impact of selected risk factors on quality-adjusted life expectancy in Denmark. Scand J Public Health 2007; 35(5): 510-5.
  26. Tillmann M, Silcock J. A comparison of smokers' and ex-smokers' health-related quality of life. J Public Health Med 1997; 19(3): 268-73.