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Association of smoking patterns with health and oral health characteristics among adolescents

  • Journal of Korean society of Dental Hygiene
  • Abbr : J Korean Soc Dent Hyg
  • 2026, 26(3), pp.371~381
  • DOI : 10.13065/jksdh.2026.26.3.10
  • Publisher : Korean Society of Dental Hygiene
  • Research Area : Medicine and Pharmacy > Dentistry
  • Received : April 6, 2026
  • Accepted : May 7, 2026
  • Published : June 30, 2026

Soo-Hwa Kim 1 Su-Jin Han 2

1한양여자대학교 치위생과
2가천대학교 의과학대학 치위생학과

Accredited

ABSTRACT

Objectives: To classify nationwide adolescent smoking patterns into three categories—conventional cigarette use, e-cigarette use, and dual use—and to examine the associations between smoking patterns and systemic and oral health characteristics. Methods: Frequency analysis, cross-tabulation, and a multinomial logistic regression analyses for complex samples were performed using data from the 18th (2022) Korea Youth Risk Behavior Survey. Statistical significance was set at p < 0.05. Results: Logistic regression analysis revealed that alcohol consumption and depression were the strongest correlates across all smoking patterns. Poor self-rated health, underweight status, stress, and exposure to secondhand smoke were also associated with specific smoking patterns. Regarding oral health behaviors, not brushing teeth before bedtime and not visiting a dentist were associated with an increased likelihood of smoking. Conclusions: As dual tobacco use among adolescents is increasing due to the diversification of tobacco products, continuous research and a comprehensive, integrated approach to smoking prevention that considers the environmental context of adolescents is required.

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