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Vichayanrat T, Chidchuangchai W, Karawekpanyawong R, Phienudomkitlert K, Chongcharoenjai N, Fungkiat N. E-cigarette use, perceived risks, attitudes, opinions of e-cigarette policies, and associated factors among Thai university students. Tob Induc Dis 2024; 22:TID-22-74. [PMID: 38737769 PMCID: PMC11087886 DOI: 10.18332/tid/186536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Revised: 03/24/2024] [Accepted: 03/27/2024] [Indexed: 05/14/2024] Open
Abstract
INTRODUCTION Although many countries, including Thailand, currently ban the sale of e-cigarettes, their use continues to rise, especially among young adults. Since the study of e-cigarette use among university students is limited, this study aimed to determine factors associated with e-cigarette use and explore university students' attitudes toward e-cigarettes, perceived risk, and opinion of e-cigarette policies. METHODS This cross-sectional study was conducted among undergraduate students using convenience sampling in a university, in central Thailand from November 2022 to February 2023. A self-administered online questionnaire was distributed to 19 faculties representing health sciences, science and technology, social and arts faculties, and the International College. RESULTS A total of 548 students completed the online questionnaire, and 20.4% reported ever using e-cigarettes, while 40% of e-cigarette users were unsure about the nicotine content. About 28% agreed, and 22% were unsure whether e-cigarettes could help quit smoking. Most students perceived that e-cigarettes are addictive and harmful, while about half of the participants agreed with the policy related to e-cigarettes in Thailand. Students with positive attitudes towards e-cigarettes were more likely to use e-cigarettes (AOR=1.15; 95% CI: 1.08-1.22), and those with lower perceived risk (AOR=0.89; 95% CI: 0.82-0.96) and who disagreed with e-cigarettes policy (AOR=0.93; 95% CI: 0.89-0.97) were more likely to use e-cigarettes. Personal income and having friends who use e-cigarettes were the significant predictors for e-cigarette use, while studying in the faculty of science and technology was a predictor of using e-cigarettes last month. CONCLUSIONS Although the perceived risk was high, about half of the students thought that e-cigarettes could help them quit smoking and were unsure or disagreed with e-cigarette banning policies. Attitude, perceived risk, policy opinions, personal income, and having friends who used e-cigarettes, were associated with e-cigarette use. Thus, correcting misunderstandings and increasing risk perceptions about e-cigarettes must be advocated among university students.
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Affiliation(s)
- Tippanart Vichayanrat
- Department of Community Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
| | - Warungkana Chidchuangchai
- Department of Oral Medicine and Periodontology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
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Karawekpanyawong R, Nohno K, Kubota Y, Ogawa H. Oral Health and Nutritional Intake in Community-Dwelling 90-Year-Old Japanese People: A Cross-Sectional Study. Gerodontology 2023; 40:100-111. [PMID: 35233817 DOI: 10.1111/ger.12627] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 02/13/2022] [Accepted: 02/16/2022] [Indexed: 01/03/2023]
Abstract
INTRODUCTION This study aimed to determine the relationship between dentition, mastication, salivation and nutritional intake in 90-year-old Japanese people. METHODS This cross-sectional study included 84 participants (39 men and 45 women) aged 90 years. We used questionnaires to collect demographic information, smoking status, nutritional intake and higher-level functional capacity. Nutritional intake was assessed using the validated Brief-Type Self-Administered Diet History Questionnaire, and higher-level functional capacity was assessed using the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) questionnaire. Oral examinations, masticatory performance tests, stimulated salivary flow rate (SSF) tests, blood tests, blood pressure tests and body mass index (BMI) assessments were conducted. Univariable and multivariable linear regression analyses were performed. RESULTS Multivariable linear regression analyses adjusted for sex, education, TMIG-IC and BMI ≤20 kg/m2 showed that participants with masticatory performance <173 mg/dL had lower intake of folic acid and vitamin A than those with masticatory performance ≥173 mg/dL. SSF was positively associated with intake of vitamin A. The number of teeth was positively associated with the intake of β-carotene. With smaller effect sizes, masticatory performance, SSF and number of teeth were also associated with the intake of various micronutrients and carbohydrates. CONCLUSION Lower masticatory performance, lower SSF and fewer teeth were associated with a lower intake of several micronutrients, such as vitamin A, β-carotene and folic acids, in Japanese individuals of advanced age. Oral health practitioners should pay careful attention to the nutritional intake of older people with poor mastication, dry mouth and severe tooth loss.
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Affiliation(s)
- Raksanan Karawekpanyawong
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.,Department of Community Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
| | - Kaname Nohno
- Division of Oral Science for Health Promotion, Department of Oral Health and Welfare, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Yu Kubota
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Hiroshi Ogawa
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
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Takehara S, Karawekpanyawong R, Okubo H, Tun TZ, Ramadhani A, Chairunisa F, Tanaka A, Wright FAC, Ogawa H. Oral Health Promotion under the 8020 Campaign in Japan-A Systematic Review. Int J Environ Res Public Health 2023; 20:1883. [PMID: 36767250 PMCID: PMC9915309 DOI: 10.3390/ijerph20031883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 01/12/2023] [Accepted: 01/13/2023] [Indexed: 06/18/2023]
Abstract
(1) Background: The aim of this study is to review the benefits of the 8020 Campaign since its inception. (2) Methods: We followed the PRISMA guideline and collected information regarding the 8020 Campaign through online database searches. (3) Results: Twenty-five studies met the inclusion criteria and were eligible for analysis. The main outcomes of the 25 included studies were reviewed. The quality evaluation demonstrated a range of studies showing a credible relationship between masticatory function, number of teeth, salivary secretion, frequent dental check-ups, and general health concerns. Due to the risk of bias, publication bias, and indirectness, 22 studies were considered that only had "fair" quality. (4) Conclusions: The 8020 Foundation funded several of the studies, and other research papers noted the 8020 Campaign in their papers, however there were no clear explanations for any direct relationship between their findings and the 8020 Campaign. As a result, evidence for the direct effectiveness and benefits assessment of the 8020 Campaign positive outcomes were compromised by confounding social and economic variables over the 30-year period. To fully elucidate how improvement in Japan's oral health was directly related to the 8020 Campaign, a more informed and systematic explanation of the campaign's structure and activities is required.
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Affiliation(s)
- Sachiko Takehara
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata City 951-8514, Japan
| | - Raksanan Karawekpanyawong
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata City 951-8514, Japan
- Department of Community Dentistry, Faculty of Dentistry, Mahidol University, 10400 Bangkok, Thailand
| | - Hikaru Okubo
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata City 951-8514, Japan
| | - Tin Zar Tun
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata City 951-8514, Japan
| | - Aulia Ramadhani
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata City 951-8514, Japan
| | - Fania Chairunisa
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata City 951-8514, Japan
| | - Azusa Tanaka
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata City 951-8514, Japan
| | - F. A. Clive Wright
- Centre for Education and Research on Ageing, Concord Repatriation General Hospital, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2139, Australia
- Concord Clinical School, Faculty of Medicine & Health, The University of Sydney, Sydney, NSW 2139, Australia
| | - Hiroshi Ogawa
- Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata City 951-8514, Japan
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Karawekpanyawong R, Kaewsutha N. Tobacco and e-cigarette use among Thai dental students: A cross-sectional national survey, 2021. J Int Soc Prev Community Dent 2023; 13:68-74. [PMID: 37153933 PMCID: PMC10155878 DOI: 10.4103/jispcd.jispcd_203_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 01/07/2023] [Accepted: 01/29/2023] [Indexed: 03/11/2023] Open
Abstract
Objectives This study examined the prevalence of tobacco and e-cigarette use, attitudes toward tobacco control, training on tobacco control in the dental curriculum, and attitudes toward e-cigarette use among Thai dental students. Materials and Methods An online survey among 1968 Thai dental students was conducted in 2021. The questionnaire was modified from the Global Health Professions Student Survey with information collected on tobacco products, e-cigarette use, attitudes, and training toward tobacco control in the dental curriculum and personal information (e.g., sex, course year, regions, and types of dental schools). Descriptive analyses and χ2 tests were performed. Results The prevalence of tobacco and e-cigarette use among Thai dental students was 4.2%. Out of current users, 95% used e-cigarettes and 36.6% used multiple products, with a 1.7% prevalence of conventional cigarettes and other forms of tobacco use. Tobacco and e-cigarette use was higher in male than female dental students and was not associated with course year, region, and type of dental school. Conclusions A small percentage of Thai dental students used tobacco or e-cigarettes, with the majority of current tobacco users being e-cigarette users. Thai dental students generally had a favorable view of tobacco control and a negative view of e-cigarette use. However, fewer than half of the surveyed students had received training in tobacco cessation therapy.
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Agrasuta V, Thumbuntu T, Karawekpanyawong R, Panichkriangkrai W, Viriyathorn S, Reeponmaha T, Jaichuen W, Witthayapipopsakul W, Gaewkhiew P, Prasertsom P, Tangcharoensathien V. Progressive realisation of universal access to oral health services: what evidence is needed? BMJ Glob Health 2021; 6:bmjgh-2021-006556. [PMID: 34257139 PMCID: PMC8278897 DOI: 10.1136/bmjgh-2021-006556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 06/29/2021] [Indexed: 11/01/2022] Open
Affiliation(s)
- Voramon Agrasuta
- Bureau of Dental Health, Department of Health, Ministry of Public Health, Nonthaburi, Thailand
| | - Thanasak Thumbuntu
- Royal Thai Army Medical Department, Ministry of Defence, Bangkok, Thailand
| | - Raksanan Karawekpanyawong
- Division of Preventive Dentistry, Graduate School of Medical and Dental Sciences & Faculty of Dentistry, WHO Collaborating Centre for Translation of Oral Health Science, Niigata University, Niigata, Japan.,Department of Community Dentistry, WHO Collaborating Centre for Oral Health Education and Research, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
| | | | - Shaheda Viriyathorn
- International Health Policy Programme, Ministry of Public Health, Nonthaburi, Thailand
| | | | - Wararat Jaichuen
- International Health Policy Programme, Ministry of Public Health, Nonthaburi, Thailand.,Health Administration Division, Office of the Permanent Secretary, Ministry of Public Health, Nonthaburi, Thailand
| | | | - Piyada Gaewkhiew
- Department of Community Dentistry, WHO Collaborating Centre for Oral Health Education and Research, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
| | - Piyada Prasertsom
- Bureau of Dental Health, Department of Health, Ministry of Public Health, Nonthaburi, Thailand
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