ArticleSubstance use : research and treatment
Association of Dental Status and Smokeless Tobacco (SLT) Using Behavior Among Bangladeshi Dental Patients: A Structural Equation Modeling (SEM) Analysis.
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Abstract
Background: This study aimed to investigate the complex relationships between smokeless tobacco (SLT) consumption behaviors, socio-demographic factors, and oral health status among patients in Bangladesh, using Structural Equation Modeling (SEM). Methods: A cross-sectional study was conducted from December 2021 to June 2022 with 156 participants included via purposive sampling from a dental outpatient department. Data were collected using a semi-structured questionnaire, translated and piloted for validity, covering socio-demographics, detailed SLT behaviors, and oral health status assessed by clinical dentists using the WHO Oral Health Assessment Form for Adults. Data analysis was performed employing descriptive statistics, Spearman correlations, and SEM to evaluate associations. Results: SEM analysis revealed a strong positive relationship between SLT using behavior and oral health status (path coefficient = 0.99), while the path from socio-demographic factors to oral health was moderately positive (path coefficient = 0.59). Key specific associations included a significant relationship between the duration of SLT use and the need for more urgent treatment interventions ( Conclusions: The use of SLT is a major and direct factor associated with poor oral health outcomes, and the length of usage is a crucial risk factor. Although less important, sociodemographic traits are also important.
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