Environmental tobacco smoke exposure and periodontitis prevalence among nonsmokers in the hispanic community Health Study/Study of Latinos

Aderonke A. Akinkugbe, Anne E. Sanders, John S. Preisser, Jianwen Cai, Christian R. Salazar, James D. Beck

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Objective: To describe self-reported exposure to environmental tobacco smoke (ETS) and its association with periodontitis prevalence in a diverse group of Hispanics/Latinos. Methods: Data came from 8675 lifetime nonsmokers in the 2008–2011 Hispanic Community Health Study/Study of Latinos. Exposure to ETS was self-reported, while periodontitis was defined using the Centers for Disease Control and Prevention-American Academy of Periodontology criteria and the proportion of sites affected by clinical attachment level of ≥3 mm or pocket depth of ≥4 mm. Survey logistic regression estimated prevalence odds ratios (POR) and 95% confidence intervals (CI). In addition, we assessed whether greater hours of exposure to ETS in the past year was associated with greater periodontitis prevalence, and lastly, we conducted a simple sensitivity analysis of ETS misclassification. Results: Age-standardized prevalence estimates (95% CI) for ETS exposure and periodontitis were 57.6% (55.9, 59.4) and 39.8% (38.1, 41.4), respectively. After adjusting for confounders and periodontitis risk factors, we estimated an overall adjusted POR (95% CI) for the ETS–periodontitis association as 1.09 (0.95–1.26) with a confidence limit ratio (CLR) of 1.34. This association varied in magnitude by Hispanic/Latino background, ranging from 1.04 (0.75, 1.43 with a CLR = 1.91) among Central Americans to 1.76 (1.16, 2.66 with a CLR = 2.29) in Puerto Ricans. Conclusions: Previously reported associations between ETS and periodontitis appear weak in this study. However, the magnitude of the association differs according to Hispanic/Latino background.

Original languageEnglish
Pages (from-to)168-177
Number of pages10
JournalCommunity Dentistry and Oral Epidemiology
Issue number2
StatePublished - 1 Apr 2017
Externally publishedYes


  • Hispanic/Latino
  • environmental tobacco smoke
  • exposure misclassification
  • periodontitis


Dive into the research topics of 'Environmental tobacco smoke exposure and periodontitis prevalence among nonsmokers in the hispanic community Health Study/Study of Latinos'. Together they form a unique fingerprint.

Cite this