Secondary Smoking and Early Childhood Caries: A Systematic Review and Meta-Analysis

Objective: This study aimed to systematically review the relationship between secondary smoking and early childhood caries (ECC) among preschool children. Method: Two independent reviewers systematically searched English publications with keywords in PubMed, Web of Science, Medline, Scopus, and Emba...

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Main Authors: Bella Weijia Luo, Ivy Guofang Sun, Sophia Siu Chee Chan, Chun Hung Chu
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:International Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S0020653924014734
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author Bella Weijia Luo
Ivy Guofang Sun
Sophia Siu Chee Chan
Chun Hung Chu
author_facet Bella Weijia Luo
Ivy Guofang Sun
Sophia Siu Chee Chan
Chun Hung Chu
author_sort Bella Weijia Luo
collection DOAJ
description Objective: This study aimed to systematically review the relationship between secondary smoking and early childhood caries (ECC) among preschool children. Method: Two independent reviewers systematically searched English publications with keywords in PubMed, Web of Science, Medline, Scopus, and Embase to identify publications reporting on secondary smoking and ECC for children under 71 months. Observational studies, including cohort studies, case-control studies, and cross-sectional surveys, were included. The reviewers screened the titles and abstracts to remove duplicate records, reviews, and irrelevant studies. They performed meta-analyses to investigate the prevalence of ECC in children exposed to secondary smoking. Results: This study identified 1243 publications and included 16 publications. Twelve publications were cross-sectional studies. A meta-analysis of 11 of them revealed that children with secondary smoking exposure had an odds ratio of 1.77 in caries risk (P < .001), whereas one cross-sectional study found no increase in caries risk without data reporting. Two cohort studies with low and very low quality were combined into a meta-analysis, which found children from infancy with secondary smoking exposure had a relative risk of 1.45 in caries incidence (P < .001). Two case-control studies with moderate and low quality were combined into a meta-analysis, which found that children exposed to secondary smoking had an odds ratio of 4.46 in caries prevalence (P < .001). Conclusion: The literature has reported that preschool children with secondary smoking exposure have a higher risk of caries; however, the number and quality of these studies are limited.
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spelling doaj-art-f9b8d3a88ce24a5996426e09af7af7222025-01-21T04:12:44ZengElsevierInternational Dental Journal0020-65392025-02-017512331Secondary Smoking and Early Childhood Caries: A Systematic Review and Meta-AnalysisBella Weijia Luo0Ivy Guofang Sun1Sophia Siu Chee Chan2Chun Hung Chu3Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, ChinaFaculty of Dentistry, The University of Hong Kong, Hong Kong SAR, ChinaLi Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, ChinaFaculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China; Corresponding author. 3/F, The Prince Philip Dental Hospital, 34, Hospital Road, Sai Ying Pun, Hong Kong SAR 999077, China.Objective: This study aimed to systematically review the relationship between secondary smoking and early childhood caries (ECC) among preschool children. Method: Two independent reviewers systematically searched English publications with keywords in PubMed, Web of Science, Medline, Scopus, and Embase to identify publications reporting on secondary smoking and ECC for children under 71 months. Observational studies, including cohort studies, case-control studies, and cross-sectional surveys, were included. The reviewers screened the titles and abstracts to remove duplicate records, reviews, and irrelevant studies. They performed meta-analyses to investigate the prevalence of ECC in children exposed to secondary smoking. Results: This study identified 1243 publications and included 16 publications. Twelve publications were cross-sectional studies. A meta-analysis of 11 of them revealed that children with secondary smoking exposure had an odds ratio of 1.77 in caries risk (P < .001), whereas one cross-sectional study found no increase in caries risk without data reporting. Two cohort studies with low and very low quality were combined into a meta-analysis, which found children from infancy with secondary smoking exposure had a relative risk of 1.45 in caries incidence (P < .001). Two case-control studies with moderate and low quality were combined into a meta-analysis, which found that children exposed to secondary smoking had an odds ratio of 4.46 in caries prevalence (P < .001). Conclusion: The literature has reported that preschool children with secondary smoking exposure have a higher risk of caries; however, the number and quality of these studies are limited.http://www.sciencedirect.com/science/article/pii/S0020653924014734PreschoolChildrenCariesSecondarySmokingParents
spellingShingle Bella Weijia Luo
Ivy Guofang Sun
Sophia Siu Chee Chan
Chun Hung Chu
Secondary Smoking and Early Childhood Caries: A Systematic Review and Meta-Analysis
International Dental Journal
Preschool
Children
Caries
Secondary
Smoking
Parents
title Secondary Smoking and Early Childhood Caries: A Systematic Review and Meta-Analysis
title_full Secondary Smoking and Early Childhood Caries: A Systematic Review and Meta-Analysis
title_fullStr Secondary Smoking and Early Childhood Caries: A Systematic Review and Meta-Analysis
title_full_unstemmed Secondary Smoking and Early Childhood Caries: A Systematic Review and Meta-Analysis
title_short Secondary Smoking and Early Childhood Caries: A Systematic Review and Meta-Analysis
title_sort secondary smoking and early childhood caries a systematic review and meta analysis
topic Preschool
Children
Caries
Secondary
Smoking
Parents
url http://www.sciencedirect.com/science/article/pii/S0020653924014734
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AT ivyguofangsun secondarysmokingandearlychildhoodcariesasystematicreviewandmetaanalysis
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AT chunhungchu secondarysmokingandearlychildhoodcariesasystematicreviewandmetaanalysis