Self-perceived quality of social roles, activities and relationships predicts incident gingivitis

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2024-04-23 DOI:10.1111/cdoe.12966

Benjamin W. Chaffee

{"title":"Self-perceived quality of social roles, activities and relationships predicts incident gingivitis","authors":"Benjamin W. Chaffee","doi":"10.1111/cdoe.12966","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>While physical health status is known to impact social functioning, a growing literature suggests that social well-being may affect oral health. This investigation evaluated whether self-perceived quality of social roles, activities and relationships (social well-being) influences gingival inflammation.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Data were from the Population Assessment of Tobacco and Health Study, a nationally representative cohort of US adults, biennial waves 4 (2017) to 6 (2021). Social well-being was derived from the validated PROMIS Global-10 survey instrument, categorized for this longitudinal analysis as high, moderate or low. The main outcome was incident self-reported gum bleeding (dichotomous, proxy for gingivitis). Survey-weighted logistic regression modelling adjusted for overall health status, sociodemographic (e.g. age, sex, race/ethnicity), socioeconomic (e.g. income, education) and behavioural (e.g. tobacco, alcohol) confounders and was used to predict marginal mean gum bleeding incidence.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Cross-sectionally at wave 4 (<i>N</i> = 23 679), gum bleeding prevalence was higher along a stepwise gradient of decreasing satisfaction with social activities and relationships (extremely satisfied: 20.4%; not at all: 40.1%). Longitudinally, among participants who had never reported gum bleeding through wave 4 (<i>N</i> = 9695), marginal predicted new gum bleeding at wave 6 was greater with each category of lower wave 4–5 social well-being (high: 7.6%; moderate: 8.6%; low: 12.4%). Findings were robust to alternative model specifications. Results should be interpreted considering study limitations (e.g. potential unmeasured confounding; outcome by self-report).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Social functioning may affect physical health. Specifically, social roles, activities and relationships may influence inflammatory oral conditions, like gingivitis. Confirmatory research is warranted, along with policies and interventions that promote social well-being.</p>\n </section>\n </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Community dentistry and oral epidemiology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cdoe.12966","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

While physical health status is known to impact social functioning, a growing literature suggests that social well-being may affect oral health. This investigation evaluated whether self-perceived quality of social roles, activities and relationships (social well-being) influences gingival inflammation.

Methods

Data were from the Population Assessment of Tobacco and Health Study, a nationally representative cohort of US adults, biennial waves 4 (2017) to 6 (2021). Social well-being was derived from the validated PROMIS Global-10 survey instrument, categorized for this longitudinal analysis as high, moderate or low. The main outcome was incident self-reported gum bleeding (dichotomous, proxy for gingivitis). Survey-weighted logistic regression modelling adjusted for overall health status, sociodemographic (e.g. age, sex, race/ethnicity), socioeconomic (e.g. income, education) and behavioural (e.g. tobacco, alcohol) confounders and was used to predict marginal mean gum bleeding incidence.

Results

Cross-sectionally at wave 4 (N = 23 679), gum bleeding prevalence was higher along a stepwise gradient of decreasing satisfaction with social activities and relationships (extremely satisfied: 20.4%; not at all: 40.1%). Longitudinally, among participants who had never reported gum bleeding through wave 4 (N = 9695), marginal predicted new gum bleeding at wave 6 was greater with each category of lower wave 4–5 social well-being (high: 7.6%; moderate: 8.6%; low: 12.4%). Findings were robust to alternative model specifications. Results should be interpreted considering study limitations (e.g. potential unmeasured confounding; outcome by self-report).

Conclusions

Social functioning may affect physical health. Specifically, social roles, activities and relationships may influence inflammatory oral conditions, like gingivitis. Confirmatory research is warranted, along with policies and interventions that promote social well-being.

查看原文本刊更多论文

社会角色、活动和人际关系的自我认知质量可预测牙龈炎的发生。

目的众所周知，身体健康状况会影响社会功能，但越来越多的文献表明，社会幸福感可能会影响口腔健康。这项调查评估了自我感觉的社会角色、活动和关系质量（社会幸福感）是否会影响牙龈炎症。方法数据来自烟草与健康人口评估研究，这是一项具有全国代表性的美国成年人队列研究，每两年进行一次，第 4 波（2017 年）至第 6 波（2021 年）。社会福利来自经过验证的 PROMIS Global-10 调查工具，在本次纵向分析中分为高、中、低三个等级。主要结果是自我报告的牙龈出血事件（二分法，代表牙龈炎）。调查加权逻辑回归模型调整了总体健康状况、社会人口（如年龄、性别、种族/民族）、社会经济（如收入、教育）和行为（如烟草、酒精）等干扰因素，用于预测牙龈出血的边际平均发生率。结果在第 4 次调查中（样本数 = 23 679），牙龈出血发生率随着对社交活动和人际关系满意度的逐步降低而升高（非常满意：20.4%；完全不满意：40.1%）。纵向来看，在第 4 波从未报告过牙龈出血的参与者中（N = 9695），第 4-5 波社会幸福感越低，第 6 波新牙龈出血的边际预测值就越高（高：7.6%；中：8.6%；低：12.4%）。研究结果对其他模型规格具有稳健性。在解释结果时应考虑到研究的局限性（如潜在的未测量混杂因素；结果由自我报告）。具体来说，社会角色、活动和人际关系可能会影响口腔炎症，如牙龈炎。有必要进行确认性研究，同时制定促进社会福祉的政策和干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.