Role of oral health-related behaviors in education inequalities in chronic periodontitis among Sri Lankan men

Q1 Medicine

Journal of Investigative and Clinical Dentistry Pub Date : 2019-04-10 DOI:10.1111/jicd.12416

Nimali Wellappuli, Lilani Ekanayake

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引用次数: 2

Abstract

Aims

The aims of the present study were to determine education inequalities in chronic periodontitis (CP) among Sri Lankan men and whether oral health behaviors explain education inequalities in CP.

Methods

Data from 720 males who participated in a study to determine the prevalence of CP in 30-60-year-olds in Colombo district, Sri Lanka, were used for the present study. An interviewer administered a questionnaire obtained information about sociodemographics and oral health behaviors. Following the assessment of periodontal parameters, case definitions proposed by the Centers for Disease Control/American Academy of Periodontology were used to define periodontitis.

Results

Education gradients were observed in relation to CP, smoking, betel quid chewing, alcohol use, and dental utilization. Education gradients in CP remained, but attenuated after adjustments for smoking, betel quid chewing, alcohol use, and dental utilization. Current smoking and current alcohol use explained 4%-38% and 6%-15% of the associations between education and CP, respectively. The education gradient in CP remained following simultaneous adjustment for all behaviors, but lost significance for 11-13 years of education.

Conclusion

Of the oral health behaviors considered, current smoking contributed the most to education inequalities in CP, explaining 4%-38% of the education differences in CP.

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口腔健康行为在斯里兰卡男性慢性牙周炎教育不平等中的作用

目的本研究的目的是确定斯里兰卡男性慢性牙周炎(CP)的教育不平等，以及口腔健康行为是否解释了CP的教育不平等。方法720名男性参与了一项研究，以确定斯里兰卡科伦坡地区30-60岁人群中CP的患病率，用于本研究。采访者通过问卷调查获得了社会人口统计学和口腔健康行为方面的信息。在对牙周参数进行评估后，疾病控制中心/美国牙周病学会提出的病例定义被用来定义牙周炎。结果观察教育梯度与CP、吸烟、嚼槟榔液、饮酒和牙齿使用的关系。CP的教育梯度仍然存在，但在吸烟、嚼槟榔液、饮酒和牙齿使用等因素调整后减弱。当前吸烟和当前饮酒分别解释了教育和CP之间关联的4%-38%和6%-15%。在对所有行为进行同步调整后，CP的教育梯度仍然存在，但在11-13年的教育中失去了显著性。结论在考虑的口腔健康行为中，当前吸烟是造成CP受教育程度不平等的最大因素，可解释CP受教育程度差异的4%-38%。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Investigative and Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.90

自引率

0.00%

发文量

期刊介绍： Journal of Investigative and Clinical Dentistry (JICD) aims to publish quality, peer reviewed original research and topical reviews on all aspects of investigative and clinical dentistry and craniofacial research, including molecular studies related to oral health and disease. Although international in outlook, the Editor especially encourages papers from the Asia Pacific. The journal also aims to provide clinicians, scientists and students of dentistry with a knowledge transfer platform for rapid publication of reports through an international journal, which will be available free online until 2012. Its scope, therefore, is broad, inclusive and international, but with a particular focus on Asia Pacific. The Editor welcomes manuscripts in the following key thematic areas in oral and maxillofacial sciences: Community Dentistry and Oral Epidemiology, Conservative Dentistry, Dental Biomaterials, Dental Pedagogy, Endodontics and Traumatology, Implant Dentistry, Oral Biosciences, Oral and Maxillofacial Surgery, Oral Medicine, Oral Pathology and Oral Microbiology, Orthodontics, Oral Radiology, Oral Rehabilitation, Paedodontics, Periodontology and Periodontal Medicine.