利用税收变化来估计酒精消费对无齿主义的影响。

IF 5.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2025-05-06 DOI:10.1111/jcpe.14176

Sebastian-Edgar Baumeister,Birte Holtfreter,Thomas Kocher,Gustavo G Nascimento

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引用次数: 0

摘要

目的利用国家酒精税作为工具变量来估计酒精消费对无牙症的影响（IV）。材料和方法：对与州酒精税相关的514,357名美国行为风险因素监测系统参与者（2003-2006年、2008年、2010年、2012年）的分析。我们使用IV回归模型来评估饮酒与长牙症之间的关系，以及潜在的介质（体重指数、牙科就诊）和阳性对照（冠心病）。对不完全外生性的稳健性通过敏感性分析和使用IV分析对16岁以下个体的证伪检验进行评估。结果每天增加1.1杯tsa与蛀牙的风险增加12%相关（95%可信区间：9%-16%）。饮酒与身体质量指数、看牙医次数和冠心病呈正相关。在阴性对照人群（年龄< 16岁）中，未观察到对牙齿的显着影响。结论这项准实验研究的结果表明，饮酒会增加患牙髓症的风险。

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Capitalising on Tax Variation to Estimate the Effect of Alcohol Consumption on Edentulism.

AIM To estimate alcohol consumption's effect on edentulism using state alcohol taxes as an instrumental variable (IV). MATERIAL AND METHODS Analysis of 514,357 U.S. Behavioural Risk Factor Surveillance System participants (2003-2006, 2008, 2010, 2012) linked to state alcohol taxes. We used IV regression modelling to assess the relationship between alcohol consumption and edentulism, plus potential mediators (body mass index, dental visits) and a positive control (coronary heart disease). Robustness to imperfect exogeneity was evaluated through sensitivity analyses and falsification testing using IV analysis on individuals under the age of 16 years. RESULTS A 1.1-drink increment per day was associated with a 12% higher risk of edentulism (95% confidence interval: 9%-16%). Alcohol consumption was positively associated with body mass index, dental visits and coronary heart disease. No significant effect on edentulism was observed in the negative control population (individuals aged < 16 years). CONCLUSION The findings of this quasi-experimental study suggest that alcohol consumption increases the risk of edentulism.

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来源期刊

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.