The Association between Types of Smoking and Periodontal Disease according to the Survey Year Using the Fourth and Fifth Korea National Health and Nutrition Examination Surveys.
10.17135/jdhs.2017.17.6.487
- Author:
Myoung Hee KIM
1
;
Mi Sook YOON
;
Youn Hee LIM
;
Sae Rom LEE
;
So Yeon KIM
;
Seon Ju PARK
;
Sun Jung SHIN
Author Information
1. Department of Dental Hygiene, College of Health Science, Eulji University, Seongnam 13135, Korea.
- Publication Type:Original Article
- Keywords:
Health surveys;
Nutrition surveys;
Periodontal diseases;
Tobacco smoke pollution
- MeSH:
Health Surveys;
Korea*;
Logistic Models;
Nutrition Surveys;
Odds Ratio;
Periodontal Diseases*;
Periodontal Index;
Prevalence;
Research Design;
Risk Factors;
Smoke*;
Smoking*;
Tobacco;
Tobacco Smoke Pollution
- From:
Journal of Dental Hygiene Science
2017;17(6):487-494
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There is little evidence on the effects of environmental tobacco smoke (ETS) on prevalence of periodontal disease. The aims of this study were to explore the trends of prevalence of periodontal disease and types of exposure to smoke, including ETS according to the survey year, identify factors affecting periodontal disease, and compare the effect size of periodontal disease between active smokers and secondhand smokers. Data on 11,643 individuals were obtained from the fourth and fifth Korean National Health and Nutritional Examination Surveys. Information on exposure to ETS at home and work was self-reported. Severity of periodontal disease was evaluated using the community periodontal index. A multivariate logistic regression analysis was performed to model periodontal disease using types of smoking and the survey year. Overall, the prevalence of periodontal disease was 26.0% (n=3,029) and about 9% of the study population were secondhand smokers. The prevalence of periodontal disease among smokers was significantly increased according to smoking types by year. Active smokers showed a statistically significant adjusted odds ratio (aOR) for having periodontal disease except in the year 2007, whereas secondhand smokers had significant associations only in 2010 (aOR, 1.68; 95% confidence interval, 1.05 to 2.70) compared to non-smokers. For secondhand smokers, the statistical relationship of predicting periodontal disease was weaker than that of active smokers. However, ETS should separately be considered as an important risk factor for periodontal disease. This study suggested the need for further investigation of the impact of ETS on prevalence of periodontal disease using in-depth research designs and objective measurements for assessing periodontal disease and ETS.
