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Socioeconomic Status, Health Behaviours and Oral Health in Adult Urban Population of Krakow

机译:克拉科夫成年城市人口的社会经济状况,健康行为和口腔健康

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Abstract Background . Human longevity has increased throughout all developed countries in the world, including Poland. In an aging population it is important to ensure adequate oral health for future generations as prevention and treatment methods adopted so far may soon appear insufficient. Objectives . The aim of this study was to assess whether social and behavioral factors, i.e. education, smoking, occupational activity, alcohol consumption, sports activity and perceived health influence tooth loss, functional dentition, oral hygiene, and periodontal health. Material and Methods . The study involved 1008 Krakow residents (478 men and 530 women), between the age from 50–75 years. Information on age, education, occupational activity, alcohol consumption, perceived health, smoking status, sports activities was collected by the interview using standard questionnaire. Oral examinations were carried out according to the WHO recommendations. Two definitions of poor functional dentition (FD) were used, i.e. having less than 20 teeth and having less than 4 pairs of contacting teeth. Pocket depths (PD) were measured using Hu-Friedy periodontal probe type PCPUNC15. Oral hygiene was assessed using Plaque Index (PI) by Silness & L?e. Results . There were 16% edentulous men and women. After adjustment for covariates, persons with low education had more than seven times higher prevalence of having poor FD in women and twice higher prevalence in men compared to persons with university education (OR = 7.05 95% CI: 2.50–19.82 and OR = 2.18 95% CI: 1.18–4.02 respectively). Smoking was strongly related to the prevalence of edentulism and to the prevalence of having no FD both in men and women. After adjustment for covariates, former male smokers and current female smokers had about twice higher prevalence of periodontal disease. Conclusion . Low education and tobacco smoking appeared to be the factors strongly and independently associated with poor oral hygiene and health. Relations between oral health and other socioeconomic and behavioral factors were weaker and they were attenuated after adjustment to age, education and smoking.
机译:抽象背景。在包括波兰在内的世界所有发达国家中,人类的寿命都在增加。在老龄化人口中,重要的是要确保子孙后代有足够的口腔健康,因为迄今为止采用的预防和治疗方法可能很快就会显得不足。目标。这项研究的目的是评估社会和行为因素,即教育,吸烟,职业活动,饮酒,体育活动和知觉健康是否会影响牙齿脱落,功能性牙列,口腔卫生和牙周健康。材料与方法 。该研究涉及1008名克拉科夫居民(478名男性和530名女性),年龄介于50-75岁之间。通过使用标准调查表的访谈,收集了有关年龄,教育程度,职业活动,饮酒,健康状况,吸烟状况,体育活动的信息。根据世界卫生组织的建议进行了口头检查。使用了两种定义的功能性牙列不良(FD),即牙齿少于20个且接触牙齿少于4对。口袋深度(PD)使用Hu-Friedy牙周探针PCPUNC15测量。口腔卫生使用Silness&L?e的菌斑指数(PI)进行评估。结果。有16%的无牙男女。校正协变量后,与大学教育程度相比,教育程度较低的女性患FD的患病率高七倍,而男性患病率则是男性的两倍(OR = 7.05 95%CI:2.50-19.82和OR = 2.18 95 %CI:分别为1.18-4.02)。吸烟与男女普遍存在的无牙病和无FD的流行密切相关。调整协变量后,以前的男性吸烟者和当前的女性吸烟者的牙周病患病率大约高一倍。结论。受教育程度低和吸烟似乎是与不良口腔卫生和健康密切相关的因素。口腔健康与其他社会经济和行为因素之间的关系较弱,并且在调整了年龄,教育程度和吸烟后,这些关系减弱了。

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