Browse > Article
http://dx.doi.org/10.17135/jdhs.2017.17.6.487

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  

Kim, Myoung-Hee (Department of Dental Hygiene, College of Health Science, Eulji University)
Yoon, Mi-Sook (Department of Dental Hygiene, Shinhan University)
Lim, Youn-Hee (Institute of Environmental Medicine, Seoul National University of Medical Research Center, Seoul National University College of Medicine)
Lee, Sae-Rom (Department of Dental Hygiene, College of Health Science, Eulji University)
Kim, So-Yeon (Department of Dental Hygiene, College of Health Science, Eulji University)
Park, Seon-Ju (Department of Dental Hygiene, College of Health Science, Eulji University)
Shin, Sun-Jung (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University)
Publication Information
Journal of dental hygiene science / v.17, no.6, 2017 , pp. 487-494 More about this Journal
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.
Keywords
Health surveys; Nutrition surveys; Periodontal diseases; Tobacco smoke pollution;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Environmental Protection Agency (EPA): Respiratory health effects of passive smoking: lung cancer and other disorders. U.S. Environmental Protection Agency, Washington DC, pp.1-53, 1992.
2 Keil T, Lau S, Roll S, et al.: Maternal smoking increases risk of allergic sensitization and wheezing only in children with allergic predisposition: longitudinal analysis from birth to 10 years. Allergy 64: 445-451, 2009.   DOI
3 Yi O, Kwon HJ, Kim H, et al.: Effect of environmental tobacco smoke on atopic dermatitis among children in Korea. Environ Res 113: 40-45, 2012.   DOI
4 Singh GK, Siahpush M, Kogan MD: Disparities in children’s exposure to environmental tobacco smoke in the United States, 2007. Pediatrics 126: 4-13, 2010.   DOI
5 Yi O, Kwon HJ, Kim D, et al.: Association between environmental tobacco smoke exposure of children and parental socioeconomic status: a cross-sectional study in Korea. Nicotine Tob Res 14: 607-615, 2012.   DOI
6 Yang JY, Park KS: The effect of smoking on oral environment. J Dent Hyg Sci 1: 67-73, 2001.
7 Cho EY, Lee MH, Ha MH, Moon CH, Im JS, Seo HJ: The survey on the relationship between oral cleanliness and smoking. J Health Inform Stat 33: 135-145, 2008.
8 Jung JO, Chun JY, Lee KH: The relationship between smoking and periodontal diseases in Korean adults: based on the data from the Korea national health and nutrition examination survey 2010. J Korean Soc Dent Hyg 13: 481-489, 2013.   DOI
9 Kim JK, Baek HJ, Lee YE, Song KB, Choi YH: The association between environmental tobacco smoke and periodontal health: finding from Korean national health and nutrition examination survey 2008-2009. J Dent Hyg Sci 14: 123-131, 2014.
10 Jang EJ, Yoo SM, Hwang YS, Jeong KJ, Yang HH, Park SG: The association between environmental tobacco smoke and permanent dental caries in nonsmoking Korean adults: Korean national health and nutrition examination survey 2008-2011. Korean J Fam Pract 6: 89-95, 2016.   DOI
11 Korea Centers for Disease Control and Prevention: Guide to the utilization of the data from the fifth Korea national health and nutrition examination survey (2010-2012). Korea Centers for Disease Control and Prevention, Osong, p.8, 2012.
12 Ministry of Health and Welfare: The third establish of new health plan 2020. Ministry of Health and Welfare, Seoul, pp.100-102, 2011.
13 Jung YJ, Cho MH, Moon DH: Influencing factors to dental caries and periodontal diseases in Korean adults. J Korean Soc Dent Hyg 15: 47-54, 2015.   DOI
14 Hong MH: Risk factors for the prevalence of periodontal diseases among adult workers. J Korea Acad Indust Coop Soc 15: 3706-3713, 2014.
15 Jin HJ, Kim EK, An SY, Im SU, Song KB, Choi YH: Relationship between periodontal status and chronic obstructive pulmonary disease. J Korean Acad Oral Health 37: 147-153, 2013.   DOI
16 Al-Khabbaz AK: Type 2 diabetes mellitus and periodontal disease severity. Oral Health Prev Dent 12: 77-82, 2014.
17 Burt B; Research, Science and Therapy Committee of the American Academy of Periodontology: Position paper: epidemiology of periodontal diseases. J Periodontol 76: 1406-1419, 2005.   DOI
18 Jung JO, Oh GJ: A study of the relationship between socioeconomic status, oral health behaviors and periodontitis in the elderly Korean population. J Korean Acad Oral Health 35: 57-66, 2011.
19 Shin SJ, Ahn YS, Jung SH: The relation between dental health behaviors and socioeconomic status among Korean adolescents. J Korean Acad Dent Health 32: 223-230, 2008.
20 Chapple IL, Genco R; Working Group 2 of the Joint EFP/AAP Workshop: Diabetes and periodontal diseases: consensus report of the joint EFP/AAP workshop on periodontitis and systemic diseases. J Periodontol 84(4 Suppl): S106-S112, 2013.   DOI
21 Al-Shammari KF, Al-Ansari JM, Moussa NM, Ben-Nakhi A, Al-Arouj M, Wang HL: Association of periodontal disease severity with diabetes duration and diabetic complications in patients with type 1 diabetes mellitus. J Int Acad Periodontol 8: 109-114, 2006.
22 Ojima M, Hanioka T, Tanaka K, Inoshita E, Aoyama H: Relationship between smoking status and periodontal conditions: findings from national databases in Japan. J Periodontal Res 41: 573579, 2006.
23 Arbes SJ Jr, Agustsdottir H, Slade GD: Environmental tobacco smoke and periodontal disease in the United States. Am J Public Health 91: 253-257, 2001.   DOI
24 Health Insurance Review and Assessment Service: Treatment cost statistical indices. Retrieved July 10, 2016, from http://www.hira.or.kr/dummy.do?pgmid=HIRAA020045010 000&cmsurl=/cms/medi_info/07/03/01/1344860_27398.htm l&subject=2015%eb%85%84+%ec%a7%84%eb%a3%8c%e b%b9%84+%ed%86%b5%ea%b3%84%ec%a7%80%ed%9 1%9c(2016, March 2).
25 Sanders AE, Slade GD, Beck JD, Agustsdottir H: Secondhand smoke and periodontal disease: atherosclerosis risk in communities study. Am J Public Health 101 Suppl 1: S339-S346, 2011.   DOI
26 Tanaka K, Miyake Y, Hanioka T, Arakawa M: Active and passive smoking and prevalence of periodontal disease in young Japanese women. J Periodontal Res 48: 600-605, 2013.   DOI
27 Chatrchaiwiwatana S, Ratanasiri A: Association between exhaled carbon monoxide and oral health status in active and passive smokers. J Med Assoc Thai 94: 601-609, 2011.
28 American Psychiatric Association: Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. American Psychiatric Association Publishing, Washington DC, p.571, 2013.
29 National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health: The health consequences of smoking-50 years of progress: A report of the surgeon general. Centers for Disease Control and Prevention (US), Atlanta, GA, pp.139-294, 2014.