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Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study

BACKGROUND: Development of periodontal disease (PD) may be affected by socioeconomic status. This study examined the relationship between occupational status and PD in a 5-year prospective cohort of Japanese workers. METHODS: In total, 19,633 participants had initial examinations at the Aichi Health...

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Autores principales: Irie, Koichiro, Yamazaki, Toru, Yoshii, Saori, Takeyama, Hideo, Shimazaki, Yoshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japan Epidemiological Association 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5328729/
https://www.ncbi.nlm.nih.gov/pubmed/28142014
http://dx.doi.org/10.1016/j.je.2016.09.002
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author Irie, Koichiro
Yamazaki, Toru
Yoshii, Saori
Takeyama, Hideo
Shimazaki, Yoshihiro
author_facet Irie, Koichiro
Yamazaki, Toru
Yoshii, Saori
Takeyama, Hideo
Shimazaki, Yoshihiro
author_sort Irie, Koichiro
collection PubMed
description BACKGROUND: Development of periodontal disease (PD) may be affected by socioeconomic status. This study examined the relationship between occupational status and PD in a 5-year prospective cohort of Japanese workers. METHODS: In total, 19,633 participants had initial examinations at the Aichi Health Promotion Foundation, of whom 8210 participants aged 20 years or older did not have PD. Follow-up examinations were conducted for 3757 participants, accounting for 45.8% of baseline participants. Ultimately, 3390 participants were analyzed according to the criterion of job classification at baseline, which was based on the International Standard Classification of Occupations, 1987. Oral examinations were performed using the Community Periodontal Index (CPI). The CPI scores were coded as follows: healthy (score of 0); bleeding after probing (1); dental calculus (2); shallow pockets (3); and deep pockets (4). Participants with one or more sextants with a score >2 were diagnosed with PD. Poisson regression analysis was performed to adjust for age and other potential confounders. RESULTS: Overall, 31.6% of men and 23.8% of women had developed PD (CPI scores of 3 or 4). The adjusted relative risk (RR) for PD (CPI scores of 3 or 4) in men was not significant. On the other hand, the adjusted RRs for PD (CPI score of 4) in men were 2.52-, 2.39-, and 2.74-fold higher for skilled workers, sales persons, and drivers, respectively, than for professionals. In contrast, we found no gradient in women. CONCLUSIONS: We found a gradient related to the risk of developing PD according to occupational status among men in a Japanese worker population.
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spelling pubmed-53287292017-02-28 Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study Irie, Koichiro Yamazaki, Toru Yoshii, Saori Takeyama, Hideo Shimazaki, Yoshihiro J Epidemiol Original Article BACKGROUND: Development of periodontal disease (PD) may be affected by socioeconomic status. This study examined the relationship between occupational status and PD in a 5-year prospective cohort of Japanese workers. METHODS: In total, 19,633 participants had initial examinations at the Aichi Health Promotion Foundation, of whom 8210 participants aged 20 years or older did not have PD. Follow-up examinations were conducted for 3757 participants, accounting for 45.8% of baseline participants. Ultimately, 3390 participants were analyzed according to the criterion of job classification at baseline, which was based on the International Standard Classification of Occupations, 1987. Oral examinations were performed using the Community Periodontal Index (CPI). The CPI scores were coded as follows: healthy (score of 0); bleeding after probing (1); dental calculus (2); shallow pockets (3); and deep pockets (4). Participants with one or more sextants with a score >2 were diagnosed with PD. Poisson regression analysis was performed to adjust for age and other potential confounders. RESULTS: Overall, 31.6% of men and 23.8% of women had developed PD (CPI scores of 3 or 4). The adjusted relative risk (RR) for PD (CPI scores of 3 or 4) in men was not significant. On the other hand, the adjusted RRs for PD (CPI score of 4) in men were 2.52-, 2.39-, and 2.74-fold higher for skilled workers, sales persons, and drivers, respectively, than for professionals. In contrast, we found no gradient in women. CONCLUSIONS: We found a gradient related to the risk of developing PD according to occupational status among men in a Japanese worker population. Japan Epidemiological Association 2016-10-27 /pmc/articles/PMC5328729/ /pubmed/28142014 http://dx.doi.org/10.1016/j.je.2016.09.002 Text en Copyright©2016 The Authors. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Irie, Koichiro
Yamazaki, Toru
Yoshii, Saori
Takeyama, Hideo
Shimazaki, Yoshihiro
Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study
title Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study
title_full Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study
title_fullStr Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study
title_full_unstemmed Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study
title_short Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study
title_sort is there an occupational status gradient in the development of periodontal disease in japanese workers? a 5-year prospective cohort study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5328729/
https://www.ncbi.nlm.nih.gov/pubmed/28142014
http://dx.doi.org/10.1016/j.je.2016.09.002
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