간접흡연과 치주건강의 관련성: 2008∼2009 국민건강영양조사 자료분석 결과
The Association between Environmental Tobacco Smoke and Periodontal Health: Finding from Korean National Health and Nutrition Examination Survey 2008∼2009
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참고문헌
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초록
Environmental tobacco smoke (ETS) or second hand smoke or passive smoking has become a well-known risk factor for various health hazardsin nonsmoking adults as well as active smokers. In Korea, there have been few studies concerning about the impact of ETS on periodontal health. Therefore, the aim of this study was to investigate the association between exposure to passive smoking and prevalence of periodontitis usingKorea National Health and Nutrition Examination Survey (KNHANES) in 2008 and 2009. The Fourth KNHANES data was employed from 2008∼2009. The final sample size was 4,669 adults aged over 18 years, who were never-smoker and had the information about ETS both at home andin the workplace, urine analysis and periodontal examination by Community Periodontal Index (CPI). Periodontitis was defined as CPI codes ≥3. Data were analyzed using PASW Statistics 18.0. The sociodemographic and behavioral factors were adjusted as confounders. Overall, 17.1%(male 16.4%, female 83.6%) of the participants were exposed to ETS. The mean concentration of cotinine in those exposed ETS was significantlyhigher than that in unexposed people (46.92 μg/ml versus 19.34 μg/ml, p＜0.001). Participants exposed to ETS were more likely to haveperiodontitis than those unexposed after adjusting for potential confounding variables. ETS is associated with the prevalence of periodontitis inKorean adults. This may suggest that patients with periodontitis or periodontal surgery should be protected from smokers or smoking places.
Abstract
Environmental tobacco smoke (ETS) or second hand smoke or passive smoking has become a well-known risk factor for various health hazardsin nonsmoking adults as well as active smokers. In Korea, there have been few studies concerning about the impact of ETS on periodontal health. Therefore, the aim of this study was to investigate the association between exposure to passive smoking and prevalence of periodontitis usingKorea National Health and Nutrition Examination Survey (KNHANES) in 2008 and 2009. The Fourth KNHANES data was employed from 2008∼2009. The final sample size was 4,669 adults aged over 18 years, who were never-smoker and had the information about ETS both at home andin the workplace, urine analysis and periodontal examination by Community Periodontal Index (CPI). Periodontitis was defined as CPI codes ≥3. Data were analyzed using PASW Statistics 18.0. The sociodemographic and behavioral factors were adjusted as confounders. Overall, 17.1%(male 16.4%, female 83.6%) of the participants were exposed to ETS. The mean concentration of cotinine in those exposed ETS was significantlyhigher than that in unexposed people (46.92 μg/ml versus 19.34 μg/ml, p＜0.001). Participants exposed to ETS were more likely to haveperiodontitis than those unexposed after adjusting for potential confounding variables. ETS is associated with the prevalence of periodontitis inKorean adults. This may suggest that patients with periodontitis or periodontal surgery should be protected from smokers or smoking places.
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