RESUMEN
INTRODUCTION: Malnutrition in children is epidemic in developing countries. Several health issues and consequences are believed to develop due to this phenomenon. Children's oral health is also affected by malnutrition. The main aspects of oral health status are caries experience, the existence of cariogenic bacteria, and salivary immunoglobulin A.
Asunto(s)
Caries Dental , Salud Bucal , Saliva , Humanos , Caries Dental/epidemiología , Niño , Saliva/inmunología , Masculino , Femenino , Desnutrición/epidemiología , Inmunoglobulina A Secretora/metabolismo , Inmunoglobulina A/metabolismoRESUMEN
The aim of this study was to compare the oral health-related behaviors of unemployed people with those of employed people and to assess whether they differ according to the length of unemployment. This study is part of the Health 2000 Survey in Finland. The cross-sectional data were based on interviews and questionnaires. The present study comprised dentate participants, 30-63 yr of age (n = 4,670). Current employment status (employed vs. unemployed) and length of current unemployment (≤1, >1-2, >2-5, and >5 yr) were used as exposures. Binary logistic regression models were fitted separately for the oral health-related behaviors, and latent class analysis (LCA) was used to form behavioral clusters. Current unemployment and being unemployed for longer than 5 yr were inversely associated with regular use of dental services. Current unemployment indicated non-regular dental attendance, infrequent use of xylitol, daily smoking, and risky use of alcohol. Findings from the LCA supported the assumption that unemployed people could be considered as a risk group for poor oral health-related behaviors.
Asunto(s)
Empleo , Salud Bucal , Adulto , Estudios Transversales , Femenino , Finlandia , Estado de Salud , Humanos , Masculino , Persona de Mediana Edad , Encuestas y CuestionariosRESUMEN
OBJECTIVES: The aim of this study was to assess whether current unemployment was associated with poor oral health and whether there was a difference in oral health according to the duration of the current unemployment. METHODS: As part of the Health 2000 Survey in Finland (a nationwide comprehensive health examination survey), we used its data based on interviews, questionnaires, and clinical oral examinations of the 30- to 63-year-old respondents (n = 4773). Current employment status was measured in its dichotomous form, employed versus unemployed, and length of current unemployment was classified into four categories. We measured oral health in terms of numbers of missing teeth, of sound teeth, of filled teeth, of decayed teeth, and of teeth with deepened periodontal pockets (≥4 mm, ≥6 mm). Poisson regression models were fitted for all oral health outcomes except number of decayed teeth, for which negative binomial regression model was used. Oral health-related behaviors and sociodemographic and socioeconomic factors were added to the analyses. RESULTS: The unemployed subjects had higher numbers of missing teeth, of decayed teeth, and of teeth with periodontal pockets than the employed ones. The association remained consistent even after adjustments. Oral health-related behaviors seemed to mediate the association. We found no association between unemployment and number of sound teeth. Current long-term unemployment showed stronger association with poor oral health than short-term among women. CONCLUSIONS: The unemployed can be considered as a risk group for poor oral health. Oral healthcare should be reoriented toward those who are unemployed.