Arbes S J, Agústsdóttir H, Slade G D
Center for Oral and Systemic Diseases, University of North Carolina School of Dentistry, Campus Box 7455, Chapel Hill, NC 27599-7455, USA.
Am J Public Health. 2001 Feb;91(2):253-7. doi: 10.2105/ajph.91.2.253.
Cigarette smoking is a leading risk factor for periodontal disease. This cross-sectional study investigated the relation between environmental tobacco smoke (ETS) and periodontal disease in the United States.
Data were obtained from the Third National Health and Nutrition Examination Survey (1988-1994). The outcome was periodontal disease, defined as 1 or more periodontal sites with attachment loss of 3 mm or greater and a pocket depth of 4 mm or greater at the same site. Exposure to ETS at home and work was self-reported. The study analyzed 6611 persons 18 years and older who had never smoked cigarettes or used other forms of tobacco.
Exposure to ETS at home only, work only, and both was reported by 18.0%, 10.7%, and 3.8% of the study population, respectively. The adjusted odds of having periodontal disease were 1.6 (95% confidence interval = 1.1, 2.2) times greater for persons exposed to ETS than for persons not exposed.
Among persons in the United States who had never used tobacco, those exposed to ETS were more likely to have periodontal disease than were those not exposed to ETS.
吸烟是牙周病的主要危险因素。这项横断面研究调查了美国环境烟草烟雾（ETS）与牙周病之间的关系。
数据来自第三次全国健康和营养检查调查（1988 - 1994年）。结果指标为牙周病，定义为一个或多个牙周部位附着丧失3毫米或更多，且同一部位牙周袋深度为4毫米或更多。在家中和工作场所接触ETS的情况通过自我报告获得。该研究分析了6611名18岁及以上从未吸烟或使用其他烟草形式的人。
研究人群中分别有18.0%、10.7%和3.8%的人报告仅在家中接触ETS、仅在工作场所接触ETS以及在家中和工作场所都接触ETS。接触ETS的人患牙周病的校正比值比未接触ETS的人高1.6倍（95%置信区间 = 1.1, 2.2）。
在美国从未使用过烟草的人群中，接触ETS的人比未接触ETS的人更有可能患牙周病。
