Kim Hyun-duck, Douglass Chester W
Department of Preventive and Public Health Dentistry, College of Dentistry, Seoul National University, 28, Younkeon-dong, Chongro-ku, Seoul, 110-460, Korea.
J Public Health Dent. 2003 Fall;63(4):244-9. doi: 10.1111/j.1752-7325.2003.tb03507.x.
The aim of this study was to evaluate the associations between occupational health behaviors and occupational dental erosion.
Using data for 943 workers among 34 factories, selected by three-stage stratified cluster sampling from 888 factories using acids, two sets of modified case-control studies were performed. The cases were 242 workers with any dental erosion (G1-5) and 78 with severe dental erosion (G3-5); the controls were 701 workers with no erosion (GO) and 864 workers with no or mild erosion grades, GO-2, respectively. The main explanatory variables were behaviors such as wearing a respiratory mask and gargling at work. The results were adjusted for employment, age, sex, knowledge, and opinion about occupational health, attrition, and abrasion. Bivariate and multivariate logistic regression analyses were conducted.
The odds of overall occupational dental erosion (G1-5) was 0.63 (95% CI = 0.42, 0.94) for respiratory mask wearers compared to nonwearers; the odds of severe occupational dental erosion (G3-5) was not significantly less in respiratory mask wearers (OR = 0.94; 95% CI = 0.53, 1.67). Gargling did not show a significant association with occupational dental erosion in this study.
Among occupational health behaviors, wearing personal protective respiratory masks in work was significantly associated with less overall occupational dental erosion.
本研究旨在评估职业健康行为与职业性牙侵蚀之间的关联。
从888家使用酸的工厂中通过三阶段分层整群抽样选取34家工厂的943名工人的数据,进行了两组改良的病例对照研究。病例组为242名有任何牙侵蚀(G1 - 5)的工人和78名有严重牙侵蚀(G3 - 5)的工人;对照组分别为701名无牙侵蚀(G0)的工人和864名无或轻度牙侵蚀等级(G0 - 2) 的工人。主要解释变量为工作时佩戴呼吸面罩和漱口等行为。对就业情况、年龄、性别、职业健康知识和看法、磨损情况进行了结果校正。进行了双变量和多变量逻辑回归分析。
与未佩戴者相比,佩戴呼吸面罩者发生总体职业性牙侵蚀(G1 - 5)的几率为0.63(95%置信区间 = 0.42,0.94);佩戴呼吸面罩者发生严重职业性牙侵蚀(G3 - 5)的几率没有显著降低(比值比 = 0.94;95%置信区间 = 0.53,1.67)。在本研究中,漱口与职业性牙侵蚀未显示出显著关联。
在职业健康行为中,工作时佩戴个人防护呼吸面罩与总体职业性牙侵蚀较少显著相关。