Suominen-Taipale A L, Mettovaara H-L, Uutela A, Härkänen T, Vehkalahti M M, Knuuttila M L E
Department of Health and Functional Capacity, National Public Health Institute, Helsinki, Finland.
Eur J Oral Sci. 2009 Apr;117(2):144-53. doi: 10.1111/j.1600-0722.2009.00611.x.
Our aim in this study was to determine whether there is an association between cynical hostility and clinically determined poor oral health, and whether this association is confounded by socioeconomic position and mediated by health behavior. The sample consisted of 4,207 dentate Finns, 30-64 yr of age. Oral health was measured in terms of numbers of missing teeth, of decayed teeth, and of teeth with periodontal pockets (> or = 4 mm). Cynical hostility was measured using the cynical distrust self-administered questionnaire. The subjects with the highest level of cynical hostility had fewer teeth, and a greater number of decayed teeth as well as teeth with deepened periodontal pockets compared to subjects with the lowest level of cynical hostility. The associations between cynical hostility and number of missing and decayed teeth were clearly confounded by level of education. Poor oral health behavior was shown to be a possible mediator between cynical hostility and number of decayed teeth, but not of missing teeth or teeth with deepened periodontal pockets. General health-related behavior did not serve as a possible mediator in any of the associations. In conclusion, cynical hostility can be considered as a risk marker for poor oral health. Interventions aimed to improve oral health should focus on psychosocial factors and on less-educated subjects.
本研究的目的是确定愤世嫉俗的敌意与临床判定的口腔健康状况不佳之间是否存在关联，以及这种关联是否会受到社会经济地位的混淆并通过健康行为介导。样本包括4207名年龄在30至64岁之间的有牙芬兰人。口腔健康通过缺失牙数、龋齿数和牙周袋深度≥4mm的牙齿数来衡量。愤世嫉俗的敌意通过愤世嫉俗的不信任自评问卷来测量。与愤世嫉俗敌意水平最低的受试者相比，愤世嫉俗敌意水平最高的受试者牙齿更少，龋齿数量更多，牙周袋加深的牙齿数量也更多。愤世嫉俗的敌意与缺失牙数和龋齿数之间的关联明显受到教育水平的混淆。不良的口腔健康行为被证明可能是愤世嫉俗的敌意与龋齿数之间的中介因素，但不是缺失牙数或牙周袋加深的牙齿数的中介因素。一般健康相关行为在任何关联中都不是可能的中介因素。总之，愤世嫉俗的敌意可被视为口腔健康不佳的风险标志物。旨在改善口腔健康的干预措施应关注心理社会因素和受教育程度较低的受试者。
