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饮酒频率与牙周炎相关性中的风险变量。

Risk variables in the association between frequency of alcohol consumption and periodontitis.

机构信息

Department of Periodontology, Dentistry School, Federal University of Minas Gerais, Belo Horizonte, Brazil.

出版信息

J Clin Periodontol. 2012 Feb;39(2):115-22. doi: 10.1111/j.1600-051X.2011.01809.x. Epub 2011 Oct 24.

DOI:10.1111/j.1600-051X.2011.01809.x
PMID:22092940
Abstract

OBJECTIVE

Investigate the association between the frequency of alcohol consumption and periodontitis. Moreover, evaluate the influence of biological, behavioural, and social risk variables in this association.

METHODS

Sample was comprised by 542 subjects of both genders, 35-55 years of age, who underwent a complete periodontal examination, and was divided into four groups according to the frequency of alcohol use, based on alcohol use disorders identification test (AUDIT) and Cut-down, Annoyed, Guilty, Eye-opener (CAGE) instruments: (1) no or occasional alcohol use (NA), (2) moderate alcohol use (MA), (3) intense alcohol use (IA) and (4) alcohol dependence (DA). Associations between the occurrence of periodontitis and potential risk variables were analysed by univariate and multivariate logistic regression stratified by smoking status when appropriate.

RESULTS

The prevalence of periodontitis in NA, MA, IA and DA groups were 17.2%, 24.0%, 29.6% and 53%, respectively. Alcohol odds ratio (OR) estimates significantly increased with an increase in consumption frequency (DA>IA>MA>NA) and were approximately two times higher in smokers (OR = 3.43 to 7.91) compared to non-smokers (OR = 1.22 to 3.02).

CONCLUSION

Occurrence of periodontitis among alcohol users were high and the frequency of alcohol consumption increased the odds of periodontitis incrementally mainly in smokers.

摘要

目的

调查饮酒频率与牙周炎之间的关系。此外,评估生物、行为和社会风险变量对这种关联的影响。

方法

样本由 542 名年龄在 35-55 岁的男女组成,他们接受了全面的牙周检查,并根据酒精使用障碍识别测试(AUDIT)和 Cut-down、Annoyed、Guilty、Eye-opener(CAGE)工具将其分为四个饮酒频率组:(1)不饮酒或偶尔饮酒(NA),(2)适度饮酒(MA),(3)大量饮酒(IA)和(4)酒精依赖(DA)。在适当情况下,通过单变量和多变量逻辑回归分析吸烟状态分层后,牙周炎的发生与潜在风险变量之间的关联。

结果

NA、MA、IA 和 DA 组的牙周炎患病率分别为 17.2%、24.0%、29.6%和 53%。随着饮酒频率的增加,酒精比值比(OR)估计值显著增加(DA>IA>MA>NA),与不吸烟者相比,吸烟者的比值比(OR = 3.43 至 7.91)大约高两倍(OR = 1.22 至 3.02)。

结论

饮酒者发生牙周炎的几率较高,饮酒频率的增加使牙周炎的几率呈递增趋势,主要在吸烟者中。

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