Atri Mansi, Srivastava Dhirendra, Kharbanda Jitin, Bugalia Anupriya, Yousuf Asif, Anup N
Assistant Professor, Department of Public Health Dentistry, Employee's State Insurance Corporation Dental College & Hospital, New Delhi, India.
Dean, Employee's State Insurance Corporation Dental College and Hospital, New Delhi, India.
J Int Oral Health. 2015 Sep;7(9):65-9.
Periodontitis is a multifactorial disease, commonly associated with most of the lifestyle diseases. In the recent years, the association between periodontitis with occupational stress has evolved in various studies in many developed settings. This study aims at studying the prevalence of periodontal disease and its relationship with job stress among industrial labor workers covered under Employee's State Insurance Corporation Scheme.
The study included 180 subjects who were informed about the research goals, and also requested to sign consents. The questionnaire included parts from the generic job stress questionnaire from the National Institute of Job Stress and Health. Dental examinations based on community periodontal index protocol were done using WHO probe. Participants with moderate to severe periodontitis (score 3, 4) were informed about the salivary cortisol test. The saliva samples were collected and transported to the lab. Data were entered in EPI info 3.1.1 and analyzed in SPSS 14. The Chi-square analysis was done to measure association, and logistic regression analysis was done to identify the independent association of job stress to periodontitis.
The study shows that 48% of the participants reported to have job stress, and 55% had periodontitis. The mean salivary cortisol level was 3.42 ng/dl. The results also indicated a higher odds of having low levels of salivary cortisol among those who reported job stress. Bi-variant regression analyses show the relationship of periodontitis with job stress to be much higher on controlling for other risk factors. The odds of having periodontitis in relation to positive job stress were 6 times higher than those who did not have positive job stress.
This study shows a high prevalence of job stress related periodontitis among industrial workers in India. This research recommends the health and labor ministry to improve access to dental care especially in rural areas and include psychiatric units and oral health care as a part of primary health care. The factories administration should encourage recreation and retreat of the workers so as to reduce the level of stress at work. The factory administrations were recommended to have counselors to help their employees.
牙周炎是一种多因素疾病，通常与大多数生活方式疾病相关。近年来，在许多发达国家的各种研究中，牙周炎与职业压力之间的关联不断演变。本研究旨在调查参加员工国家保险计划的产业工人中牙周疾病的患病率及其与工作压力的关系。
该研究纳入了180名受试者，向他们告知了研究目的，并要求他们签署知情同意书。问卷包含来自国家职业压力与健康研究所的通用工作压力问卷的部分内容。使用世界卫生组织探针按照社区牙周指数方案进行牙科检查。向患有中度至重度牙周炎（评分3、4）的参与者告知唾液皮质醇检测事宜。收集唾液样本并送至实验室。数据录入EPI info 3.1.1并在SPSS 14中进行分析。进行卡方分析以衡量关联性，并进行逻辑回归分析以确定工作压力与牙周炎的独立关联性。
研究表明，48%的参与者报告有工作压力，55%患有牙周炎。唾液皮质醇平均水平为3.42 ng/dl。结果还表明，报告有工作压力的人群中唾液皮质醇水平较低的几率更高。双变量回归分析表明，在控制其他风险因素后，牙周炎与工作压力的关系更为密切。与有积极工作压力的人相比，有牙周炎的几率高出6倍。
本研究表明，印度产业工人中与工作压力相关的牙周炎患病率很高。本研究建议卫生和劳工部改善牙科护理的可及性，特别是在农村地区，并将精神科单位和口腔保健纳入初级卫生保健的一部分。工厂管理部门应鼓励工人进行娱乐和放松，以降低工作压力水平。建议工厂管理部门配备顾问以帮助员工。
