Al-Sudani Fouad Y H, Vehkalahti Miira M, Suominen Anna L
Department of Oral Public Health, Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.
Department of Oral and Maxillofacial Diseases, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Eur J Oral Sci. 2016 Aug;124(4):368-76. doi: 10.1111/eos.12276. Epub 2016 Apr 19.
The aim of this study was to compare the oral health-related behaviors of unemployed people with those of employed people and to assess whether they differ according to the length of unemployment. This study is part of the Health 2000 Survey in Finland. The cross-sectional data were based on interviews and questionnaires. The present study comprised dentate participants, 30-63 yr of age (n = 4,670). Current employment status (employed vs. unemployed) and length of current unemployment (≤1, >1-2, >2-5, and >5 yr) were used as exposures. Binary logistic regression models were fitted separately for the oral health-related behaviors, and latent class analysis (LCA) was used to form behavioral clusters. Current unemployment and being unemployed for longer than 5 yr were inversely associated with regular use of dental services. Current unemployment indicated non-regular dental attendance, infrequent use of xylitol, daily smoking, and risky use of alcohol. Findings from the LCA supported the assumption that unemployed people could be considered as a risk group for poor oral health-related behaviors.
本研究旨在比较失业者与就业者的口腔健康相关行为，并评估这些行为是否因失业时间长短而有所不同。本研究是芬兰健康2000调查的一部分。横断面数据基于访谈和问卷。本研究纳入了年龄在30至63岁之间的有牙参与者（n = 4670）。当前就业状况（就业与失业）和当前失业时长（≤1年、>1至2年、>2至5年和>5年）被用作暴露因素。针对口腔健康相关行为分别拟合二元逻辑回归模型，并使用潜在类别分析（LCA）来形成行为聚类。当前失业以及失业超过5年与定期使用牙科服务呈负相关。当前失业表明看牙不规律、木糖醇使用频率低、每日吸烟以及酒精的危险使用情况。潜在类别分析的结果支持了这样一种假设，即失业者可被视为口腔健康相关不良行为的风险群体。
