工作中的努力-回报失衡与日本口腔疾病的横断面关联。

Cross-sectional associations between effort-reward imbalance at work and oral diseases in Japan.

机构信息

Division of Public Health and Epidemiology, Department of Social Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.

Department of Oral and Maxillo-Facial Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.

出版信息

PeerJ. 2022 Jul 21;10:e13792. doi: 10.7717/peerj.13792. eCollection 2022.

DOI:10.7717/peerj.13792

PMID:35891644

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9308962/

Abstract

BACKGROUND

Psychological stress is a potential risk factor for oral diseases. However, evidence for the association between work stress and oral diseases is scarce. We aimed to examine the associations of work stress, according to the effort-reward imbalance model, with dental caries, periodontal status, and tooth loss.

METHODS

This cross-sectional study included 184 regular employees at a medical university and 435 registrants of a web research company. Work stress was assessed using the effort-reward imbalance (ERI) ratio. Dental caries and tooth loss were assessed according to the number of decayed, filled, and missing teeth (DMFT) among the set of 28 teeth. Periodontal status was assessed using a self-administered questionnaire. For the DMFT, a linear regression model was used to estimate the unstandardised coefficients. A Poisson regression model was used to estimate the prevalence ratios (PRs) of poor periodontal status.

RESULTS

Among medical university employees and employees enrolled from among the registrants of an online research company, a one-unit increase in the ERI ratio was associated with -2.81 (95% CI [-4.70 to -0.92]; -value = 0.004) and -0.84 (95% CI [-1.80 to 0.12]; -value = 0.085) changes in the DMFT from adjusted linear regression models, respectively. In employees enrolled from among the registrants of an online research company, a one-unit increase in the ERI ratio was also associated with 1.55 (95% CI [1.04-2.32]; -value = 0.032) of the PR for poor periodontal status based on Poisson regression models.

CONCLUSION

ERI at work was associated with an increased risk of poor periodontal status.

摘要

背景

心理压力是口腔疾病的潜在危险因素。然而，工作压力与口腔疾病之间的关联证据很少。我们旨在研究根据努力-回报失衡模型，工作压力与龋齿、牙周状况和牙齿缺失之间的关系。

方法

这项横断面研究包括一所医科大学的 184 名在职员工和一家网络研究公司的 435 名注册员工。使用努力-回报失衡（ERI）比来评估工作压力。根据 28 颗牙齿中龋齿、填充和缺失的数量（DMFT）评估龋齿和牙齿缺失。牙周状况通过自我管理问卷进行评估。对于 DMFT，使用线性回归模型估计未标准化系数。使用泊松回归模型估计牙周状况不良的患病率比（PR）。

结果

在医科大学员工和从网络研究公司注册员工中招募的员工中，ERI 比每增加一个单位，DMFT 分别减少 2.81（95%CI [-4.70 至 -0.92]；-值 = 0.004）和 0.84（95%CI [-1.80 至 0.12]；-值 = 0.085），这是经过调整的线性回归模型的结果。在从网络研究公司注册员工中招募的员工中，ERI 比每增加一个单位，也与基于泊松回归模型的牙周状况不良的 PR 增加 1.55（95%CI [1.04-2.32]；-值 = 0.032）有关。