Woo Keon, Lee Junghoon, Jung Chae-Eun, Park Jungwon, Choy Yoonsoo
Graduate School of Transdisciplinary Health Sciences, Yonsei University, Seoul 03722, Republic of Korea.
Department of Smart Healthcare Information, Healthcare Management, Eulji University, Seongnam 13135, Republic of Korea.
Healthcare (Basel). 2025 Jun 2;13(11):1323. doi: 10.3390/healthcare13111323.
: Obstructive sleep apnea (OSA) has been associated with adverse oral function outcomes, yet its association with oral function remains underexplored. This study aims to analyze the association between OSA and oral function problems, and whether these relationships are more pronounced among socioeconomically disadvantaged groups. : Data were derived from the 2022-2023 Korea National Health and Nutrition Examination Survey (KNHANES), including 6349 participants aged 40 and above. OSA risk was assessed using the STOP-Bang questionnaire. Oral function was evaluated through chewing discomfort, speaking discomfort, and dental pain. Complex sample logistic regression was performed, adjusting for demographic, socioeconomic, and health-related covariates. Stratified analyses were conducted to examine whether the association differed across socioeconomic groups. : High OSA risk was significantly associated with chewing discomfort (OR: 1.365, 95% CI: 1.121-1.662), speaking discomfort (OR: 1.534, 95% CI: 1.126-2.082), and dental pain (OR: 1.198, 95% CI: 1.006-1.431). Stratified analyses showed stronger associations in low education or income groups. For instance, those in the lowest income group were over five times more likely to report speaking discomfort (OR = 5.207, 95% CI: 2.365-11.462) than those in the highest. : OSA risk is significantly associated with impaired oral function, particularly among socioeconomically disadvantaged groups. These findings underscore the need for integrated public health approaches that address both sleep and oral health disparities.
阻塞性睡眠呼吸暂停（OSA）与不良的口腔功能结果有关，但其与口腔功能的关联仍未得到充分研究。本研究旨在分析OSA与口腔功能问题之间的关联，以及这些关系在社会经济弱势群体中是否更为显著。：数据来自2022 - 2023年韩国国家健康与营养检查调查（KNHANES），包括6349名40岁及以上的参与者。使用STOP - Bang问卷评估OSA风险。通过咀嚼不适、说话不适和牙痛来评估口腔功能。进行了复杂样本逻辑回归分析，并对人口统计学、社会经济和健康相关的协变量进行了调整。进行分层分析以检验不同社会经济群体之间的关联是否存在差异。：高OSA风险与咀嚼不适（比值比：1.365，95%置信区间：1.121 - 1.662）、说话不适（比值比：1.534，95%置信区间：1.126 - 2.082）和牙痛（比值比：1.198，95%置信区间：1.006 - 1.431）显著相关。分层分析显示，在低教育或低收入群体中关联更强。例如，最低收入组的人报告说话不适的可能性比最高收入组的人高出五倍多（比值比 = 5.207，95%置信区间：2.365 - 11.462）。：OSA风险与口腔功能受损显著相关，尤其是在社会经济弱势群体中。这些发现强调了需要采取综合公共卫生方法来解决睡眠和口腔健康差异问题。
