酒精对牙周炎的危害悖论
L M Oliveira1,2, F B Zanatta1,2, S A Costa3
1Department of Stomatology, Postgraduate Program in Dentistry, Santa Maria, Rio Grande do Sul, Brazil.
Journal of dental research
|April 12, 2024
概括
过度饮酒不成比例地增加了社会经济地位较低 (SEP) 的个人牙周炎的风险,突出了酒精危害悖论. 这种相互作用,而不是调解,解释了SEP与口腔健康不佳之间的联系.
科学领域:
- 公共卫生 公共卫生
- 牙科研究 牙科研究
- 健康的社会经济决定因素
背景情况:
- 较低社会经济地位 (SEP) 的人面临着更高的与酒精有关的伤害,尽管相似或较低的消费.
- 酒精危害悖论 (AHP) 描述了这种差异,对潜在机制的理解有限.
- 乳腺炎和酒精消费都与牙周炎风险有关.
研究的目的:
- 调查社会经济地位是否会改变酒精消费与牙周炎之间的关联.
- 为了确定酒精消费在牙周炎中与SEP不平等的差异中介或相互作用的程度.
主要方法:
- 国家健康和营养检查调查 (NHANES) 2011-2014年数据的二次分析.
- 教育成绩作为主要的SEP代理;在敏感性分析中使用的贫困收入比例.
- 使用逻辑回归的效果测量修改和因果调解分析,对多个共变量进行调整.
主要成果:
- 受教育程度较低的重饮者出现牙周炎的几率明显更高 (OR 2.75).
- 超级添加剂的关联表明,大量饮酒与牙周炎的低教育之间存在显著的相互作用.
- 互动,而不是调解,解释了教育对牙周炎的影响的很大一部分 (-69.5%),支持了AHP.
结论:
- 过度饮酒不成比例地加剧了较低社会经济地位的个人牙周炎的风险.
- 牙周炎中酒精危害悖论是由重度饮酒和较低的SEP之间显著的相互作用效应驱动的.
- 研究结果强调需要有针对性的公共卫生干预措施,以解决与酒精有关的口腔健康结果的社会经济差异.
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