著者
Jin Aoki Takashi Zaitsu Akiko Ohshiro Jun Aida
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
pp.JE20220225, (Released:2023-01-14)
参考文献数
30
被引用文献数
2

Background: Psychological stress can cause various mental and physical health problems. The previous results on stress and oral health are inconsistent, possibly because of the narrow stress measurements. We aimed to examine the association between a broader range of stressful life events and oral health among workers.Methods: This cross-sectional study analyzed anonymous individual data from a national survey in Japan. Data on stressful life events, oral health problems which are one or more of tooth pain, gum swelling/bleeding, and difficulty chewing, and covariates were obtained using a self-reported questionnaire. Covariates used were gender, age group, disease under treatment, etc. Logistic regression analysis was used to estimate the association between stressful life events and oral health problems. We then estimated the causal treatment effects of stress using the augmented inverse-probability weighting (AIPW) method.Results: Among the 274,881 subjects, 152,850 men (55.6%) and 122,031 women (44.4%) with a mean age of 47.0 (SD=14.4), 4.0% reported oral health problems, with a prevalence of 2.1% among those without any stress. The prevalence increased with stress score, reaching 15.4% for those with the maximum stress score. The adjusted odds ratio of this group compared to those without any stress was 9.2 (95% confidence interval (CI)=8.2–10.3)). The estimated prevalence of oral health problems by the AIPW analysis was 2.2% (95%CI, 2.1–2.3) for those without any stress and 14.4% (95%CI, 12.1–16.7) for those with the maximum stress scores.Conclusion: There was a clear dose-response association between stressful life events and oral health problems.
著者
Takashi ZAITSU Toshiko OHTA Hiroshi OHSHIMA Chiaki MUKAI
出版者
THE JAPAN SOCIETY FOR AERONAUTICAL AND SPACE SCIENCES
雑誌
TRANSACTIONS OF THE JAPAN SOCIETY FOR AERONAUTICAL AND SPACE SCIENCES, AEROSPACE TECHNOLOGY JAPAN (ISSN:18840485)
巻号頁・発行日
vol.12, no.ists29, pp.Tp_7-Tp_9, 2014 (Released:2014-11-27)
被引用文献数
1 1

Occurrences of dental/oral diseases have been reported in the space environment and pre- or post-spaceflight and the deteriorations of oral defensive functions are evident in the space environment simulated experiments. NASA has identified 6 dental problems (Abscess, Avulsion/Tooth Loss, Caries, Crown Replacement, Exposed Pulp/Pulpitis and Filling Replacement) as the most important dental incidents to be dealt with in the long-term mission. To focus on the dental/oral health management for astronauts, dental examination and dental orthopantomogram are conducted as dental diagnosis. In addition, dental nerve block, dental prosthesis replacement and dental pain control are described in the treatment manual on the International Space Station (ISS). However, the systematic program to evaluate the risk of dental/oral problems in spacecraft and the manual to prevent the dental/oral problems in the space environment are still far from sufficient. To promote the dental/oral health of astronauts, the authors are going to launch “Space Oral Health Promotion (SOHP) project” which will tackle the research tasks and the operational countermeasures in space dentistry.