Association of Stressful Life Events With Oral Health Among Japanese Workers
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 h...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Japan Epidemiological Association
2024-01-01
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| Series: | Journal of Epidemiology |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jea/34/1/34_JE20220225/_pdf |
| _version_ | 1797363802613743616 |
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| author | Jin Aoki Takashi Zaitsu Akiko Oshiro Jun Aida |
| author_facet | Jin Aoki Takashi Zaitsu Akiko Oshiro Jun Aida |
| author_sort | Jin Aoki |
| collection | DOAJ |
| description | 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 included gender, age group, and disease under treatment. 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 (standard deviation, 14.4) years, 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. |
| first_indexed | 2024-03-08T16:26:10Z |
| format | Article |
| id | doaj.art-5011c5e36a3b47febe4b9473f4329c68 |
| institution | Directory Open Access Journal |
| issn | 0917-5040 1349-9092 |
| language | English |
| last_indexed | 2024-03-08T16:26:10Z |
| publishDate | 2024-01-01 |
| publisher | Japan Epidemiological Association |
| record_format | Article |
| series | Journal of Epidemiology |
| spelling | doaj.art-5011c5e36a3b47febe4b9473f4329c682024-01-07T07:08:49ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922024-01-01341162210.2188/jea.JE20220225Association of Stressful Life Events With Oral Health Among Japanese WorkersJin Aoki0Takashi Zaitsu1Akiko Oshiro2Jun Aida3Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, JapanBackground: 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 included gender, age group, and disease under treatment. 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 (standard deviation, 14.4) years, 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.https://www.jstage.jst.go.jp/article/jea/34/1/34_JE20220225/_pdfstressful life eventsoral healthoccupational healthoccupational dentistryaugmented inverse-probability weighting |
| spellingShingle | Jin Aoki Takashi Zaitsu Akiko Oshiro Jun Aida Association of Stressful Life Events With Oral Health Among Japanese Workers Journal of Epidemiology stressful life events oral health occupational health occupational dentistry augmented inverse-probability weighting |
| title | Association of Stressful Life Events With Oral Health Among Japanese Workers |
| title_full | Association of Stressful Life Events With Oral Health Among Japanese Workers |
| title_fullStr | Association of Stressful Life Events With Oral Health Among Japanese Workers |
| title_full_unstemmed | Association of Stressful Life Events With Oral Health Among Japanese Workers |
| title_short | Association of Stressful Life Events With Oral Health Among Japanese Workers |
| title_sort | association of stressful life events with oral health among japanese workers |
| topic | stressful life events oral health occupational health occupational dentistry augmented inverse-probability weighting |
| url | https://www.jstage.jst.go.jp/article/jea/34/1/34_JE20220225/_pdf |
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