Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study

Sex workers are a highly underprivileged population which is present all around the world. Sex work is associated with negative social stigma which affects all aspects of the sex workers’ lives including healthcare, service providers and police. The stigma may result in increased stress, mental heal...

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Main Authors: Ilana Eli, Adi Zigler-Garburg, Efraim Winocur, Pessia Friedman-Rubin, Tamar Shalev-Antsel, Shifra Levartovsky, Alona Emodi-Perlman
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/22/6622
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author Ilana Eli
Adi Zigler-Garburg
Efraim Winocur
Pessia Friedman-Rubin
Tamar Shalev-Antsel
Shifra Levartovsky
Alona Emodi-Perlman
author_facet Ilana Eli
Adi Zigler-Garburg
Efraim Winocur
Pessia Friedman-Rubin
Tamar Shalev-Antsel
Shifra Levartovsky
Alona Emodi-Perlman
author_sort Ilana Eli
collection DOAJ
description Sex workers are a highly underprivileged population which is present all around the world. Sex work is associated with negative social stigma which affects all aspects of the sex workers’ lives including healthcare, service providers and police. The stigma may result in increased stress, mental health problems, feelings of isolation and social exclusion. In the present study, 36 sex workers (SW) and 304 subjects from the general population in Israel (GP) were evaluated for the presence of bruxism and Temporomandibular disorders (TMD), with the use of Diagnostic Criteria for Temporomandibular Disorders (DC/TMD- Axis I). When compared to the general population, sex workers presented larger maximal assisted mouth opening and higher prevalence of the following TMD diagnoses: Disc displacement with reduction, Myalgia, Myofascial pain with referral, Arthralgia (left and right) and Headache attributed to TMD. The odds of sex workers suffering from one of these diagnoses were twice to five times higher than those of the general population. The study shows that health problems of sex workers go beyond venereal diseases, HIV and mental disorders which are commonly studied. Oral health, TMD and oral parafunctions are some of the additional health issues that should be addressed and explored in this population.
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spelling doaj.art-aaa08551fd6b41a497826f36397d051a2023-11-24T08:47:19ZengMDPI AGJournal of Clinical Medicine2077-03832022-11-011122662210.3390/jcm11226622Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional StudyIlana Eli0Adi Zigler-Garburg1Efraim Winocur2Pessia Friedman-Rubin3Tamar Shalev-Antsel4Shifra Levartovsky5Alona Emodi-Perlman6Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, IsraelDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, IsraelDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, IsraelDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, IsraelDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, IsraelDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, IsraelDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, IsraelSex workers are a highly underprivileged population which is present all around the world. Sex work is associated with negative social stigma which affects all aspects of the sex workers’ lives including healthcare, service providers and police. The stigma may result in increased stress, mental health problems, feelings of isolation and social exclusion. In the present study, 36 sex workers (SW) and 304 subjects from the general population in Israel (GP) were evaluated for the presence of bruxism and Temporomandibular disorders (TMD), with the use of Diagnostic Criteria for Temporomandibular Disorders (DC/TMD- Axis I). When compared to the general population, sex workers presented larger maximal assisted mouth opening and higher prevalence of the following TMD diagnoses: Disc displacement with reduction, Myalgia, Myofascial pain with referral, Arthralgia (left and right) and Headache attributed to TMD. The odds of sex workers suffering from one of these diagnoses were twice to five times higher than those of the general population. The study shows that health problems of sex workers go beyond venereal diseases, HIV and mental disorders which are commonly studied. Oral health, TMD and oral parafunctions are some of the additional health issues that should be addressed and explored in this population.https://www.mdpi.com/2077-0383/11/22/6622temporomandibular disorders (TMD)bruxismsex workersDC/TMD
spellingShingle Ilana Eli
Adi Zigler-Garburg
Efraim Winocur
Pessia Friedman-Rubin
Tamar Shalev-Antsel
Shifra Levartovsky
Alona Emodi-Perlman
Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study
Journal of Clinical Medicine
temporomandibular disorders (TMD)
bruxism
sex workers
DC/TMD
title Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study
title_full Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study
title_fullStr Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study
title_full_unstemmed Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study
title_short Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study
title_sort temporomandibular disorders and bruxism among sex workers a cross sectional study
topic temporomandibular disorders (TMD)
bruxism
sex workers
DC/TMD
url https://www.mdpi.com/2077-0383/11/22/6622
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