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Secondhand smoke and periodontal disease: atherosclerosis risk in communities study.

TitleSecondhand smoke and periodontal disease: atherosclerosis risk in communities study.
Publication TypeJournal Article
Year of Publication2011
AuthorsSanders AE, Slade GD, Beck JD, Agústsdóttir H
JournalAm J Public Health
Volume101 Suppl 1
PaginationS339-46
Date Published2011 Dec
ISSN1541-0048
KeywordsAged, Cohort Studies, Continental Population Groups, Cross-Sectional Studies, Female, Humans, Logistic Models, Male, Middle Aged, Odds Ratio, Periodontal Diseases, Prevalence, Socioeconomic Factors, Surveys and Questionnaires, Time Factors, Tobacco Smoke Pollution
Abstract

OBJECTIVES: We investigated the relationship between secondhand smoke and periodontal disease in nonsmokers.

METHODS: We undertook a cross-sectional analysis of the Atherosclerosis Risk in Communities study with 2739 lifetime nonsmokers aged 53-74 years, unexposed to other sources of tobacco, who received a complete periodontal examination at visit 4. Exposure was reported as average hours per week in close contact with a smoker in the preceding year. We defined severe periodontitis as 5 or more periodontal sites with probing pocket depth of 5 millimeters or more and clinical attachment levels of 3 millimeters or more in those sites. Other outcomes were extent of periodontal probing depths of 4 millimeters or more and extent of clinical attachment levels of 3 millimeters or more.

RESULTS: In a binary logistic regression model, adjusted odds of severe periodontitis for those exposed to secondhand smoke 1 to 25 hours per week increased 29% (95% confidence interval = 1.0, 1.7); for those exposed to secondhand smoke 26 hours per week, the odds were twice as high (95% confidence interval = 1.2, 3.4) as for those who were unexposed.

CONCLUSIONS: Exposure to secondhand smoke and severe periodontitis among nonsmokers had a dose-dependent relationship.

DOI10.2105/AJPH.2010.300069
Alternate JournalAm J Public Health
PubMed ID21551377
PubMed Central IDPMC3222500
Grant ListN01HC55020 / HL / NHLBI NIH HHS / United States
N01 HC055022 / HC / NHLBI NIH HHS / United States
R01 DE011551 / DE / NIDCR NIH HHS / United States
N01HC55018 / HL / NHLBI NIH HHS / United States
N01-HC-55022 / HC / NHLBI NIH HHS / United States
N01-HC-55016 / HC / NHLBI NIH HHS / United States
N01 HC055018 / HC / NHLBI NIH HHS / United States
N01HC55022 / HL / NHLBI NIH HHS / United States
N01-HC-55021 / HC / NHLBI NIH HHS / United States
N01HC55015 / HL / NHLBI NIH HHS / United States
N01 HC055019 / HC / NHLBI NIH HHS / United States
N01-HC-55019 / HC / NHLBI NIH HHS / United States
N01-HC-55015 / HC / NHLBI NIH HHS / United States
N01-HC-55020 / HC / NHLBI NIH HHS / United States
N01HC55016 / HL / NHLBI NIH HHS / United States
N01 HC055015 / HC / NHLBI NIH HHS / United States
N01 HC055021 / HC / NHLBI NIH HHS / United States
DE13807-01A1 / DE / NIDCR NIH HHS / United States
N01HC55019 / HL / NHLBI NIH HHS / United States
DE11551 / DE / NIDCR NIH HHS / United States
N01 HC055020 / HC / NHLBI NIH HHS / United States
N01-HC-55018 / HC / NHLBI NIH HHS / United States
N01HC55021 / HL / NHLBI NIH HHS / United States
N01 HC055016 / HC / NHLBI NIH HHS / United States
R01 DE013807 / DE / NIDCR NIH HHS / United States