scholarly journals Current status of periodontitis and its association with tobacco use among adult population of Sunsari district, Nepal

2020 ◽  
Author(s):  
Khushboo Goel ◽  
Shivalal Sharma ◽  
Dharnidhar Baral ◽  
Santosh Agrawal

Abstract Background: Tobacco products are considered significant but preventable factors related to initiation and progression of periodontal diseases. We assessed the prevalence of periodontitis and evaluated its association with tobacco use and other factors among the adult population of eastern Nepal.Methods: A community-based cross-sectional study was conducted in the rural municipalities in the province one of eastern Nepal. A total of 440 individuals were interviewed with a set of a standardized pre-tested semi-structured questionnaire. Data on social demographics, adverse oral habits followed by periodontal clinical examination were recorded. Prevalence of periodontitis was assessed by a case definition given by CDC-AAP. Univariate and multivariate logistic regression analysis was used to measure the association between tobacco use and other factors with periodontitis.Results: The overall prevalence of periodontitis was found to be 71.6%. Majority (85.4%) of tobacco users had periodontitis and they were significantly associated with the disease and its severity. The study identified age groups, 45 – 65 years (AOR=7.58, 95% CI, 3.93-14.61), plaque index (AOR=1.01, 95% CI, 1.00-1.02), smoking (AOR=3.14, 95% CI, 1.36-7.27), khaini users (smokeless tobacco, AOR=2.27, 95% CI, 1.12-4.61) and teeth loss (AOR=2.02, 95% CI, 1.21-3.38) as the significant factors associated with periodontitis.Conclusion: The prevalence of periodontitis is high in the surveyed rural adult population. Along with age, plaque, teeth loss and smoking, smokeless tobacco in the form of khaini are identified as significant factors contributing to periodontitis.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
K. Goel ◽  
S. Sharma ◽  
D. D. Baral ◽  
S. K. Agrawal

Abstract Background Tobacco products are considered significant, but preventable factors related to initiation and progression of periodontal diseases. We assessed the prevalence of periodontitis and evaluated its association with tobacco use and other factors amongst the adult population of Sunsari district in eastern Nepal. Methods A community-based, cross-sectional study was conducted in rural municipalities in the province one of eastern Nepal. A total of 440 adults were interviewed with a set of a pre-tested semi-structured questionnaire. Data on social demographics, adverse oral habits followed by periodontal clinical examination were recorded. Prevalence of periodontitis was assessed by a case definition provided by CDC-AAP. Univariate and multivariate logistic regression analysis was done to measure the association between tobacco use and other factors with periodontitis. Results The overall prevalence of periodontitis was found to be 71.6%. Majority (85.4%) of tobacco users had periodontitis and they were significantly associated with the disease and its severity. The study identified age groups, 45–65 years (AOR = 7.58, 95% CI 3.93–14.61), plaque accumulation (AOR = 1.01, 95% CI 1.00–1.02), smoking (AOR = 3.14, 95% CI 1.36–7.27), khaini users (smokeless tobacco, AOR = 2.27, 95% CI 1.12–4.61) and teeth loss (AOR = 2.02, 95% CI 1.21–3.38) as the significant factors associated with periodontitis. Conclusion The prevalence of periodontitis is high in the surveyed rural adult population. Cigarette smoking along with the use of smokeless tobacco in the form of khaini were identified as significant factors associated with periodontitis.


2020 ◽  
Author(s):  
Khushboo Goel ◽  
Shivalal Sharma ◽  
Dharnidhar Baral ◽  
Santosh Agrawal

Abstract Background: Tobacco products are considered significant, but preventable factors related to initiation and progression of periodontal diseases. We assessed the prevalence of periodontitis and evaluated its association with tobacco use and other factors amongst the adult population of Sunsari district in eastern Nepal.Methods: A community-based, cross-sectional study was conducted in rural municipalities in the province one of eastern Nepal. A total of 440 adults were interviewed with a set of a standardized pre-tested semi-structured questionnaire. Data on social demographics, adverse oral habits followed by periodontal clinical examination were recorded. Prevalence of periodontitis was assessed by a case definition provided by CDC-AAP. Univariate and multivariate logistic regression analysis was done to measure the association between tobacco use and other factors with periodontitis.Results: The overall prevalence of periodontitis was found to be 71.6%. Majority (85.4%) of tobacco users had periodontitis and they were significantly associated with the disease and its severity. The study identified age groups, 45-65 years (AOR=7.58, 95% CI, 3.93-14.61), plaque accumulation (AOR=1.01, 95% CI, 1.00- 1.02), smoking (AOR=3.14, 95% CI, 1.36- 7.27), khaini users (smokeless tobacco, AOR=2.27, 95% CI, 1.12-4.61) and teeth loss (AOR=2.02, 95% CI, 1.21-3.38) as the significant factors associated with periodontitis. Conclusion: The prevalence of periodontitis is high in the surveyed rural adult population. Cigarette smoking along with the use of smokeless tobacco in the form of khaini were identified as significant factors associated with periodontitis.


2020 ◽  
Author(s):  
Khushboo Goel ◽  
Shivalal Sharma ◽  
Dharnidhar Baral ◽  
Santosh Agrawal

Abstract Background: Tobacco products are considered significant but preventable factors related to initiation and progression of periodontal diseases. We assessed the prevalence of periodontitis and evaluated its association with tobacco use and other factors among the adult population of eastern Nepal.Methods: A community-based cross-sectional study was conducted in the rural municipalities in the province one of eastern Nepal. A total of 440 individuals were interviewed with a set of a standardized pre-tested semi-structured questionnaire. Data on social demographics, adverse oral habits followed by periodontal clinical examination were recorded. Prevalence of periodontitis was assessed by a case definition given by CDC-AAP. Univariate and multivariate logistic regression analysis was used to measure the association between tobacco use and other factors with periodontitis.Results: The overall prevalence of periodontitis was found to be 71.6%. Majority (85.4%) of tobacco users had periodontitis and they were significantly associated with the disease and its severity. The study identified age groups, 45-65 years (AOR=7.585, 95% CI, 3.938-14.610), plaque index (AOR=1.017, 95% CI, 1.005- 1.029), smoking (AOR=3.149, 95% CI, 1.364- 7.270), khaini users (smokeless tobacco, AOR=2.275, 95% CI, 1.122-4.613) and teeth loss (AOR=2.025, 95% CI, 1.211-3.387) as the significant factors associated with periodontitis. Conclusion: Almost three-quarters of the adult population had some form of periodontitis. Oral hygiene awareness programs, educational efforts and tobacco cessation policies targeted to limit the modifiable factors should be considered immediately at the community level.


2020 ◽  
Author(s):  
Satoshi Sekino ◽  
Ryoichi Takahashi ◽  
Yukihiro Numabe ◽  
Hiroshi Okamoto

Abstract Background : To date, a few studies have documented the detailed periodontal conditions of a Japanese population. It is important to know if the awareness of Japanese nationals and dentists regarding oral hygiene and prevention of periodontal disease have improved when compared with the past in Japan for the development of future scenarios regarding prevention. The aim of this study was to investigate the severity, prevalence, and extent of periodontal disease in the adult population of the city of Takahagi, Japan. Results were also compared with those of an epidemiological study performed in Japan in the 1980s. Methods : A total of 582 (aged 20 to 89 years) randomly sampled Takahagi residents answered a comprehensive questionnaire and participated in clinical examinations. Results : The mean percentages of tooth surfaces harboring plaque and exhibiting BOP were 59.5 ± 24.9% and 31.1 ± 21.1%, respectively. The mean PPD and CAL were 2.5 ± 0.5 mm and 2.9 ± 1.0 mm, respectively. Compared with results of the 1980s survey, the mean percentages of plaque and bleeding on probing were lower in the current population. The mean CAL and prevalence of attachment loss of ³5 mm in some age groups were higher in the present study than in the 1980s study. There were no statistically significant differences with respect to mean probing depth between the 1980s and current age groups. Conclusions : Periodontal disease was still prevalent in the current Japanese population, even though some improvement occurred. Proper public health programs therefore need to be established.


2016 ◽  
Vol 10 (1) ◽  
pp. 20-25
Author(s):  
A Bhatsange ◽  
EP Meshram ◽  
Karibasappa LNU ◽  
A Waghamare ◽  
S Lalitha ◽  
...  

ABSTRACT Objective Tobacco use is a growing global public health problem. The adverse effects of tobacco use on health are well known. Smokeless tobacco is found to be as addictive and harmful as smoking. The objective of study was to assess tobacco use, awareness and attitudes towards tobacco and its control in adult population visiting dental institution for various dental problems in Dhule city. Material and methods A cross-sectional questionnaire based study was conducted among outpatients of dental institution in Dhule city. Data regarding the knowledge, form of tobacco used, frequency, duration and attitude towards stopping its consumption were collected. Statistical analysis was carried out using descriptive statistics and chi-square tests with Yates correction using Statistical software package(SPSS) version 19. Results Out of 100 tobacco chewers, 83% were males and 17% were females. Forty five percent of tobacco users thought that tobacco affects aesthetically and functionally. Chi-square tests were applied to analyse categorical data. There was statistically no significant (p<0.05) association between age groups and gender, with respect to knowledge and attitude of tobacco consumption. Conclusion Despite being aware about risk of having multiple oral health problems, a major proportion of respondents were using smokeless tobacco. However study participants were reluctant to quit the tobacco habit in spite of knowledge and awareness towards its adverse effects on oral and general health.


2019 ◽  
Author(s):  
Satoshi Sekino ◽  
Ryoichi Takahashi ◽  
Yukihiro Numabe ◽  
Hiroshi Okamoto

Abstract Background: To date, a few studies documented the detailed periodontal conditions of a Japanese population. It is important to know if the awareness of Japanese nationals and dentists to oral hygiene and prevention of periodontal disease have improved when compared with the past in Japan for the development of future scenarios regarding prevention. The aim of this study was to investigate the severity, prevalence, and extent of periodontal disease in the adult population of the city of Takahagi, Japan. Results were also compared with those of an epidemiological study performed in Japan in the 1980s. Methods: A total of 582 inhabitants (aged 20 to 89 years) of Takahagi were randomly sampled, answered a comprehensive questionnaire and participated in clinical examinations performed by one examiner. Results: The mean percentages of tooth surfaces harboring plaque and exhibiting BOP were 59.5 ± 24.9% and 31.1 ± 21.1%, respectively. The mean PPD and CAL were 2.5 ± 0.5 mm and 2.9 ± 1.0 mm, respectively. Compared with results of the 1980s survey, the mean percentages of plaque and bleeding on probing were lower in the current population. The mean CAL and prevalence of attachment loss of ³5 mm in some age groups were higher in the current study than in the 1980s study. There were no statistically significant differences with respect to mean probing depth between 1980s and current in all age groups. Conclusions: Periodontal disease was still prevalent in current Japanese population even though some improvement occurred. Proper public health programs therefore need to be established.


2020 ◽  
Author(s):  
Satoshi Sekino ◽  
Ryoichi Takahashi ◽  
Yukihiro Numabe ◽  
Hiroshi Okamoto

Abstract Background : To date, a few studies have documented the detailed periodontal conditions of a Japanese population. It is important to know if the awareness of Japanese nationals and dentists regarding oral hygiene and prevention of periodontal disease have improved when compared with the past in Japan for the development of future scenarios regarding prevention. The aim of this study was to investigate the severity, prevalence, and extent of periodontal disease in the adult population of the city of Takahagi, Japan. Results were also compared with those of an epidemiological study performed in Japan in the 1980s. Methods : A total of 582 (aged 20 to 89 years) randomly sampled Takahagi residents answered a comprehensive questionnaire and participated in clinical examinations. Results : The mean percentages of tooth surfaces harboring plaque and exhibiting BOP were 59.5 ± 24.9% and 31.1 ± 21.1%, respectively. The mean PPD and CAL were 2.5 ± 0.5 mm and 2.9 ± 1.0 mm, respectively. Compared with results of the 1980s survey, the mean percentages of plaque and bleeding on probing were lower in the current population. The mean CAL and prevalence of attachment loss of ³5 mm in some age groups were higher in the present study than in the 1980s study. There were no statistically significant differences with respect to mean probing depth between the 1980s and current age groups. Conclusions : Periodontal disease was still prevalent in the current Japanese population, even though some improvement occurred. Proper public health programs therefore need to be established.


Author(s):  
Houda Ben Ayed ◽  
Sourour Yaich ◽  
Mariem Ben Hmida ◽  
Maissa Ben Jemaa ◽  
Maroua Trigui ◽  
...  

AbstractObjectivesThis study aimed to estimate the extent of smoking experience among high and middle school adolescents in Southern Tunisia and to delineate its potential associated factors.MethodsWe conducted a cross-sectional study among middle and high school-adolescents in the governorate of Sfax, South of Tunisia in the 2017–2018 school-years. A questionnaire was anonymously administered to a representative sample of 1,210 school-adolescents randomly drawn.ResultsThe mean age of the school-adolescents was 15.6 ± 4.2 years. The prevalence of lifetime smoking was 16.7% (95% CI=[14.7–18.8%]) (boys 32.6%; girls 5.9%;p<0.001). Among the respondents, 13.9% (95% CI=[11.9–15.8%]) were current smokers. In multivariate logistic regression analysis, independent associated factors of current smoking were male gender (Adjusted (AOR)=10.2; p<0.001), 16–17 and 18–19-year age-groups (AOR=2; p=0.005 and AOR=2.6; p=0.001, respectively), below average academic performance (AOR=5.2; p=0.012), divorced parents (AOR=3.9; p=0.007), family monthly income ≥800 dollars (AOR=2.1; p=0.001), having a part time job (AOR=3.9; p<0.001) and a perceived high stress level (AOR=1.98; p=0.008). Secondhand smoke (AOR=1.8; p=0.011) and concomitant alcohol drink (AOR=14.56; p<0.001) were independent predictors of current smoking, while high education level of the father was independently associated with lower prevalence of current smoking (AOR=0.17; p<0.001).ConclusionThe prevalence of lifetime and current smoking were relatively high in Southern Tunisian middle and high schools. Multilevel influences on youth smoking behavior had been identified, which reflected the need to conceive appropriate school interventions and effective antismoking education program.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Kazmer ◽  
I Kulhanova ◽  
M Lustigova

Abstract Background In Czechia, alcohol-induced deaths account for a significant portion of preventable mortality. As inequalities in health are both socially and spatially determined, the paper aims at the detailed examination of socio-geographic inequalities of this phenomenon. Methods The 2011-2015 annual data on both ICD-10 cause-specific deaths (K70; F10; X45/64; Y15) and mid-year population were obtained from the official Czech registries - the data were cross-classified by gender, 5-year age-groups, and permanent residence (N = 6,302 small area spatial units). The selected socio-demographic indicators (education, unemployment, religious population) from the Czech 2011 Census were spatially merged to the mortality dataset. From the data on education and unemployment, composite deprivation index (DI) was derived. In the adult population aged 25+, the age-standardised mortality ratios (SMR) were computed for each of the spatial units, separately by genders. The SMRs were spatially modelled by the Besag-York-Mollié (BYM) autoregressive approach, applying a fully bayesian framework integrated within the INLA R-package. The study applied cross-sectional design and employed ecological regression conducted on observational data. Results Compared to the Czech average, the highest SMRs were located in the historical regions of Moravia [SMR=1.15; 95%CI: 1.11-1.19] and Silesia [SMR=1.59; 95%CI: 1.52-1.66]. The SMRs were significantly correlated with DI among males [Rel.Risk=1.15; 95%CI: 1.11-1.19], and with religiousness rate among females [Rel.Risk=0.83; 95%CI: 0.77-0.90]. Conclusions Significant socio-geographic inequalities were detected, particularly with respect to the Czech historical regions. Among males, higher mortality was associated with a structural deprivation. Among females, protective effect of religiousness rate was found to be significant. The results highlight an importance of both socially and spatially integrated efforts for public health promotion. Key messages The inequalities in health are both socially and spatially contextualised. The paper presents robust empirical evidence in favour of the proposition, as examined on alcohol-related mortality data. The health determinants may be gender sensitive. Males might be more responsive to a structural disadvantage. Among females, cultural factors related to a local community might be more relevant.


2021 ◽  
pp. 24-27
Author(s):  
Varun Singh ◽  
Mongjam Meghachandra Singh ◽  
Reeta Devi ◽  
Suneela Garg ◽  
Bratati Banerjee ◽  
...  

Background: Smokeless tobacco (SLT) consumption poses serious health problems and is considered to be a signicant risk factor for oral, esophageal and pancreatic cancers. Estimation of the magnitude of consumption of SLT would be useful in planning for tobacco control activities in the community. Objectives: The study was conducted to estimate the prevalence of smokeless tobacco (SLT) use among adult population and to identify the socioeconomic factors associated with the SLT use among them. Methods: This was a community based cross-sectional study conducted in an urban resettlement colony of North East Delhi among adult population (>18 years age). A pre-tested interview schedule adapted from the Global Adult Tobacco Survey India (GATS India) was used for data collection. Data was analyzed using SPPS version 25. Results: A total of 440 study participants were enrolled for the study. The overall prevalence of SLT use was 24.5% (95 % CI: 20.6 - 28.8), higher in males (28.7%)(OR 1.75) as compared to females (18.7%), more in graduate or above educated (34.6%)(OR 2.02), and among government employees (48.6%)(OR 4.2)(p<0.05). The prevalence of common forms of SLT consumed were: pan masala with tobacco (15%), gutka (12.3%), zarda (10.5%), khaini (9.3%), and gul (5.2%). The most common reason for initiation of SLT use among the users was found to be seeking enjoyment 46(42.6%). Only 35 (37.6%) current SLT users planned to quit SLT in next one year of the survey. Conclusion: Nearly one fourth of the study subjects used SLT and more among males, education level graduate and above, and Government employees. This highlights the need to plan behavior change communication strategies and counsel them for reduction or cessation of SLT use


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