| Summary: | 碩士 === 高雄醫學大學 === 口腔衛生科學研究所碩士在職專班 === 91 === Abstract
The purpose of this study was to examine the association between areca quid chewing, cigarette smoking and oral health status with general health condition through the indexes of chronic diseases
There were 1984 employees, aged 20-64, of the Bureau of Environmental Protection in Kaohsiung city recruited for this study. Each participant received a thorough oral health and a general health examination. Their demographic characteristics and other variables such as marital status, educational level, and the usage of substances were collected by a structured questionnaire. The SAS and JMP software were used to conduct the analyses.
It was found that 19.47% of subjects chewed areca quid, and 28.36% smoked cigarette. Men with aged 18-34 years, single and with educational level of senior high school were more likely to smoke cigarette and chew areca quid than others. Age was positively significantly associated with hypertension and high blood sugar level, and educational level was negatively significantly related to these two chronic conditions. Half of these subjects were obese and with hypercholesterolemia. Among young men, over 50% had high SGPT and uric acid level. Areca quid chewers had significantly higher blood pressure and BMI than non-chewers, and there was a dose-response relationship with the years of chewing. Those with periodontal diseases had significantly elevated blood pressure and sugar level and worse liver function when compared to those without periodontal diseases. Subjects with remaining teeth less than 20 were more likely to have high blood sugar level as compared to others and those with oral mucosal lesions had worse renal function compared to those without mucosal lesions.
The risk factors for hypertension, hyperglycemia and hyper uricemia were identified by logistic regressions. It was found that men, higher age groups, alcohol drinking, with BMI higher than 24 and with areca/betel quid chewing habits were associated with the above chronic diseases. As for hypercholesterolemia, the risk factors included women and age groups. In terms of liver function, high SGPT was associated with gender and smoking more than one pack per day. The GGT was significantly related with alcohol drinking, oral mucosal lesions and chewing more than 100 counts per day.
In summary, we found that areca quid chewing and cigarette smoking as well as periodontal diseases were associated with indexes of chronic diseases. Hence, in terms of the prevention of chronic diseases, one should also consider the control of areca quid chewing and cigarette smoking.
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