Abstract

BackgroundTemporary employment leads to psychological distress and higher mortality, but data on its associations with oral health is limited. We examined whether having the experience of temporary employment was associated with tooth loss among working adults in Japan.MethodsWe conducted a cross-sectional study from the 2010–2011 Japanese Study on Stratification, Health, Income, and Neighborhood study that analyzed 2652 participants aged 25–50 years (men = 1394; women = 1258). Independent variable was changes in employment status (continuous regular employment and the experience of temporary employment). Dependent variable was self-reported tooth loss (none, 1 tooth, 2 teeth, 3 teeth, 4 teeth, and more than 4 teeth). Covariates were sex, age, years of education, self-rated household economic status in early life at 5 years old, marital status, number of family members in the household, history of diabetes, and body mass index. We conducted a negative binomial regression analysis to estimate prevalence rate ratios (PRRs) and 95% confidence intervals (95%CIs) for tooth loss. We also confirmed the interaction term between changes in employment status and sex.ResultsThe median age of the participants was 37 years. The percentages of men and women who experienced temporary employment were 14.5% and 61.3%, respectively. Compared with continuous regular employment, the experience of temporary employment was significantly associated with tooth loss in both sexes after adjusting for the covariates (men: PRR = 1.50 [95%CI = 1.13, 2.00]; women: PRR = 1.42 [95%CI = 1.14, 1.76]). The interaction term between employment status and sex was not significant (p = 0.71).ConclusionsTemporary employment is adversely associated with oral health.

Highlights

  • Temporary employment leads to psychological distress and higher mortality, but data on its associations with oral health is limited

  • Our main hypothesis was that changes in employment status between regular and temporary employment would have a negative impact on tooth loss

  • We excluded 68 participants who did not answer the survey questions by themselves, 1256 participants who did not answer the question about current employment status, 43 participants who did not answer the question about initial employment status, 52 participants who were not aged 25–50 years old, 4 participants who did not indicate their sex, and 310 participants who did not answer the question about tooth loss

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Summary

Introduction

Temporary employment leads to psychological distress and higher mortality, but data on its associations with oral health is limited. We examined whether having the experience of temporary employment was associated with tooth loss among working adults in Japan. Oral diseases remain a significant public health problem due to their very high prevalence, major impact on quality of life [1], and costs on health care systems [2]. Only one crosssectional study has reported significant associations between the workplace-related factors such as precarious employment status and poor self-rated oral health [17]. Our main hypothesis was that changes in employment status between regular and temporary employment would have a negative impact on tooth loss.

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