Abstract
The aims of the study were to assess the association of periodontal loss of attachment with smoking and work-family conflict and assess whether work-family conflict modifies the association of smoking and periodontal disease. A random sample of 45-54year olds from metropolitan Adelaide, South Australia, was surveyed by mailed self-complete questionnaire during 2004-2005. Oral examinations were performed on persons who responded to the questionnaire, providing an assessment of periodontal status. A total of 879 responded (participation rate=43.8%), with n=709 oral examinations (completion rate=80.7%). Prevalence of periodontal loss of attachment (LOA) of 6+mm was higher (p<0.05) for smokers (23.8%) compared to non-smokers (7.8%) among employed adults. The adjusted prevalence ratio for LOA 6+mm was prevalence ratio (PR)=4.9 (95% CI 2.2-8.8) for smokers, and there was a significant interaction (p<0.05) between smoking status and work-family conflict. Work-family conflict modified the association of smoking with periodontal disease. Higher levels of work interfering with family were associated with higher levels of periodontal LOA for smokers compared with non-smokers.
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