Health Promotion Research Articles

Nutrition, relationship with malocclusions?

Nutritionispart of people'slifestyle. Dentistryisrelatedtodifferentareas of health, in whichnutrition can intervenepositivelyornot. Constantscientificadvances, studies and research show thatsomefoodsaffectmalocclusions and orthodontictreatments. Thequality and quantity of nutrientsthatsubjects consume, as well as thewaythey are ingested and thehabits in whichtheyeat, haveeffectsonthegrowth and development of the human body and onthe oral health status of people, whichIt leads tospecialists in thisbranchbeingaware of itseffectstotakethemintoaccount in treatments, as well as in theprevention and promotion of oral health. Theobjective of thisbibliographicreviewistoanalyzetherelationship of nutritionalsupplements in dentistry, forthe training of thestomatologist and to guide theeffectiveness of thetreatment. A systematicbibliographicreviewwascarriedout at theinternational and nationallevel of theproblem, usingthedatabases: ScientificElectronic Library Online, Scielo, Dialnet, Scopus, Redalyc, LILACS and Google academic, in original articles. A total of 67articleswerefound, of which 21 wereselectedforthepreparation of thisstudy.

Factors Associated with Dental Caries Prevalence Among Socially Vulnerable Children

The aim of this study was to evaluate the association between socioeconomic factors and the oral health status (OHS) of children in socially vulnerable situations assisted by a prominent nongovernmental organization in Fortaleza, Ceará state, Brazil. This is a cross-sectional observational study with a quantitative approach. One hundred children aged 5 to 6 years were included. Most children (n = 71, 71%) had dental caries. Only access to running water showed a statistically significant difference (p = 0.005) in relation to the level of dental pain. Correlations were tested through multiple linear regression analysis, revealing that the number of rooms in the home (p = 0.023) and family income (p = 0.022) were predictors of the DMFT index. Access to running water (p = 0.001) and the DMFT index (p = 0.010) were predictors of the level of pain. Children in situations of social vulnerability have a higher prevalence of dental caries associated with socioeconomic factors. It is essential that continuous strategies for promotion and prevention in oral public health be renewed to monitor children's development and growth.

Assessing disability progression using the WHODAS 2.0 in multiple sclerosis: Investigating clinical and socio-demographic factors in a large longitudinal cohort study (TONiC-MS).

Identifying influences on disability accumulation in multiple sclerosis (MS), including modifiable factors other than the core features of disease itself, is vital for clinical care, but has often relied on instruments with acknowledged psychometric shortcomings. We model MS disability using the WHO Disability Assessment Schedule (WHODAS) 2.0, a validated measure based on the WHO's biopsychosocial model and sensitive to the breadth of disability-related domains important to people, to investigate the factors associated with its trajectory after diagnosis. In a model allowing individual trajectories to vary around the population mean, we analysed the WHODAS 2.0, transforming it from ordinal raw scores to interval latent estimates via the Rasch Measurement Model (operational range 0 (low) to 128 (high disability)), across up to 6 surveys, from time of diagnosis to 24 years hence, by 5210 adults with MS from the UK's Trajectories of Outcome in Neurological Conditions-MS (TONiC-MS) longitudinal cohort study. Whilst disability rose, on average, across the disease course, and was higher for people with progressive onset MS (mean difference (MD) 14.55, 95 % confidence interval (CI) 12.56, 16.54), there was considerable variability between people in both their level of disability at time of diagnosis (with the WHODAS 2.0 scores of 90 % of people with MS expected to lie between 1.63 to 61.90) and in their subsequent trajectories. We found higher education was associated with lower disability (MD -5.81, 95 % CI -7.46, -4.16) and also delayed disability progression. However, further analyses indicated that the effect of education may be partially-mediated by self-efficacy. Higher levels of self-efficacy were associated with lower disability, and this effect was greater for those with lower education. In addition, the WHODAS 2.0 is sensitive to facets affected by depression, including cognition and participation in community activities, and we found greater depression to be associated with higher disability (MD 7.98, 95 % CI 7.05, 8.91). Both a higher number of comorbidities, and smoking, were associated with greater disability, especially early in the disease course. Higher disability was also found in those: not in work (MD 15.42, 95 % CI 14.24, 16.59) and more fatigued (5.83, 95 % CI 5.46, 6.21 per 1SD increase on Neurological Fatigue Index MS). Our results also indicated within-individual variability was greatest in those recorded as relapsing remitting at study entry, compared to those recorded as having progressive MS. The interplay between self-efficacy, education and disability reinforces the importance of interventions seeking to enhance self-efficacy. Our results additionally support early monitoring and targeting of comorbidities and smoking, which could reduce disability progression. The associations of time-varying depression and fatigue with disability also offer important opportunities for treatment. Characterising disability progression via validated measures provides information, targets for health promotion and indicators of groups warranting closer monitoring.

A health promotion proposal: improving the HPV vaccination rate among women of childbearing age in Shenzhen

A health promotion proposal: improving the HPV vaccination rate among women of childbearing age in Shenzhen

Evidence-Based Care Practices for Children Exposed to a Diabetes-Complicated Pregnancy

This study investigated the frequency with which nurse practitioners (NPs) incorporate evidence-based primary care practices for children exposed to diabetes-complicated pregnancies (DCPs). Using a cross-sectional design, a sample of 21 NPs participated in a web-based survey. Findings indicate considerable variability in NP care practices, suggesting that primary care NPs inconsistently implement evidence-based health promotion and care management strategies with these children. Continuing education tailored to the specific care needs of children exposed to hyperglycemia in utero could bridge current practice gaps. Further research is needed to explore this issue in a larger, more geographically diverse sample to enhance care consistency.

Longitudinal Associations Between Movement Behaviours and Development Among Infants Using Compositional Data Analysis.

The study examined the longitudinal associations of sleep time, restrained time, back time and tummy time with development in a sample of infants using compositional data analysis. Participants were a subsample of 93 parent-infant dyads from the Early Movers project in Edmonton, Canada. Parents completed a 3-day time-use diary at 2, 4 and 6 months of age. Time spent in four mutually exclusive movement behaviours were calculated representing sleep (i.e., sleep time), sedentary behaviour (i.e., restrained time and back time) and physical activity (i.e., tummy time). Communication, fine motor, gross motor, personal-social, problem solving and total development were measured at 2, 4 and 6 months of age with the Ages and Stages Questionnaire (ASQ-3). Gross motor development was also measured by a physiotherapist using the Alberta Infant Motor Scale (AIMS) at 6 months. The age six major gross motor milestones (i.e., independent sitting, crawling, assisted standing, assisted walking, independent standing, independent walking) were achieved according to World Health Organization criteria, in the first 18 months of life, were calculated. The composition of movement behaviours across time points was significantly associated with: ASQ-3 gross motor, problem solving and total development scores over time, total and percentile AIMS scores at 6 months and independent standing and walking milestones (ilr model p-value: < 0.001-0.045; model R2: 0.02-0.15). More sleep time or tummy time relative to other movement behaviours was associated with more advanced development and earlier achievement of some milestones. The opposite was observed for back time. Associations with restrained time were mixed. The optimal movement behaviour durations (minutes/day) for AIMS and WHO milestone outcomes, were 38-43 of tummy time, 51-54 of back time, 43-96 of restrained time and 845-900 of sleep time. Targeting healthy movement behaviour patterns in infants may be a promising health promotion strategy.

Investigating Aboriginal and Torres Strait Islander male health and wellbeing programs and their key elements: A scoping review.

This scoping review aims to explore the size and scope of the body of literature relating to Aboriginal and Torres Strait Islander male health and wellbeing programs and describe key program elements. This review considered unpublished and published literature from electronic peer-reviewed databases and grey literature sources. Included articles must refer to an Aboriginal and Torres Strait Islander male health and wellbeing program. Descriptive data synthesised, and seven key program elements were analysed: (1) Origin of Design, (2) Governance, (3) Leads/Facilitators, (4) Funding, (5) Length and Frequency, (6) Outcomes and Measures, and (7) Monitoring and Evaluation. The review identified 54 programs described in 49 publications that were published between 1998 and 2022. Only 20 publications were peer-reviewed articles. Most programs (n = 44) were instigated, co-designed or adapted by Aboriginal and Torres Strait Islander people to suit cultural and community needs. Reporting on key program elements varied, with only n = 25 of the included publications reporting governance systems. This work is the first to synthesise the literature and describe the key elements of Aboriginal and Torres Strait Islander male health and wellbeing programs. Relatively few publications were found describing programs designed specifically for this population group. SO WHAT?: While the descriptive findings of the programs and their key elements in this review can assist health promotion and primary care practitioners, further investment and research are required to strengthen the evidence base and achieve the best health and wellbeing outcomes for Aboriginal and Torres Strait Islander males.

Cross-sectional associations between dietary intake of polyunsaturated fatty acids, physical function, and sarcopenia in community-dwelling older adults

ObjectivesThe present study examined the associations between the dietary intake of polyunsaturated fatty acids (PUFAs), physical function, and the prevalence of sarcopenia in Italian community-dwelling older adults. DesignCross-sectional study. SettingUnconventional settings across Italy (e.g., exhibitions, health promotion campaigns). ParticipantsOlder adults (65+ years) who provided a written informed consent. MethodsPhysical function was evaluated according to isometric handgrip strength (IHG) and 5-time sit-to-stand (5STS) performances. Muscle power parameters were estimated based on 5STS values. Sarcopenia was operationalized according to the presence of low physical function (IHG or 5STS) plus low appendicular skeletal muscle mass (ASM), estimated according to calf circumference. A 12-item food questionary was used to estimate the dietary intake of PUFAs, which included omega-3 (α-linolenic acid, eicosapentaenoic acid, docosahexaenoic acid) and omega-6 fatty acids. ResultsMultiple linear regression results indicate negative and significant associations between the dietary intake of α-linolenic acid and muscle power, and between docosahexaenoic acid consumption and ASM. No significant associations were found between PUFAs-related variables and sarcopenia. ConclusionsResults of the present study indicate that PUFAs-related variables were negatively and significantly associated with physical function and body composition in older adults. Nevertheless, no significant associations were found with sarcopenia. These findings suggest that a more detailed analysis of covariates should be conducted in future investigations that aim to examine the associations between the dietary intake of PUFAs and sarcopenia-related parameters.

Lifestyle as a Tool for Health Promotion among Women with Irregular Follow-Up for Cervical and Breast Cancer in Bulgarian Population

Lifestyle as a Tool for Health Promotion among Women with Irregular Follow-Up for Cervical and Breast Cancer in Bulgarian Population

Men’s Health Aimed at Health Promotion

Men’s Health Aimed at Health Promotion

The positive impact of introducing public engagement as a self-directed learning strategy in undergraduate nervous system education

ABSTRACT Undergraduate medical education in China has shifted from educator-centered learning to self-directed learning (SDL) over the past few decades. Careful design of public engagement activities can enable SDL and empower medical students to pioneer public health and patient safety education. In this study, we aimed to innovate nervous system education by implementing a public engagement model that empowers students to learn about the nervous system by teaching the public. Our goal was to generate greater interest in the nervous system at the undergraduate stage, inspire students’ enthusiasm to pursue a career in neurology, and ultimately, contribute to health promotion. During the nervous system module of the second year of the undergraduate curriculum, students were given the option to participate in the public engagement model. Participants were tasked with the creation of educational videos focusing on knowledge, attitudes, and behaviors associated with the prevention and management of neurological diseases and their complications. The videos were made accessible to the general public through the university’s official channel at the end of the semester. A total of 117 students (67.24% of all students) chose to participate in the public engagement model. Female students and those with higher Grade Point Averages in the present semester were more likely to participate. The model received strong positive feedback from participants, as students found the public engagement task helpful in learning about the nervous system module as well as in enhancing their public engagement skills. Despite the time and effort consumption, participating in the public engagement task did not affect students’ exam scores. The public engagement task is an innovative model in the nervous system curriculum and has the potential to be integrated into a broader range of undergraduate courses. It empowers medical students to pioneer public health and patient safety education.

Universal Health Care Coverage for Aging Population

The term Universal Health Coverage (UHC) refers to a situation where “all people (both males and females, boys and girls) have access, without financial hardship, to the full range of type of quality health services when and where they need them, now and at times”. The UHC envisages coverage of the full range of essential health care services: from health promotion to (1) ‘Prevention’, (2) ‘Treatment’, (3) ‘Rehabilitation’, and (4) ‘Palliative care’ [aimed at improving quality of life of people (adults and children) and their families confronted with life-threatening illness]. It is pertinent to note that the UHC aligns with the SDG (Sustainable Development Goal) Target 3.8: achieve universal health coverage. The UHC is, thus, global commitment. However, in to deliver this promise, national governments need and inter-governmental organizations need to have health systems that are rooted in the locations communities they serve. Also, such health systems need to be • Need-based, • Efficient, and • Equitable. The author of this review paper argues that Primary Health Care (PHC) is the most effective and cost-efficient way to reach out to people with the UHC, with consideration of “need-based approach”. Further, it is due to this consideration of need-based theory that every country, with its own socio-economic and demographic profile, adopts a different strategy for the purpose of achieving the UHC. Furthermore, national governments decide what to cover, depending on the needs of their populations, including availability of health infrastructure (resources). Investment in the scientifically designed UHC programs has the potential to ensures that health needs of people are (a) ‘Identified’, (b) ‘Prioritized’, and (c) ‘Addressed’. The conceptual framework of the UHC is of increased relevance for aging population (individuals above the age of 65). The author of this work is of the considered research view that objective of achieving the SDG-3.8 target cannot be fully and adequately realized without transforming health care system that has significant impact on functional ability in older age people (or aging population). Objective of this evidence-based review paper is to investigate into significance and implications of the UHC for aging population. Also, it briefly outlines renewed strategies needed for the UHC for aging population. Secondary data (largely ‘qualitative’ in nature) have been used. The method of data analysis is ‘descriptive’, involving non-statistical (mathematical) techniques. The paper briefly concludes that scientifically-designed mechanism for offering the UHC for older people, without financial burden, is crucial. It is important that health financing systems of the national governments are designed to cater to health needs of older people, while protecting them from to access services when they are needed, but also to protect them from financial catastrophe (by abolishing “out of pocket spending”).

The role of primary healthcare system in the prevention and management of chronic kidney diseases in rural Nigeria

Chronic Kidney Disease (CKD) is a key source of morbidity and mortality in rural Nigeria due to its prevalence at 19.9% Caused by factors like hypertension, diabetes, infections, and environment. This research emergently appraised the role of the primary healthcare (PHC) system in the prevention and management of CKD within rural communities, including assets and liabilities. The approach followed the qualitative research design; articles were reviewed, favoring 16 peer-reviewed journals between 2015 and 2024. These studies were chosen because they addressed the topic of CKD prevention and management, PHC care delivery systems, the development of screening programs and educational initiatives, system preparedness, and policy changes. Study design, interventions, outcomes, and levels of evidence were summarised to describe trends and gaps in the effectiveness of PHC. The analysis showed that PHC systems were central in preventing CKD through screening, health promotion, lifestyle changes, and environmental modification. Nonetheless, gaps that had been noted included poor health facilities, scarcity of skilled workers, and poor availability of basic drugs. The other barriers to the implementation of EBHC included cultural belief in the use of conventional medicine and ill-health literacy. However, such barriers as poor NGO partnerships and dismal policy revision illuminated possibilities of enhancing CKD through increased provision of resources combined with efficient coordination of services. The study highlighted a need to scale up investment in PHC, especially in facilities and equipment, engaging particular audiences in culturally appropriate and targeted education to prevent and manage CKD; and an array of workforce development programs. Enhancing the monitoring and evaluation systems also puts much focus on improving and sustaining quality health care for vulnerable groups of people. These gaps may be alleviated by identifying strategies that could help interventionists strengthen or develop PHC systems to effectively tackle CKD and the despairing health status in rural Nigeria.

Telehealth use for sexual and reproductive health promotion and care during the early phase of COVID-19 pandemic: A descriptive-interpretive qualitative study of healthcare providers’ perspectives and experiences in Western—Central New York State

Telehealth emerged as a key option for the provision of sexual and reproductive health (SRH) care and promotion during COVID-19 pandemic restrictions. However, there is limited research on the perspectives and experiences of healthcare providers (HCPs) in the Western-Central region of New York State. This qualitative interpretive study explored the perspectives and experiences of the HCPs’ with telehealth for SRH promotion and care including counselling, testing and treatment for HIV infection and other sexually transmitted infections (STIs), in Western New York State. Ten HCPs participated in semi-structured in-depth interviews conducted between October 2019 and February 2021. Participants were predominately White, female, with 1–30 years of clinical experience. The narratives revealed three major themes: 1) HCPs’ perspectives of telehealth use, 2) HCPs’ experiences with telehealth use for SRH promotion and care, and 3) determinants of telehealth implementation. Though all providers reported an increase in the use of telehealth, experiences in the delivery of telehealth varied especially for SRH services. Some providers reported having more time to consult with patients because patients could just call and schedule a telehealth visit and because of a decrease in patient load which freed up time to engage with patients. Others reported technological limitations among some patients which impacted care. Strengthening telehealth-based sexual health promotion will serve to address efforts toward ending the HIV epidemic, reducing other STIs, and ensuring consistent access to contraception. To effectively implement telehealth findings, suggest a need to ensure adequate technological resources for patients, and a need to increase HCPs’ comfort to engage patients in sexual health conversations via telehealth.

Body Composition and Cardiorespiratory Fitness Characteristics Among Female University Students: A Cross-Sectional Study

Obesity and body composition are crucial indicators of health, especially among young adults whose lifestyle changes during university years can impact physical well-being. This study examines obesity levels and body composition parameters in female university students, hypothesizing that they exhibit elevated body fat percentages compared to health standards, likely due to a sedentary lifestyle. A secondary hypothesis posits a correlation between physical activity levels and body composition, anticipating higher fat mass in students with low physical activity levels. The study included 258 female students, aged 18-23, from seven faculties at the University "Dunărea de Jos" of Galați. Body composition metrics, such as total body water, protein, minerals, body fat mass, skeletal muscle mass, and BMI, were assessed using the InBody 720 (Biospace, Korea). Cardiovascular fitness was evaluated through the Ruffier Test, a widely accepted measure in Europe. SPSS 26 software was used for statistical analysis, applying Skewness and Kurtosis to assess data distribution, while Pearson correlation evaluated relationships between physical activity and body composition. The analysis revealed a significant trend toward elevated fat mass and obesity indicators. The average body fat mass was 32.3%, substantially above the healthy standard of 23%, and 52.3% of participants were classified as having excessive body fat. BMI showed 38% of students in the overweight or obese range. Waist-to-hip ratios highlighted prevalent central adiposity, with a mean of 0.918, exceeding recommended limits for women. A positive correlation was found between lower physical activity and increased fat mass, supporting Hypothesis 2. Findings indicate a high prevalence of obesity-related parameters among female university students, likely linked to lifestyle changes. These results emphasize the importance of health promotion efforts to encourage physical activity and healthy habits in this population, suggesting a role for bioelectrical impedance analysis as a valuable tool in university health assessmentsy.

Socioeconomic predictors of preventive health check-ups by a general practitioner in the Czech Republic

Health is one of the Sustainable Development Goals. The importance of health promotion is growing in the context of an aging population and increasing life expectancy. Prevention is often underestimated and neglected by citizens. This article aims to identify the socioeconomic predictors of preventive health check-ups by general practitioners in the Czech Republic, focusing on selected age groups. An original dataset is prepared based on data for 2010–2019 provided by the largest health insurance company in the Czech Republic, the General Health Insurance Company. Correlation and regression analysis methods are used to achieve the objectives. Two models are built and tested: (1) preventive examinations model and (2) preventive examinations in age group 65+ model. Based on the results, preventive medical examinations in the pensioner group depended on economic indicators, such as the average wage, employment, and gross domestic product, in the analyzed period. For the total population, overall population size, the average age, urbanized area, and level of education play a key role. The results reveal a difference between the general population group and the 65+ population group. Government interventions and health policies promoting prevention should consider using appropriate incentive policy instruments targeting the 65+ population to prolong active life in senior age.

Cultural Integration in Adolescent Reproductive Health Promotion Initiatives: Insights from Tengger, Indonesia

Context significantly influences the effectiveness of adolescent reproductive health (ARH) promotion. Successful efforts to improve ARH quality often overlook broader environmental factors, with local contexts frequently being the root causes. Understanding these contextual factors is crucial for effective improvements. This study aimed to explore ARH promotion based on the local knowledge of the Tengger people using a case study approach. Interviews were conducted with key stakeholders (n=2), parents (n=2), and adolescents (n=2). Results indicated that cultural and religious values are deeply integrated into ARH promotion. Four central foundations underpin these efforts: cultural identity, social control, harmony, and full participation. Cultural identity focuses on preserving and transmitting local traditions and values. Social control involves both structured community rules and unwritten norms that guide behavior. Harmony emphasizes maintaining balance and peace, crucial for collective well-being. Full participation ensures adolescents are engaged in community activities, fostering a sense of belonging and responsibility. These findings highlight the necessity of incorporating local cultural into ARH initiatives to enhance effectiveness. Aligning ARH promotion with the values and practices of the Tengger people can lead to better acceptance and sustainability of programs.

Exploring the pathways between depression, anxiety, stress, and quality of life on life satisfaction: a path analysis approach

BackgroundLife satisfaction, one promising health asset, is associated with reduced risk of several chronic diseases and mortality. Mental health conditions and quality of life (QoL) are important aspects of well-being in late life and are significantly associated with life satisfaction. Despite the complex interrelationships between mental health, QoL and life satisfaction, the current literature has evaluated the simple association between them and failed to consider the complex pathways among these variables, especially among the older population. Hence, this study explores the pathways between mental health conditions (depression, anxiety, and stress), QoL and life satisfaction among older adults in eastern Nepal.MethodsThis cross-sectional study was conducted in eastern Nepal via face-to-face interviews with 847 older adults selected by multi-stage cluster sampling. The 5-item Satisfaction with Life Scale and 13-item Older People’s QoL scale assessed life satisfaction and QoL, respectively. The 21-item Depression, Anxiety and Stress scale measured mental health conditions. The relationship between QoL, depression, anxiety, and stress with life satisfaction was first evaluated using linear regression, subsequently by path analysis.ResultsThe mean (± SD) life satisfaction and QoL score were 19.7 (± 5.3) and 42.9 (± 7.1), respectively. More than one-fifth of the participants had moderate to severe depression (30%), anxiety (34%), and stress (20%). In adjusted regression analysis, QoL was positively associated (β: 0.44; 95% CI: 0.40 to 0.48) with life satisfaction, whereas depression, anxiety, and stress were inversely associated. In the path analysis, the relationship between depression and stress with life satisfaction was mediated by QoL. Depression was indirectly related to life satisfaction (mediated by QoL, β = -0.25), whereas stress was both directly (β = -0.11) and indirectly (mediated by QoL, β = -0.08) related to life satisfaction.ConclusionsGiven the high mental health burden among the older Nepali population and its potential impact on life satisfaction and QoL, routine screening for mental health should be encouraged in clinical practice. Additionally, community-based interventions and mental health promotion programs should be launched at regional and local levels.

Body Weight Changes During Childhood and Predictors of Excessive Body Weight in Adolescence—A Longitudinal Analysis

Introduction: Abnormal body weight, including overweight and obesity, is a common health problem affecting children and adolescents. The present study aimed to analyse weight changes in children from preschool age to adolescence and to identify early predictors of excessive weight in adolescence, such as blood pressure and physical fitness observed in preschool children. Methodology: Data from 3075 children (1524 girls and 1594 boys), collected as part of the Gdańsk Centre for Health Promotion’s “Your Child’s Healthy Life” programme, were analysed, with each child assessed at ages 6, 10, and 14. Results: The results indicated that boys were more likely to be overweight, with a tendency for obesity to increase with age. Children who were overweight or obese at age 6 had a higher risk of remaining so for a longer period of time. In addition, low physical fitness (as measured by the KPRT test) and elevated blood pressure were significantly associated with excess body weight. Conclusions: The study underscores the importance of early intervention and consistent monitoring of childhood overweight and obesity to reduce their long-term impact on health.

The importance of using interdental cleaning devices on prevention of tooth loss in an employee population: a cross-sectional study

BackgroundTooth loss can lead to an increased risk of physical disease and a reduced quality of life. The current study investigated the association of the use of interdental cleaning devices with oral health outcomes such as tooth loss among employees as a healthier population.MethodTooth loss was determined as the main outcome in 2017 in a company employee population (n = 845, average age = 47.76 years old, and 25.09% of female). Using the data of dental health examinations in the past 5-years from 2017, the years of use of interdental brushes (IDB) and dental floss (DF) were examined. The Community Periodontal Index (CPI) as of 5-years ago was also examined. The impact of years of use of IDB and DF on tooth loss was analyzed by a logistic regression model in stratifying the subjects into two groups by the maximum CPI (0–2 of CPI [< 4 mm] and 3–4 of CPI [≥ 4 mm]) in all periodontium.ResultsIn the group of maximum CPI < 3, a multivariate-adjusted odds ratio of the use of DF for 4–5 years on tooth loss was 0.42 versus for 0–1 year (reference). In the group of maximum CPI ≥ 3, the multivariate-adjusted odds ratio of the use of IDB for 4–5 years was 0.38 versus for 0–1 year (reference).ConclusionA longer-term use of interdental cleaning devices could improve oral health outcomes in this population, while the impact could differ depending on the basis of periodontal status. These findings would be useful for making strategies for oral health promotion in healthier people as employees.